Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Meadowpark Health And Rehabilitation Center during CMS and state inspections, most recent first.
Failure to provide nail care for a dependent resident. A resident who was fully dependent on staff for ADLs was repeatedly observed with elongated fingernails and dark debris under the nail beds. CNAs confirmed the resident could not perform personal hygiene or nail care independently, and an LPN was unaware the resident needed nail care until the hands were observed. Record review showed no documented refusal of nail care, multiple shower sheets with nail care not completed, and a care plan identifying the resident as dependent for hygiene needs.
The facility failed to handle grievances effectively, as evidenced by incomplete documentation and lack of follow-up on complaints from residents and their families. Incidents included a resident left in a wheelchair for too long, another found soaked in urine, and others experiencing inadequate care. The facility's grievance policy was not consistently followed, leading to unresolved issues.
The facility failed to timely remove two residents from isolation precautions, impacting their rights to a dignified existence and self-determination. One resident, admitted with C-Diff, remained on isolation despite completing antibiotic treatment and being symptom-free, restricting her access to therapy. Another resident, admitted with COVID-19, was kept on isolation beyond the necessary period. Interviews revealed a lack of awareness and adherence to policies regarding the discontinuation of isolation precautions.
A facility failed to create a person-centered care plan for a resident with a left shoulder replacement, resulting in unaddressed pain during care. Despite the resident's moderate impairment and complaints of pain, the care plan and Kardex lacked documentation and interventions for managing the shoulder replacement. Interviews with staff revealed a lack of awareness and communication about the resident's condition, highlighting a deficiency in the care planning process.
A facility failed to involve a resident's representative in care planning, despite the resident's severe cognitive impairment and the family member's request for a meeting. The resident, with a history of COPD, dementia, and anxiety, was not supported by documentation showing family involvement in care plan meetings since admission. The Social Service Director was responsible for invitations but could not provide evidence of prior invitations to the family member.
Two residents in the facility did not receive adequate ADL services related to toileting. One resident, with moderate cognitive impairment, was observed without proper clothing and inconsistent incontinence care documentation. Another resident, with severe cognitive impairment, was found by a family member to be naked and with soaked bedding, indicating a lack of timely care. Staff interviews revealed issues with night shift duties and documentation gaps, failing to meet the expected standard of care.
Failure to Provide Nail Care for a Dependent Resident
Penalty
Summary
Provide care and assistance to perform activities of daily living for any resident who is unable. The facility failed to ensure nail care was offered or provided for one resident who was totally dependent on staff for all ADLs. Resident #2 was observed on multiple occasions lying flat in bed and unable to answer questions related to care needs. During these observations, both hands had elongated fingernails with dark brown debris under the fingernail beds, with several nails extending at least a quarter inch to over a half inch beyond the fingertips. Staff interviews confirmed the resident was fully dependent on staff for personal hygiene and could not complete fingernail care independently. A CNA who regularly cared for the resident stated the nails were very long and soiled, but was not sure who was responsible for clipping them. Another CNA stated the resident could not perform personal hygiene care, including fingernail care, and agreed the nails should not have been that long or dirty. An LPN stated staff should watch for elongated fingernails daily and make the decision to clip them if a resident cannot express needs, but was not aware the resident needed nail care until observing the hands. Record review showed no documented refusal of nail care, shower sheets with nail care not completed on multiple dates from March through May 2026, and care plans identifying the resident as dependent for ADLs and bathing. The facility policy required residents unable to perform ADLs independently to receive assistance with grooming and nail care.
Inadequate Grievance Handling in LTC Facility
Penalty
Summary
The facility failed to ensure a timely and effective grievance process for several residents, as evidenced by the lack of detailed documentation and follow-up on grievances. The Nursing Home Administrator (NHA) presented grievance logs that lacked information to identify the type of concern, which hindered the ability to track and trend issues for improvement. Resident #3 reported an incident where she was left in a wheelchair for an extended period and received a rude response from a staff member when she requested assistance. Despite her family member reporting the incident, there was no record of a grievance being filed for this resident. Resident #5's family member filed a grievance after finding the resident naked and soaked in urine, suggesting neglect during the night shift. The grievance form was incomplete, with no investigation or follow-up documented, and the family member reported not receiving any communication from the facility regarding the grievance. The Director of Nursing (DON) and NHA were unaware of the grievance until the survey, indicating a breakdown in communication and grievance handling. Other residents, including Resident #6, #7, and #8, also experienced issues related to inadequate care and staff interactions, with grievances either lacking proper documentation or follow-up. The facility's policy on grievances requires prompt efforts to resolve issues and communicate findings to the resident or their representative, but these procedures were not consistently followed, leading to unresolved grievances and dissatisfaction among residents and their families.
