Pennsylvania Department of Health
 MEADOWVIEW REHABILITATION AND NURSING CENTER
Patient Care Inspection Results

Note: If you need to change the font size, click the "View" menu at the top of the page, place the mouse over the "Text Size" menu item, and select the desired font size.

Severity Designations

Click here for definitions Click here for definitions Click here for definitions Click here for definitions
Minimal Citation - No Harm Minimal Harm Actual Harm Serious Harm
MEADOWVIEW REHABILITATION AND NURSING CENTER
Inspection Results For:

There are  228 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.
MEADOWVIEW REHABILITATION AND NURSING CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:

Based on an Abbreviated Complaint Survey completed on February 26, 2025 , at Meadowview Rehabilitation and Nursing Center, it was determined that there were no federal deficiencies, related to the Health portion of the survey process, identified under the requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilites, however the facility was not in compliance with 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.



 Plan of Correction:


§ 211.12(f.1)(3) LICENSURE Nursing services. :State only Deficiency.
(3) Effective July 1, 2024, a minimum of 1 nurse aide per 10 residents during the day, 1 nurse aide per 11 residents during the evening, and 1 nurse aide per 15 residents overnight.

Observations:

Based on review of nursing staff schedules, punch reports and interviews with staff, it was determined that the facility failed to maintain required staffing ratios, including one nurse aide per 10 residents during the day shift, one nurse aide per 11 residents during the evening shift and one nurse aide per 15 residents during the overnight shift, on 11 of 21 days reviewed (January 26, 2025 and February 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 2025).

Findings include:

Review of facility census data revealed that on January 26, 2025, the facility census was 214, which required 125.51 hours of nurse aides during the day shift. Review of the nursing time schedules, and punch reports revealed 59.69 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on January 26, 2025, the facility census was 214, which required 155.64 hours of nurse aides during the evening shift. Review of the nursing time schedules, and punch reports revealed 131.79 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on January 26, 2025, the facility census was 214, which required 114.13 hours of nurse aides during the evening shift. Review of the nursing time schedules, and punch reports revealed 94.55 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 6, 2025, the facility census was 213, which required 170.40 hours of nurse aides during the day shift. Review of the nursing time schedules, and punch reports revealed 136.77 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 6, 2025, the facility census was 213, which required 154.91 hours of nurse aides during the evening shift. Review of the nursing time schedules, and punch reports revealed 139.85 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 6, 2025, the facility census was 213, which required 113.60 hours of nurse aides during the night shift. Review of the nursing time schedules, and punch reports revealed 97.83 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 7, 2025, the facility census was 214, which required 171.20 hours of nurse aides during the day shift. Review of the nursing time schedules, and punch reports revealed 165.15 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 7, 2025, the facility census was 214, which required 155.64 hours of nurse aides during the evening shift. Review of the nursing time schedules, and punch reports revealed 147.40 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 7, 2025, the facility census was 214, which required 114.13 hours of nurse aides during the night shift. Review of the nursing time schedules, and punch reports revealed 108.28 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 8, 2025, the facility census was 214, which required 171.20 hours of nurse aides during the day shift. Review of the nursing time schedules, and punch reports revealed 164.15 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 8, 2025, the facility census was 214, which required 155.64 hours of nurse aides during the evening shift. Review of the nursing time schedules, and punch reports revealed 134.30 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 8, 2025, the facility census was 214, which required 114.13 hours of nurse aides during the night shift. Review of the nursing time schedules, and punch reports revealed 98.69 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 9, 2025, the facility census was 212, which required 169.60 hours of nurse aides during the day shift. Review of the nursing time schedules, and punch reports revealed 129.92 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.


