Inspection Reports for Meadows Living Center at Country Meadows of Bethlehem
4005 GREEN POND ROAD,, BETHLEHEM, PA, 18020
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
6.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
32% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
48% occupied
Based on a September 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Census: 31
Capacity: 64
Deficiencies: 1
Sep 23, 2025
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted due to an incident at the facility, specifically to review the submitted plan of correction.
Findings
The facility was found to have fully implemented the submitted plan of correction related to an abuse incident involving staff verbally and physically antagonizing residents. The coworkers involved were removed and terminated, residents were assessed with no injuries found, and additional monitoring and training measures were put in place.
Deficiencies (1)
| Description |
|---|
| Staff person B verbally antagonized and physically poked a resident, including twisting the resident's favorite stuffed cat's neck, constituting abuse. |
Report Facts
Total Daily Staff: 62
Waking Staff: 47
License Capacity: 64
Residents Served: 31
Current Residents in Hospice: 1
Residents Are 60 Years of Age or Older: 31
Residents Have Mobility Need: 31
Inspection Report
Renewal
Census: 28
Capacity: 64
Deficiencies: 8
Nov 7, 2024
Visit Reason
The inspection was an unannounced full renewal inspection combined with an incident review conducted on 11/07/2024.
Findings
The facility was found to have multiple deficiencies related to resident personal equipment, unobstructed egress, fire drill compliance, key-locking devices, and support plan revisions. The submitted plan of correction was fully implemented as of the follow-up review.
Deficiencies (8)
| Description |
|---|
| The bedside mobility device attached to the bed in resident room was not firmly attached to the bed and easily moved posing a possible risk of injury to the resident. |
| Licensing Representative observed an outstretched hose lying behind the exit door that leads to the courtyard gazebo area, preventing the door from fully opening. |
| The home did not conduct a fire drill in May 2024 and in August 2024. |
| Review of the home’s fire drill logs indicated a supervised fire drill was conducted but the log did not indicate the time of day the drill was held, the amount of time to evacuate, exit routes used, number of residents in the home, number of residents evacuated, and the number of staff participating. |
| The home conducted a sleeping hour drill late, one month past the 6 month required time frame. |
| The courtyard gate located near the gazebo in the homes fenced in yard did not open when the posted code was entered. The code posted on the gate located between the memory care courtyard and the skilled nursing building did not open when the posted code was entered. |
| Resident Assessment and Support Plan (RASP) did not indicate the following behavioral and cognitive needs: aggression, communication of needs and short term memory. The resident’s RASP does not indicate the resident had an unwitnessed fall in their bathroom. Resident was sent to hospital for evaluation and was admitted with a maxillary fracture and laceration of the head. |
| Resident’s RASP did not reflect the following information: specific need for a bed cane, intended use, risks associated with the device, resident’s ability to use the device safely, identification of the specific device to be used, and if a cover is required to meet FDA guidelines. |
Report Facts
Total Daily Staff: 56
Waking Staff: 42
Residents Served: 28
License Capacity: 64
Current Residents in Hospice: 9
Residents with Mobility Need: 28
Residents 60 Years or Older: 28
Inspection Report
Follow-Up
Census: 27
Capacity: 64
Deficiencies: 1
Jul 9, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a previously submitted plan of correction.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. The inspection focused on the correction of a violation related to locking poisonous materials.
Deficiencies (1)
| Description |
|---|
| Resident was able to access the laundry room and partially ingest a laundry detergent pod due to a faulty auto-lock on the laundry room door. |
Report Facts
Total Daily Staff: 54
Waking Staff: 41
License Capacity: 64
Residents Served: 27
Current Hospice Residents: 4
Inspection Report
Plan of Correction
Census: 29
Capacity: 64
Deficiencies: 7
Dec 5, 2023
Visit Reason
The inspection was conducted as a full, unannounced visit for renewal and complaint reasons, with follow-up reviews and plan of correction submissions.
Findings
The facility was found to have multiple deficiencies including expired batteries in a carbon monoxide detector, improper storage of poisonous materials, obstructed egress door, inaccurate fire drill records, incomplete medical evaluations, improperly labeled medications, and incomplete preadmission screening documentation. All deficiencies had plans of correction accepted and were implemented or scheduled for implementation.
