The incident happened on the night of April 18, 2026.
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They didn't hear anything overnight.
The resident, identified in inspection records only as Resident 3, has anxiety and depression and is cognitively impaired.
Her care plan flagged chronic pain as a problem area and called for staff to give her analgesic medications as her physician ordered.
Under the facility's own written policy, received the same day as the incident, threats of harm directed at a resident constitute verbal abuse.
That failure had a name and a paper trail.
The answer, confirmed by the facility's own leadership, was nothing.
When an inspector observed the bathroom sink on May 27, 2026, standing water sat in the basin, no stopper in place.
That was the scene inspectors documented on May 28, 2026, during a complaint inspection at the facility on Fred Rogers Drive.
Inspectors visited Kadima Rehabilitation & Nursing at Latrobe on May 28, 2026, responding to a complaint.
None of them could say why this one didn't.
Specifically, oxygen saturation levels were not being measured and documented every day for those residents.