Pennsylvania Department of Health
 MEADOWCREST REHABILITATION & HEALTHCARE CENTER
Patient Care Inspection Results

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MEADOWCREST REHABILITATION & HEALTHCARE CENTER
Inspection Results For:

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MEADOWCREST REHABILITATION & HEALTHCARE CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:Based on an Abbreviated Survey in response to two complaints, completed on June 12, 2026, it was determined that Meadowcrest Rehabilitation and Healthcare Center was in compliance with the requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities; however, the facility was not in compliance with the 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 time schedules and staff interviews, it was determined that the facility administrative staff failed to provide a minimum of one nurse aide per 10 residents during the day shifts, one nurse aide per 11 residents on evening shift, and one nurse aide per 15 residents on night shift, on 18 of 21 days (5/10/26-5/13/26, 5/15/26, 5/17/26-5/26/26, 5/28/26-5/30/26). Findings include: Review of the nursing schedules and census information for 5/10/26, through 5/30/26, revealed that the facility failed to meet the following: 5/10/26: Day shift required 31.20 hours of nurse aide care, facility 31.00. 5/11/26: Day shift required 32.00 hours of nurse aide care, facility provided 25.25; evening shift required 29.09 hours of nurse aide care, facility provided 24.00. 5/12/26: Day shift required 32.00 hours of nurse aide care, facility provided 23.75. 5/13/26: Day shift required 30.40 hours of nurse aide care, facility provided 30.00. 5/15/26: Evening shift required 28.35 hours of nurse aide care, facility provided 25.25. 5/17/26: Day shift required 32.00 hours of nurse aide care, facility provided 31.00; night shift required 21.33 hours of nurse aide care, facility provided 14.75. 5/18/26: Day shift required 30.40 hours of nurse aide care, facility provided 30.00. 5/19/26: Day shift required 31.20 hours of nurse aide care, facility provided 24.00. 5/20/26: Day shift required 33.60 hours of nurse aide care, facility provided 23.00; evening shift required 30.55 hours of nurse aide care, facility provided 25.50. 5/21/26: Day shift required 33.60 hours of nurse aide care, facility provided 30.00. 5/22/26: Day shift required 32.80 hours of nurse aide care, facility provided 23.25. 5/23/26: Day shift required 32.00 hours of nurse aide care, facility provided 24.25. 5/24/26: Day shift required 32.00 hours of nurse aide care, facility provided 23.75; evening shift required 29.09 hours of nurse aide care, facility provided 25.00. 5/25/26: Day shift required 31.20 hours of nurse aide care, facility provided 30.75. 5/26/26: Evening shift required 29.09 hours of nurse aide care, facility provided 26.50. 5/28/26: Day shift required 31.20 hours of nurse aide care, facility provided 23.75; evening shift required 28.36 hours of nurse aide care, facility provided 25.00. 5/29/26: Day shift required 31.20 hours of nurse aide care, facility provided 30.75. 5/30/26: Day shift required 30.40 hours of nurse aide care, facility provided 23.25; evening shift required 27.64 hours of nurse aide care, facility provided 26.50. During an interview on 6/12/26, at approximately 12:00 p.m. the Nursing Home Administrator and the Director of Nursing confirmed that the facility administrative staff failed to provide a minimum of one nurse aide per 10 residents during the day shifts, one nurse aide per 11 residents on evening shift, and one nurse aide per 15 residents on night shift, on 18 of 21 days.
 Plan of Correction - To be completed: 07/13/2026

The residents had no negative outcome for not meeting the minimum of one CNA per 10 residents on day shift, 1 CNA per 11 residents on the evening shift 1 CNA to 15 residents on the night shift.
The facility is attempting to hire additional staff, hold staffing meetings to track staffing and added additional agencies to utilize for staffing needs.

DON/designee will provide the Staffing Coordinator/HR with re-education on the Pennsylvania staffing requirements for ratios.

Staffing coordinator/designee will audit the ratios five times weekly for 2 weeks and monthly times 1 month. Results of the audits will be reviewed at the Quality Assurance meetings until substantial compliance has been met

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