Above 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 Meadow Lake Health Center during CMS and state inspections, most recent first.
A resident with multiple medical conditions, including dementia and heart disease, experienced a fall resulting in a forehead bruise. The LPN assessed the resident and documented the incident but failed to notify the physician, family, or Hospice as required by facility policy. Staff interviews confirmed that the necessary notifications were not made at the time of the incident.
A facility failed to update a resident's care plan to include diagnoses of infections and antibiotic therapy. The resident, with a history of subdural hemorrhage, dementia, and MSSA bacteremia, was diagnosed with urinary tract infection and pneumonia. Despite multiple positive tests for urinary tract infections and several antibiotic prescriptions, the care plan lacked updates to address these issues. The DON acknowledged the oversight, emphasizing the importance of maintaining accurate and individualized care plans.
Failure to Notify Physician and Family After Resident Fall
Penalty
Summary
The facility failed to immediately notify a resident's physician and representative after the resident experienced a fall. The resident, an elderly male with diagnoses including atherosclerotic heart disease, atrial flutter, hypertension, and dementia, was admitted for respite care and was receiving Hospice services. According to the comprehensive care plan, the resident had a fall resulting in a bruise on his forehead. Documentation by the LVN indicated that the resident was found on the floor, assessed, and assisted back to bed, with vital signs and neuro checks within normal limits. However, there was no documentation or evidence that the physician, family, or Hospice were notified of the incident at the time it occurred. Interviews with facility staff, including the DON, ADON, and the LVN involved, confirmed that required notifications were not made following the fall. The LVN admitted to forgetting to notify the necessary parties, despite having received prior training on falls and reporting requirements. The facility's policy on falls prevention and management also required immediate notification of the attending physician and family or guardian in the event of condition changes, which was not followed in this instance.
Failure to Update Resident Care Plan for Infections and Antibiotic Therapy
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident, which included measurable objectives and time frames to meet the resident's medical, nursing, and mental and psychosocial needs. Specifically, the care plan did not reflect the resident's diagnoses of infections and the physician's orders for antibiotic therapy. The resident, an elderly female with a history of subdural hemorrhage, dementia, diabetes mellitus, and MSSA bacteremia, was diagnosed with urinary tract infection, pneumonia, and obstructive and reflux uropathy. Despite these diagnoses, the care plan was not updated to include actions or interventions to address these conditions or the ongoing antibiotic therapy prescribed since admission. The resident's medical records indicated multiple positive tests for urinary tract infections and several antibiotic prescriptions, including Macrobid, Cipro, Omnicef, and Keflex for prophylactic treatment. However, the care plan, initiated months earlier, lacked updates to address these medical issues. During an interview, the DON acknowledged that the care plan should have been updated to reflect the resident's current medical needs and antibiotic therapy, attributing the oversight to a failure in maintaining accurate and individualized care plans. The facility's policy emphasized the importance of revising care plans as residents' conditions change, which was not adhered to in this case.
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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 Tyler
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Providence Park Rehabilitation And Skilled Nursing | 1.1 mi | ★★★★★ | 1 | 1 |
| Reunion Plaza Healthcare & Rehabilitation | 1.3 mi | ★★★★★ | 0 | 0 |
| The Heights Of Tyler | 2 mi | ★★★★★ | 7 | 0 |
| Avir At Azalea Heights | 2.4 mi | ★★★★★ | 11 | 1 |
| Briarcliff Health Center | 2.5 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.