Average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Meadville Convalescent Home during CMS and state inspections, most recent first.
The facility failed to inform or involve residents and their representatives when it revoked the privileges of two attending physicians and a nurse practitioner, resulting in multiple residents losing access to their chosen medical providers. Residents and families were not given adequate notification, explanation, or meaningful choice regarding their ongoing care, and some felt pressured or threatened during the process. The administration did not attempt to mediate concerns with the outgoing medical staff or communicate changes during resident council or care plan meetings.
A resident with multiple complex medical conditions and moderate cognitive impairment was not informed, nor was their representative, about a facility decision to discontinue external wound care clinic visits and transfer wound care to an in-house nurse practitioner. The facility made this change without providing notification or allowing participation in the decision, despite prior communication with the representative about other care matters. The resident's representative remained unaware of the change and believed the resident was still receiving external wound care.
A resident with PEG tube feedings was observed in public areas with the feeding pump and formula exposed and no privacy cover in place. Staff stated the pump was always exposed except when the resident went to a physician appointment, and the DON confirmed the lack of covering was a dignity issue. The resident had diagnoses including dysphagia oropharyngeal phase and a BIMS score of 15, indicating cognitive intactness.
Failure to follow the PEG site care plan occurred when an LPN cleaned a resident’s PEG site and applied a dressing without patting the site dry first. The resident had a PEG tube, was cognitively intact, and had orders and a care plan directing staff to clean the site with NS, pat dry, apply a drain sponge, change daily, and monitor for infection. The LPN confirmed the omission, and the DON stated the site should be dried to prevent bacteria and that staff are expected to follow the care plan.
Failure to follow peg site care orders for a resident with a PEG tube. An LPN cleaned the site with NS using the same Q-tip in a back-and-forth circular motion and applied a dressing without drying the site first, despite the physician order to clean with NS, pat dry, and apply a drain sponge. The resident had dysphagia and was cognitively intact.
Missing Oxygen in Use Signage: A resident receiving O2 via nasal cannula at 2 L/min was observed without an "Oxygen in Use" sign posted on the door. Facility policy required readable precautionary signage, and an LPN confirmed the sign was missing before posting it. The resident had COPD, acute and chronic respiratory failure with hypoxia, and asthma.
Expired Med Pass 2.0 nutritional shakes were found in the medication storage room during an observation with an LPN. Eleven cartons were present, including nine cartons and two cartons that had passed their expiration dates. The LPN stated that nurses are responsible for checking for expired items, and the DON stated that night nurses are responsible for checking the medication room for expired products.
A resident's representative was not notified of significant changes in the resident's condition, including a positive COVID-19 test and subsequent unresponsiveness, as required by facility policy. The resident, who had dementia and diabetes, experienced these changes over several days, but the facility failed to document or make timely notifications.
The facility failed to ensure advance directives were completed for two residents, both cognitively intact, who lacked documentation of advance directives or information on formulating them. The Social Service Director and Administrator acknowledged the absence of advance directives in resident charts, with efforts underway to correct this.
The facility failed to monitor and record freezer and refrigerator temperatures daily and did not discard expired foods, as observed during a kitchen inspection. Expired items, including browning sauce and liquid eggs, were found, and temperature logs were pre-filled without actual checks. Interviews revealed that staff did not consistently follow food safety protocols, and the Dietary Manager acknowledged the lack of documentation for daily checks.
The facility failed to accurately submit staffing data to CMS for the first quarter of FY 2024 due to a software glitch. The Administrator and HRC were aware of the issue but did not ensure its resolution, resulting in inaccurate reporting of staffing data. The DON and an LPN were unaware of the error, which led to a reported shortage in Licensed Nursing Coverage on specific dates.
The facility failed to ensure a safe and clean environment, with buckling and cracked tiles in the resident shower and common areas. A CNA reported the issues to maintenance, but repairs were not made. The Maintenance Director and Administrator were aware of the cracked tiles and gaps, acknowledging potential hazards.
A resident with severe cognitive impairment was found using a seatbelt as a restraint without proper identification, documentation, or a physician's order. Facility staff confirmed the oversight, and the resident's medical records lacked necessary documentation and assessment for the restraint.
A facility failed to implement a comprehensive care plan for a resident using a seatbelt restraint. The resident, unable to open the seatbelt independently, had no restraint re-assessment since admission, nor a physician's order or monitoring in place. The DON and Administrator confirmed the lack of necessary goals, interventions, and interdisciplinary collaboration for the restraint's appropriateness, despite the resident's medical history of intracranial injury and developmental disorders.
