Deficiency Records for Kadima Rehabilitation and Nursing at Lititz
Updated as of April 01, 2018
This is not the most recent data for Kadima Rehabilitation and Nursing at Lititz. For the most recent information, click here.
A list of the most recent deficiencies for Kadima Rehabilitation and Nursing at Lititz. 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? |
|---|---|---|---|---|
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-11-17 | 2018-01-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-11-17 | 2018-01-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-11-17 | 2018-01-02 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-11-14 | 2018-01-02 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-11-14 | 2018-01-02 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-11-14 | 2018-01-02 | N |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2017-11-14 | 2018-01-02 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-21 | 2017-07-11 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-04-03 | 2017-05-03 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-03 | 2017-05-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-03 | 2017-05-03 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-02-08 | 2017-03-03 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-01-18 | 2017-02-13 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-05 | 2017-02-01 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2017-01-05 | 2017-02-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-07 | 2016-11-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-07 | 2016-11-30 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-11-07 | 2016-11-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-10-19 | 2016-11-11 | Y |
| Permit residents to remain in the facility and not be transferred or discharged without adequate reason. | Health | 2016-10-19 | 2016-11-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-10-19 | 2016-11-11 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-10-19 | 2016-11-11 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-10-19 | 2016-11-11 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-10-19 | 2016-11-11 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-09-30 | 2016-10-31 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-14 | 2016-10-17 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-06-06 | 2016-06-17 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-06 | 2016-06-17 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-11-30 | 2015-12-16 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-11-30 | 2015-12-16 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-11-30 | 2015-12-16 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-11-19 | 2015-12-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-11-19 | 2015-12-16 | 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 | 2015-11-19 | 2015-12-16 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-11-19 | 2015-12-16 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-11-19 | 2015-12-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-11-19 | 2015-12-16 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-11-19 | 2015-12-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-11-19 | 2015-12-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-09-18 | 2015-10-09 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-09-18 | 2015-10-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-09-18 | 2015-10-09 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-09-18 | 2015-10-09 | Y |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2015-09-18 | 2015-10-09 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-09-18 | 2015-10-09 | Y |
