Deficiency Records for Kadima Rehabilitation and Nursing at Pottstown
Updated as of March 01, 2022
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? |
|---|---|---|---|---|
| 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 | N |
| Respond appropriately to all alleged violations. | Health | 2021-09-22 | 2021-11-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-22 | 2021-11-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-09-17 | 2020-12-21 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2020-09-17 | 2020-12-12 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2020-11-20 | 2020-12-09 | Y |
| Provide large enough exits. | Fire Safety | 2020-09-17 | 2020-11-16 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2020-09-17 | 2020-11-16 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2020-09-17 | 2020-11-16 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2020-09-17 | 2020-11-16 | 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 | 2020-07-17 | 2020-09-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-07-17 | 2020-09-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-12 | 2020-08-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-03-12 | 2020-08-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-03-12 | 2020-08-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-12 | 2020-08-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-12 | 2020-08-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-12 | 2020-08-11 | 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 | 2020-03-12 | 2020-08-11 | 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 | 2020-03-12 | 2020-08-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-03-12 | 2020-08-11 | 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 | 2020-03-12 | 2020-08-11 | 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 necessary and PRN use is limited. | Health | 2020-03-12 | 2020-08-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-12 | 2020-08-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-10 | 2019-05-31 | Y |
| 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 | 2019-05-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-23 | 2019-05-31 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-01-23 | 2019-05-31 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2019-03-16 | 2019-04-22 | 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 | 2019-03-16 | 2019-04-22 | Y |
| Keep all essential equipment working safely. | Health | 2019-03-16 | 2019-04-22 | Y |
| 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 |
| 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 |