A resident with chronic kidney disease did not receive a renal ultrasound as ordered by a nephrologist on two occasions. The facility failed to document or carry out the orders, and no results were found in the medical records. The DON and Charge Nurse acknowledged the oversight, and the nephrology medical assistant stressed the importance of timely order fulfillment. The resident, who was cognitively intact, had been hospitalized for low potassium levels, and the facility's policy requires timely care that meets residents' needs.
A resident's CPAP mask was improperly stored, lying on a table instead of in a labeled storage bag as per facility policy. Staff interviews confirmed the mask should be bagged to prevent contamination. The resident, diagnosed with sleep apnea and cognitively intact, confirmed the mask was never bagged. The facility's administrator expected staff to follow proper CPAP care protocols.
Failure to Honor Residents' Right to Choose Attending Physician
Penalty
Summary
The facility failed to honor residents' rights to choose their attending physician by unilaterally revoking the privileges of two attending physicians and a nurse practitioner without informing or involving the affected residents or their representatives in the decision-making process. Despite facility policies supporting residents' rights to select their own physicians, the administration made administrative changes to the medical staff, including the revocation of privileges for the existing medical team, without providing cause or attempting to mediate any concerns with the providers. Residents and their responsible parties were not given adequate notification or explanation regarding the changes, nor were they offered meaningful choices regarding their ongoing medical care. Multiple residents and their representatives reported that they were either not notified at all or were only informed after the changes had already taken effect. Some residents learned of the changes through indirect means, such as being told by other staff or after inquiring themselves. Several residents expressed satisfaction with their previous physicians and nurse practitioner, stating that they would have preferred to continue care with them. In some cases, responsible parties felt pressured or manipulated into signing forms to change physicians, and some expressed fear of retribution or involuntary discharge if they did not comply with the facility's requests. The report documents that the facility did not attempt to address or mediate any concerns with the outgoing medical staff, nor did it provide residents or their representatives with options or involve them in the decision to change providers. The administration instructed staff to refer all questions about the changes to the administrator or assistant-in-training, and did not communicate the changes during resident council or care plan meetings. The lack of communication and involvement left residents and their families confused, upset, and concerned about continuity and quality of care.
Failure to Inform Resident and Representative of Changes in Wound Care Provider
Penalty
Summary
The facility failed to ensure that a resident and their representative were informed of, and allowed to participate in, treatment decisions, specifically regarding changes in wound care providers and treatment locations. Despite facility policies requiring residents and their representatives to be notified about the practitioners responsible for their care and to be given the opportunity to choose providers, the facility made a unilateral decision to discontinue sending residents to an external wound care clinic and instead transferred wound care to an in-house nurse practitioner. This change was made without notifying the affected resident or their power of attorney, even though the facility had previously communicated with the representative about other care matters. The administrator confirmed that no written or verbal notifications were provided to residents or their representatives about the change in provider or treatment location. The resident involved had multiple complex medical conditions, including osteomyelitis, peripheral vascular disease, diabetes, dementia, and multiple unhealed pressure ulcers. The resident was dependent on staff for most activities of daily living and had moderate cognitive impairment, requiring a representative to make medical decisions. The resident's representative was not informed of the discontinuation of care by the external wound care clinic, the change in medical director, or the revocation of attending physician privileges, and believed the resident was still receiving care at the clinic. The medical director also reported being unable to monitor the resident's wounds for several weeks due to the facility's decision, despite ongoing concerns about infection and the need for potential intravenous antibiotic therapy.
Exposed PEG Feeding Pump in Public Area
Penalty
Summary
The facility failed to respect a resident's dignity by leaving a PEG feeding pump exposed in a public area. During observation, Resident #35 was seen in the hallway by the hair salon door with PEG tube formula flowing at 50 ml/hr and no privacy covering over the feeding pump. On another observation, Resident #34 was seen sitting on the front porch in a wheelchair with PEG feeding formula exposed and flowing, and there was no privacy cover on the feeding pump. An interview with the transportation aide revealed that Resident #34's feeding pump is always exposed and that she had only seen it covered when the resident went to a physician appointment. The DON stated she had spoken to management about covering PEG tube feedings and was told they did not make a cover to keep the PEG feeding bag from being exposed; she confirmed it should be covered and stated it was a dignity issue. Resident #34's record showed an admission date of 3/1/24, diagnoses including dysphagia oropharyngeal phase and other developmental disorders of speech and language, and an MDS with a BIMS score of 15, indicating the resident was cognitively intact.
