Kadima Rehabilitation & Nursing at Lititz

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Sep 30, 2022

  Based on a review of the facility policy, residents' clinical records, and staff interviews, it was determined the facility failed to provide life sustaining treatment (CPR) in accordance with physician orders to a resident who expired (Resident 88), creating a situation in which residents were placed in Immediate Jeopardy situation. Findings include: Review of facility policy labeled, Abuse Protection dated [DATE], defines neglect as the failure of the facility, its employees or service provides to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish, or emotional distress. […]

• Immediate jeopardy, isolatedF678Sep 30, 2022

  Based on review of established guidelines for CardioPulmonary Resuscitation (CPR), facility's policies, staff interviews and residents' clinical records, it was determined that the facility failed to ensure that life sustaining meansures such as CPR were provided in accordance with established facility policy and procedure for one of sixteen residents reviewed (Resident 88), creating a situation in which the residents were placed in Immediate Jeopardy related to failure to perform life sustaining interventions. […]

• Actual harm, isolatedF697Jul 18, 2025

  Number of residents sampled: Number of residents cited: Based upon clinical record review, review of facility documentation, and staff interview it was determined the facility failed to ensure proper care and treatment after a fall resulting in actual harm when a resident experienced severe pain after a fall and subsequent fracture due to the facility not providing interventions or monitoring the resident's pain for one of one resident reviewed (Resident 52).Findings include:Review of Resident 52's diagnosis list revealed diagnoses including Dementia (irreversible, progressive degenerative disease of the brain, resulting in loss of reality contact and functioning ability), Peripheral Vascular Disease (PVD - poor circulation of the extremities) and osteoarthritis (degenerative joint… […]

• Actual harm, isolatedF684Sep 30, 2022

  Based on review of facility policy, clinical records, and interviews with the staff it was determined that the facility failed to monitor, timely notify physician, and address changes in condition of increased weight for three residents out of 19 records reviewed, resulting in Resident 38's hospital admission to the intensive care unit for [CONDITION(S)] and acute kidney injury (build-up of waste products in your blood and making it hard for the kidneys to maintain appropriate balance of fluid in the body) and weight gain for Resident 27 and Resident 36. Findings include: Review of the facility policy labeled Resident Weights revealed Weights must be obtained routinely to monitor the parameters of nutrition overtime and identify residents at risk for significant weight change. […]

• Actual harm, isolatedF689Sep 1, 2021

  Based on clinical record and facility documentation review and staff interview, it was determined that the facility failed to assess a resident for risk of falls and failed to provide interventions to prevent falls for one of five residents reviewed for falls resulting in actual harm to Resident 31, who fell , sustained a right [CONDITION(S)], requiring hospitalization and surgical repair. Findings include: Review of Resident 31's clinical record revealed the resident was admitted to the facility on [DATE], with diagnoses including [CONDITION(S)] (a progressive nervous system disorder that affects movement), muscle weakness, [CONDITION(S)] (decrease in blood pressure when going from a sitting to standing position), and history of repeated falls. […]