Kadima Rehabilitation & Nursing at Latrobe

In the surveyor’s words

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

• Actual harm, patternF689Feb 24, 2023

  Based on a review of facility policies, facility reports, and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that a resident's environment remained as free of accident hazards as possible by failing to provide assistance and supervision during an outdoor activity for one of 48 residents reviewed (Resident 13), which resulted in a fracture; failed to provide ongoing supervision in the bathroom for one of 48 residents reviewed who was identified as a fall risk, which resulted in a fall with a fracture for the resident (Resident 74); failed to ensure that a safe environment was provided by failing to secure syringes and lancets for two of 48 residents reviewed (Residents 6, 76) who had wandering behaviors; failed to ensure that a safe… […]

• Actual harm, isolatedF600May 8, 2026

  Based on review of policies, clinical records and investigation documents, as well as staff interviews, it was determined that the facility failed to ensure that residents were free from neglect by providing a food item the resident was allergic to for one of three residents reviewed (Resident 1), which resulted in an anaphylactic reaction requiring hospitalization.Findings include:The facility's abuse/neglect policy, dated August 13, 2025, indicated that each resident had the right to be free from abuse, corporal punishment, involuntary seclusion, neglect, and misappropriation of resident property.Neglect was defined as the failure to provide goods and services necessary to avoid physical harm, pain, mental anguish, or emotional distress. […]

• Actual harm, isolatedF806May 8, 2026

  Based on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that residents were not provided with foods that they were allergic to for one of three residents reviewed (Resident 1), resulting in an allergic reaction for the resident. This deficiency was cited as past non-compliance.Findings include:The facility's policy regarding a nutrition assessment, dated August 13, 2025, indicated that a nutrition assessment would be completed for each resident admitted to the facility. […]

• Actual harm, isolatedF600Jan 6, 2025

  Based on review of facility policies, job descriptions, staff education records, clinical records, and investigation reports, as well as staff interviews, it was determined that the facility failed to ensure that residents were free from neglect while being transported to dialysis for one of 12 residents reviewed (Resident 1), resulting in harm to Resident 1 due to a fall that resulted in a fracture. Findings include: The facility's policy regarding abuse and neglect, dated November 24, 2024, indicated that the resident had the right to be free from verbal, sexual, physical, and mental abuse, corporal punishment, involuntary seclusion, neglect, and misappropriation of property. […]

• Actual harm, isolatedF689Jan 6, 2025

  Based on review of facility policies, clinical records, and facility investigation documents, as well as staff interviews, it was determined that the facility failed to ensure that the residents' environment remained as free from accident hazards as possible for one of 12 residents reviewed (Resident 1) who used a wheelchair, resulting in a fracture. Findings include: The facility's transportation policy, dated November 24, 2024, revealed that all employees who operate a vehicle would receive, upon hire, training in bus/van policies, procedures, and operations. Additionally training was to be provided on a regular basis. […]