Meadows Nursing and Rehabilitation Center Facility Wide Assessment

As a regulatory compliance issue we are required to review our Facility Wide Assessment Quarterly and to update it as indicated. The regulation states: “Nursing facilities will conduct, document and review a facility wide assessment, which includes both their resident population and the resources the facility needs to care for their residents.”

The intent of the assessment is for us to assure that we have the resources to meet the person care needs of each of our residents. This extensive review includes the following topics:

  • Facility Resident Population and Care
  • Personnel Listing
  • Physical Environment, Equipment, Services and Other Physical Plan Consideration
  • Ethnic, Cultural, and Religious Factors
  • Listing of All Buildings and/or Other Physical Structures, Vehicles and Other factors such as Ramps/Elevators
  • Inventory of Equipment
  • Services Provided
  • Staff Competencies
  • Contracts, Memorandums of Understanding, and Other Agreements
  • Health Information Technology Resources
  • Facility –Based and Community Risk Assessment


This is a brief overview of the assessment document. If you have any questions or would like more information please feel free to contact our administrator, Cristina Tarbox at 570-675-8600, Extension 102.

May 2024


Keeping Residents Safe – Use of Enhanced Barrier Precautions
A message from: Meadows Nursing and Rehabilitation Center

Dear Residents, Families, Friends, and Volunteers:

You may have noticed new signs on some doors that say “Enhanced Barrier Precautions” and staff wearing
gowns and gloves more often. We’re doing this based on new recommendations from the Centers for
Disease Control and Prevention to protect our residents and staff from germs that can cause serious
infections and are hard to treat. You may have heard these germs called multidrug-resistant organisms or
MDROs in the news.

Studies have shown that more than 50% of nursing home residents have these germs on or in their
body, especially in places where the skin is broken, such as wounds or insertion sites of medical devices
like feeding tubes. Most of the time people never know they are carrying these germs but under certain
conditions they can enter the body and cause serious infections.
Fortunately, there are many things we can do to keep these germs from spreading, but we need your help!

Two important practices are:
1. Cleaning our hands. Alcohol-based hand sanitizer can kill these germs and keep us from spreading
them with our hands. This is why we remind you and your visitors to frequently clean your hands.
2. Using gowns and gloves. Since we can’t wash our clothes between caring for residents, gowns and
gloves help keep these germs from getting on our clothes and spreading to others when we are having
close contact with residents. This is why you might see us wearing a gown and gloves when we are
performing transfers or other activities involving a lot of contact with a resident. Just because we are
wearing a gown and gloves doesn’t mean that a resident is carrying one of these germs. We also wear
them to protect residents who might be more vulnerable to developing a serious infection if exposed to
these germs. We will also wear them if we expect a care activity to be messy, like if we are changing a
dressing on a wound.
To support these practices, you will see more alcohol-based hand sanitizer dispensers, carts to hold clean
gowns and gloves, and trash cans so we can change gowns and gloves between residents. You will also
see more signs to help remind staff when they should be wearing gowns and gloves.
We are always happy to answer any questions you might have about actions we are taking to protect our
residents and staff and appreciate your support!
Please contact us with additional questions at: 570-675-8600, ext 148

Stephanie Eicher, LPN, IPC Nurse

To learn more about Enhanced Barrier Precautions, please visit Implementation of Personal Protective
Equipment (PPE) Use in Nursing Homes to Prevent Spread of Multidrug-resistant Organisms
(MDROs) at

May 22, 2024

Dear Resident, Resident Representative,


As part of our Antibiotic Stewardship efforts, we are providing this information to help you understand antibiotics.

