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 October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Arabella Health & Wellness Of Meridian during CMS and state inspections, most recent first.
A resident admitted after hip surgery was not entered into the EMR, did not receive an admission assessment, ordered meds, pain management, toileting help, or other nursing care for hours after arrival, and later left the facility. In a separate incident, a cognitively intact resident with hemiplegia reported that a CNA used profanity and verbally abused him while helping him dress, and staff were suspended pending investigation.
Insufficient nursing staffing delayed incontinent care for two residents. One resident with morbid obesity, urinary incontinence, and limited mobility was found saturated in a brief with a strong urine odor and had reportedly been wet for hours, while another resident with a BKA and ESRD waited over an hour in a bowel movement-soiled brief after using the call light. Staff reported CNA coverage gaps, frequent call-offs, double shifts, and ongoing staffing shortages, and leadership acknowledged the facility did not have enough nursing staff to consistently meet resident needs.
Medication error rate exceeded the allowable threshold. During a med pass, an LPN found that three ordered meds were unavailable and did not administer them, but documented them on the MAR as held due to ordered parameters even though no physician orders or parameters existed. The resident’s record showed active orders for the meds, and the resident stated she was not told the prior day that the meds were unavailable.
Controlled substances were left unsecured in the DON’s office instead of being kept in locked storage. Two LPNs found the drawer seal broken and the drawer unlocked while trying to recover narcotics placed there per the former DON’s instruction. A maintenance employee, who was not authorized to handle medications, admitted removing the drugs, pouring cleaning solution over them, and discarding them in the dumpster. The facility could not verify that all of the medications were recovered.
The facility failed to protect residents’ right to a dignified and comfortable environment when it did not effectively manage one cognitively impaired resident’s ongoing nighttime yelling, which repeatedly disrupted the sleep of two cognitively intact residents. Staff, including a CNA, the DON, and the Administrator, were aware that this resident, diagnosed with dementia and psychosis, frequently yelled and screamed at night while often sleeping during the day. Progress notes documented nighttime hollering, and interviews confirmed that the disruptive behavior persisted over time, interfering with other residents’ ability to rest.
Failure to Complete Admission Care and Allegation of Verbal Abuse
Penalty
Summary
The facility failed to protect a resident from neglect when a resident arrived after surgical repair of a left hip fracture and the admission process was not initiated. The resident’s discharge paperwork showed a left femoral neck fracture treated with total left hip arthroplasty, with orders for apixaban for DVT prophylaxis, Percocet as needed for pain, and hip precautions for at least 3 months. Although the resident was accepted for admission and arrived at the facility in the afternoon, the admission was not entered into the electronic record, no admission assessments were completed, and no admission paperwork was signed. The resident reported that after arriving, she was told the person who completed admissions had already left for the day and that she would have to wait until the following morning. She stated she did not receive assistance with transferring into bed, did not receive a walker, used a wheelchair to go to the bathroom without staff help, experienced severe pain with nausea, and did not receive pain medication when requested. She also reported that dinner was delayed and that she left the facility later that night with a neighbor after being unable to reach family members. Her brother confirmed that she arrived with her belongings, was told admissions would have to wait, and that staff did not assist her into bed. Interviews with the former DON, Administrator, admission Coordinator, and other staff showed that the resident arrived after the DON and charge nurse had left for the day, and the 7:00 PM LPN was expected to complete the admission process. The former DON acknowledged that the resident was never admitted into the EMR and that no admission assessments were completed. The Administrator stated he saw the resident arrive and later learned the hospital called the facility the next morning because the admission had not been completed. The report also includes a separate allegation of verbal abuse involving a cognitively intact resident with hemiplegia and hemiparesis, who reported that a CNA cussed at him while assisting him with dressing, while staff accounts and a housekeeper’s statement described a conflict during the dressing assistance.
Insufficient Nursing Staffing Delayed Incontinent Care
Penalty
Summary
The facility failed to provide sufficient nursing staff with the appropriate competencies and skill sets to meet residents’ assessed needs, and this resulted in delays in incontinent care for two residents. The facility’s policy stated it was to provide sufficient nursing staff to assure resident safety and attain or maintain each resident’s highest practicable well-being. The facility assessment identified staffing needs based on census, acuity, admissions, discharges, infection prevention needs, and resident outcomes, and documented an average daily census of 72 residents with two RNs, five LPNs, and thirteen CNAs. Resident #34 had diagnoses including morbid obesity, urgency of urination, generalized muscle weakness, and need for assistance with personal care. The resident’s MDS showed intact cognition and that the resident was always incontinent of bowel and bladder. The care plan required cleaning the peri-area with each incontinent episode and assistance of two staff for toileting and toileting hygiene. During observation, the resident was found lying in bed in a visibly saturated incontinent brief with a strong urine odor, and the resident and family member reported the resident had been wet since about 8:00 AM. The resident remained in the same saturated brief later that morning, and staff confirmed there had been no CNA assigned to that hall until late morning. Resident #10 had diagnoses including acquired absence of the left leg below the knee and end-stage renal disease. The resident’s MDS showed intact cognition and that the resident was always incontinent of bowel. The care plan required assistance of one staff for toileting and hygiene needs. The resident activated the call light for incontinent care and remained in a bowel movement-soiled brief for over an hour while waiting for assistance. Staff stated the delay occurred because of staffing shortages and that CNAs had been called in to cover the hall. Interviews with nursing and administrative staff described frequent staffing shortages, multiple call-offs, days without RN coverage, mandatory double shifts, and difficulty recruiting and retaining staff. The former DON stated she resigned because the facility did not have sufficient staff to meet resident needs, and the Administrator acknowledged the facility did not have sufficient nursing staff to consistently meet resident needs.