Failure to Follow PEG Site Care Plan
Penalty
Summary
The facility failed to follow the care plan during PEG tube care for one resident. The resident had an alteration in gastrointestinal status with a PEG tube, and the care plan in place since 3/1/24 directed staff to clean the PEG site with normal saline, pat dry, and apply a drain sponge. A physician order dated 8/20/25 also directed staff to clean the PEG site with normal saline, pat dry, apply a drain sponge, change daily, and monitor for signs and symptoms of infection. The resident’s admission record showed diagnoses including dysphagia, oropharyngeal phase, and other developmental disorders of speech and language, and the MDS showed a BIMS score of 15, indicating the resident was cognitively intact. During an observation of PEG site care, an LPN cleaned the PEG site and applied a dressing but did not dry the site before applying the dressing. In an interview later that day, the LPN confirmed she did not dry the PEG site and stated she should have dried it to prevent infection and skin irritation. The DON later stated the site should have been dried to prevent the possibility of bacteria and that staff are expected to follow the care plan at all times.
Failure to Follow Peg Site Care Orders
Penalty
Summary
The facility failed to follow physician orders for peg site care for one resident who required peg site care. During an observation, an LPN cleaned the peg site with a Q-tip and normal saline, moved the Q-tip back and forth three times in a circular motion without rotating it, and then applied a dressing without drying the site first. The LPN later confirmed she did not rotate the Q-tips while cleaning the peg site and did not dry the site before applying the cover dressing, and stated she should have cleaned and dried the site as ordered by the physician. Resident #34 had an admission diagnosis that included dysphagia oropharyngeal phase and other developmental disorders of speech and language. The resident’s care profile included a physician order to clean the peg site with normal saline, pat dry, apply a drain sponge, change daily, and monitor for signs and symptoms of infection. The DON stated the LPN should have used a new Q-tip each time around the site and that the peg site should be dried to prevent the site from harboring bacteria. The resident’s MDS showed a BIMS score of 15, indicating the resident was cognitively intact.
Missing Oxygen in Use Signage
Penalty
Summary
Respiratory care was not provided in accordance with professional standards of practice for one resident receiving oxygen therapy. Resident #7, who had diagnoses including COPD, acute and chronic respiratory failure with hypoxia, and unspecified asthma, was observed seated in a wheelchair at bedside receiving oxygen via nasal cannula at 2 liters per minute. During the observation, there was no "Oxygen in Use" sign posted on the resident's door. Facility policy required precautionary signs readable from five feet to be maintained on the door or gate where oxygen is stored. A follow-up observation confirmed the sign was still not posted, and an LPN acknowledged the missing signage and stated it should have been in place for safety. The DON was also informed of the lack of signage and agreed the sign should have been on the door.
Expired Nutritional Supplements Left in Medication Storage
Penalty
Summary
Expired nutritional supplements were found in the medication storage room during an observation with an LPN. Eleven cartons of Med Pass 2.0 Fortified Nutritional Shake, 32 ounces each, were present in the storage area, with nine cartons expired on one date and two cartons expired on another date. Facility policy stated that items housed on the premises are to be stored appropriately according to the manufacturer's recommendations and with proper sanitation, temperature, light, ventilation, moisture control, segregation, and security. During the observation, the LPN stated that all nurses are responsible for checking the storage room for expired items and noted that administering expired Med Pass can cause stomach issues and may lead to hospitalization. In a later interview, the DON stated that night nurses are responsible for checking for expired items stored in the medication room and explained that expired products could be spoiled and may cause GI issues for residents who consume them.
Failure to Notify Resident's Representative of Condition Change
Penalty
Summary
The facility failed to notify the resident's representative of a significant change in the resident's condition, as required by their policy. The policy mandates immediate notification of the resident, their physician, and their legal representative or family member in the event of a significant change in the resident's physical, mental, or psychosocial status. In this case, the resident experienced an elevated temperature, a productive cough, and tested positive for COVID-19 on December 3, 2023, but there was no documentation of notification to the resident's representative. Further, on December 6, 2023, the resident's condition changed again, with a high blood sugar reading and subsequent unresponsiveness, leading to a transfer to an acute care facility. Attempts to notify the resident's representative were unsuccessful until later that day. Interviews with the Director of Nurses and nursing staff revealed that the required notifications were not made, and there was no documentation of attempts to notify the representative on December 3, 2023. The resident had been admitted to the facility with diagnoses including unspecified dementia with anxiety and type 2 diabetes, and was discharged on December 9, 2023.
