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 June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Meadow Grove Transitional Care during CMS and state inspections, most recent first.
The facility failed to maintain sanitary food storage and handling practices, affecting all residents receiving meals. Observations revealed unsanitary conditions in the kitchen, such as food items stored improperly and equipment with visible contamination. CNAs were also observed handling food with bare hands. The facility lacked a policy for safe food storage and serving.
A facility failed to follow infection control protocols during medication administration, glucometer disinfection, and tracheostomy care. An RN did not perform hand hygiene during medication preparation for a resident, an LPN did not adhere to the required wet time for glucometer disinfection, and another RN did not use appropriate PPE during stoma care for a resident. These actions were contrary to the facility's infection prevention and control policies.
The facility failed to monitor and document fluid restrictions and nutritional status for residents, leading to deficiencies in care. A resident with a fluid restriction order had multiple instances of undocumented or excessive fluid intake. Another resident experienced significant weight changes without proper notification to medical personnel. Additionally, a resident on a fluid restriction was not effectively monitored, with the responsibility incorrectly placed on the resident. Staff interviews revealed a lack of consistent tracking methods and communication, contributing to these deficiencies.
A resident with severe cognitive impairment and multiple health conditions did not receive necessary assistance with ADLs, including bathing and grooming. The resident was observed with facial hair, wearing the same clothes from the previous day, and with an exposed incontinent brief. The CNA was unsure of care responsibilities, and the DON confirmed that shaving needs should be evaluated daily.
A resident with dementia and anxiety was prescribed Seroquel without appropriate clinical indications or documentation of attempts at gradual dose reduction. Despite the care plan's emphasis on monitoring and reducing psychoactive medication, no behavioral issues were observed, and the medication was not reduced or discontinued. Interviews confirmed the medication was used for unapproved indications, and the facility's policy on unnecessary drugs was not followed.
Unsanitary Food Storage and Handling Practices
Penalty
Summary
The facility failed to store and serve food in a safe and sanitary manner, potentially affecting all 95 residents receiving meals from the kitchen. Observations in the kitchen revealed several unsanitary practices, including a box of nutritional supplements holding the dry storage room door ajar and resting on the floor, a large meat roast on the floor of the walk-in refrigerator, and tulip serving bowls not inverted on the storage rack. Additionally, an opened bottle of barbecue sauce in the refrigerator was undated, and two opened bags of frozen food items in the freezer were unlabeled and undated. A black fuzzy substance was observed on the walk-in refrigerator fan and the overhead vent above the serving tray line. Interviews with the dietitian confirmed these unsanitary practices. Further observations in the dining room showed that CNAs were handling food with bare hands, which is unsanitary. One CNA was seen buttering a dinner roll with her bare hand, and another was feeding a resident a dinner roll while holding it in her bare hand. Interviews with the CNAs confirmed these actions were unsanitary. Additionally, the facility lacked a policy for the safe and sanitary storage and serving of food, as confirmed by an interview with the dietitian.
Infection Control Deficiencies in Medication Administration and Equipment Disinfection
Penalty
Summary
The facility failed to adhere to proper hand hygiene protocols during medication administration for Resident #50. The Registered Nurse (RN) did not perform hand hygiene after retrieving a medication from the trash and before donning new gloves to split a tablet. This oversight occurred despite the facility's infection prevention and control program requiring hand hygiene after handling contaminated objects and after removing personal protective equipment. The facility also failed to properly disinfect a glucometer used for blood sugar testing for Resident #27. The Licensed Practical Nurse (LPN) did not follow the manufacturer's instructions for the required wet time for disinfection, which is three minutes. Instead, the LPN wiped the glucometer for a total of 30 seconds, potentially affecting other residents who used the same device. Additionally, the facility did not follow Enhanced Barrier Precautions during tracheostomy care for Resident #46. The RN performed stoma care without wearing a mask or gown, despite the resident's orders requiring such precautions. The RN was observed cleaning the stoma without appropriate protective equipment, which is against the facility's infection prevention and control policy.
