Kadima Rehabilitation & Nursing at New Castle

In the surveyor’s words

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

• Actual harm, isolatedF689Jun 7, 2024

  Based on review of resident rights, clinical records, and facility documentation, and staff interview, it was determined that the facility failed to provide proper resident assistance during bathing that resulted in a fall with actual harm of a fracture of the right shoulder for one of 17 residents reviewed (Resident R41). Findings include: Review of Statement of Resident Rights revealed the resident has the right to a safe, clean, comfortable, homelike environment, including but not limited to: (a) receiving treatments and support for daily living safely; (d) ensuring that the physical layout of the facility maximizes resident independence and does not pose a safety risk. […]

• No harm, potential for more than minimal, widespreadF812Aug 29, 2025

  Based on review of facility policy, observations and staff interview, it was determined that the facility failed to ensure that food was stored in accordance with standards for food safety for three of three kitchen refrigerators and four of four kitchen freezers and corresponding temperature logs reviewed. Findings include: A facility policy entitled, Equipment Temperature Logs dated 6/18/25, revealed, The Dining Services Manager will use the Refrigeration and Freezer Temperature Log to record the temperatures of all refrigerators and freezers on a daily basis. Review of the refrigeration and freezer temperature logs for the kitchen revealed two temperature log sheets, one for the main kitchen and one for the basement refrigeration. […]

• No harm, potential for more than minimal, patternF711May 8, 2026

  Based on review of clinical records and staff interviews, it was determined that the facility failed to ensure that the physician signs and dates all orders during each of his/her visits for six of 20 residents reviewed (Residents R7, R11, R23, R59, R60, and R61). Findings include: Resident R7's clinical record revealed an admission date of 8/16/22, with diagnoses that included Chronic Obstructive Pulmonary Disease (COPD - a condition that prevents airflow to the lungs resulting in difficulty breathing), Dementia (loss of cognitive functioning affecting a persons memory and behaviors), and Diabetes (a health condition caused by the body's inability to produce enough insulin). […]

• No harm, potential for more than minimal, patternF725May 30, 2025

  Based on review of facility policy and resident council minutes, observations, and staff and resident interviews, it was determined that the facility failed to provide sufficient nursing staff and services to promote the physical and mental well-being and meet the needs for four of 19 residents interviewed (Residents R3, R24, R25, and R43). Findings include: Review of facility policy entitled Cell Phone/Camera Usage, with a policy review date of 5/01/25, revealed that Personal cell phones should not be used during work time. Review of grievances in January of 2025 revealed that there were concerns with staff members on their cell phones and education was provided by the Director of Nursing (DON). […]

• No harm, potential for more than minimal, patternF803May 30, 2025

  Based on review of facility policies, dietary and clinical records, observations, and resident and staff interviews, it was determined that the facility failed to provide daily menus, update menu changes, and notify residents of a change to the menu; and failed to provide a nutritionally adequate menu for one of one residents noted with a gluten free allergy (Resident R1). Findings include: A facility policy entitled Dietary Services Administration dated 5/01/25, revealed sufficient food will meet the nutritional needs of residents and shall be prepared as planned for each meal. Menus are followed. Menus are posted in all dining rooms and on all resident units. […]