Aristacare East Falls: Seizure Medication Errors - PA
The patient at Aristacare at East Falls had been admitted with diagnoses of oxygen deprivation to the brain, anxiety, and epilepsy. Hospital records from November 4 showed clear instructions to stop four medications: clonazepam for seizures and panic disorders, Keppra for seizures, the antipsychotic Seroquel, and valproic acid for seizures.
Despite these discharge instructions, facility staff administered all four medications the next day. The resident received clonazepam twice and Seroquel once on November 5. Staff continued giving Keppra and valproic acid through November 11.
Family members noticed something was wrong. They gathered at the resident's bedside on November 6, expressing concerns about the medications. The patient had become lethargic.
Nurse Practitioner Employee E3 documented that day that the resident "was awaiting proper medication list from the hospital." The practitioner later told inspectors the facility "did not have Resident R1's medication discharge list from the hospital when the resident was admitted."
After family members raised their concerns, the nurse practitioner adjusted clonazepam and Seroquel to be given only as needed rather than on a standing schedule. The practitioner said he "kept reminding nursing staff to obtain an updated medication list from the hospital."
But the reminder system failed. The nurse practitioner told inspectors he "was unaware that the hospital gave instructions to discontinue the Valproic acid and Keppra" — the two seizure medications that staff continued administering for an entire week after the hospital ordered them stopped.
The medication errors affected a patient whose brain had already been damaged by oxygen deprivation, compounding risks for someone whose neurological condition made proper seizure management critical.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Aristacare At East Falls from 2025-12-30 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 13, 2026 · Our methodology
ARISTACARE AT EAST FALLS in PHILADELPHIA, PA was cited for violations during a health inspection on December 30, 2025.
The patient at Aristacare at East Falls had been admitted with diagnoses of oxygen deprivation to the brain, anxiety, and epilepsy.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.
Frequently Asked Questions
- What happened at ARISTACARE AT EAST FALLS?
- The patient at Aristacare at East Falls had been admitted with diagnoses of oxygen deprivation to the brain, anxiety, and epilepsy.
- How serious are these violations?
- Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
- What should families do?
- Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in PHILADELPHIA, PA, (5) Report any new concerns directly to state authorities.
- Where can I see the full inspection report?
- The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from ARISTACARE AT EAST FALLS or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 396143.
- Has this facility had violations before?
- To check ARISTACARE AT EAST FALLS's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.