Kadima Rehab: Infection Control Program Failures - PA
Inspectors visiting Kadima Rehabilitation & Nursing at Greenville on January 27, 2026, found the bag beneath Resident R1's bed at 11:44 in the morning. No covering. No hook. Just resting on the floor.
Resident R1 had been admitted to the facility on Christmas Eve 2025, with bronchitis, hypertension, and diabetes. By the time inspectors arrived, the resident was partway through a seven-day antibiotic course to treat a urinary tract infection — a type of infection that catheter mismanagement is known to cause and worsen.
Six minutes after the observation, a licensed practical nurse confirmed what inspectors had seen. The bag was on the floor. It should not have been. The nurse acknowledged that keeping catheter bags covered and off the floor is a basic infection control measure.
The facility's own catheter care policy, updated in November 2024, required that drainage bags be covered and properly positioned. It also required that catheters be anchored with a strap or anchoring device. The policy existed. The bag was on the floor anyway.
At 12:40 that afternoon, the nursing home administrator confirmed the same thing the nurse had already said: the bag should be covered, and it should not be touching an unclean surface.
The inspection was prompted by a complaint. Investigators reviewed eight residents with indwelling catheters and cited the violation for one of them — Resident R1. CMS classified the deficiency as minimal harm or potential for actual harm.
Whether the catheter mismanagement contributed to Resident R1's urinary tract infection, or only risked making it worse, the inspection report does not say. What it does say is that a resident already fighting an infection had a drainage bag on the floor, and nobody had noticed until an inspector walked in.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Kadima Rehabilitation & Nursing At Greenville from 2026-01-29 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 9, 2026 · Our methodology
KADIMA REHABILITATION & NURSING AT GREENVILLE in GREENVILLE, PA was cited for violations during a health inspection on January 29, 2026.
Inspectors visiting Kadima Rehabilitation & Nursing at Greenville on January 27, 2026, found the bag beneath Resident R1's bed at 11:44 in the morning.
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.