Crawford Care Center: Meal Delay Violations - PA
Inspectors visiting the facility on April 27 and 28 found that sign still hanging. They also found the residents who had learned what it meant.
One of them, identified in the inspection report as Resident R55, described asking for an alternate meal and waiting more than 30 minutes. What arrived was a peanut butter sandwich. Staff had told her she would have to wait until tray line was finished before anyone would make it.
Resident R123's experience was similar. R123's representative told inspectors they had requested a grilled cheese sandwich in place of the regular meal and were told the same thing — wait until tray line is done. The sandwich eventually came, more than 30 minutes later. By then, every other resident in the facility had already finished eating.
The facility's own dining policy, dated January 22, 2026, stated that alternate meals would be provided "in a timely manner." The meal schedule showed tray line running from 11:00 a.m. through 1:15 p.m. A resident who asked for something different at the start of that window could be waiting well past the time others had cleared their plates.
The Dietary Manager confirmed to inspectors on April 28 that no alternate meal would be prepared until tray line was completed. The Nursing Home Administrator, interviewed on April 30, acknowledged that alternate meals should be prepared and delivered timely.
The inspection, conducted as a complaint investigation, cited the facility for failing to ensure alternate meals were served in a manner comparable to normal mealtimes for two of the 24 residents reviewed. The violation was classified as causing minimal harm or potential for actual harm.
For Resident R123, the grilled cheese arrived to an empty dining room.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Crawford Care Center from 2026-04-30 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
CRAWFORD CARE CENTER in SAEGERTOWN, PA was cited for violations during a health inspection on April 30, 2026.
Inspectors visiting the facility on April 27 and 28 found that sign still hanging.
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.