Above 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 Meadowlark Hills during CMS and state inspections, most recent first.
Surveyors found that the kitchen had rusted and chipped shelving, dirty pans with dried plastic, food prep tables and equipment with food debris, improperly stored scoops in ingredient bins, and soiled utensils and appliances. Dietary staff confirmed these sanitation lapses, and the Dietary Manager noted that cleaning records were not maintained as required by facility policy.
The facility did not offer or document consent, declination, or physician contraindication for the PCV20 pneumococcal vaccine for several eligible residents, as required by CDC guidelines. Medical records lacked necessary documentation, and an administrative nurse confirmed that not all eligible residents had been offered the vaccine.
A resident with severe cognitive impairment and a terminal diagnosis was receiving hospice care, but the care plan did not include required details such as hospice staff service delegation, visit frequency, medications, medical equipment, or the preferences of the resident's representative. Staff confirmed hospice visits were occurring, but the care plan lacked this critical information.
During a dressing change for a resident with a stage three pressure ulcer and multiple comorbidities, staff failed to change gloves after cleansing the wound and before continuing treatment, contrary to the facility's infection control policy. This breach of standard precautions was directly observed and confirmed by another nurse.
A resident with severe cognitive impairment and osteoporosis fell from a spa lift chair due to improper securing of the safety belt by a CNA, resulting in a fractured right femur. The incident occurred during a transfer from a spa tub, highlighting a failure in following safety protocols for high-risk fall prevention.
A licensed nurse in a LTC facility misappropriated a resident's promethazine with codeine medication by emptying it into a water bottle and replacing it with water. The incident was discovered during a narcotic count, and camera footage confirmed the nurse's actions. This failure to protect the resident's medication placed them at risk for missed doses.
Deficient Kitchen Sanitation and Food Handling Practices
Penalty
Summary
Surveyors observed multiple failures in the facility's kitchen related to food storage, preparation, and cleanliness. The shelving unit for clean pans had rust and chipped paint, with clean steam table pans showing dried, stuck-on pieces of plastic wrap. Food prep tables had containers and equipment stored on shelves with numerous dried food crumbs. The flour and sugar bins were found with scoops left inside, and a metal knife holder had accumulated dust and crumbs. The air conditioning unit above the stovetop had gummy lint in the grate, and the can opener had soiled, dried food particles. Dietary staff confirmed the presence of these issues, including the need for cleaning and the condition of the shelving and pans. The Dietary Manager acknowledged that staff were responsible for cleaning after the evening meal and used a dry-erase board to check off completed tasks, but no records of cleaning were maintained. The facility's policy required cleaning logs to be posted and completed by staff, with oversight by the Food and Beverage Leader, but this was not being followed as documented.
Failure to Follow CDC Guidelines for Pneumococcal Vaccination
Penalty
Summary
The facility failed to follow the latest CDC guidelines regarding pneumococcal (PCV20) vaccination for five residents. Record review showed that the clinical medical records for these residents did not contain evidence that the facility or the residents' representatives received or signed consent or informed declination for the PCV20 vaccine. Additionally, there was no documentation of a physician-documented contraindication for the vaccine in these residents' records. An administrative nurse confirmed that the facility had not offered the PCV20 vaccine to all eligible residents. The facility's existing procedure required obtaining immunization records at move-in, securing physician standing orders for pneumococcal vaccination, and offering the vaccine to residents who had never received it or were due for a booster, in accordance with CDC guidelines. However, these procedures were not followed for the residents in question, resulting in a lack of proper documentation and vaccine administration.
Failure to Document Hospice Service Details in Care Plan
Penalty
Summary
The facility failed to include essential hospice care details in the care plan for a resident with severe cognitive impairment, multiple chronic conditions, and a terminal diagnosis. The care plan documented the hospice provider and contact information but lacked specifics regarding the delegation of hospice staff services, visit frequency, medications, medical equipment, and the preferences of the resident's representative. The resident was admitted to hospice care with a primary diagnosis of senile degeneration of the brain and had significant functional and cognitive impairments, requiring substantial assistance with daily activities and receiving as-needed pain medication. Observations and staff interviews confirmed that hospice services were being provided, with hospice staff visiting twice weekly. However, the care plan did not reflect the necessary details about the hospice services being delivered. Staff also verified that the resident's family preferred the resident not be aware of receiving hospice care. The facility's hospice agreement required a written plan of care that delineates services and reflects the participation of all parties, but this was not adequately documented in the resident's care plan.
