Average — CMS composite of the measures below.
A standard survey is most likely before around December 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 Meeker Nursing Center during CMS and state inspections, most recent first.
The facility did not ensure RN coverage for at least eight consecutive hours per day over several months, with multiple days lacking adequate RN presence as confirmed by staffing records and administrator interview. The administrator was aware of the ongoing weekend RN coverage gaps, and the facility had 47 residents during this period.
Pureed Diet Portions and Preparation Were Not Measured Accurately. The facility failed to provide pureed food with accurate serving size and nutritive value for residents on pureed diets. A cook was observed pureeing turkey, dressing, and sweet potatoes using hot water for consistency, then serving the food by eyeballing portions and spreading it onto plates with a spatula. The cook stated meats were not measured and portions were only made to look equal, while the DON stated the appropriate scoop on the menu should be used for pureed foods.
Failure to Offer or Document Pneumococcal Vaccination: The facility failed to ensure pneumococcal vaccination was offered and/or administered for four sampled residents. Records showed consent or permission for the pneumonia vaccine for residents with diagnoses including dementia, COPD, cerebral infarction, Alzheimer's disease, and HTN, but there was no documentation that the vaccine was offered or given. The IP stated they were new to the role, were not familiar with the policy, and could not locate documentation showing the residents had ever been offered or received the vaccine.
The facility did not consistently evaluate or document residents' need for mechanical lifts, and staff training on lift use was incomplete and informally conducted. A resident was transferred using a sit-to-stand lift despite outdated assessments, and another resident experienced a fall when a CNA used the lift alone, contrary to policy. The DON confirmed gaps in communication and care plan updates regarding lift requirements.
Improper Food Storage, Labeling, and Dating: Food items in dry storage, the freezer, and the refrigerator were found opened, undated, unlabeled, or not properly covered. Observations included pancake mix and rice in dry storage, frozen biscuits in the freezer, and uncovered drinking glasses plus Jello in the refrigerator. The dietary manager stated items should be labeled and dated and acknowledged the open glasses had not been covered.
Failure to use EBP during urinary catheter care. An LPN was observed providing catheter care to a resident with an indwelling urinary catheter while wearing gloves but not a gown, and no PPE was observed inside or near the room. The facility’s policy identified indwelling urinary catheters as an indication for EBP, and both the LPN and the IP stated that a gown and gloves should have been used during the care.
A resident with severe cognitive impairment and a history of frequent falls was not assessed after sliding from a recliner. Staff assisted the resident back to the chair and later to a wheelchair, noting thigh discomfort and administering Tylenol, but did not complete an incident report or nursing note at the time. The next day, the resident complained of hip pain, leading to an x-ray that revealed a fracture and subsequent hospital admission for surgery.
The facility failed to complete a discharge summary for a resident who expired in the facility. The resident had diagnoses of hemiplegia, hemiparesis, and chronic kidney disease stage 3. The DON confirmed the absence of the discharge summary in the resident's record.
A resident with dementia, hypothyroidism, anxiety, and depression experienced a 13.05% weight loss over six months. The care plan, revised in April, failed to document this weight loss. The IP/MDS coordinator later acknowledged that nutrition should have been care planned.
A medication administration error occurred when a CMA dispensed only one 10mg tablet of Rosuvastatin instead of the prescribed two tablets for a resident with hyperlipidemia, atherosclerosis, and hypertension. The error was identified during a medication pass, and the CMA acknowledged the mistake upon being informed of the correct physician's order.
A resident with Alzheimer's disease was routinely given Seroquel, an antipsychotic medication, for insomnia without implementing gradual dose reductions or non-pharmacological interventions. The resident received Seroquel multiple times over several months, as documented in the MAR, and the DON confirmed its use since admission.
The facility failed to manage medications and supplies properly, resulting in a discrepancy in a resident's Rosuvastatin administration and the presence of expired items in the storage room. A CMA acknowledged the medication error, and both a CMA and an LPN noted that expired items should have been removed.
