Facility profile · CCN 395484
Kadima Rehabilitation & Nursing At Luzerne
57 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $86,122.
Record summary
Federal record · Q1 202657
Total citations
41
Last 3 years
3
Actual harm+
2
Federal penalties
$86,122
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
57 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jun 11, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | L | Complaint |
| Jun 11, 2025 | F809 | Ensure 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. | L | Complaint |
| Jun 11, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Jun 11, 2025 | F803 | Ensure 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. | E | Complaint |
| Jun 11, 2025 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Complaint |
| Apr 17, 2025 | F626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint |
| Apr 17, 2025 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Complaint |
| Apr 17, 2025 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint |
| Jan 16, 2025 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Jan 16, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Jan 16, 2025 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard |
| Jan 16, 2025 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard |
| Jan 16, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jan 16, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | E | Standard |
| Jan 16, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jan 16, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Nov 15, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint |
| Jul 23, 2024 | F584 | Honor 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. | E | Complaint |
| Jun 18, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint |
| Jun 18, 2024 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Complaint |
| Jun 18, 2024 | F584 | Honor 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. | E | Complaint |
| Feb 29, 2024 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Feb 29, 2024 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard |
| Feb 29, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Feb 29, 2024 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Feb 29, 2024 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard |
| Feb 29, 2024 | F761 | Ensure 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. | D | Standard |
| Feb 29, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Feb 29, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Feb 29, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Feb 29, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Feb 29, 2024 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Feb 29, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard |
| Feb 29, 2024 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard |
| Feb 29, 2024 | F584 | Honor 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. | E | Standard |
| Feb 29, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard |
| Feb 29, 2024 | F578 | Honor 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. | E | Standard |
| Oct 26, 2023 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Complaint |
| Oct 26, 2023 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint |
| Oct 26, 2023 | F679 | Provide activities to meet all resident's needs. | E | Complaint |
| Sep 7, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Apr 20, 2023 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Complaint |
| Apr 20, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Apr 20, 2023 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Apr 20, 2023 | F909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | F | Standard |
| Apr 20, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Apr 20, 2023 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Apr 20, 2023 | F713 | Provide or arrange emergency care by a doctor 24 hours a day. | D | Standard |
| Apr 20, 2023 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard |
| Apr 20, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Apr 20, 2023 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard |
| Apr 20, 2023 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Apr 20, 2023 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard |
| Apr 20, 2023 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard |
| Apr 20, 2023 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Apr 20, 2023 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Apr 20, 2023 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $86,122 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 17, 2025 | Fine | $22,639 | — |
| Feb 29, 2024 | Fine | $63,483 | — |
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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