Medication error rate exceeded allowable threshold
Penalty
Summary
The facility failed to ensure the medication error rate remained at 5 percent or less, with an observed error rate of 8.57 percent for 3 of 35 medication opportunities. Facility policy stated that medications are to be administered as ordered by the physician and that discrepancies are to be corrected and reported to the nurse manager. During a medication pass observation, an LPN prepared medications for a resident and found that Linzess, Sulfasalazine, and Folic Acid were unavailable for administration. The LPN administered the remaining scheduled medications but did not give the three unavailable medications, stating she would contact the pharmacy to determine their status. The resident’s MAR documented code 11 for Linzess, Sulfasalazine, and Folic Acid, which the MAR legend identified as held due to ordered parameters. However, the resident’s order listing did not show physician orders or parameters to hold those medications, and the order summary showed active orders for all three medications. Progress notes indicated the medications remained pending from the pharmacy. During interview, the LPN stated she did not obtain a physician order for the unavailable medications, had been instructed to contact the pharmacy, and acknowledged that code 11 indicated the medications were held due to ordered parameters even though no such orders existed. The resident had diagnoses including rheumatoid arthritis, mixed irritable bowel syndrome, and iron deficiency anemia, and had a BIMS score of 15, indicating cognition intact.
Unsecured Narcotics Stored in DON Office
Penalty
Summary
Controlled substances were not securely stored in accordance with facility policy and accepted professional principles when narcotic medications were left unsecured in the Director of Nursing’s office. The facility policy stated that all drugs and biologicals must be stored in locked compartments and that Schedule II drugs and back-up stock of Schedule III, IV, and V medications are to be stored under double-lock and key. Instead, narcotics were kept in a sealed drawer in the DON’s office, and the drawer was later found with the seal broken and unlocked. According to the reportable incident and staff statements, two nurses entered the DON’s office to recover narcotics that had been placed there per the former DON’s instruction. They found the drawer unsecured and contacted the former DON, who identified the contents as bubble packs of narcotics, a bottle of morphine, fentanyl patches, and narcotic administration sheets. The nurses reported that the bubble packs were missing. The facility also documented that a maintenance employee had been cleaning out the office during the day and later admitted removing the medications from the drawer, taking them to an adjoining office building, pouring cleaning solution over them, and discarding them in the dumpster. Interviews confirmed that the maintenance employee was not authorized to access, handle, transport, or destroy narcotic medications. The HR Director, Administrator, LPNs, and consultant pharmacist all confirmed the medications were expected to remain secure and accessible only to authorized personnel. The facility could not verify that all medications removed from the office had been recovered, and the amount of narcotics discarded was unknown because there was no accounting or inventory for them.
Failure to Protect Residents’ Right to Rest Due to Unmanaged Nighttime Yelling
Penalty
Summary
The deficiency involves the facility’s failure to ensure a dignified and comfortable environment by not effectively addressing ongoing disruptive nighttime behaviors of one resident that interfered with other residents’ ability to rest. Resident #1, admitted with diagnoses including Psychosis and Dementia and a BIMS score of 4 indicating severely impaired cognition, had documented episodes of hollering and yelling during nighttime hours, as noted in progress notes on 3/12/26 and 3/13/26. Interviews with cognitively intact residents, Resident #2 and Resident #3 (both with BIMS scores of 15), revealed that they frequently experienced disrupted sleep due to Resident #1 yelling loudly at night, while the environment was generally quiet during the day. Staff interviews confirmed awareness of the pattern of behavior. CNA #1, who worked both day and night shifts, reported that Resident #1 frequently yelled and screamed at intervals throughout the night and was generally quiet and often slept during the day, with staff assisting the resident out of bed into a geri-chair during both day and nighttime hours. The DON acknowledged the facility was aware of Resident #1’s increased nighttime yelling and extended daytime rest, attributing it to the resident’s Dementia and Psychosis, and stated that interventions such as monitoring, repositioning, offering care, and attempts at redirection had not stopped the behaviors. The Administrator also confirmed awareness of concerns that nighttime noise from Resident #1 affected other residents’ ability to rest. Despite this awareness and ongoing complaints from other residents, the disruptive nighttime yelling continued, resulting in a failure to uphold residents’ rights to a dignified existence and a comfortable environment.
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What surveyors actually found near you
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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 Meridian
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Trend Health & Rehab Of Meridian Llc | 2 mi | ★★★★★ | 2 | 0 |
| The Oaks Rehabilitation And Healthcare Center | 2.4 mi | ★★★★★ | 4 | 0 |
| Diversicare Of Meridian | 3.1 mi | ★★★★★ | 3 | 0 |
| James T Champion | 3.4 mi | ★★★★★ | 5 | 0 |
| Reginald P White Nursing Facility | 3.6 mi | ★★★★★ | 0 | 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 October 2026) and official state health department websites.