Failure to Ensure Advance Directives for Residents
Penalty
Summary
The facility failed to ensure that advance directives were completed according to resident preferences for two residents. Upon review, it was found that neither Resident #7 nor Resident #41 had documentation in their medical records indicating they had an advance directive or had received information on formulating one. Resident #7 was admitted with diagnoses including unspecified cord compression, muscle weakness, lack of coordination, and osteoarthritis, and was cognitively intact with a BIMS score of 15. Similarly, Resident #41, who was admitted with major depressive disorder, also had a BIMS score indicating cognitive intactness. Both residents were classified under a code status that defaulted to full resuscitation unless otherwise specified, but there was no evidence of advance directives being discussed or documented. Interviews with facility staff revealed that the current code status forms in resident files were not considered valid advance directives. The Social Service Director, who had recently assumed the position, acknowledged the absence of advance directives in the residents' charts and was in the process of rectifying this by obtaining and uploading the correct forms. The Administrator confirmed the issue, noting that none of the residents had advance directives in their charts, which could lead to undesired treatment decisions during emergencies.
Failure to Monitor Food Safety Protocols
Penalty
Summary
The facility failed to adhere to its food safety requirements by not monitoring and recording freezer and refrigerator temperatures daily and not discarding expired foods. During a kitchen observation, it was found that seven bottles of browning and seasoning sauce were past their expiration date, with one bottle opened and in use. Additionally, a carton of liquid eggs was opened without a legible date. The facility's policy mandates that food safety practices, including proper storage and monitoring of food temperatures, be followed to prevent food deterioration or contamination. Interviews with the Dietary Manager (DM) and Dietary Aid (DA) #1 revealed that the temperature logs for the refrigeration units were pre-filled for the entire month, and not all units were checked daily as required. DA #1 admitted to pre-filling the logs due to falling behind on her duties. The DM confirmed the lack of documentation for daily checks and acknowledged her responsibility in ensuring compliance. The facility administrator expressed an expectation that staff understand and follow regulations, highlighting a gap in adherence to established food safety protocols.
Inaccurate Staffing Data Submission to CMS
Penalty
Summary
The facility failed to accurately submit direct care staffing information to the Centers for Medicare and Medicaid Services (CMS) for the first quarter of Fiscal Year 2024. This deficiency was identified through a review of the facility's policy, titled 'Nursing Services and Sufficient Staff,' which mandates the submission of timely and accurate staffing data through the CMS Payroll-Based Journal (PBJ) system. The review of the PBJ Staffing Data report from the Certification and Survey Provider Enhanced Reports (CASPER) database revealed that the facility did not maintain Licensed Nursing Coverage 24 hours a day on specific dates, including 10/29, 10/31, 11/26, 11/27, 11/28, and 11/29. Interviews with facility staff, including the Administrator, Director of Nursing (DON), Licensed Practical Nurse (LPN) #5, and the Human Resource Coordinator (HRC), revealed a lack of awareness and communication regarding the staffing data submission error. The Administrator acknowledged the issue, attributing it to a software glitch, but failed to ensure its resolution. The HRC, responsible for submitting the PBJ staffing data, admitted to not rechecking the numbers due to the assumption that the glitch had been corrected. This oversight resulted in the inaccurate reporting of staffing data, as the system failed to account for salaried personnel who had worked, leading to a reported shortage.
Facility Fails to Maintain Safe and Clean Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and comfortable environment for its residents, as evidenced by the condition of the resident shower area and common areas. During an observation, it was noted that the floor tiles near the entrance of the resident shower were buckling, and there was dark black grime in the corners of the shower. A Certified Nursing Aide (CNA) confirmed these observations and stated that the maintenance staff had been informed of the issues, but repairs had not been made. The CNA also mentioned that the tile near the toilet had been broken for a long time. Further observations with the Maintenance Director revealed awareness of numerous cracked tiles and gaps in the floor throughout the facility, particularly in high-traffic areas. The Maintenance Director admitted to patching the tiles as best as possible but acknowledged that the facility's age made it difficult to keep up with repairs. The Administrator also confirmed awareness of the cracked tiles and gaps but was not aware of the specific issues in the shower room. Both the Maintenance Director and Administrator recognized that the condition of the tiles could pose a hazard, potentially causing injury to residents and staff.
