Kadima Rehabilitation & Nursing At Greenville
Inspection Findings
F-Tag F0880
F 0880
Provide and implement an infection prevention and control program.
Level of Harm - Minimal harm or potential for actual harm
Based on review of facility and clinical records, observations, and staff interview, it was determined that the facility failed to ensure that residents with an indwelling catheter (a tube inserted into the bladder to facilitate urine drainage) receive essential care to help prevent infections for one of eight residents reviewed with an indwelling catheter (Resident Resident R1) Findings include: Review of a current facility policy entitled Catheter Care dated 11/2024, revealed it is the policy of the facility to ensure that residents with an indwelling catheter received appropriate care and maintain their catheter drainage bags and ensure catheter is anchored using strap or other anchoring device and catheter bag is covered and positioned properly. Resident Resident R1's clinical record revealed an admission date of 12/24/25 with diagnoses that included bronchitis (infection of the lungs), hypertension (high blood pressure) and diabetes (uncontrolled blood sugar levels). The clinical record also identified that Resident Resident R1 was currently taking an antibiotic for seven days to treat for a urinary tract infection. Observation on 1/27/26, at 11:44 a.m. revealed Resident Resident R1's urinary catheter bag was on the floor under the bed uncovered without a covering over the drainage bag.
An interview with Licensed Practical Nurse (LPN) Employee E3 at 11:50 a.m. confirmed that Resident Resident R1's urinary catheter bag was observed to be laying on the floor. LPN Employee E3 further confirmed the foley catheter bag should be covered and maintained off the floor for infection control measures to prevent infection. During an interview on 1/27/26, at 12:40 p.m. the Nursing Home Administrator confirmed that Resident Resident R1's urinary catheter bag should be covered and be maintained off the floor and/or not touch an unclean surface due to the risk of infection. 28 Pa. Code 211.10(c) Resident care policies 28 Pa. Code 211.12 (d)(1)(2)(3)(5) Nursing Services
Residents Affected - Few
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
KADIMA REHABILITATION & NURSING AT GREENVILLE in GREENVILLE, PA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GREENVILLE, PA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from KADIMA REHABILITATION & NURSING AT GREENVILLE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.