Kadima Rehabilitation Cheswick: QAA Meeting Failure - PA
Inspectors visiting Kadima Rehabilitation & Nursing at Cheswick on October 31, 2025 found that the facility had failed to conduct a properly constituted Quality Assessment and Assurance meeting during the third quarter of 2025. The Infection Preventionist, the Director of Nursing, and the Medical Director were all absent. The sign-in sheets confirmed it. The Nursing Home Administrator confirmed it too, during an interview with inspectors at 12:59 p.m. that same day.
Quality Assessment and Assurance committees exist for a specific reason. They are the internal mechanism by which nursing homes are supposed to catch their own problems, identify gaps in care, and fix them before residents are harmed. The committee is required to meet at least four times a year, and the people required to attend are not optional additions. The Infection Preventionist tracks how illness moves through a building. The Director of Nursing oversees the staff responsible for nearly every aspect of resident care. The Medical Director carries clinical authority over the facility's overall health outcomes. When all three are missing from the same meeting, the oversight the committee is designed to provide does not happen.
The facility's own policy, dated September 4, 2025, stated plainly that it would conduct quality assurance and improvement committee meetings at least quarterly to identify areas of service that were non-compliant or had potential for improvement. The third-quarter meeting of 2025 did not meet that standard.
Inspectors reviewed attendance records for all four quarterly meetings and flagged one. That one was enough.
The violation was cited at the lowest level of harm, meaning inspectors determined it caused minimal harm or potential for actual harm rather than documented injury to a specific resident. A small number of residents were listed as affected. The citation falls under Pennsylvania administrative code governing facility management.
What the attendance records cannot show is what the committee might have caught if the right people had been in the room. Quality assurance meetings are retrospective and preventive by design. They look backward at what went wrong and forward at what might. A meeting that proceeds without the nurse leader, the infection control officer, and the physician responsible for clinical oversight is a meeting working with significant blind spots.
The administrator did not dispute the finding.
Kadima Rehabilitation & Nursing at Cheswick's own written policy set the expectation. The attendance records showed the reality. For one quarter in 2025, those two things did not match.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Kadima Rehabilitation & Nursing At Cheswick from 2025-10-31 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: September 5, 2026 · Our methodology
KADIMA REHABILITATION & NURSING AT CHESWICK in CHESWICK, PA was cited for violations during a health inspection on October 31, 2025.
The Infection Preventionist, the Director of Nursing, and the Medical Director were all absent.
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.