Deficiencies (7)
| Description |
|---|
| The batteries in the Carbon monoxide detector on the wall across from the Co-Worker Lounge expired in October 2022. |
| A 24 oz. spray bottle containing Peroxide Multi Surface Disinfectant was noted in an unlocked cabinet under the sink in the kitchenette area. |
| The Exit door located in the stairwell near Resident Room 14 was sticking and required force to open it. |
| The home conducted a sleeping hour fire drill on 10/12/23 with documentation errors regarding staff participation. |
| The DME for Resident #1 and Resident #2 lacked information on self-administration of medications and body positioning needs. |
| The MAR for Resident #5 did not include instructions to hold medication if systolic blood pressure is less than 120 on the pharmacy blister pack. |
| The Preadmission Screening for Resident #2 and Resident #3 lacked required information regarding safety from poisonous materials and documentation of screener's title and admitting home. |
Report Facts
License Capacity: 64
Residents Served: 29
Staffing Hours: 60
Waking Staff: 45
Fire Drill Staff Participation: 5
Inspection Report
Census: 32
Capacity: 64
Deficiencies: 0
Oct 20, 2023
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, with an unannounced partial inspection due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 64
Residents Served: 32
Resident Support Staff: 32
Total Daily Staff: 96
Waking Staff: 72
Current Hospice Residents: 1
Inspection Report
Renewal
Census: 28
Capacity: 64
Deficiencies: 3
Dec 6, 2022
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance with licensing requirements.
Findings
The submitted plan of correction was found to be fully implemented. Deficiencies were identified related to medication storage, discontinued medications, and record entries legibility, all of which were addressed with corrective actions and staff education.
Deficiencies (3)
| Description |
|---|
| Resident #1’s medication was not labeled with the date it was opened for use, which is required for proper disposal within 30 days. |
| An expired inhaler for Resident #1 was still in use at the time of the medication cart audit and was not disposed of properly. |
| Correction fluid was used on the contract for Resident #3, which is against facility policy requiring permanent, legible, dated, and signed entries. |
Report Facts
License Capacity: 64
Residents Served: 28
Current Residents in Hospice: 5
Total Daily Staff: 56
Waking Staff: 42
Inspection Report
Census: 35
Capacity: 64
Deficiencies: 0
Jul 18, 2022
Visit Reason
The inspection was a partial, unannounced licensing inspection conducted due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
Resident Support Staff: 35
Total Daily Staff: 105
Waking Staff: 79
License Capacity: 64
Residents Served: 35
Current Residents in Hospice: 5
Residents with Mobility Need: 35
Residents 60 Years of Age or Older: 35
Inspection Report
Renewal
Deficiencies: 0
Mar 1, 2022
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on 03/01/2022.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Inspection Report
Renewal
Deficiencies: 0
Dec 23, 2021
Visit Reason
The inspection was conducted as part of licensing inspections by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing on multiple dates in December 2021.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Renewal
Census: 30
Capacity: 64
Deficiencies: 5
Sep 15, 2021
Visit Reason
The inspection was a renewal visit conducted on 09/15/2021 and 09/16/2021 to review the facility's compliance with licensing requirements.
Findings
The submitted plan of correction was found to be fully implemented. Deficiencies were noted related to posting of license documents, staffing levels during night shifts, expired medications, unlabeled OTC medications, and calibration of medical equipment, all of which were corrected promptly with staff retraining documented.
Deficiencies (5)
| Description |
|---|
| The home's last Violation report, dated 1/29/21, was not posted in a conspicuous and public place in the home. |
| On 8/1/21 and 8/5/21 one staff person was scheduled to work from 11pm to 7am, which was insufficient to assist all residents in an emergency. |
| Resident 2 had prescription medications that expired on 9/10/21 and 9/15/21 that were not discarded timely. |
| A bottle of OTC medication belonging to resident 1 was not labeled with the resident's name. |
| Resident #1 glucometer was not calibrated to the correct date and time. |
Report Facts
License Capacity: 64
Residents Served: 30
Residents with Mobility Need: 30
Residents Assisted by Two Staff: 4
Total Daily Staff: 60
Waking Staff: 45
Inspection Report
Renewal
Deficiencies: 0
Jul 23, 2021
Visit Reason
The inspection was conducted as part of the Pennsylvania Department of Human Services, Bureau of Human Service Licensing licensing inspections on 07/23/2021 and 07/30/2021 for Meadows Living Center at Country Meadows of Bethlehem.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Follow-Up
Census: 32
Capacity: 64
Deficiencies: 3
Jan 29, 2021
Visit Reason
The visit was a follow-up review conducted on 01/29/2021 to determine if the submitted plan of correction for Meadows Living Center at Country Meadows of Bethlehem was fully implemented.
