Below 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 Green Meadows Health & Rehabilitation during CMS and state inspections, most recent first.
The facility failed to maintain proper food storage practices, with several open and unlabeled food items found during a kitchen walkthrough. The Dietary Manager was unaware of the shelf life of some items, and the Administrator confirmed the expectation for labeling open food items. This affected nearly all residents consuming food from the kitchen.
The facility failed to maintain an operational call light system at two nurses' stations, Transition and Orchard, due to damage from a storm. Although door lights functioned, the system did not alert the stations, requiring staff to rely on visual cues or hand bells. Call Light Audits were insufficient, and the facility lacked a policy on call lights.
The facility failed to maintain two living room couches safely, posing potential fall and injury risks. A recliner in the Transition wing was stuck in a reclined position, and the Orchard couch had missing metal liners, exposing rough wood. Staff were unaware of these issues, and the Maintenance Director had not been notified.
The facility failed to properly store medications, with loose tablets found in three of six medication carts on the Peach, Cherry, and Maple units. LPNs were unaware of the loose pills, and the facility lacked a specific policy for medication storage. The DON and MR nurse confirmed weekly cart audits, but loose pills were still present. The Administrator expected audits to ensure clean carts, but inconsistent adherence to protocols led to the deficiency.
A facility failed to provide a Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) to a resident who remained in the facility after Medicare Part A services ended. The resident, with moderately impaired cognition, was not informed of potential financial liability for services not covered by Medicare. Interviews revealed staff were unaware of the requirement to issue SNFABNs for Medicare Part A, and the facility lacked a policy for this process.
A facility failed to verbally explain the contents of a binding arbitration agreement to a resident's representative, resulting in a deficiency. The representative, who signed the agreement, was not informed of the legal rights being waived or the right to have the agreement reviewed by an attorney. The Admissions Director did not inform residents of their right to rescind the agreement within thirty days or the right to a neutral choice of venue, contrary to facility policy.
Two LPNs failed to follow infection control practices during medication administration, affecting two residents. One LPN touched the inside of medication and water cups and gave a dropped capsule to a resident with bare hands. Another LPN used her fingernail to open blister packs, directly touching the medications. The facility's policy on medication pass procedures was not followed, and the DON acknowledged the breach.
Improper Food Storage Practices Observed
Penalty
Summary
The facility failed to maintain proper food storage practices, as observed during a kitchen walkthrough with the Dietary Manager (DM). Several food items were found open and unlabeled, lacking both open and expiration dates. Specifically, four bags of flour were stored in an uncovered bin without a lid, and the DM was unsure of the flour's shelf life. An open, unlabeled bottle of pancake and waffle syrup was found, which the DM claimed belonged to another department but acknowledged was the kitchen staff's responsibility. Additionally, three open, unlabeled bottles of white vinegar were stored in the dry product storage room, which the DM stated were used for cleaning but could potentially be used in resident food due to their location. Further observations revealed a toolkit box with undated and unlabeled cake decorating items in the dry food storage area, which the DM could not identify. In the walk-in freezer, an open, unlabeled bag of cookie dough, two bags of garlic bread, and a bag of hash browns were found, all lacking open dates and proper storage in their original boxes. The Administrator later confirmed that it was expected for all open food items to be labeled with the date opened and an expiration date, indicating a failure to adhere to the facility's food storage policies.
Deficient Call Light System at Nurses' Stations
Penalty
Summary
The facility failed to ensure that the call light systems annunciator was operational at two nurses' stations, Transition and Orchard. Observations revealed that the call light system did not alarm at these stations, which could prevent residents from obtaining necessary assistance. Interviews with staff, including an LPN and the ADON, indicated that the annunciation system had been damaged during a storm in the spring, and although the lights above the doors still functioned, the system did not alert the nurses' stations. Staff members reported that residents used call lights to request assistance, but the system's failure meant that staff had to rely on visual cues or hand bells provided to some residents. The facility's Call Light Audits, conducted from October 2023 through September 2024, were insufficient, as they were only performed once a week in one room per day and did not cover all times of the day or weekends. The DON confirmed the limited scope of these audits. The Administrator acknowledged that the call light annunciators had been damaged by a storm in July 2024 and had not been repaired. Additionally, the facility lacked a policy regarding call lights, which contributed to the deficiency in ensuring a functional call light system for residents.
Failure to Maintain Safe Living Room Furniture
Penalty
Summary
The facility failed to maintain two living room couches in a safe manner, posing a potential fall risk and risk of physical injury to residents and visitors. During an observation, it was noted that the recliner on the right side of the half-circle couch in the Transition wing living room was stuck in a reclined position and required a dining chair to hold it upright. Interviews with the LPN and ADON revealed that the couch had been broken for about a week, but they were unsure if the maintenance department had been notified. Additionally, the Orchard living room couch had missing metal liners from its cup holders, leaving exposed rough wood that could cause injury. The Maintenance Director confirmed that he had not been notified of the issues with the couches, as there were no reports in the TELS system. The Director of Nursing and the Administrator were also unaware of the missing metal liners on the Orchard couch. The lack of communication and failure to report these maintenance issues resulted in the couches remaining in a state that could potentially harm residents and visitors.
