Deficiency Records for Kadima Rehabilitation and Nursing at Luzerne
Updated as of May 01, 2023
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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-11-01 | 2022-12-05 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-01 | 2022-12-05 | Y |
| Ensure a qualified health professional conducts resident assessments. | Health | 2022-11-01 | 2022-12-05 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-11-01 | 2022-12-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-01 | 2022-12-05 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-11-01 | 2022-12-05 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-01 | 2022-12-05 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-07-06 | 2022-08-04 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-06 | 2022-08-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-06 | 2022-08-04 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-26 | 2022-07-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-26 | 2022-07-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-05-26 | 2022-07-06 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-05-26 | 2022-07-06 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-05-26 | 2022-07-06 | N |
| Provide or obtain dental services for each resident. | Health | 2022-05-26 | 2022-07-06 | 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 | 2022-05-26 | 2022-07-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-26 | 2022-07-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-05-26 | 2022-07-06 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-05-11 | 2022-05-20 | 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 | 2022-05-11 | 2022-05-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-11 | 2022-05-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-12-21 | 2022-03-09 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-12-21 | 2022-03-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-21 | 2022-02-09 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-09 | 2021-12-21 | Y |
| 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 | 2021-11-09 | 2021-12-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-09 | 2021-12-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-01 | 2021-10-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-01 | 2021-10-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-07-01 | 2021-09-16 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-07-01 | 2021-08-18 | 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 | 2021-07-01 | 2021-08-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-07-01 | 2021-08-18 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2021-07-01 | 2021-08-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-01 | 2021-08-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-01 | 2021-08-18 | N |
| Post nurse staffing information every day. | Health | 2021-07-01 | 2021-08-18 | 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 | 2021-07-01 | 2021-08-18 | 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 | 2021-07-01 | 2021-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-01 | 2021-08-18 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-07-01 | 2021-08-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-01 | 2021-08-18 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-07-01 | 2021-08-18 | Y |
| Meet other general requirements. | Fire Safety | 2021-07-13 | 2021-08-12 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-07-13 | 2021-08-12 | 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 | 2021-07-13 | 2021-08-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-13 | 2021-08-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-13 | 2021-08-12 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-07-13 | 2021-08-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-02-19 | 2021-03-29 | Y |
| 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 | 2021-02-19 | 2021-03-29 | 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 | 2021-02-19 | 2021-03-29 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-01-20 | 2021-02-19 | 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 | 2020-12-21 | 2021-02-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-12-21 | 2021-02-19 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2020-12-21 | 2021-02-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-09-30 | 2020-11-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-09-30 | 2020-11-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-09-30 | 2020-11-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-09-30 | 2020-11-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-09-30 | 2020-11-02 | 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 | 2020-09-30 | 2020-11-02 | 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 | 2020-09-30 | 2020-11-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-30 | 2020-11-02 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2020-09-30 | 2020-11-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-30 | 2020-11-02 | N |
| Perform COVID19 testing on residents and staff. | Health | 2020-09-30 | 2020-11-02 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-09-30 | 2020-11-02 | N |