Failure to Timely Remove Residents from Isolation Precautions
Penalty
Summary
The facility failed to honor the rights of two residents by not removing them from isolation precautions in a timely manner according to standards of practice. Resident #3, who was admitted with enterocolitis due to Clostridium difficile (C-Diff) and major depressive disorder, was observed to have a contact precaution sign on her door even after she had completed her antibiotic treatment and was no longer experiencing diarrhea. Despite being cognitively intact, as indicated by a BIMS score of 15 out of 15, Resident #3 was kept on isolation, which restricted her access to the therapy gym and equipment, impacting her self-determination and communication rights. Resident #4, who was admitted with COVID-19 among other medical conditions, was also kept on isolation beyond the necessary period. The facility's policy required a 10-day isolation period from the start of COVID symptoms, but Resident #4 remained on contact/droplet precautions until her discharge, even though she should have been taken off isolation earlier. The Assistant Director of Nursing (ADON)/Infection Preventionist confirmed that the facility lacked a process to ensure residents were removed from isolation in a timely manner, which contributed to the oversight. Interviews with staff, including the ADON/Infection Preventionist and Licensed Practical Nurses (LPNs), revealed a lack of awareness and adherence to the facility's policies regarding the discontinuation of isolation precautions. The ADON/Infection Preventionist admitted to not having a procedure in place to track and ensure the timely removal of residents from isolation. This deficiency in the facility's infection control practices led to the unnecessary isolation of residents, thereby infringing on their rights to a dignified existence and self-determination.
Failure to Develop Person-Centered Care Plan for Resident with Shoulder Replacement
Penalty
Summary
The facility failed to develop a person-centered care plan for a resident with a history of left shoulder replacement and associated pain. The resident, who was moderately impaired with a BIMS score of 8, had a medical history that included Parkinson's disease, dementia, and the presence of a left artificial shoulder joint. Despite the resident's complaints of pain when staff pulled on his shoulder during care, the care plan and Kardex lacked documentation or interventions addressing the shoulder replacement and pain management. Interviews with facility staff, including the ADON and DON, revealed a lack of awareness and communication regarding the resident's shoulder replacement and pain. The ADON acknowledged the resident's pain and the need for staff to be informed about the shoulder replacement, while the DON provided a radiology report confirming the shoulder replacement and pain. However, the care plan did not reflect these findings, indicating a deficiency in the facility's care planning process.
Failure to Involve Resident's Representative in Care Planning
Penalty
Summary
The facility failed to honor the right of a resident's representative to participate in the development of the resident's care plan. The resident, who was admitted on 07/03/2024, had a medical history that included chronic obstructive pulmonary disease, dementia without behavioral disturbance, and generalized anxiety disorder. A quarterly assessment completed on 10/08/2024 indicated severe cognitive impairment with a BIMS score of 3. Despite the resident's cognitive status, the family member reported not being invited to participate in care plan meetings, expressing concerns about the resident's weight loss and care processes. Interviews with the Social Service Director (SSD) and the Regional MDS Coordinator revealed that the SSD was responsible for inviting participants to care plan meetings. However, there was no documentation to support that the family member had been invited to any care plan meetings since the resident's admission. A progress note dated 11/21/2024 indicated a request for a care plan meeting from the family member, but it was only after the surveyor's inquiry that a meeting was held with the family member present. The facility could not provide evidence of prior invitations to the family member for care plan meetings, highlighting a deficiency in involving the resident's representative in the care planning process.
Deficiency in ADL Toileting Care for Residents
Penalty
Summary
The facility failed to provide adequate Activities of Daily Living (ADL) services related to toileting for two residents, resulting in deficiencies in care. Resident #2, who was moderately cognitively impaired and required total assistance for ADLs, was observed without proper clothing and with a visible diaper. The care plan for Resident #2 indicated a need for dependent assistance from two staff members for toileting, yet documentation showed inconsistent incontinence care, with some days lacking any recorded care. Resident #5, who had severe cognitive impairment, was found by a family member to be naked and with soaked bedding, indicating a lack of timely incontinence care. The family member reported the incident to staff, but no follow-up communication was received. Staff interviews revealed that the resident was found completely soaked without a brief, and the night shift was blamed for not performing their duties. The care plan for Resident #5 required limited assistance for toileting, but documentation showed gaps in care, with some days missing entries. The Director of Nursing expected aides to document incontinence care at least twice per shift, but this standard was not met, as evidenced by the documentation gaps for both residents. The lack of consistent and adequate incontinence care for these residents highlights a deficiency in the facility's ability to meet the toileting needs of its residents, as required by their care plans.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Dunedin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Willowbrooke Court Skilled Care Center At Mease Li | 0.2 mi | ★★★★★ | 0 | 0 |
| Aviata At Lakeside Oaks | 0.4 mi | ★★★★★ | 6 | 0 |
| Lake Haven Nursing And Rehab Center | 0.7 mi | ★★★★★ | 1 | 0 |
| Aviata At Sand Key | 2.1 mi | ★★★★★ | 0 | 0 |
| Kensington Gardens Rehab And Nursing Center | 3.1 mi | ★★★★★ | 12 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.