Findings
The plan of correction was found to be fully implemented. The report details deficiencies related to resident supervision and support plan accessibility, specifically concerning Resident #1's fall risk and hospice care, with corrective actions accepted and implemented.
Deficiencies (3)
| Description |
|---|
| Resident #1 was not adequately supervised to prevent falls, as the resident was observed walking without a walker despite frequent reminders and a history of falls. |
| Resident #1's support plan was not accessible to staff during the site visit, missing updated information regarding hospice services and fall history. |
| Resident #1's support plan was not revised timely to reflect the increase in falls and hospice services. |
Report Facts
License Capacity: 64
Residents Served: 32
Total Daily Staff: 64
Waking Staff: 48
Current Resident Count in Hospice: 2
Inspection Report
Complaint Investigation
Census: 32
Capacity: 64
Deficiencies: 2
Jan 25, 2021
Visit Reason
The inspection was conducted as a partial, unannounced incident investigation following an altercation between two residents resulting in injury and death.
Findings
The investigation found a repeat violation of abuse where resident #1 pushed resident #2 causing a fatal femoral neck fracture. Additionally, the support plan for resident #2 was incomplete regarding behavioral and cognitive needs. Plans of correction were accepted and implemented.
Complaint Details
The visit was complaint-related due to an incident on 12/10/20 where resident #1 pushed resident #2 causing a femoral neck fracture leading to resident #2's death. This was a repeat violation from 9/18/20. The Department of Human Services and local authorities were notified. Staff received retraining on abuse and neglect.
Deficiencies (2)
| Description |
|---|
| A resident may not be neglected, intimidated, physically or verbally abused, mistreated, subjected to corporal punishment or disciplined in any way. Repeat violation involving resident altercation causing fatal injury. |
| The support plan must identify the resident’s physical, medical, social, cognitive and safety needs. The support plan for resident #2 was incomplete in behavioral and cognitive needs section. |
Report Facts
License Capacity: 64
Residents Served: 32
Current Hospice Residents: 2
Staffing Hours - Total Daily Staff: 64
Staffing Hours - Waking Staff: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michele Moskalczyk | Human Services Licensing Supervisor | Signed the letter confirming plan of correction implementation |
Inspection Report
Complaint Investigation
Census: 34
Capacity: 64
Deficiencies: 1
Jan 14, 2021
Visit Reason
The inspection was conducted as a partial, unannounced visit triggered by a complaint and incident involving a resident ingesting laundry detergent.
Findings
The facility was found to have a violation related to unsafe storage of poisonous materials, specifically an incident where a resident in a secured dementia unit ingested laundry detergent kept in an unlocked area. The submitted plan of correction was fully implemented and compliance was maintained.
Complaint Details
The visit was complaint-related due to an incident where Resident 1 ingested laundry detergent from an unlocked area. Resident 1 was not assessed to safely avoid poisonous materials. The plan of correction was accepted and fully implemented.
Deficiencies (1)
| Description |
|---|
| Poisonous materials were kept unlocked and accessible, leading to a resident ingesting laundry detergent. |
Report Facts
Licensed Capacity: 64
Resident Census: 34
Current Hospice Residents: 2
Total Daily Staff: 68
Waking Staff: 51
Inspection Report
Renewal
Deficiencies: 0
Jan 12, 2021
Visit Reason
The inspection was conducted as part of licensing inspections on 01/12/2021, 01/20/2021, and 01/22/2021 for Meadows Living Center at Country Meadows of Bethlehem.
Findings
No regulatory citations were identified as a result of these licensing inspections.
Notice
Capacity: 64
Deficiencies: 0
Sep 1, 2021
Visit Reason
This document serves as a renewal notification and license issuance for Meadows Living Center at Country Meadows of Bethlehem, confirming the facility's compliance and informing that an annual inspection will be conducted within the next twelve months.
Findings
The Department has received the renewal application and issued a regular license. The Department will conduct an onsite inspection within the next twelve months and take enforcement action if non-compliance is found.
Report Facts
Maximum capacity: 64
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notification letter |
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