Pennsylvania Department of Health
ARISTACARE AT MEADOW SPRINGS
Patient Care Inspection Results

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ARISTACARE AT MEADOW SPRINGS
Inspection Results For:

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

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ARISTACARE AT MEADOW SPRINGS - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:Based on an Abbreviated Survey in response to a complaint, completed on August 4, 2026, it was determined that Aristacare at Meadow Springs was in compliance with the requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care, but failed to be in compliance with the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations as they relate to the Health portion of the survey process.

 


 Plan of Correction:


51.3 (a) LICENSURE NOTIFICATION:State only Deficiency.
51.3 Notification

(a) A health care facility shall
notify the Department in writing at
least 60 days prior to the intended
commencement of a health care service
which has not been previously provided
at that facility.
Observations: Based on observations, review of facility documentation, review of clinical records and interviews with staff, it was determined that the facility failed to notify the Department of a new health care service provided at the facility. Findings include: Interview with the Director of Nursing and Employee E3 Assistant Respiratory Director, on August 4, 2026, at 9:20 a.m. revealed that the facility performs bronchoscopies. A bronchoscopy is a medical procedure in which a flexible tube with a camera is inserted through the nose or mouth into the lungs to examine and treat airway conditions. Observations with Employee E3 Assistant Respiratory Director, on August 4, 2026, at 10:40 a.m. revealed that the facility has a designated treatment cart for the performance of bronchoscopies with equipment that includes the scopes used for the procedure, monitor, suction tubing, irrigation, sterile gloves and drapes, etc. Interview with Employee E3 revealed that the bronchoscopies are performed at residents' bedsides and that all procedures are performed by Employee E4, Pulmonologist. Employee E3 confirmed that the facility has been advertising that it is a new procedure that is offered by the facility. Review of the facility's website revealed that the facility "has successfully performed its first in-house bronchoscopy, making us the first skilled nursing facility to bring this level of respiratory intervention out of the hospital and into our building. For our ventilator and trach-care residents, this means complex airway procedures can now be performed on-site by our full-time respiratory therapy team, preventing unnecessary hospitalizations and delivering faster, more compassionate care." Review of facility documentation revealed that the procedure has been performed on six residents at the facility between February 24, 2026, and July 23, 2026. Review of the six residents' records confirmed that the bronchoscopies had been performed at the facility at residents' bedsides related to increased secretions and mucus plugs. Interview with the Nursing Home Administrator and the Director of Nursing on August 4, 2026, at 1:00 p.m. confirmed that the facility did not report to the Department that the new healthcare service, bronchoscopies, are being performed at the facility.
 Plan of Correction - To be completed: 09/15/2026

1. Facility suspended services until Department of Health notifications have been completed.
2. Residents who received procedure were reviewed to ensure all policies were followed.
3. Policy and procedures were reviewed by surveyor on site, with no suggestions. Once approvals received by DOH. Program will begin after the 60 days.
4. Any new programs not previously offered at the facility will be reviewed by the QAPI committee to ensure notification 60 days prior to implementation.


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