The facility did not maintain documentation of staff COVID-19 vaccination status. The DON reported that staff were directed to the health department for vaccinations and that no records of vaccination or refusals were kept, considering it personal information.
Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to ensure that a registered nurse (RN) was on duty for at least eight consecutive hours each day, as required. Review of Payroll-Based Journal (PBJ) staffing data and payroll detail reports for the months of April through August 2025 revealed multiple days where there was no RN coverage for the required duration. Specifically, there were numerous dates across these months where the facility did not have an RN present for eight consecutive hours, with gaps noted on both weekdays and weekends. During an interview, the administrator acknowledged awareness of the lack of RN coverage on weekends and stated that the facility had not been able to find a suitable RN to cover those shifts. At the time of the review, the facility had 47 residents.
Pureed Diet Portions and Preparation Were Not Measured Accurately
Penalty
Summary
The facility failed to provide pureed food with accurate serving size and nutritive value for residents on pureed diets. During observation, cook #1 was seen pureeing cooked turkey by placing three staff handfuls into a blender, adding hot water for consistency, and then serving it on three plates with a spatula. The cook also placed three 4-ounce scoops of dressing into the blender with hot water and served it on two plates, and placed two 4-ounce scoops of sweet potatoes into the blender with hot water and served it on two plates. Gravy was placed on top of the ground turkey. When interviewed, cook #1 stated hot water was used for all hot items that needed thinning, that meats like turkey were “eyeballed,” and that after pureeing they used a spatula to place food on plates and make sure it looked like equal amounts. The dietary manager stated hot water was used for consistency and that the appropriate scoop on the menu should be used for pureed foods.
Failure to Offer or Document Pneumococcal Vaccination
Penalty
Summary
The facility failed to ensure that residents were offered and/or administered the pneumococcal vaccine for 4 of 5 sampled residents reviewed for immunizations. A policy titled "Pneumoccocal Vaccine," revised October 2019, stated that prior to or upon admission residents would be assessed for eligibility to receive the pneumococcal vaccine series and, when indicated, offered the vaccine series within 30 days of admission unless medically contraindicated or already vaccinated. The policy also stated that pneumococcal vaccines would be administered unless medically contraindicated, already given, or refused, and that vaccination details would be documented in the medical record. Record review showed that four residents had documentation indicating consent or permission to receive the pneumonia vaccine, but there was no documentation that the vaccine had been offered and/or administered. Resident #4 had diagnoses including pneumonia and COPD and signed consent for vaccination, but no record of the vaccine being offered or given. Resident #3 had diagnoses including dementia and cerebral infarction and signed permission to administer vaccines, but no documentation of pneumococcal vaccination. Resident #13 had diagnoses including dementia and Alzheimer's disease and signed consent for vaccination, but no documentation of the vaccine being offered or administered. Resident #24 had diagnoses including dementia and hypertension, and the resident's representative gave consent, but there was no documentation of pneumococcal vaccination. The IP stated they were new to the role, were not knowledgeable of the policy, and could not locate documentation that these residents had ever been offered or received the pneumonia vaccine.
Failure to Ensure Proper Supervision and Evaluation During Mechanical Lift Transfers
Penalty
Summary
The facility failed to ensure proper supervision and evaluation during resident transfers involving mechanical lifts. Observations showed that two CNAs performed a transfer using a sit-to-stand lift for a resident whose most recent lift assessment, dated several months prior, indicated that a lift was not required. No updated lift assessment was found in the clinical record. The care plan for this resident, however, indicated the need for a sit-to-stand lift with two staff assistance at all times. Additionally, an incident report documented a fall involving another resident when a CNA used the sit-to-stand lift alone, contrary to facility policy requiring two staff for all mechanical lift transfers. Staff interviews revealed inconsistent training and understanding regarding lift use, with new CNAs often being trained informally by peers rather than through structured education or competency checks. Further review of staff training records showed incomplete documentation of mechanical lift training for new hires, and the DON acknowledged uncertainty about how lift requirements were communicated to CNAs. The DON also indicated that care plan updates and lift assessments were not consistently current. These findings demonstrate a lack of consistent evaluation, documentation, and staff education regarding the safe use of mechanical lifts, resulting in accident hazards and inadequate supervision during resident transfers.