Failure to Follow Standardized Infection Control Practices During Wound Care
Penalty
Summary
A deficiency occurred when staff failed to follow standardized infection control practices during a dressing change for a resident with multiple complex medical conditions, including diabetes mellitus, Parkinson's disease, and a stage three pressure ulcer on the buttock. The resident's care plan required staff to administer treatments as ordered and monitor for effectiveness, with specific physician orders directing the application of a skin substitute and Duoderm dressing. During an observed dressing change, a consultant and a licensed nurse donned gloves and a gown, removed the old dressing, cleansed the wound, measured it, applied silver nitrate, and placed a new skin substitute and Duoderm dressing. However, the consultant failed to change gloves after cleansing the wound and before performing further treatment, which was verified by the licensed nurse present. This action was not in accordance with the facility's Standard Precaution Procedure policy, which requires staff to change gloves between tasks and procedures on the same resident and after contact with potentially contaminated material. The failure to change gloves during wound care was directly observed and confirmed, constituting a breach of infection control protocol.
Resident Falls Due to Improper Use of Spa Lift Chair
Penalty
Summary
The facility failed to ensure the safety of a resident during a transfer from a spa tub using a mechanical spa lift chair. The resident, who had a history of severe cognitive impairment, osteoporosis, and other medical conditions, was not properly secured with the safety belt in the spa lift chair. This oversight occurred during a transfer conducted by a Certified Nurse Aide (CNA), resulting in the resident falling from the chair and sustaining a fractured right femur. The resident's medical records indicated a need for substantial assistance with transfers and a high risk of falls due to cognitive and physical impairments. Despite these documented needs, the CNA did not correctly fasten the safety belt on the spa lift chair, leading to the resident's fall. The incident was discovered when a nurse responded to the spa tub call lights and found the resident injured in the spa tub. Interviews with facility staff confirmed that the CNA failed to secure the safety belt properly, which was a direct violation of the facility's procedures for high-risk fall prevention. The resident's fall resulted in a right femur fracture that required surgical intervention, highlighting a significant lapse in the facility's adherence to safety protocols during resident transfers.
Misappropriation of Medication by Licensed Nurse
Penalty
Summary
The facility failed to protect a resident from the misappropriation of medication by a licensed nurse. The incident involved a resident with chronic pain, shortness of breath, and constipation, who had a prescription for promethazine with codeine to be administered as needed for cough. The resident's medication was misappropriated by a licensed nurse, who was observed on camera footage emptying the medication into a water bottle and replacing it with water, then leaving the facility with the medication. The misappropriation was discovered during a routine narcotic count when a discrepancy was noted in the medication volume. The nurse involved had asked for the keys to the medication room under the pretense of accessing petty cash, and later used the opportunity to access and misappropriate the medication. The facility's investigation included reviewing camera footage, which confirmed the nurse's actions. The facility's policy on preventing resident abuse, neglect, and misappropriation of property was not adhered to, as the nurse wrongfully used the resident's medication without consent. This incident placed the resident at risk for missed medications and further misappropriation, highlighting a failure in the facility's procedures to safeguard resident property.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 38 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Manhattan
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Via Christi Village Manhattan, Inc | 1.6 mi | ★★★★★ | 8 | 1 |
| Stoneybrook Retirement Community | 2.9 mi | ★★★★★ | 9 | 0 |
| Good Samaritan Society - Valley Vista | 13.8 mi | ★★★★★ | 0 | 0 |
| Westy Community Care Home | 14.2 mi | ★★★★★ | 0 | 0 |
| Leonardville Nursing Home | 18.7 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.