F-F641, revealed that the facility's QAPI committee failed to successfully implement their plan regarding completing accurate MDS assessments.
The facility's plan of correction for a deficiency regarding care plan timing and revision, cited during the survey ending December 4, 2024, revealed that the facility would complete audits and report the results of
the audits to the QAPI committee for review. The results of the current survey, cited under
F-F657, revealed that the facility's QAPI committee failed to successfully implement their plan regarding care plan timing and revision.
The facility's plan of correction for a deficiency regarding quality of care, cited during the survey ending December 4, 2024, revealed that the facility would complete audits and report the results of the audits to the QAPI committee for review. The results of the current survey, cited under
F-F684, revealed that the facility's QAPI committee failed to successfully implement their plan regarding quality of care.
The facility's plan of correction for a deficiency regarding safety/accident hazards, cited during the surveys ending December 4, 2024, and January 6, 2025, revealed that the facility would complete audits and report
the results of the audits to the QAPI committee for review. The results of the current survey, cited under
F-F689, revealed that the facility's QAPI committee failed to successfully implement their plan regarding safety/accident hazards.
The facility's plan of correction for a deficiency regarding medication storage, cited during the survey ending December 4, 2024, revealed that the facility would complete audits and report the results of the audits to the QAPI committee for review. The results of the current survey, cited under
safety/accident hazards.
The facility's plan of correction for a deficiency regarding medication storage, cited during the survey ending December 4, 2024, revealed that the facility would complete audits and report the results of the audits to the QAPI committee for review. The results of the current survey, cited under F-F761, revealed that the facility's QAPI committee failed to successfully implement their plan regarding medication storage.
08/27/2025 Department of Health & Human Services Centers for Medicare & Medicaid ServicesPrinted: N o. 0938-0391 STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION NAME OF PROVIDER OR SUPPLIER(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY COMPLETED (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIESSTREET ADDRESS, CITY, STATE, ZIP CODE B. Wing (Each deficiency must be preceded by full regulatory or LSC identifying information) 05/20/2025 Kadima Rehabilitation & Nursing at Latrobe 576 Fred Rogers Drive Latrobe, PA 15650 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
The facility's plan of correction for a deficiency regarding complete and accurate medical records, cited
during the survey ending December 4, 2024, revealed that the facility would complete audits and report the results of the audits to the QAPI committee for review. The results of the current survey, cited under F-F842, revealed that the facility's QAPI committee failed to successfully implement their plan regarding complete and accurate medical records.
Refer to F-F641, F-F657, F-F684, F-F689, F-F761, F-F842. 28 Pa. Code 201.14(a) Responsibility of Licensee. 28 Pa. Code 201.18(e)(1) Management. 08/27/2025
F-F761, revealed that the facility's QAPI committee failed to successfully implement their plan regarding medication storage.
FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 17 of 18 395892 Department of Health & Human Services Printed: 08/27/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 395892 B. Wing 05/20/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Kadima Rehabilitation & Nursing at Latrobe 576 Fred Rogers Drive Latrobe, PA 15650
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0867 The facility's plan of correction for a deficiency regarding complete and accurate medical records, cited
during the survey ending December 4, 2024, revealed that the facility would complete audits and report the Level of Harm - Minimal harm or results of the audits to the QAPI committee for review. The results of the current survey, cited under
F-F842.
28 Pa. Code 201.14(a) Responsibility of Licensee.
28 Pa. Code 201.18(e)(1) Management.
FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 18 of 18 395892