Review of facility census data revealed that on February 9, 2025, the facility census was 212, which required 154.18 hours of nurse aides during the evening shift. Review of the nursing time schedules, and punch reports revealed 149.45 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 9, 2025, the facility census was 212, which required 113.07 hours of nurse aides during the night shift. Review of the nursing time schedules, and punch reports revealed 67.11 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 10, 2025, the facility census was 214, which required 171.20 hours of nurse aides during the day shift. Review of the nursing time schedules, and punch reports revealed 98.24 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 10, 2025, the facility census was 214, which required 112.17 hours of nurse aides during the evening shift. Review of the nursing time schedules, and punch reports revealed 112.17 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 10, 2025, the facility census was 214, which required 114.13 hours of nurse aides during the night shift. Review of the nursing time schedules, and punch reports revealed 82.22 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 11, 2025, the facility census was 213, which required 170.40 hours of nurse aides during the day shift. Review of the nursing time schedules, and punch reports revealed 154.91 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 11, 2025, the facility census was 213, which required 154.91 hours of nurse aides during the evening shift. Review of the nursing time schedules, and punch reports revealed 125.31 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 11, 2025, the facility census was 213, which required 113.60 hours of nurse aides during the night shift. Review of the nursing time schedules, and punch reports revealed 100.03 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 12, 2025, the facility census was 213, which required 170.40 hours of nurse aides during the day shift. Review of the nursing time schedules, and punch reports revealed 146.34 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 12, 2025, the facility census was 213, which required 154.91 hours of nurse aides during the evening shift. Review of the nursing time schedules, and punch reports revealed 145.18 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 12, 2025, the facility census was 213, which required 113.60 hours of nurse aides during the night shift. Review of the nursing time schedules, and punch reports revealed 89.97 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 13, 2025, the facility census was 215, which required 153.24 hours of nurse aides during the day shift. Review of the nursing time schedules, and punch reports revealed 172 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 13, 2025, the facility census was 215, which required 153.24 hours of nurse aides during the day shift. Review of the nursing time schedules, and punch reports revealed 172 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 13, 2025, the facility census was 215, which required 156.36 hours of nurse aides during the evening shift. Review of the nursing time schedules, and punch reports revealed 142.96 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 13, 2025, the facility census was 215, which required 114.67 hours of nurse aides during the night shift. Review of the nursing time schedules, and punch reports revealed 97.51 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 14, 2025, the facility census was 214, which required 171.20 hours of nurse aides during the day shift. Review of the nursing time schedules, and punch reports revealed 289.67 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 14, 2025, the facility census was 214, which required 155.64 hours of nurse aides during the evening shift. Review of the nursing time schedules, and punch reports revealed 89.67 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 15, 2025, the facility census was 215, which required 172 hours 5f nurse aides during the day shift. Review of the nursing time schedules, and punch reports revealed 109.89 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 15, 2025, the facility census was 215, which required 156.36 hours of nurse aides during the evening shift. Review of the nursing time schedules, and punch reports revealed 146.88 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 15, 2025, the facility census was 215, which required 114.67hours of nurse aides during the night shift. Review of the nursing time schedules, and punch reports revealed 9 hou7.79 hours of nurse aide care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Staffing calculations, nursing staff schedules and staff punch reports were reviewed with the Nursing Home Administrator on February 26, 2024, at 12:00 p.m. The Nursing Home Administrator confirmed that the required staffing ratios for nurse aides were not met on the above dates.



 Plan of Correction - To be completed: 03/26/2025

5520 The Provider submits the following plan of correction in good faith and to comply with federal regulations. this plan is not an admission of wrongdoing, nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies.

1. The facility cannot go back retro actively to correct this issue.

2. the NHA, DON, and staffing coordinator were educated by the regional nurse on the CNA staffing ratios for dayshift, evening shift and nightshift.

3. The NHA/designee will audit staffing rations daily as well as projected ratios for the upcoming shifts using the PA DOH staffing grid to ensure the required CNA ratios are met.

4. Results of these audits will be submitted to the quality assurance committee to determine if future action is needed.
§ 211.12(f.1)(4) LICENSURE Nursing services. :State only Deficiency.
(4) Effective July 1, 2023, a minimum of 1 LPN per 25 residents during the day, 1 LPN per 30 residents during the evening, and 1 LPN per 40 residents overnight.
Observations:

Based on review of nursing staff schedules, punch reports and interviews with staff, it was determined that the facility failed to maintain required staffing ratios, including one LPN (Licensed Practical Nurse) per 25 residents during the day shift, one LPN per 30 residents during the evening shift, and one LPN per 40 residents during the overnight shift, on 7 of 21 days reviewed (January 26, 2025 and February 6, 7, 8, 9, 11, 15, 2025).