Improper Medication Storage in Facility
Penalty
Summary
The facility failed to properly store medications, as evidenced by the presence of loose tablets in three of six medication carts on the Peach, Cherry, and Maple units. During observations, several loose tablets were found in the drawers of these medication carts, which were not accounted for by the nursing staff. Interviews with LPNs revealed that the facility's protocol was to dispose of loose pills in the sharps container, but the nurses were unaware of the presence of these tablets and did not know to whom they belonged. The Director of Nurses (DON) and the Medical Records (MR) nurse confirmed that cart audits were conducted weekly, but loose pills were still found during the survey. The facility's policy on unused drugs did not directly address medication storage, and the DON acknowledged that the new pharmacy consultant group had not yet conducted cart audits. The Administrator was aware of the issue and expected the MR nurse to perform audits at the beginning of the week to ensure the carts were clean. However, the facility did not have a specific policy for medication storage, and the expectation was for nurses to destroy loose medications, with narcotics being given to the DON for destruction. This lack of a clear policy and inconsistent adherence to protocols contributed to the deficiency in medication storage.
Failure to Issue SNFABN for Resident Transitioning from Medicare Part A
Penalty
Summary
The facility failed to provide the Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) to a resident who remained in the facility after receiving skilled Medicare Part A services. This oversight was identified during a review of the facility's procedures and interviews with staff. The resident, who had moderately impaired cognition, was admitted for therapy and had 16 days of Medicare Part A coverage remaining when her last covered day was reached. Although a Notice of Medicare Non-Coverage (NOMNC) was issued and signed by her representative, the SNFABN was not provided, which is required to inform residents of potential financial liability for services not covered by Medicare. Interviews with the Business Office Manager (BOM) and the Administrator revealed a lack of awareness and understanding regarding the requirement to issue the SNFABN for residents transitioning from Medicare Part A to long-term care. The BOM admitted to only issuing SNFABNs for Medicare Part B services and was unaware of the necessity for Medicare Part A. The Administrator also misunderstood the requirement, believing it was not mandatory if there was no expectation of liability. The facility did not have a policy in place for issuing the SNFABN, and the directions followed by the BOM were outdated, leading to the deficiency.
Failure to Explain Binding Arbitration Agreement
Penalty
Summary
The facility failed to verbally explain the contents of the binding arbitration agreement to a resident's representative, leading to a deficiency. The facility's policy requires that the arbitration agreement be explained in a manner that the resident or their representative understands, including informing them of their right not to sign the agreement as a condition of admission or continued care. However, in the case of a resident with severe cognitive impairment, the family member who signed the agreement stated that no one explained the contents to him, and he was unaware of the legal rights he was relinquishing by signing. The Admissions Director admitted that his process for obtaining signatures on arbitration agreements did not include informing residents or their representatives of their right to have the agreement reviewed by an attorney before signing or their right to rescind the agreement within thirty days. He also did not inform them of the right to a neutral choice of venue. The Administrator expected the Admissions Director to explain the agreement before signing, but the Director was unaware of these requirements, leading to the deficiency.
Infection Control Breach During Medication Administration
Penalty
Summary
The facility failed to ensure proper infection control practices during medication administration by two LPNs, affecting two residents. During an observation, LPN4 was seen touching the inside of medication and water cups while dispensing medications to a resident. When the resident dropped a capsule onto her shirt, LPN4 picked it up with her bare hands and gave it to the resident, acknowledging later that she should have used gloves or disposed of the medication. Similarly, LPN2 was observed using her fingernail to open blister packs, which involved touching the medications directly, despite denying this action in a subsequent interview. The facility's policy on medication pass procedures was not adhered to, as medications were to be opened without contamination, and any dropped medication should have been destroyed and documented. The Staff Development Nurse confirmed that both LPNs failed to follow infection control practices during medication passes, despite having undergone competency observations as part of their orientation and annual training. The DON was aware of these incidents and acknowledged the breach in infection control practices by the LPNs.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
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 284 citations issued within 25 miles in the last 12 months — including the 8 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 Mount Washington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sanders Ridge Health Campus | 3.2 mi | ★★★★★ | 0 | 0 |
| Glen Ridge Health Campus | 7.6 mi | ★★★★★ | 0 | 0 |
| Wesley Manor | 7.7 mi | ★★★★★ | 0 | 0 |
| Regency Nursing And Rehabilitation Center | 8.1 mi | ★★★★★ | 1 | 0 |
| Jeffersontown Rehabilitation | 10.7 mi | ★★★★★ | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Green Meadows Health & Rehabilitation.
100% money-back within 48 hours.
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.