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 Meadow Wind Health Care Center during CMS and state inspections, most recent first.
The facility failed to adhere to infection control protocols, affecting 75 residents. A COTA exited a COVID-19 isolation room without hand hygiene, and an LPN conducted tracheostomy care without a sterile barrier. A housekeeper cleaned a contact isolation room without proper PPE, and a resident's blood sugar was checked in the dining room without a barrier. These actions compromised infection control measures.
A resident's dignity was compromised when their urinary catheter drainage bag was left uncovered, despite physician orders for a privacy cover every shift. Observations confirmed the bag was visible from the room's doorway, and staff acknowledged the oversight.
The facility failed to properly label enteral feeding bottles and water flush bags for a resident, and did not obtain necessary orders for another resident's feeding tube care. Observations showed unlabeled formula bottles and water flush bags, and a lack of orders for tube care and flushing was confirmed by staff. Both residents had complex medical histories and required assistance with feeding and medication administration.
A facility failed to establish parameters for administering pain medications, resulting in a resident receiving only Morphine, even for lower pain levels, without guidelines for using Acetaminophen. Interviews confirmed the absence of specific parameters, leading to unnecessary Morphine use.
The facility inaccurately reported staff hours for the PBJ report, potentially affecting all 75 residents. During the third quarter of 2024, the facility used agency staff to cover shifts, but this data was not submitted to the corporate office, leading to inaccurate reporting. A review revealed insufficient direct care staff on certain dates, failing to meet the minimum required hours of care per resident.
The facility failed to accurately assess, document, and treat a new onset of a diabetic ulcer for a resident with type two diabetes mellitus, Alzheimer's disease, and other conditions. The resident's scabbed area was identified on the right lateral dorsal foot on 01/11/24, but no documentation, wound assessment, or treatment order was initiated until 01/12/24, resulting in a deficiency.
Infection Control Deficiencies in Isolation and Care Procedures
Penalty
Summary
The facility failed to implement proper infection prevention and control protocols, which had the potential to affect all 75 residents. In one instance, a Certified Occupational Therapy Assistant (COTA) was observed exiting a COVID-19 isolation room without performing hand hygiene after removing an N95 mask. The COTA then proceeded to obtain a new mask from another resident's isolation cart without disinfecting her goggles or performing hand hygiene. Additionally, the isolation trash was overflowing, and there was confusion among staff regarding responsibilities for mask changes and trash disposal in isolation areas. In another case, a Licensed Practical Nurse (LPN) was observed conducting tracheostomy care for a resident without using a sterile barrier sheet, placing supplies directly on the resident's bed. The LPN confirmed that the supplies should have been placed on a sterile field, as per the facility's policy. Furthermore, a housekeeper was found cleaning a room under contact isolation without wearing the required gown, as she was not informed of the resident's isolation status. Additionally, a resident with diabetes was observed having their blood sugar checked and insulin administered in the dining room without a barrier for the supplies. The LPN placed used alcohol wipes and the glucometer directly on the table, contrary to the facility's infection control guidelines. These actions demonstrate a lack of adherence to infection control protocols, potentially compromising resident safety.
Failure to Cover Urinary Catheter Bag
Penalty
Summary
The facility failed to maintain the dignity of a resident by not covering an indwelling urinary catheter drainage bag, as required by physician orders. The resident, identified as Resident #276, was admitted with an indwelling urinary catheter and had specific physician orders for a foley catheter bag cover every shift to maintain privacy and dignity. Despite these orders, observations on multiple occasions revealed that the urinary catheter drainage bag was hanging from the bed frame without a privacy cover or bag in place. Interviews with State tested Nursing Assistants and a Licensed Practical Nurse confirmed the deficiency, acknowledging that the drainage bag was uncovered and visible from the room's doorway. The staff members recognized that there should have been a privacy bag or a drainage bag with an attached cover over the drainage bag, but this was not done, leading to a failure in maintaining the resident's dignity as per the facility's obligations.
