Home / Pennsylvania / Dallas
Meadows Nursing and Rehabilitation Center
4 East Center Street, Dallas, PA 18612 · Luzerne County · (570) 675-8600
130 certified beds, about 118 residents a day · Non profit - Corporation · Medicare and Medicaid since 1983
CMS abuse icon: cited for abuse in a recent inspection Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395587 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 29, 2026, inspectors cited 8 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 25 health citations since May 2024, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $52,135 in the last three years; the largest was $52,135, and the latest is dated May 21, 2024.
Nurses and nurse aides worked 3.80 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.
30.2% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
205/24
609/24
105/25
707/25
102/26
805/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 25 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
16D
4E
0F
Potential for minimal harm
0A
3B
0C
May 29, 2026Standard inspection, Complaint inspection · 8 citations
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on a review of controlled medication shift count records, select facility policy, and staff interviews, it was determined the facility failed to consistently implement procedures to maintain accurate controlled medication accountability records on three of three medication carts reviewed (Clover Unit, Bluebell Unit, and Dogwood Unit).
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on a review of clinical records, facility policy, documentation provided by the facility, and staff and resident interviews, it was determined the facility failed to protect one of 24 sampled residents (Resident 74) from sexual abuse perpetrated by another resident (Resident 12).
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on a review of clinical records, facility policy, documentation provided by the facility, and staff interviews, it was determined the facility failed to implement abuse prevention and investigation procedures for one of 24 residents reviewed (Resident 74) following an allegation of resident-to-resident sexual abuse involving Resident 12.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, a review of clinical records, and staff interviews, it was determined that the facility failed to consistently implement preventive interventions to avoid the development of pressure injuries for two of 24 residents reviewed (Residents 18 and 126).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on a review of clinical records, documentation provided by the facility, select facility policy, observations, and resident and staff interviews, it was determined the facility failed to ensure adequate supervision and timely staff assistance for a resident identified as a high risk for falls to prevent a fall (Resident 63) and failed to ensure planned safety interventions were consistently implemented for a resident (Resident 108) for two out of 24 residents reviewed.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on a review of clinical records, select facility policy, observation, and staff interviews, it was determined the facility failed to ensure oxygen therapy was administered per a physician's orders for one resident out of 24 residents reviewed (Resident 123).
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on a review of clinical records, facility policy, and resident and staff interviews, it was determined that the facility failed to comprehensively evaluate, monitor, communicate, and implement appropriate interventions for new onset and worsening pain in accordance with physician orders and facility policy for one of 24 residents reviewed (Resident 41).
- D Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on a review of clinical records, review of select facility policy, documentation provided by the facility, and staff interview, it was determined the facility failed to ensure that food was served in a form to meet the individual needs of one of 24 residents reviewed. (Resident 94)
February 11, 2026Complaint inspection · 1 citation
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on review of clinical records, facility policy, facility-provided documentation, and staff interviews, it was determined the facility failed to ensure timely, comprehensive assessment and monitoring of wounds and failed to ensure implementation of necessary practices to prevent worsening skin breakdown for 1 of 7 residents reviewed (Resident 1).
July 31, 2025Standard inspection · 7 citations
- E Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, clinical record reviews, facility policies, facility investigative documentation, manufacturer instructions, and staff and resident interviews, it was determined the facility failed to implement interventions to prevent the development of a pressure injury for two residents (Residents 58 and 6) and failed to implement physician-ordered pressure-relief measures for two residents (Residents 11 and 70) out of 28 residents reviewed.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, a review of clinical records, documentation provided by the facility, and staff interviews, it was determined the facility failed to provide care in a manner that promotes each resident's dignity for one out of 28 residents sampled (Resident 83).
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation and staff interviews, it was determined the facility failed to provide housekeeping and maintenance services necessary to maintain a clean, safe, orderly and sanitary resident environment in the room of one of 28 residents reviewed. (Resident 2)
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on a review of clinical records and staff interviews, it was determined the facility failed to fully develop and revise a person-centered comprehensive care plan to meet the individualized needs of two residents out of 28 sampled (Resident 7 and 41).
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on clinical record review, review of select facility policy, and resident and staff interviews, it was determined the facility failed to consistently provide restorative nursing services as planned to maintain mobility to the extent possible for one resident out of 28 residents sampled (Resident 18).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, review of clinical records, facility investigative documentation, and resident and staff interviews, it was determined the facility failed to ensure the residents environment remains free of accident hazards for one out of 28 residents sampled (Resident 92).
