Kadima Rehabilitation & Nursing at New Wilmington

In the surveyor’s words

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

• Actual harm, patternF600Jun 10, 2022

  Based on review of facility policies and clinical records, and resident and staff interviews, it was determined that the facility failed to ensure that residents were free from non-consensual sexual contact and observation of masturbation for five of 18 residents (Residents R1, R16, R30, R49 and R50) resulting in sexual abuse and psychosocial harm. Findings include: Review of the facility policy entitled, Abuse: Protection From Abuse, with a revision date of 8/2016, and a Policy Review date of 3/18/22, revealed a policy statement that reads The resident has the right to be free from verbal, sexual, physical, and mental abuse, corporal punishment, involuntary seclusion, neglect, and misappropriation of property. […]

• Actual harm, isolatedF600Aug 6, 2021

  Based on review of facility policies, facility documentation and clinical record, and staff interviews, it was determined that the facility failed to ensure that residents were free of neglect during care which resulted in actual harm of a fracture of the neck of the right humerus (long bone in the arm that runs from the shoulder to the elbow) for one of 24 residents reviewed (Resident R19). This deficiency is cited as past non-compliance. Findings include: A review of facility policy titled, Abuse: Protection from Abuse, dated 3/08/21, revealed that, Neglect is defined as the failure to provide goods and services necessary to avoid physical harm, mental anguish, or mental illness. […]

• Actual harm, isolatedF689Aug 6, 2021

  Based on review of facility policies, facility documentation and review of clinical records and staff interviews, it was determined that the facility failed to appropriately transfer a resident as identified in the plan of care and in accordance with facility policy which resulted in actual harm of a fracture of the neck of the right humerus (long bone in the arm that runs from the shoulder to the elbow) for one of 24 residents reviewed (Resident R19). This deficiency is cited as past non-compliance. Findings include: The Transfer of Residents policy, dated 3/08/21, revealed, if a mechanical lift (an assistive device that allows residents to be transferred between a bed and a chair or other similar resting places, by use of electrical or hydraulic power and a sling). […]

• No harm, potential for more than minimal, widespreadF812Jun 10, 2022

  Based on observations and staff interviews it was determined that the facility failed to store food and food containers in a safe and sanitary manner in the main kitchen and in the designated resident refrigerator. Findings include: Observation on 6/07/22, at 11:05 a.m. revealed clear plastic drink cups and metal baking pans nested together with moderate/dripping amount of water between surfaces. During an interview at that time, the Dietary Manager confirmed the plastic cups and metal pans were nested together while wet and that the items should be dry before stacking them. Observation on 6/8/22, at 10:43 a.m. revealed clear plastic drink cups nested together with moderate/dripping amount of water between surfaces. During an interview on 6/08/22, at 11:05 a.m. […]

• No harm, potential for more than minimal, widespreadF812Aug 6, 2021

  Based on observations, review of facility policy and staff interviews, it was determined that the facility failed to maintain sanitary conditions in the main kitchen. Findings include: The dietary policy entitled Sanitation, dated 3/08/21, indicated that the food service area would be maintained in a clean and sanitary manner. Observation on 8/03/21, at 8:10 a.m. revealed a box fan, not in use/running, with a build up of dust and debris was observed at the end of the tray line service area. On 8/04/21, at 11:14 a.m., and on 8/05/21, at 11:00 a.m., the dirty box fan was in use circulating air over the meal service area while food preparation and plating of food was in progress. Review of the posted kitchen cleaning schedule did not reveal a rotation for cleaning of fans. […]