Failure to Identify and Document Seatbelt as a Restraint
Penalty
Summary
The facility failed to ensure that a resident was free from the use of physical restraints, as evidenced by the use of a seatbelt on a wheelchair without proper identification and documentation as a restraint. The facility's policy on restraints requires a comprehensive assessment, a physician's order, and documentation of the rationale, type, and duration of the restraint, as well as alternatives attempted and the resident's response. However, the seatbelt used by the resident was not identified as a restraint, and there was no physician's order, consent, or monitoring tool in place. The resident, who had severe cognitive impairment and was dependent on staff for all activities of daily living, was observed wearing the seatbelt without the ability to remove it independently. Interviews with facility staff, including an LPN and the DON, confirmed the oversight in identifying the seatbelt as a restraint. The DON acknowledged that the facility had conducted an audit of restraints but had missed the seatbelt used by the resident. The Administrator also confirmed that a physician's order, consent, and monitoring tool should be in place for all restraints. The lack of documentation and assessment regarding the use of the seatbelt as a restraint was evident in the resident's medical records, which did not include any restraint order or flow sheet.
Failure to Implement Comprehensive Care Plan for Restraint Use
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident, specifically regarding the use of restraints. The resident, who was observed sitting in a wheelchair with a seatbelt, was unable to open the seatbelt independently. The care plan did not include a restraint re-assessment since the resident's admission in February 2015, nor was there a physician's order for the use of the restraint or monitoring of the seatbelt. This oversight was confirmed by the Director of Nursing, who acknowledged the absence of necessary goals and interventions related to the seatbelt use. The Administrator also confirmed that the care plans did not reflect collaboration among the facility's interdisciplinary team regarding the appropriateness of the seatbelt restraint for the resident. The resident's admission record indicated a history of intracranial injury with loss of consciousness and other developmental disorders of speech and language. Despite these conditions, the facility did not have the required physician's order, consent, reassessment, or monitoring tools in place for the use of the restraint.
Failure to Implement Physician Orders for Renal Ultrasound
Penalty
Summary
The facility failed to implement and follow physician orders for a resident with chronic kidney disease, resulting in a deficiency. The resident, who had been hospitalized due to low potassium levels, was under the care of a nephrologist who ordered a renal ultrasound on two separate occasions. However, the facility did not document or carry out these orders, and no results were found in the resident's medical records. Interviews with the Director of Nursing (DON) and the Charge Nurse revealed that the responsibility for taking off and following up on physician orders was not adequately managed, leading to the oversight. The resident, who was cognitively intact and had been admitted to the facility with diagnoses including Type 2 Diabetes Mellitus and Stage 4 Chronic Kidney Disease, did not receive the necessary renal ultrasound. The DON admitted that the ultrasound was initially scheduled but was not rescheduled after the resident's hospitalization. The Charge Nurse acknowledged the failure to ensure the order was completed, and the nephrology medical assistant emphasized the importance of timely order fulfillment for medication adjustments. The facility's policy mandates timely care that meets residents' needs, which was not adhered to in this case.
Improper Storage of CPAP Mask for Resident
Penalty
Summary
The facility failed to ensure proper storage of a CPAP mask for a resident requiring respiratory care. The facility's policy, revised on 6/14/23, mandates that CPAP masks should be cleaned, disinfected, labeled, and stored in a labeled storage bag when not in use. However, during an observation on 04/21/24, the CPAP mask of a resident was found lying on a table by the resident's bed, not stored in a labeled bag. The resident confirmed that the mask was never put in a bag. Interviews with staff, including an LPN and the Infection Preventionist, confirmed that the CPAP mask should be stored in a bag to prevent contamination and infection. The facility's administrator also expressed the expectation that staff should be knowledgeable about CPAP care and adhere to protocols for safe storage. The resident, admitted to the facility on 5/23/13, has a diagnosis of sleep apnea and is cognitively intact, as indicated by a BIMS score of 14 on the MDS assessment dated 4/4/24.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Meadville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Jefferson County Nursing Home | 20.6 mi | ★★★★★ | 0 | 0 |
| Liberty Community Living Ctr | 20.8 mi | ★★★★★ | 10 | 0 |
| Silver Cross Health & Rehab | 26.3 mi | ★★★★★ | 11 | 0 |
| Diversicare Of Brookhaven | 26.5 mi | ★★★★★ | 9 | 0 |
| Trend Health And Rehab Of Brookhaven | 26.5 mi | ★★★★★ | 6 | 0 |
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