Improper Food Storage, Labeling, and Dating
Penalty
Summary
Food items were found improperly stored in the kitchen dry storage area, upright freezer, and refrigerator. On observation, the dry storage area contained an opened, undated paper package of pancake mix that was not secured in an airtight package, an opened undated package of rice, a bulk container of cereal that was not labeled or dated, and a bulk container of rice that was not labeled or dated. In the upright freezer, an opened, undated package of frozen biscuits was observed in a plastic bag that was not labeled. In the upright refrigerator on the far right of the back wall in the kitchen, two trays of drinking glasses filled with liquid were observed uncovered and unlabeled, along with an undated, unlabeled metal bowl covered with foil that staff identified as Jello made over the weekend. A container of Jello dated 9/03 was also observed without a use-by date indicated. The dietary manager stated items should be labeled and dated, acknowledged not considering covering the open glasses because they were prepared for the next meal, and stated dry storage items should be labeled with content and date opened.
Failure to Use EBP During Urinary Catheter Care
Penalty
Summary
The facility failed to ensure enhanced barrier precautions were used during indwelling urinary catheter care for Resident #13. On 09/10/25 at 9:48 a.m., an LPN was observed performing catheter care while wearing gloves, but no personal protective gown was observed during the procedure, and no PPE was observed inside or near the resident’s room. The facility’s Infection Control/Enhanced Barrier Precautions policy, dated 03/20/24, states that EBP include donning a gown and gloves during high-contact resident care activities and are indicated for residents with indwelling medical devices, including urinary catheters. Resident #13 had diagnoses including malignant neoplasm of the prostate and benign prostatic hyperplasia, and a physician order dated 10/05/24 directed urinary catheter care every shift. A quarterly assessment dated 07/14/25 showed the resident was severely cognitively impaired with a BIMS score of 00 and had an indwelling urinary catheter. When asked about the care, the LPN stated a gown should have been worn because the resident was on EBP and that staff should always wear a gown and gloves during catheter care, changing the catheter, and emptying the catheter. The IP also stated that EBP should have been utilized during care of the resident’s indwelling urinary catheter and that staff should have worn gloves and a gown.
Failure to Assess and Document After Resident Fall Resulting in Fracture
Penalty
Summary
A resident with severe cognitive impairment and a history of frequent falls was not properly assessed after an incident in which she slid out of a recliner. Staff assisted her back to the chair and later to a wheelchair, noting that she was rubbing her thighs and was given Tylenol for discomfort. No signs or symptoms of pain or discomfort were documented at the time of the incident, and the resident was able to eat supper with a good appetite. However, there was no assessment conducted at the time of the fall, and no incident report or nursing note was completed immediately following the event. The following day, the resident began complaining of left hip pain, which led to an x-ray being ordered and a left hip fracture being identified. The resident was subsequently sent to the hospital for surgical repair. The facility's failure to assess the resident after the fall and to complete the required incident report and documentation resulted in a delay in identifying the injury and providing appropriate medical intervention.
Failure to Complete Discharge Summary for Deceased Resident
Penalty
Summary
The facility failed to ensure that a discharged resident's clinical record contained a discharge summary. This deficiency was identified for one of the three sampled residents reviewed for discharge. The resident in question was admitted to the facility with diagnoses of hemiplegia and hemiparesis following a cerebral infarction affecting the right dominant side, as well as chronic kidney disease stage 3. The electronic health record indicated that the resident expired in the facility, yet the resident's record did not include a discharge summary. The Director of Nursing (DON) confirmed that a discharge summary had not been completed.
