Independent · Federal inspection records, searchable
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Facility profile · CCN 395382

Kadima Rehabilitation & Nursing At Irwin

65 federal citations on record , including 3 at the Immediate Jeopardy level, and 7 federal enforcement actions totaling $184,982.

3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
65
Total citations
65
Last 3 years
3
Actual harm+
7
Federal penalties
$184,982
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

65 on record
SurveyF-TagViolationSeveritySource
Dec 19, 2025F908Keep all essential equipment working safely.FStandard
Dec 19, 2025F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.FStandard
Dec 19, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard
Dec 19, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Dec 19, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Dec 19, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 19, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 19, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard
Dec 19, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard
Dec 19, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Aug 5, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Aug 5, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 5, 2025F641Ensure each resident receives an accurate assessment.DComplaint
Jul 15, 2025F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.DComplaint
Jul 15, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 15, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jan 31, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jan 31, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Jan 31, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jan 31, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jan 31, 2025F637Assess the resident when there is a significant change in conditionDStandard
Jan 31, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Jan 31, 2025F880Provide and implement an infection prevention and control program.EComplaint
Jan 7, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Aug 2, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DComplaint
Aug 2, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint
Aug 2, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Aug 2, 2024F692Provide enough food/fluids to maintain a resident's health.EComplaint
Jun 18, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint
Mar 5, 2024F880Provide and implement an infection prevention and control program.EComplaint
Mar 5, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Dec 27, 2023F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FComplaint
Dec 21, 2023F610Respond appropriately to all alleged violations.EComplaint
Dec 21, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
Dec 21, 2023F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.CStandard
Dec 21, 2023F850Hire a qualified full-time social worker in a facility with more than 120 beds.EStandard
Dec 21, 2023F848Provide a neutral and fair arbitration process and agree to arbitrator and venue.EStandard
Dec 21, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 21, 2023F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard
Dec 21, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Dec 21, 2023F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard
Dec 21, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Dec 21, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Dec 21, 2023F675Honor each resident's preferences, choices, values and beliefs.DStandard
Dec 21, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Dec 21, 2023F641Ensure each resident receives an accurate assessment.EStandard
Dec 21, 2023F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard
Dec 21, 2023F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard
Dec 21, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Nov 29, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Nov 29, 2023F680Ensure the activities program is directed by a qualified professional.DComplaint
Aug 23, 2023F908Keep all essential equipment working safely.DComplaint
Aug 23, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Jul 25, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FComplaint
Jul 25, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
Jul 25, 2023F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.JComplaint
Jul 25, 2023F680Ensure the activities program is directed by a qualified professional.EComplaint
Jul 25, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.JComplaint
Jul 25, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Jul 11, 2023F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FComplaint
Jul 11, 2023F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint
Jun 15, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
May 1, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
May 1, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
May 1, 2023F760Ensure that residents are free from significant medication errors.DComplaint

Federal enforcement history

Federal regulators have imposed 7 enforcement actions against this facility, including 7 civil money penalties totaling $184,982 .

DateTypeFinePayment denial
Jun 15, 2023Fine$148,292
May 30, 2023Fine$4,587
May 23, 2023Fine$4,587
May 15, 2023Fine$4,587
May 8, 2023Fine$4,587
Apr 17, 2023Fine$13,762
Mar 20, 2023Fine$4,580
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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