Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
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 Trend Health & Rehab Of Meridian Llc during CMS and state inspections, most recent first.
A resident with dementia and severely impaired cognition had active PRN orders for Lorazepam and Diazepam that were entered without required 14-day stop dates, contrary to facility policy and federal requirements. Policy required all PRN psychotropic medications to be limited to a 14-day duration unless a physician documented clinical rationale and specified a longer duration. Review of records and a pharmacy consultant report showed the PRN psychotropic orders remained active beyond 14 days without documented physician justification or renewal. The DON, Administrator, and pharmacy consultant each confirmed that these PRN psychotropic orders should have been time-limited and either discontinued or renewed with appropriate documentation.
A resident with dementia and severely impaired cognition experienced multiple falls over an extended period, but the facility failed to revise and date the comprehensive care plan to reflect new or individualized fall-prevention interventions after each event. Policy required ongoing assessment and timely care plan updates when conditions changed, including after falls. Review of the care plan showed multiple fall dates listed under a fall-related focus, but the associated interventions were not dated, and there was no clear evidence of additional or revised interventions following subsequent falls. In interviews, an LPN/MDS coordinator and the DON confirmed that care plans should be individualized, updated after falls, and include dated interventions, and acknowledged that this resident’s care plan did not meet those expectations.
A resident with COPD and heart failure did not receive Albuterol inhaler as ordered for shortness of breath and wheezing after an LPN, uncomfortable with the medication sequence, withheld the medication without clinical justification or provider consultation. The DON advised withholding the medication if the nurse was uncomfortable, and no documentation or assessment was completed to support this action.
A resident with depression, anxiety, and dementia experienced the recent loss of her son and repeatedly requested support for her grief. Despite these requests, staff only placed her on bereavement watch, which involved monitoring behaviors, and did not arrange timely behavioral health services or counseling. The psychiatric provider had not seen the resident since before her loss, and there was no specific policy in place to address grieving residents beyond basic monitoring.
A bottle of TUMS and a bag of cough drops were found in a resident's bedside basket, accessible despite facility policy requiring medications to be locked and only accessible to authorized personnel. The DON confirmed the medications were present and stated that the resident, who is legally blind and has episodes of confusion, should not have medications at the bedside.
A resident reported that a CNA was rough during a transfer, causing pain. Another CNA witnessed the incident but did not report it. Both CNAs had received training on abuse prevention. The resident, who is cognitively intact and has paraplegia, later reported the incident, leading to an investigation and suspension of the CNAs.
A resident reported that a CNA was rough during a transfer, causing pain. Another CNA witnessed the incident but did not report it, despite knowing the requirement to do so within two hours. Both CNAs had received training on the facility's abuse policy.
The facility failed to prevent the spread of infection by not using a barrier during eye drop administration and inadequately cleaning a glucometer between residents. An LPN placed an eye drop bottle directly on a bedside table and did not follow the proper cleaning protocol for a glucometer, which was then used on another resident. These actions were confirmed by the LPN and the DON.
Failure to Limit PRN Psychotropic Medications to Required 14-Day Duration
Penalty
Summary
The facility failed to ensure PRN psychotropic medications were limited to a 14-day duration or renewed with documented physician rationale for one resident. Facility policy dated 4/28/25 required that PRN psychotropic medications, excluding antipsychotics, be limited to no more than 14 days, and that PRN antipsychotics be limited to 14 days with no exceptions. The resident, admitted on 8/27/2024, had dementia and a BIMS score of 00 on a quarterly MDS with an ARD of 2/16/2026, indicating severely impaired cognition. Record review showed active physician orders as of 3/1/26 for Diazepam 2 mg PO every 12 hours PRN for muscle spasms (ordered 12/30/2025) and Lorazepam 1 mg equivalent (0.5 mL of 2 mg/mL oral concentrate) PO every 6 hours PRN for agitation (ordered 12/29/2025), with no stop dates indicated. A pharmaceutical consultant report dated 1/26/26 identified the resident as prescribed psychoactive medications and specifically noted that PRN psychotropic orders are limited to a 14-day supply. The DON confirmed that Lorazepam and Diazepam are psychotropic medications and that PRN psychotropics must be limited to 14 days unless the physician documents a clinical rationale and specifies a longer duration, acknowledging that the staff member who entered the orders did not include end dates and that this was inconsistent with regulatory requirements and facility expectations. The Administrator also confirmed that the PRN psychotropic orders lacked the required 14-day stop dates. The pharmacy consultant further confirmed that the PRN Lorazepam and Diazepam orders should have been limited to 14 days or discontinued absent a new physician order or documented justification, and stated that the facility is responsible for ensuring PRN psychotropic medications are monitored and discontinued or renewed within the required timeframe.
