AristaCare at Meadow Springs: Care Plan Failures - PA
The resident, identified in inspection records only as R2, is a male patient admitted to AristaCare at Meadow Springs on March 1, 2024. In addition to quadriplegia and Parkinson's, his diagnoses include heart failure, chronic kidney disease, malnutrition, a prior heart attack, and a history of intracerebral hemorrhage. He requires a feeding tube and has difficulty swallowing. His cognitive score, recorded in the clinical record, was 99 out of 100.
His family raised concerns about dry, flaky skin on his scalp in a physician's progress note dated August 17, 2025. A doctor ordered Ketoconazole Shampoo 2% the following morning, to be applied every Wednesday and Saturday until the scalp cleared.
When a state inspector visited his room on September 3, 2025, two and a half weeks after that order was written, R2's scalp was still visibly flaky and oily. His nails had not been cut.
His care plan contained no goals and no interventions related to hair or nail care.
The director of nursing and the wound care nurse both confirmed what the inspector found.
For a resident with quadriplegia, hygiene is not something he can manage himself. Every aspect of it depends on staff knowing what to do, when to do it, and having a documented plan that holds them to it. The care plan is that document. R2's had a gap where his basic daily care should have been.
The inspection, conducted as a complaint survey, cited the facility under Pennsylvania's resident care policy regulations. The violation was classified as causing minimal harm or potential for actual harm, and affected few residents.
R2 remained at the facility.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Aristacare At Meadow Springs from 2025-09-03 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 22, 2026 · Our methodology
ARISTACARE AT MEADOW SPRINGS in PLYMOUTH MEETING, PA was cited for violations during a health inspection on September 3, 2025.
The resident, identified in inspection records only as R2, is a male patient admitted to AristaCare at Meadow Springs on March 1, 2024.
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.