  • What are antibiotics?
  • Antibiotics are medicines that fight infections caused by bacteria. Antibiotics work by targeting and killing harmful bacteria.
  • How do people get bacterial infections?
  • Normally, your immune system helps control the bacteria you have. But, sometimes bacteria grow so quickly that your immune system can’t keep up and then you may develop an infection that needs to be treated.
  • When are antibiotics used to treat urinary tract infections (UTIs)?
  • A urinary tract infection (UTI) is an infection involving any party of the urinary system, including urethra, bladder, and kidney. If you are experiencing symptoms of an infection and bacteria are found, you will typically be prescribed an antibiotic.
  • Antibiotics do not help when there are no UTI symptoms. In fact, taking antibiotics when they are not needed may cause health problems.
  • If you do not have any symptoms, but your urine sample shows some bacteria, it may be better to wait and drink extra water or other beverages. Nurses may check on you and ask you to drink more for a few days.
  • When are antibiotics used to treat lower respiratory tract infections or LRTI?
  • There are many different kinds of respiratory tract infections, such as colds and coughs, the flu, pneumonia, and bronchitis. Not all respiratory tract infections need to be treated with an antibiotic.
  • Doctors often use antibiotics to treat some lower respiratory tract infections like pneumonia and bronchitis.
  • The most common symptoms of a respiratory infection needing an antibiotic are a fever with a bad cough. A cough alone is typically not treated with an antibiotic.
  • If you are only experiencing a cough, it is often better to wait. Your doctor will request that nurses check on you often to see how you are feeling, take your temperature, and ask if you are experiencing any other symptoms. They may give you acetaminophen (Tylenol) and/or a cough suppressant to make you feel better. They may also ask you to drink more fluids and raise you head with pillows. Nurses may check on you more and provide acetaminophen for a few days.


  • What are the risks—or harms—of antibiotics?
  • Antibiotics are important for treating you when you definitely have an infection, but unneeded antibiotics can do more harm than good.
  • Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt you. There are five potential health problems that occur as a result of taking an antibiotic.
  1. Allergic reactions, like a rash or swelling.
  2. Side effects, such as a stomach upset.
  3. Drug interactions.
  4. An infection called Clostridium difficile or diff.
  5. Antibiotic resistance.
  • What is our nursing home doing to decrease the chance of these risks?
  • Improving the way we use antibiotics for our residents is one way we can protect your health and ensure the safety of your care.
  • Our nursing home is taking action in two ways to make sure that you and other residents get the right care at the right time.
  • First, we share information and help you understand the risks of antibiotics.
  • Second, we have a program to—
  • Make sure you get antibiotics only when absolutely necessary—when you have a bacterial infection.
  • Make sure that you get the right antibiotic, at the right time, for the right length of time.
  • What can you do to get the best care for yourself?
  • Ask your doctor or a nurse about the benefits and risks of taking an antibiotic.
  • Tell someone, including myself or another nurse, if you want more information—or have concerns—about antibiotics and their risks.

When you take an antibiotic, you may experience several side effects such as a rash, diarrhea, nausea, vomiting, and headaches. If you are (or think you may be) experiencing any of these side effects—or just feel different—let a nurse know immediately.


Stephanie Eicher, LPN, IPC Nurse

Infection Preventionist Nurse


Source: Agency for Healthcare Research and Quality: Nursing Home Antimicrobial Stewardship Guide:  Residents,

Educate & Engage Residents, Family



March 17, 2024


Dear Resident/Resident Representative:


On April 3, 2024, Meadows Nursing and Rehabilitation Center will transition to a new Pharmacy provider to meet your medication needs. PharMerica is excited to be chosen as your community’s preferred pharmacy provider. PharMerica is a national leader in pharmacy services, serving long-term care, senior living, behavioral health and specialty in Wilkes Barre, PA.


Pharmerica bring you over 30 years of experience caring for seniors and their knowledgeable pharmacists understand the medication concerns you face. PharMerica is dedicated to excellence in delivering on time, accurate medications while providing the highest levels of care.


We look forward to caring for your medication needs.



PharMerica Team


Cristina Tarbox, LNHA

Cristina Tarbox, LNHA, MHA, MPS

Licensed Nursing Home Administrator