Failure to Revise and Date Fall-Related Care Plan Interventions After Multiple Falls
Penalty
Summary
The deficiency involves the facility’s failure to revise and properly date a comprehensive care plan after multiple falls experienced by a resident. The facility’s policy, dated 10/2016, requires an individualized, person-centered comprehensive care plan with measurable objectives and timetables, and specifies that assessments are ongoing and care plans are revised as resident conditions change. For one resident admitted in late August 2024 with dementia and a BIMS score of 00 indicating severely impaired cognition, the care plan contained a fall-related focus listing multiple fall dates from November 2024 through February 2026. However, the interventions on the care plan were not dated to show when they were implemented or revised, and there was no documentation that the care plan had been updated with new or individualized interventions following each fall. Record review of fall investigations showed that the resident sustained falls on several specific dates in December 2025 and February 2026. During interviews, the LPN/MDS Coordinator stated that care plans are required to be individualized and updated when there is a change in condition, including after falls, and that interventions should be clearly documented and dated to reflect when they were implemented. She confirmed that the resident’s fall interventions were not dated and that the care plan did not reflect additional or updated interventions after subsequent falls, making it difficult to determine when interventions were implemented or whether the care plan had been revised. The DON similarly confirmed that care plans are expected to be individualized and updated after falls, with dated interventions, and acknowledged that the resident’s care plan did not show additional or revised interventions with appropriate dates following the multiple fall incidents, which was inconsistent with facility expectations and policy.
Failure to Administer Ordered Albuterol Inhaler for Resident with Respiratory Needs
Penalty
Summary
The facility failed to ensure that a resident received respiratory treatment and care in accordance with professional standards and physician orders. Specifically, the resident, who had diagnoses including Chronic Diastolic Congestive Heart Failure, Essential Hypertension, and COPD, had active orders for Budesonide Inhalation Suspension twice daily and Albuterol Sulfate HFA every four hours as needed for shortness of breath and wheezing. Despite these orders, the resident did not receive her Albuterol inhaler as prescribed on two consecutive days. The resident reported this omission and stated she had been receiving her inhaled medications in a specific sequence for years, with Albuterol administered prior to Budesonide, which she found effective for her symptoms. The failure occurred when the assigned LPN was uncomfortable administering the medications in the requested sequence and, after consulting with the on-call nurse and the DON, was advised to withhold the Albuterol if uncomfortable. No clinical assessment, provider consultation, or documentation of clinical justification for withholding the medication was completed. The DON acknowledged that the medication was not administered as ordered and that the provider should have been contacted for clarification if there was uncertainty. The nurse practitioner later confirmed that the orders were to be followed as written.
Failure to Provide Necessary Behavioral Health Services Following Resident Bereavement
Penalty
Summary
A resident with a history of depression, anxiety disorder, dementia, and bipolar disorder experienced the recent loss of her son and repeatedly expressed a need to talk with someone about her grief. Despite informing multiple staff members of her need for support and specifically requesting to speak with Social Services or a therapist, the resident did not receive timely behavioral health care or counseling. Staff interviews confirmed that the resident consistently voiced her need for support, but interventions were limited to attempts at distraction by a CNA and placement on 'bereavement watch,' which only entailed monitoring for behavioral changes. The Social Service Director and LPN confirmed that there was no specific policy or procedure in place to support grieving residents beyond charting behaviors, and the contracted psychiatric provider had not seen the resident since before her loss. The DON acknowledged a lapse in the process regarding staff follow-up, and the psychiatric provider confirmed he had not seen the resident due to time constraints. Documentation showed the resident continued to display symptoms of anxiety, confusion, depression, and social isolation, but no additional behavioral health services were provided in response to her bereavement.