Findings include:

Review of facility census data revealed that on January 26, 2025 the facility census was 114, which required 25.07 hours of LPNs during the evening shift. Review of the nursing time schedules, and punch reports revealed 24.00 hours of LPN care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 6, 2025, the facility census was 213, which required 56.80 hours of LPNs during the evening shift. Review of the nursing time schedules, and punch reports revealed 48.35 hours of LPN care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 7, 2025, the facility census was 214, which required 68.48 hours of LPNs during the day shift. Review of the nursing time schedules, and punch reports revealed 61.30 hours of LPN care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 8, 2025, the facility census was 214, which required 68.48 hours of LPNs during the evening shift. Review of the nursing time schedules, and punch reports revealed 61.30 hours of LPN care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 9, 2025, the facility census was 212, which required 67.84 hours of LPNs during the day shift. Review of the nursing time schedules, and punch reports revealed 65.72 hours of LPN care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 11, 2025, the facility census was 213, which required 56.80 hours of LPNs during the evening shift. Review of the nursing time schedules, and punch reports revealed 54.37 hours of LPN care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 11, 2025, the facility census was 213, which required 42.60 hours of LPNs during the night shift. Review of the nursing time schedules, and punch reports revealed 41.73 hours of LPN care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Review of facility census data revealed that on February 15, 2025, the facility census was 215, which required 68.80 hours of LPNs during the evening shift. Review of the nursing time schedules, and punch reports revealed 68.75 hours of LPN care was provided during the shift. No additional excess higher-level staff were available to compensate this deficiency.

Staffing calculations, nursing staff schedules and staff punch reports were reviewed with the Nursing Home Administrator on February 26, 2024, at 12:00 p.m. The Nursing Home Administrator confirmed that the required staffing ratios for LPN's were not met on the above dates.








 Plan of Correction - To be completed: 03/26/2025

5530 The Provider submits the following plan of correctio in good faith and to comply with federal regulations. This plan is not an admission of wrongdoing, nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies.
1. the facility cannot go back retro actively to correct this issue.

2.the NHA, DON, and staffing coordinator were educated by the regional nurse on the LPN staffing ratios for dayshift, evening shift and night shift.

3. The NHA/designee will audit staffing ratios daily as well as projected ratios for the upcoming shifts using the PA DOH staffing grid to ensure the required LPN ratios are met.

4. Results of these audits will be submitted to the quality assurance committee to determine if further action is needed.
§ 211.12(i)(2) LICENSURE Nursing services.:State only Deficiency.
(2) Effective July 1, 2024, the total number of hours of general nursing care provided in each 24-hour period shall, when totaled for the entire facility, be a minimum of 3.2 hours of direct resident care for each resident.

Observations:

Based on review of facility staffing sheets, it was determined that the facility failed to provide a minimum of 3.2 hours of direct resident care for each resident in a 24 period for 11 out of 21 sampled days. (Weeks of January 26, 2025, through February 15, 2025).

Findings include:

Review of facility nursing staffing sheets for the weeks of January 26, 2025, through February 15, 2025, revealed the following days where the staffing hours of direct resident care fell below the required 3.2 hours:

January 26, 2025- 2.98 hours
February 6, 2025- 2.99 hours
February 7, 2025- 2.99 hours
February 8, 2025- 2.98 hours
February 9, 2025- 2.83 hours
February 10, 2025- 2.83 hours
February 11, 2025- 2.90 hours
February 12, 2025- 3.00 hours
February 13, 2025- 2.99 hours
February 14, 2025- 2.87 hours
February 15, 2025- 2.98 hours

Staffing calculations, nursing staff schedules and staff punch reports were reviewed with the Nursing Home Administrator on February 4, 2025, at 11:00 a.m. The Nursing Home Administrator confirmed that the required staffing minimum of 3.20 hours of direct nursing care per resident was not met on the above dates.




 Plan of Correction - To be completed: 03/26/2025

5640 The provider submits the following plan of correction in good faith and to comply with federal regulations. this plan is not an admission of wrong doing, nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies.

1. The facility cannot go back retro actively to correct this issue.

2. The NHA, DON, and staffing coordinator were educated by the regional nurse on the state required PPD of 3.2 per patient day.

3. The NHA/DESIGNEE WILL AUDIT THE DAILY ppd AS WELL AS THE PROJECTED ppd FOR THE UPCOMING DAY USING THE PA DOH gird to ensure the required PPD is being met.

4.Results of this audits will be submitted to the quality assurance committee to determine if further action is needed.

Back to County Map


  
Home : Press Releases : Administration
Health Planning and Assessment : Office of the Secretary
Health Promotion and Disease Prevention : Quality Assurance


Copyright © 2001 Commonwealth of Pennsylvania. All Rights Reserved.
Commonwealth of PA Privacy Statement
Visit the PA Power Port