Deficiency Records for Kadima Rehabilitation and Nursing at Pottstown
Updated as of June 01, 2019
This is not the most recent data for Kadima Rehabilitation and Nursing at Pottstown. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-01-28 | 2019-02-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-01-28 | 2019-02-20 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-01-28 | 2019-02-20 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-01-28 | 2019-02-20 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-01-23 | 2019-02-14 | N |
| Respond appropriately to all alleged violations. | Health | 2019-01-23 | 2019-02-14 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-01-23 | 2019-02-14 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-01-23 | 2019-02-14 | 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 | 2019-01-23 | 2019-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-23 | 2019-02-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-23 | 2019-02-14 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-01-23 | 2019-02-14 | N |
| Meet other general requirements. | Fire Safety | 2018-01-10 | 2018-03-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-01-10 | 2018-03-09 | N |
| Provide large enough exits. | Fire Safety | 2018-01-10 | 2018-03-09 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-01-10 | 2018-03-09 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2018-01-10 | 2018-03-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-01-10 | 2018-03-09 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2018-01-10 | 2018-03-09 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2018-01-10 | 2018-03-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-01-10 | 2018-03-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-08 | 2018-02-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-01-08 | 2018-02-16 | N |
| Respond appropriately to all alleged violations. | Health | 2018-01-08 | 2018-02-16 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-01-08 | 2018-02-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-08 | 2018-02-16 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-08 | 2017-03-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-08 | 2017-03-03 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-08 | 2017-03-02 | Y |
| Give or get x-rays and other tests in a timely manner to meet the needs of residents. | Health | 2017-02-08 | 2017-03-02 | 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 | 2017-02-08 | 2017-02-27 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-02-08 | 2017-02-27 | Y |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-02-08 | 2017-02-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-02-08 | 2017-02-08 | 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 | 2016-11-21 | 2016-12-12 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-11-21 | 2016-12-12 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-23 | Not Fixed | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-01-23 | Not Fixed | N |