- B Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on a review of clinical records, facility-initiated transfer notices, and staff interviews, it was determined the facility failed to provide copies of written notice of facility-initiated hospital transfers of residents to a representative of the Office of the State Ombudsman for 2 out of 28 residents reviewed (Residents 41 and 70).
May 30, 2025Complaint inspection · 1 citation
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on a review of clinical records, the facility's abuse prohibition policy, select investigative documentation, and interviews with the resident and facility staff, it was determined the facility failed to protect one of five sampled residents (Resident 18) from neglect by not implementing the physician-ordered use of a mechanical lift for all transfers, resulting in actual harm in the form of a comminuted right tibia and fibula fracture requiring surgical intervention.
September 20, 2024Standard inspection · 6 citations
- E Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on a review of clinical records, resident council meeting minutes, select facility policy, and resident and staff interviews, it was determined the facility failed to ensure residents receive appropriate services and assistance to maintain or improve mobility with the maximum practicable independence for one resident out of 23 sampled (Resident 40) and experiences expressed by two residents during a group interview (Residents 78 and 79).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, observation, and staff interviews, it was determined the facility failed to ensure care and services are provided in accordance with professional standards of practice that will meet each resident's physical needs for one of 23 residents reviewed (Residents 34).
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on review of clinical records, select facility policy review, and staff interview it was determined the facility failed to ensure a physician ordered fluid restriction was maintained for one of 23 sampled residents (Resident 1).
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on observations, review of clinical records, review of select facility policy, and staff interview it was determined the facility failed to provide person-centered care as prescribed to meet the current clinical needs by failing to monitor intravenous therapy (way of giving medication or fluids through a needle or tube inserted into a vein) in accordance with professional standards of practice for two of two reviewed residents receiving intravenous therapy (Residents 94 and 1)
- B Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wroteBased on a clinical record review and staff interview, it was determined the facility failed to ensure that necessary resident information was communicated to the receiving health care provider for one resident out of 23 residents sampled with facility-initiated transfers (Residents 27).
- B Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on a review of clinical records and staff interview it was determined that the facility failed to provide residents or their representatives with written information of the facility's bed hold policy upon transfer to the hospital of two residents out of 23 residents sampled (Residents 96 and 27).
May 21, 2024Complaint inspection · 2 citations
- G Ensure that residents are free from significant medication errors.
Inspectors wroteBased on review of clinical record and select facility incident reports, and staff interview it was determined that the facility failed to assure that one resident of five sampled (Resident CR1) was free from a significant medication error that compromised the resident's clinical condition and health due to Tacrolimus toxicity.
- E Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on a review of clinical records, the facility's abuse prohibition policy, and select facility incident investigations, and staff interview, it was determined that the facility neglected to provide the care and services necessary to prevent physical injury or harm for two out of five residents sampled (Residents CR2 and 26).
Fire safety inspections
7 fire safety citations on file: 4 on May 29, 2026, 3 on September 20, 2024.
Every fire safety citation7 citations
- E Have properly installed hallway dispensers for alcohol-based hand rub.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Provide properly sized and located linen or trash receptacles.
- E Ensure proper usage of power strips and extension cords.
