Deficiency Records for Kadima Rehabilitation and Nursing at Pottstown

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Updated as of March 01, 2024

A list of the most recent deficiencies for Kadima Rehabilitation and Nursing at Pottstown. 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-11-06 2024-01-05 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-11-06 2024-01-05 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 2023-11-06 2024-01-05 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-11-06 2024-01-05 N
Ensure each resident receives an accurate assessment. Health 2023-11-06 2024-01-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-06 2024-01-05 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-11-06 2024-01-05 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 and emergencies. Health 2023-11-06 2024-01-05 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-11-06 2024-01-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-15 2023-01-28 N
Provide enough food/fluids to maintain a resident's health. Health 2022-12-15 2023-01-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-15 2023-01-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-05-18 2022-06-30 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-18 2022-06-30 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-12-09 2022-02-01 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2021-12-09 2022-02-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-12-09 2022-02-01 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2021-12-09 2022-02-01 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 2021-12-09 2022-02-01 N
Provide enough food/fluids to maintain a resident's health. Health 2021-12-09 2022-02-01 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-12-09 2022-02-01 N
Observe each nurse aide's job performance and give regular training. Health 2021-12-09 2022-02-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-12-09 2022-02-01 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2021-12-09 2022-02-01 N
Provide or obtain dental services for each resident. Health 2021-12-09 2022-02-01 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-12-09 2022-02-01 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 2021-09-22 2021-11-05 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-09-22 2021-11-05 Y
Respond appropriately to all alleged violations. Health 2021-09-22 2021-11-05 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-09-22 2021-11-05 Y
Provide and implement an infection prevention and control program. Health 2021-09-22 2021-11-05 Y
Post nurse staffing information every day. Health 2021-04-05 2021-04-26 Y