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Deficiency Records for Kadima Rehabilitation and Nursing at Luzerne

View the most recent health deficiencies and inspection results for Kadima Rehabilitation and Nursing at Luzerne. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Kadima Rehabilitation and Nursing at Luzerne. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
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 2025-06-11 2025-07-11 Y
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 2025-06-11 2025-07-11 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2025-06-11 2025-07-11 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 2025-06-11 2025-07-11 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-06-11 2025-07-11 Y
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. Health 2025-04-17 2025-06-11 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2025-04-17 2025-06-11 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2025-04-17 2025-06-11 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2025-01-16 2025-02-14 N
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 2025-01-16 2025-02-14 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Health 2025-01-16 2025-02-14 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2025-01-16 2025-02-14 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2025-01-16 2025-02-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-01-16 2025-02-14 N
Provide enough food/fluids to maintain a resident's health. Health 2025-01-16 2025-02-14 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-01-16 2025-02-14 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2024-11-15 2025-01-16 Y
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 2024-06-18 2024-08-18 Y
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 2024-07-23 2024-08-18 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2024-06-18 2024-07-23 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2024-06-18 2024-07-23 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-29 2024-04-29 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2024-02-29 2024-04-29 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2024-02-29 2024-04-29 N
Provide and implement an infection prevention and control program. Health 2024-02-29 2024-04-29 N
Dispose of garbage and refuse properly. Health 2024-02-29 2024-04-29 N
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 2024-02-29 2024-04-29 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 2024-02-29 2024-04-29 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-02-29 2024-04-29 N
Provide enough food/fluids to maintain a resident's health. Health 2024-02-29 2024-04-29 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-29 2024-04-29 N
Ensure each resident receives an accurate assessment. Health 2024-02-29 2024-04-29 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-02-29 2024-04-29 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2024-02-29 2024-04-29 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 2024-02-29 2024-04-29 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-02-29 2024-04-29 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 2024-02-29 2024-04-29 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-10-26 2023-12-28 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-10-26 2023-12-28 Y
Provide activities to meet all resident's needs. Health 2023-10-26 2023-12-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-07 2023-10-26 Y
Conduct testing and exercise requirements. Fire Safety 2023-04-20 2023-05-29 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2023-04-20 2023-05-22 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2023-04-20 2023-05-22 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-04-20 2023-05-22 N
Provide or obtain dental services for each resident. Health 2023-04-20 2023-05-22 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2023-04-20 2023-05-22 N
Provide or arrange emergency care by a doctor 24 hours a day. Health 2023-04-20 2023-05-22 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2023-04-20 2023-05-22 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-04-20 2023-05-22 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-20 2023-05-22 N
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. Health 2023-04-20 2023-05-22 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-04-20 2023-05-22 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-04-20 2023-05-22 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-04-20 2023-05-22 N
Ensure each resident receives an accurate assessment. Health 2023-04-20 2023-05-22 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-04-20 2023-05-22 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-04-20 2023-05-22 N

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