Failure to Address Significant Weight Loss in Care Plan
Penalty
Summary
The facility failed to develop and implement a care plan addressing a resident's significant weight loss. The resident, who was admitted with diagnoses including dementia, hypothyroidism, anxiety, and depression, experienced a weight loss of 13.05% over six months. Despite this significant change, the care plan revised on April 11, 2024, did not document the weight loss. On June 28, 2024, the IP/MDS coordinator acknowledged that nutrition should have been included in the care plan.
Medication Administration Error
Penalty
Summary
The facility failed to administer medications as ordered by the physician for a resident diagnosed with hyperlipidemia, atherosclerosis of the aorta, and hypertension. The physician's order, dated June 9, 2024, specified that the resident should receive Rosuvastatin Calcium oral tablet 10mg, with instructions to give two 10mg tablets to equal 20mg until gone. On June 27, 2024, during a medication pass, a Certified Medication Aide (CMA) was observed dispensing only one 10mg tablet of Rosuvastatin instead of the prescribed two tablets. The CMA later acknowledged the error upon being informed of the correct physician's order.
Inappropriate Use of Seroquel for Insomnia in Alzheimer's Resident
Penalty
Summary
The facility failed to ensure that a resident with Alzheimer's disease was not routinely administered Seroquel, an antipsychotic medication, for insomnia. The resident was admitted to the facility on April 17, 2024, and had a physician's order for Seroquel 50 mg to be given at bedtime for insomnia. The Medication Administration Records (MAR) for April, May, and June documented that the resident received Seroquel 14 times, 31 times, and 25 times, respectively, at bedtime for insomnia. On July 1, 2024, the Director of Nursing (DON) confirmed that the resident had been receiving Seroquel for insomnia since admission. The facility did not implement gradual dose reductions or non-pharmacological interventions prior to or instead of continuing the psychotropic medication, as required.
Medication Management Deficiencies
Penalty
Summary
The facility failed to ensure the proper management of medications and supplies, leading to deficiencies in medication labeling and storage. Specifically, a discrepancy was found in the medication administration for a resident diagnosed with hyperlipidemia. The physician's order for Rosuvastatin Calcium 10mg was to give one tablet daily, with an allowance to give two 10mg tablets to equal 20mg until gone. However, the medication card only documented the administration of 10mg daily, which was not in accordance with the physician's order. This discrepancy was observed during a medication pass by a Certified Medication Aide (CMA), who acknowledged the error and stated they would correct it by placing a change of direction sticker on the card. Additionally, during a tour of the medication storage room, several expired medications and supplies were found, including COVID-19 test kits, flu swab kits, culture swabs, hand sanitizers, blood collection sets, and various over-the-counter medications. These items had expiration dates ranging from 2022 to 2024, indicating a failure to regularly check and remove expired items from the storage room. Both a CMA and an LPN acknowledged that the expired items should have been removed, highlighting a lapse in the facility's medication management protocols.
Failure to Document Staff COVID-19 Vaccination Status
Penalty
Summary
The facility failed to maintain documentation of COVID-19 vaccination status for its staff. During a survey, the Director of Nursing (DON) was asked to provide documentation of staff COVID-19 vaccinations and reported that such documentation was not kept. Additionally, the DON stated that staff members were not offered vaccines at the facility but were directed to the health department to receive them. When asked about documentation for vaccine refusals, the DON indicated that no records were kept, as they considered it personal information.
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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 Meeker
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Shawnee Care Center | 10.2 mi | ★★★★★ | 1 | 0 |
| Shawnee Colonial Estates Nursing Home | 10.7 mi | ★★★★★ | 0 | 0 |
| The Regency Skilled Nursing And Therapy | 11 mi | ★★★★★ | 0 | 0 |
| Parkland Manor Living Center | 11.7 mi | ★★★★★ | 5 | 0 |
| Mcloud Nursing Center | 12.7 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 July 2026) and official state health department websites.