Kadima Rehabilitation Latrobe: Repeat Violations - PA
When federal inspectors left Kadima Rehabilitation & Nursing at Latrobe in December 2024, they cited the facility for improper medication storage and incomplete medical records. The facility responded with a plan of correction, the standard mechanism by which nursing homes acknowledge a problem and commit, in writing, to solving it. Audits would be completed. Results would go to the Quality Assurance and Performance Improvement committee. The committee would review them. The problems would stop.
Five months later, inspectors came back.
The May 20, 2025 inspection found that Kadima's QAPI committee had failed to successfully implement its plan on medication storage. It had also failed to successfully implement its plan on complete and accurate medical records. Both findings from December 2024 were still present, documented now under tags F761 and F842 respectively, alongside a cluster of related deficiencies, F641, F657, F684, and F689, that inspectors flagged on the same visit.
This is the specific failure that QAPI committees exist to prevent. The committee is the internal watchdog, the body that is supposed to catch exactly this kind of drift, where a corrective plan gets written, submitted to regulators, and then quietly abandoned before anything actually changes. At Kadima, the committee received the audits, or was supposed to, and the problems persisted anyway.
The inspection record doesn't say the audits were never completed. It says the committee failed to successfully implement the plan. That distinction matters. A nursing home can conduct audits, document them, present them at meetings, and still end up in exactly the same place it started if no one acts on what the audits show.
Medication storage violations carry real consequences. Drugs stored improperly, whether at wrong temperatures, in unsecured locations, or mixed in ways that create confusion about identity or dosage, create conditions for medication errors. The residents affected by the December findings and the May findings were different people, or possibly the same people, still living at the facility while the committee met and the problems continued.
The medical records deficiency runs alongside this. Incomplete or inaccurate records don't just create paperwork problems. They shape what nurses and doctors know about a resident when they're making decisions about care. A missing entry, a transcription error, a gap in the medication administration record: each one is a place where the next clinician starts with less information than they need.
CMS rated the harm level for these findings as minimal harm or potential for actual harm, and noted that few residents were affected. That language reflects the regulatory classification, not a judgment that nothing went wrong. Potential for actual harm is the category that precedes actual harm.
The facility is located at 576 Fred Rogers Drive. It operates under Pennsylvania licensee responsibility standards, cited in the inspection under 28 Pa. Code 201.14(a) and 201.18(e)(1), which address what the licensee owes to residents and how management is expected to function.
What the inspection record shows, stripped of the regulatory language, is a committee that was handed a clear assignment after December 2024 and had five months to complete it. The assignment was not complicated: audit the medication storage practices, audit the medical records, bring the results to the committee, fix what the audits found. Inspectors returned in May and found the work unfinished.
Plans of correction are legal commitments. Facilities sign them. Regulators accept them as the basis for continued operation. When the same problems reappear at the next inspection, the plan becomes evidence of something other than correction.
The residents at Kadima who were affected by the May findings were living there while the committee was supposed to be working. Their medications were being stored, their records were being maintained, and the audit results that were supposed to catch problems were going to a committee that, whatever it discussed, did not make the problems stop.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Kadima Rehabilitation & Nursing At Latrobe from 2025-05-20 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 10, 2026 · Our methodology
KADIMA REHABILITATION & NURSING AT LATROBE in LATROBE, PA was cited for violations during a health inspection on May 20, 2025.
The facility responded with a plan of correction, the standard mechanism by which nursing homes acknowledge a problem and commit, in writing, to solving it.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.