CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Kadima Rehabilitation and Nursing at Irwin
View the most recent health deficiencies and inspection results for Kadima Rehabilitation and Nursing at Irwin. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Kadima Rehabilitation and Nursing at Irwin. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2026-02-03 | 2026-02-18 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-12-19 | 2026-02-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-12-19 | 2026-02-03 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-12-19 | 2026-02-03 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-12-19 | 2026-02-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-19 | 2026-02-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-19 | 2026-02-03 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-12-19 | 2026-02-03 | N |
| 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. | Health | 2025-12-19 | 2026-02-03 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-12-19 | 2026-02-03 | N |
| Keep all essential equipment working safely. | Health | 2025-12-19 | 2026-02-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-19 | 2026-01-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-19 | 2026-01-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-12-19 | 2026-01-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-12-19 | 2026-01-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-05 | 2025-08-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-05 | 2025-08-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-05 | 2025-08-27 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-31 | 2025-03-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-31 | 2025-03-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-31 | 2025-03-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-31 | 2025-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-31 | 2025-03-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-31 | 2025-03-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-01-31 | 2025-02-25 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-01-31 | 2025-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-31 | 2025-02-25 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-01-31 | 2025-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-31 | 2025-02-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-31 | 2025-02-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-01-31 | 2025-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-07 | 2025-01-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-02 | 2024-08-22 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-08-02 | 2024-08-22 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-08-02 | 2024-08-22 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-08-02 | 2024-08-22 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-06-18 | 2024-06-27 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-03-05 | 2024-04-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-05 | 2024-04-02 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-21 | 2024-02-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-21 | 2024-02-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-21 | 2024-02-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-21 | 2024-02-18 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-12-21 | 2024-02-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-21 | 2024-01-30 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-12-21 | 2024-01-30 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-12-21 | 2024-01-30 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-12-21 | 2024-01-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-21 | 2024-01-30 | N |
| Respond appropriately to all alleged violations. | Health | 2023-12-21 | 2024-01-30 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2023-12-21 | 2024-01-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-21 | 2024-01-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-21 | 2024-01-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-21 | 2024-01-30 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-12-21 | 2024-01-30 | N |
| 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. | Health | 2023-12-21 | 2024-01-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-21 | 2024-01-30 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-12-21 | 2024-01-30 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-12-21 | 2024-01-30 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2023-12-21 | 2024-01-30 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-12-27 | 2024-01-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-21 | 2024-01-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-29 | 2023-12-28 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-11-29 | 2023-12-28 | Y |
| Keep all essential equipment working safely. | Health | 2023-08-23 | 2023-09-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-23 | 2023-09-05 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-07-25 | 2023-08-22 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-25 | 2023-08-22 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-07-25 | 2023-08-22 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-07-25 | 2023-08-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-25 | 2023-08-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-25 | 2023-08-22 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-07-11 | 2023-07-27 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-07-11 | 2023-07-27 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-06-15 | 2023-07-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-01 | 2023-05-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-01 | 2023-05-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-01 | 2023-05-31 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2025-07-15 | Not Fixed | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-15 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-15 | Not Fixed | Y |