Deficiencies in Enteral Feeding Tube Management
Penalty
Summary
The facility failed to ensure proper labeling and documentation for enteral tube feeding bottles and water flush bags for Resident #176. Observations revealed that the formula bottles and water flush bags were not labeled with the flow rate, date, or time of administration. This was confirmed during an interview with an LPN. Resident #176, who was cognitively intact, had a percutaneous endoscopic gastrostomy (PEG) tube and required assistance with activities of daily living, including medication and tube feeding formula administration. The facility's policy required documentation of the date, time, and initials on the formula label, which was not adhered to in this case. For Resident #177, the facility failed to obtain orders for the care and flushing of an enteral feeding tube. The resident had a feeding tube and required supervision with eating, but there were no orders for tube care or water flushes. The resident reported using the feeding tube for some medication administration. This lack of orders was verified by a Unit Manager. Resident #177 had multiple diagnoses, including osteomyelitis, cellulitis, type two diabetes mellitus, and schizophrenia, and was on various medications that could be administered orally or through the feeding tube.
Lack of Pain Medication Parameters Leads to Unnecessary Morphine Use
Penalty
Summary
The facility failed to establish parameters for administering pain medications for a resident, leading to a deficiency in medication management. The resident, who was severely cognitively impaired and dependent on hospice services, had orders for both Acetaminophen and Morphine for pain management. However, the Medication Administration Record (MAR) showed that only Morphine was administered, even for lower pain levels, without any guidelines for when Acetaminophen should be used instead. Interviews with the LPN and the Director of Nursing confirmed the absence of specific parameters for administering Acetaminophen versus Morphine. The facility's policy required assessing pain levels before administering medication, but it did not provide clear guidelines for choosing between the two medications. This lack of clarity in medication administration led to the unnecessary use of Morphine, as there were no established criteria for using the less potent Acetaminophen.
Inaccurate PBJ Reporting Due to Unreported Agency Staff
Penalty
Summary
The facility failed to completely and accurately report staff hours worked for the Payroll Based Journal (PBJ) report, which had the potential to affect all 75 residents residing in the facility. A review of the PBJ report revealed excessively low weekend staffing for the third quarter of 2024. Further examination of the staffing schedules for nurses and State tested Nurse Aides (STNA) during this period showed that on specific dates, there was insufficient direct care staff to provide a minimum of 2.5 hours of direct care per resident per day. An interview with the Administrator on October 10, 2024, disclosed that during the third quarter of 2024, the facility utilized agency staff to cover shifts, but this data was not submitted to the corporate office for the PBJ. As a result, the data reported for the third quarter of 2024 was inaccurate.
Failure to Assess and Document Diabetic Ulcer
Penalty
Summary
The facility failed to accurately assess, document, and treat a new onset of a diabetic ulcer for Resident #80, who was dependent on staff for care. Resident #80, who had diagnoses including type two diabetes mellitus, Alzheimer's disease, high blood pressure, and chronic kidney disease, was admitted on an unspecified date and discharged to the hospital on 04/18/24. The resident had impaired cognition, was non-ambulatory, and was dependent on staff for bed mobility and transfers. The resident was also known to be combative and aggressive during care. On 01/11/24, a scabbed area was identified on the right lateral dorsal foot, but there was no documentation, wound assessment, or treatment order initiated on that date. The wound care team later evaluated the area on 01/12/24, noting it as a diabetic ulcer measuring 2.0 cm by 0.7 cm with no depth, and initiated a treatment order for cleansing and dressing changes three times per week. Interviews with the Director of Nursing (DON) and Registered Nurse (RN) #310 revealed that the initial scabbed area was reported to RN #310 by an unknown nurse on 01/11/24, but no progress notes, wound measurements, or assessments were completed at that time. The facility's policy required a full assessment and documentation of any skin impairment, including location, stage, dimensions, presence of exudate or necrotic tissue, pain assessment, resident's mobility status, and current treatment. The failure to follow this protocol resulted in a deficiency, as the necessary documentation and treatment were not provided for Resident #80's diabetic ulcer in a timely manner.
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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 Massillon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hanover Healthcare Center | 1.1 mi | ★★★★★ | 16 | 0 |
| Laurels Of Massillon, The | 1.7 mi | ★★★★★ | 1 | 0 |
| Amherst Meadows Skilled Nursing And Rehab | 2.2 mi | ★★★★★ | 2 | 0 |
| Legends Care Rehabilitation And Nursing Center | 2.5 mi | ★★★★★ | 12 | 0 |
| Astoria Skilled Nursing And Rehabilitation | 4.2 mi | ★★★★★ | 2 | 1 |
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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.