Medications Improperly Stored at Bedside
Penalty
Summary
Surveyors observed that a bottle of TUMS and a bag of cough drops were stored in a resident's bedside basket, making medications accessible to the resident. The facility's policy requires that only licensed nurses, pharmacy personnel, and those lawfully authorized to administer medications have access to medications, and that medication rooms, carts, and supplies are to be locked when not attended by authorized personnel. The Director of Nursing (DON) confirmed the presence of these medications at the bedside and stated that medications are not to be stored at the bedside due to the risk of residents self-administering them. The resident involved was legally blind, had a history of wandering, and experienced episodes of confusion, which the DON stated made her unable to safely self-administer medications. Despite this, the resident's Minimum Data Set (MDS) assessment indicated a BIMS score of 15, showing cognitive intactness. The facility's failure to ensure medications were securely stored and not accessible to the resident constituted a violation of their own policy and regulatory requirements.
Failure to Prevent Abuse During Resident Transfer
Penalty
Summary
The facility failed to prevent the abuse of a resident, identified as Resident #25, who reported that a Certified Nurse Aide (CNA) was rough with him during a transfer from his wheelchair to his bed. Resident #25 stated that CNA #1 jerked the leg straps of the lift sling hard, causing him pain, and did not respond when he expressed that it hurt. This incident was witnessed by CNA #2, who confirmed that CNA #1 handled the resident roughly and did not report the incident despite knowing she should have. The resident had not initially reported the incident to anyone but later disclosed it to the Administrator and Social Worker, prompting an investigation and the suspension of both CNAs involved pending the outcome of the investigation. The facility's records show that both CNAs had received in-service training on the facility's abuse policy and the importance of preventing and reporting abuse. Resident #25, who has a medical diagnosis of paraplegia and a BIMS score indicating cognitive intactness, was admitted to the facility in January 2022. The Administrator confirmed that the incident was reported to the State Agency and that the investigation was ongoing. CNA #1 denied the resident's allegations during her interview, while CNA #2 admitted to witnessing the rough handling but did not report it due to the resident's request.
Failure to Report Abuse Timely
Penalty
Summary
The facility failed to report abuse in a timely manner for one of the residents reviewed for abuse. The facility's policy requires all employees to immediately report any incidents or suspected incidents of resident abuse. On 4/10/24, Resident #25 reported that on the previous day, CNA #1 was rough with him during a transfer, causing him pain. Despite Resident #25's complaints, CNA #1 continued to handle him roughly. CNA #2, who was present during the incident, confirmed the rough handling but did not report it because the resident did not want her to, even though she knew she was supposed to report it within two hours. The Administrator confirmed that CNA #2 admitted to witnessing the rough handling but did not consider it abuse and therefore did not report it. Both CNA #1 and CNA #2 had received in-service training on the facility's abuse policy, types of abuse, and the requirement to report abuse immediately. Resident #25, who has a medical diagnosis of paraplegia and a BIMS score indicating he is cognitively intact, reported the incident to the Administrator and Social Worker. The Administrator confirmed that the abuse should have been reported within two hours and that he expected all staff to comply with this policy. The failure to report the abuse in a timely manner constitutes a deficiency in the facility's adherence to its own policies and procedures.
Infection Control Deficiency
Penalty
Summary
The facility failed to prevent the possibility of the spread of infection as evidenced by improper handling of eye drops and inadequate cleaning of a glucometer. Specifically, an LPN administered eye drops to a resident without using a barrier, placing the eye drop bottle directly on the resident's bedside table. Additionally, the same LPN did not follow the proper cleaning protocol for a glucometer, wiping it for only 30 seconds instead of the required 2 minutes, and then used the inadequately cleaned glucometer on another resident. These actions were observed during direct care and confirmed by the LPN and the Director of Nurses (DON). The residents involved had medical conditions that required specific care. Resident #12 and Resident #24 had Type 2 Diabetes Mellitus and required regular blood sugar checks, while Resident #13 had a lack of coordination and required frequent eye drops for dry eyes. The LPN's failure to use a barrier for the eye drops and to properly clean the glucometer between uses could have led to the spread of infection or cross-contamination, as confirmed by both the LPN and the DON during interviews.
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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) |
|---|---|---|---|---|
| The Oaks Rehabilitation And Healthcare Center | 0.4 mi | ★★★★★ | 4 | 0 |
| Diversicare Of Meridian | 1.1 mi | ★★★★★ | 3 | 0 |
| Arabella Health & Wellness Of Meridian | 2 mi | ★★★★★ | 1 | 0 |
| Poplar Springs Nursing Ctr, Llc | 2.7 mi | ★★★★★ | 0 | 0 |
| Bedford Care Center Of Marion | 2.9 mi | ★★★★★ | 9 | 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.