Kadima Rehabilitation & Nursing at Greenville

In the surveyor’s words

From the most serious findings on record at Kadima Rehabilitation & Nursing at Greenville, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 1, 2026

  Based on review of facility policy, facility documents, clinical records, and staff interviews, it was determined that the facility failed to implement sufficient safety precautions to prevent a resident with a history of suicide ideations from inflicting self-harm for one of seven residents reviewed with a history of suicide ideation and resulted in an Immediate Jeopardy situation (Resident R1).Findings include: A facility policy entitled, Suicide Threats dated 4/01/26, indicated that:A staff member must remain with the resident until the nurse supervisor/change nurse arrives to examine the resident.Place the resident on one-on-one observation until the acute episode has been resolved if the resident is physically capable of self-injury.The resident shall remain one-on-one until transfer… […]

• No harm, potential for more than minimal, widespreadF812Oct 22, 2021

  Based on observations, review of a facility policies and staff interviews, it was determined that the facility failed to ensure that food was stored in accordance with standards for food safety in two of four pantry refrigerators (Nursing Units One and Four), to consistently document food temperatures prior to meal service, to maintain equipment in clean condition and to safely store food pans in the main kitchen. Findings include: Review of the facility policy entitled Food Storage, dated [DATE], indicated that food storage areas shall be clean at all times; that cold food will be maintained at a temperature of 41 degrees Farenheit (F), or below, and that hot food shall leave the kitchen or steam table at 135 degrees (F), or above; and that unserved left-overs will be labeled, dated and… […]

• No harm, potential for more than minimal, patternF578Jun 26, 2026

  Based on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to ensure that active physician orders incorporated resident wishes related to end-of-life care as documented on the resident's Pennsylvania Order for Life Sustaining Treatment (POLST - a legal document specifying the resident/responsible party choices regarding life-sustaining treatments) for three of 27 residents reviewed (Residents R14, R38, and R50).Findings include: Facility policy entitled Advanced Directives dated [DATE], indicated that All residents shall be presumed as having consented to CPR (Cardiopulmonary Resuscitation - emergency life-saving procedure that is done when breathing or a heartbeat has stopped and when performed immediately can double or triple… […]

• No harm, potential for more than minimal, patternF695Jun 26, 2026

  Based on review of facility policy and clinical records, observations, and staff interviews, it was determined that the facility failed to promote cleanliness and help prevent the spread of infection regarding respirator care equipment for two of five residents reviewed (R14 and R50), and failed to obtain a physician's order for the provision of oxygen therapy for one of five residents reviewed (Resident R15). Findings include: Facility policy entitled Medication and Treatment Orders dated 4/21/26, indicated each medication administration will have a corresponding and complete physician's order and oxygen orders will contain: The rate of flow, route, and rationale (i.e., Oxygen 2-3 L/min [liters per minute] per nasal cannula prn [as needed] for SOB [shortness of breath]). […]

• No harm, potential for more than minimal, patternF812Jun 26, 2026

  Based on review of facility policy and employee handbook, observations, and staff interviews, it was determined that the facility failed to ensure that food was stored in accordance with standards for food safety in one of one main kitchens and two of two pantry refrigerators checked (Unit 1 and Unit 4), failed to served food in a safe and sanitary manner during tray line observation, and failed to monitor resident's personal refrigerators for temperatures for one of one residents reviewed with personal refrigerator (Resident R121). Findings include: Facility policy entitled Food Storage dated 4/21/26, indicated Un-served leftovers shall be labeled, dated and stored for a period not to exceed there (3) days. […]