- E Have an enclosure around a vertical opening shaft.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Meet requirements for the use of electrical equipment.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| May 21, 2024 | Fine | $52,135 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.80 | 3.89 | 3.86 |
| Registered nurses | 0.69 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.35 | 3.53 | 3.42 |
| Nurse aides | 2.21 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | 30.2% | 44.5% | 45.8% |
| Registered nurse turnover | 16.7% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.97 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.99 on weekdays and 3.35 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.67 in April to June 2025 to 3.80 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.80 | 0.69 | 3.99 | 3.35 | 1.8% | 0 of 90 | 118 |
| Oct to Dec 2025 | 3.90 | 0.72 | 4.08 | 3.45 | 4.6% | 0 of 92 | 117 |
| Jul to Sep 2025 | 3.80 | 0.76 | 3.98 | 3.34 | 6.4% | 0 of 92 | 114 |
| Apr to Jun 2025 | 3.67 | 0.74 | 3.84 | 3.23 | 2.6% | 0 of 91 | 112 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 20.4 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.7 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.3 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.2 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.2 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 23.9 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.3 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.4 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 10.8 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.1 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.2 | 1.8 |
Owners and operators
Legal business name: ECUMENICAL ENTERPRISES INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ecumenical Enterprises Inc | 5% or greater direct ownership interest | Organization | 100% | 08/26/1983 |
| Brensha, Lynne | Managing control - governing body | Individual | 01/01/2023 | |
| Brobst, David | Managing control - governing body | Individual | 01/01/2024 | |
| Brown, David | Managing control - governing body | Individual | 01/01/2024 | |
| Buchman, Dana | Managing control - governing body | Individual | 01/01/2025 | |
| Doyle, Joseph | Managing control - governing body | Individual | 01/01/2024 | |
| Fetterman, Kurt | Managing control - governing body | Individual | 01/01/2024 | |
| Hoffman-Mirilovich, Alisha | Managing control - governing body | Individual | 01/01/2023 | |
| Kornfeld, Taly | Managing control - governing body | Individual | 01/01/2024 | |
| Messinger, Jane | Managing control - governing body | Individual | 01/01/2020 | |
| Payne, David | Managing control - governing body | Individual | 01/01/2024 | |
| Rudis, David | Managing control - governing body | Individual | 01/01/2018 | |
| Sands, Allen | Managing control - governing body | Individual | 01/01/2022 | |
| Schwager, David | Managing control - governing body | Individual | 01/01/2023 | |
| Solano, James | Managing control - governing body | Individual | 01/01/2024 | |
| Thalenfeld, Rebecca | Managing control - governing body | Individual | 01/01/2024 | |
| Zanicky, Robert | Managing control - governing body | Individual | 01/01/2018 | |
| Tarbox, Cristina | Corporate director | Individual | 07/01/2006 | |
| Zamber, Lisa | Corporate director | Individual | 08/01/2018 | |
| Ecumenical Enterprises Inc | Operational/managerial control | Organization | 08/26/1983 | |
| Cadora-Cox, Jennifer | Operational/managerial control | Individual | 09/30/2024 | |
| Ecumenical Enterprises Inc | Trustee of the SNF | Organization | 08/26/1983 | |
| Ecumenical Enterprises Inc | Adp of the SNF | Organization | 08/26/1983 | |
| Almeky, Essam | Adp of the SNF | Individual | 01/01/2023 | |
| Im, Michelle | Adp of the SNF | Individual | 01/01/2023 | |
| Tarbox, Cristina | Adp of the SNF | Individual | 03/20/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on May 29, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on July 31, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on May 29, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on May 29, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.35 hours per resident per day, below the Pennsylvania average of 3.53.
Other nursing homes nearby
- Maple Ridge Rehabilitation & Healthcare Center Kingston, 4.4 mi · 3 of 5 stars · 23 citations
- Kadima Rehabilitation & Nursing at Lakeside Dallas, 4.8 mi · 4 of 5 stars · 24 citations
- Third Avenue Health & Rehab Center Kingston, 5.1 mi · 4 of 5 stars · 37 citations
- Edenbrook on Second Ave Kingston, 5.2 mi · 1 of 5 stars · 44 citations
- Highland Manor Rehabilitation and Nursing Center Exeter, 5.7 mi · 2 of 5 stars · 33 citations
- Riverstreet Manor Wilkes-Barre, 5.7 mi · 2 of 5 stars · 50 citations
- Allied Services Center City Skilled Nursing Wilkes Barre, 6.1 mi · 3 of 5 stars · 19 citations
- Embassy of Wyoming Valley Wilkes Barre, 6.1 mi · 2 of 5 stars · 51 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Meadows Nursing and Rehabilitation Center's Medicare star rating?
- CMS rates Meadows Nursing and Rehabilitation Center 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Meadows Nursing and Rehabilitation Center get at its last inspection?
- 8 health deficiencies at the standard inspection on May 29, 2026. The Pennsylvania average is 10.
- Has Meadows Nursing and Rehabilitation Center been fined?
- Yes. CMS lists 1 fine totaling $52,135 in the last three years.
- Does Meadows Nursing and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Meadows Nursing and Rehabilitation Center?
- CMS lists 26 owners and managers. Legal business name: ECUMENICAL ENTERPRISES INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.