Nursing Home News — Page 481

The committee responsible for catching exactly this kind of failure had been meeting, auditing, and reviewing.

It landed on the last page of a 23-page inspection report.

Inspectors concluded the committee had not been effective at correcting deficient practices related to following physician orders.

That's what federal inspectors found at Cedarwood Rehabilitation & Healthcare Center during a January 2025 survey.

Federal inspectors who visited San Francisco Health Care on August 1, 2024, following a complaint, found that paper trail was missing.

That is the sum of what federal inspectors documented at Kadima Rehabilitation & Nursing at Latrobe following a May 2025 visit.

The citation, recorded under F600, is one of the most fundamental protections in federal nursing home law.

The findings trace a failure that spans nearly a year.

Neither had kept pace with what the CDC recommends.

The same category of violations that prompted the 2023 plan of correction, ensuring the resident environment was free of accident hazards, was cited again.

The inspection, completed March 21, 2025, cited the facility under F755, the federal tag covering pharmacy services and medication management.

There was no documented response.