Deficiency Records for Kadima Rehabilitation and Nursing at Luzerne
Updated as of July 01, 2019
This is not the most recent data for Kadima Rehabilitation and Nursing at Luzerne. For the most recent information, click here.
A list of the most recent deficiencies for Kadima Rehabilitation and Nursing at Luzerne. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2019-03-22 | 2019-05-29 | 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 | 2019-03-22 | 2019-05-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-22 | 2019-05-29 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-22 | 2019-05-29 | N |
| 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. | Health | 2019-03-22 | 2019-05-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-22 | 2019-05-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-22 | 2019-05-29 | 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 | 2019-03-22 | 2019-05-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-22 | 2019-05-29 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-03-22 | 2019-05-29 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-03-22 | 2019-05-29 | 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 | 2019-03-22 | 2019-05-29 | 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 | 2019-03-22 | 2019-05-29 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-03-22 | 2019-05-29 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-03-22 | 2019-05-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-22 | 2019-05-29 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-03-22 | 2019-05-29 | N |
| Have policies on smoking. | Health | 2019-03-22 | 2019-05-29 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-03-22 | 2019-05-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-22 | 2019-05-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-03-22 | 2019-05-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-14 | 2018-05-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-02-14 | 2018-05-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-02-14 | 2018-04-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-02-14 | 2018-04-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-14 | 2018-04-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-02-14 | 2018-04-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-02-14 | 2018-04-13 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-02-14 | 2018-04-13 | N |
| Honor the resident's right to choose his or her attending physician. | Health | 2018-02-09 | 2018-03-15 | 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 | 2018-02-09 | 2018-03-15 | 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 | 2018-02-09 | 2018-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-09 | 2018-03-15 | N |
| Provide activities to meet all resident's needs. | Health | 2018-02-09 | 2018-03-15 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2018-02-09 | 2018-03-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2018-02-09 | 2018-03-15 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne | Health | 2018-02-09 | 2018-03-15 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-02-09 | 2018-03-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-02-09 | 2018-03-15 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-18 | 2017-11-28 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-10-18 | 2017-11-28 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-18 | 2017-11-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-18 | 2017-11-28 | Y |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-10-18 | 2017-11-28 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-10 | 2017-04-11 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2017-03-02 | 2017-04-11 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-02 | 2017-04-11 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-02 | 2017-04-11 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-03-02 | 2017-04-11 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-03-02 | 2017-04-11 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2017-03-02 | 2017-04-11 | Y |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2017-03-02 | 2017-04-11 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-03-06 | 2017-03-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-03-06 | 2017-03-31 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-01-09 | 2017-02-10 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-10-18 | Not Fixed | Y |
