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Health Inspection

Meadow View Nursing Center

February 7, 2025 · Berlin, PA · 1404 Hay Street
Citations 9
CMS Rating 3/5
Beds 150
Provider ID 395830
Healthcare Facility
Meadow View Nursing Center
Berlin, PA  ·  View full profile →
Inspection Summary

MEADOW VIEW NURSING CENTER in BERLIN, PA — inspection on February 7, 2025.

Found 9 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF623
Minimal harm or Few Based on review of policies and clinical records, as well as staff interviews, it was determined that the facility affected

Review of the facility's corrective actions and interviews with staff regarding their re-education revealed that they were in compliance with

Review of the Medication Administration Record (MAR) for Resident 3, dated November 2024, revealed that the resident did receive piperacillin during the seven-day look-back period.

Interview with the Registered Nurse Assessment Coordinator on February 7, 2025, at 8:30 a.m. confirmed that Resident 3's MDS, dated [DATE], was inaccurately coded regarding antibiotics.

A quarterly MDS assessment for Resident 9, dated January 30, 2025, revealed that the resident was cognitively intact, required assistance from staff for personal care needs, and had diagnoses that included coronary artery disease.

Section N0415H (Opioid) indicated that the resident received an opioid during the seven-day look-back period.

Review of the MAR for Resident 9, dated January, 2025, revealed that the resident did not receive opioids during the seven-day look-back period.

Interview with the Registered Nurse Assessment Coordinator on February 7, 2025, at 8:30 a.m. confirmed that Resident 3's MDS, dated [DATE], was inaccurately coded regarding opioid medications.

395830

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 395830 B.

Wing 02/07/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Meadow View Nursing Center 1404 Hay Street Berlin, PA 15530

F-F641, revealed that the facility's QAPI committee was ineffective in correcting deficient practices related to accurate MDS assessments.

The facility's plan of correction for a deficiency regarding a failure to update residents' care plans, cited during the survey ending March 7, 2024, revealed that the facility developed a plan of correction that included completing audits and reporting the results of the audits to the QAPI committee for review.

The results of the current survey, cited under

F-F657, revealed that the facility's QAPI committee failed to successfully implement their plan to ensure ongoing compliance with regulations regarding updating residents' care plans.

The facility's plan of correction for a deficiency regarding professional nursing services, cited during the survey ending March 7, 2024, revealed that the facility would complete audits and report the results of the audits to the QAPI committee for review.

The results of the current survey, cited under

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F-F658, revealed that the facility's QAPI committee failed to successfully implement their plan to ensure ongoing compliance with regulations regarding professional nursing services.

The facility's plan of correction for a deficiency regarding quality care, cited during the survey ending March 7, 2024, revealed that the facility would complete audits and report the results of the audits to the QAPI committee for review.

The results of the current survey, cited under

F-F684, revealed that the facility's QAPI committee failed to successfully implement their plan to ensure ongoing compliance with regulations regarding quality care.

395830

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 395830 B.

Wing 02/07/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Meadow View Nursing Center 1404 Hay Street Berlin, PA 15530

F-F689, revealed that the facility's QAPI committee was ineffective in correcting deficient practices related to safety and accident-free environments.

The facility's plan of correction for a deficiency regarding storing/labeling medications properly, cited during the survey ending March 7, 2024, revealed that the facility developed a plan of correction that included completing audits and reporting the results of the audits to the QAPI committee for review.

The results of the current survey, cited under

F-F761, revealed that the facility's QAPI committee was ineffective in correcting deficient practices related to storing/labeling medications properly.

The facility's plans of correction for deficiencies regarding infection control practices, cited during the survey ending March 7, 2024, revealed that the facility would complete audits, and the results would be reviewed as part of quality assurance.

The results of the current survey, cited under

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F-F880.

28 Pa.

Code 201.14(a) Responsibility of Licensee.

28 Pa.

Code 201.18(e)(1) Management.

395830

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 395830 B.

Wing 02/07/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Meadow View Nursing Center 1404 Hay Street Berlin, PA 15530

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BERLIN, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MEADOW VIEW NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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