Deficiencies in Monitoring Fluid and Nutritional Status
Penalty
Summary
The facility failed to properly monitor and document fluid restrictions for residents, affecting their hydration status. Resident #58, who had a fluid restriction order due to congestive heart failure, had multiple instances where fluid intake was not documented or exceeded the prescribed limits. The nursing staff did not accurately track or document the fluid intake, and there was a lack of communication between dietary and nursing staff regarding the fluid amounts provided. Interviews with staff revealed that there was no consistent method for tracking fluid intake, leading to discrepancies in the records. The facility also failed to adequately monitor and address the nutritional status of residents. Resident #29 experienced significant weight fluctuations, but there was no documentation that the physician or dietitian was notified of these changes. The resident's care plan required notification of the medical director for significant weight changes, but this was not consistently done. Additionally, Resident #19 frequently refused weight checks, and there was no evidence that the physician was notified of these refusals, as required by the care plan. The facility's policy on change of condition was not followed, as significant weight changes were not communicated to the appropriate medical personnel. Resident #47, who was on a fluid restriction due to heart failure, was not monitored effectively for fluid intake. The nursing staff did not have a system in place to track the fluids provided, and the responsibility was incorrectly placed on the resident to monitor her own intake. Furthermore, daily weight monitoring was not consistently performed, and there was a lack of follow-up when weights were not obtained. Interviews with staff indicated a lack of clarity and accountability in the process of monitoring and documenting both fluid intake and weight changes, leading to deficiencies in resident care.
Failure to Assist Resident with ADLs
Penalty
Summary
The facility failed to ensure that a dependent resident received necessary assistance with activities of daily living (ADLs). Resident #79, who has chronic myeloid leukemia, retention of urine, hypertension, anemia, chronic diastolic heart failure, anxiety, and orthostatic hypotension, was observed to have unmet care needs. The resident, who is severely cognitively impaired and requires substantial to maximal assistance with showering and bathing, was found lying in bed with facial hair and wearing the same clothing from the previous day. The care plan indicated the need for one to two person assistance with ADLs, including bathing, dressing, and grooming, but these needs were not met as observed over several days. Observations revealed that the resident's facial hair was not shaved despite the resident indicating a desire for it to be removed. The CNA responsible for the resident's care was unsure of the hospice's involvement and did not know if the resident needed repositioning, leading to inaction. The Director of Nursing confirmed that shaving needs should be evaluated daily and documented, but this was not done. The resident was also found with an exposed incontinent brief, indicating a lack of proper care and attention to dignity and privacy.
Failure to Ensure Appropriate Use of Antipsychotic Medication
Penalty
Summary
The facility failed to ensure that a resident received antipsychotic medication as clinically indicated, affecting one resident out of five reviewed for unnecessary medications. The resident, admitted with diagnoses including metabolic encephalopathy, muscle weakness, dysphagia, urinary tract infection, dementia without behavioral/psychotic/mood disturbance, and anxiety, was prescribed Seroquel (Quetiapine Fumarate) 400 milligrams twice a day for agitation and increased anxiety. However, the medical record lacked documentation of previous attempts at gradual dose reduction or a clinical rationale explaining why further reductions would likely impair function or increase stressful behaviors. The care plan for the resident indicated a risk for adverse effects related to psychoactive medication use, with interventions including assessing behaviors, evaluating for adverse effects, exploring non-drug approaches, and reducing medication doses when appropriate. Despite this, the Minimum Data Set (MDS) assessment revealed no behavioral issues or diagnoses justifying the use of antipsychotics, and no gradual dose reduction was attempted or noted as clinically contraindicated by a physician. The resident's medication orders were changed to indicate the use of Quetiapine for depression, yet no behavioral concerns were observed during the review period. Interviews with the Director of Nursing and nurse practitioners confirmed that the resident was receiving Seroquel for anxiety and depression, which are not approved indications for its use. The resident was not under the care of a neurologist or psychiatrist to provide a rationale for continuing the medication, and the nursing staff was advised to monitor behaviors. Despite the lack of observed behaviors, the medication was not reduced or discontinued, as it was still considered effective for managing the resident's behaviors. The facility's policy on unnecessary drugs emphasized the need for justification and documentation when using drugs outside of indicated guidelines, which was not adequately provided in this case.
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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 Grove City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Monterey Care Center | 2.5 mi | ★★★★★ | 0 | 0 |
| Scioto Rehabilitation & Care Center | 4.1 mi | ★★★★★ | 18 | 0 |
| West Park Care Center Llc | 5.2 mi | ★★★★★ | 0 | 0 |
| Embassy Of Woodview | 5.2 mi | ★★★★★ | 7 | 0 |
| Columbus Healthcare Center | 6.7 mi | ★★★★★ | 6 | 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 June 2026) and official state health department websites.