Skip to main content
Advertisement
Advertisement

Kadima Rehabilitation & Nursing At Pottstown

📍 3031 Chestnut Hill Road, Pottstown, PA 19464 📞 (610) 469-6228 🛏️ 41 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

February 27, 2025 Complaint Investigation

Fines and Penalties by Year

2025 1 penalties totaling $27,950

$27,950
Feb 27, 2025

Fine

2022 2 penalties totaling $12,158

$7,901
May 18, 2022

Fine

$4,257
Jan 24, 2022

Fine

2021 9 penalties totaling $8,483

$4,258
Dec 6, 2021

Fine

$4,258
Nov 29, 2021

Fine

$4,225
Nov 22, 2021

Fine

$4,258
Mar 29, 2021

Fine

$4,258
Mar 22, 2021

Fine

$4,258
Mar 15, 2021

Fine

$4,258
Jan 18, 2021

Fine

$4,258
Jan 11, 2021

Fine

$4,258
Jan 4, 2021

Fine

2020 17 penalties totaling $34,080

$4,258
Dec 28, 2020

Fine

$4,258
Dec 21, 2020

Fine

$4,258
Dec 14, 2020

Fine

$4,258
Dec 7, 2020

Fine

$4,258
Nov 30, 2020

Fine

$4,257
Oct 5, 2020

Fine

$3,930
Sep 28, 2020

Fine

$3,603
Sep 21, 2020

Fine

$3,275
Sep 14, 2020

Fine

$2,948
Sep 7, 2020

Fine

$2,620
Aug 31, 2020

Fine

$2,293
Aug 24, 2020

Fine

$1,965
Aug 17, 2020

Fine

$1,638
Aug 10, 2020

Fine

$1,310
Aug 3, 2020

Fine

$983
Jul 27, 2020

Fine

$1,000
Jul 22, 2020

Fine

2019 1 penalties totaling $7,963

$7,963
Jan 23, 2019

Fine

Advertisement

Health Violations by Year

2025 4 violations

Tag 0567 D Mar 28, 2025

Honor the resident's right to manage his or her financial affairs.

✓ Corrected: Apr 8, 2025
Tag 0689 K Feb 27, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 16, 2025
Tag 0835 E Feb 27, 2025

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Mar 16, 2025
Tag 0842 D Feb 27, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Mar 16, 2025

2023 9 violations

Tag 0580 D Nov 6, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jan 5, 2024
Tag 0582 D Nov 6, 2023

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Jan 5, 2024
Tag 0584 L Nov 6, 2023

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Jan 5, 2024
Tag 0623 D Nov 6, 2023

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Jan 5, 2024
Tag 0641 E Nov 6, 2023

Ensure each resident receives an accurate assessment.

✓ Corrected: Jan 5, 2024
Tag 0684 D Nov 6, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jan 5, 2024
Tag 0835 F Nov 6, 2023

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Jan 4, 2024
Tag 0838 C Nov 6, 2023

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

✓ Corrected: Jan 5, 2024
Tag 0882 F Nov 6, 2023

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

✓ Corrected: Jan 5, 2024
Advertisement

2022 5 violations

Tag 0684 D Dec 15, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jan 28, 2023
Tag 0692 D Dec 15, 2022

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jan 28, 2023
Tag 0812 F Dec 15, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jan 28, 2023
Tag 0656 D May 18, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 30, 2022
Tag 0689 G May 18, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 30, 2022

2021 18 violations

Tag 0580 D Dec 9, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Feb 1, 2022
Tag 0582 C Dec 9, 2021

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Feb 1, 2022
Tag 0656 D Dec 9, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 1, 2022
Tag 0661 D Dec 9, 2021

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Feb 1, 2022
Tag 0690 D Dec 9, 2021

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Feb 1, 2022
Tag 0692 D Dec 9, 2021

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Feb 1, 2022
Tag 0697 D Dec 9, 2021

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Feb 1, 2022
Tag 0730 D Dec 9, 2021

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Feb 1, 2022
Tag 0755 D Dec 9, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Feb 1, 2022
Tag 0756 E Dec 9, 2021

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Feb 1, 2022
Tag 0791 D Dec 9, 2021

Provide or obtain dental services for each resident.

✓ Corrected: Feb 1, 2022
Tag 0842 D Dec 9, 2021

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Feb 1, 2022
Tag 0584 D Sep 22, 2021

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Nov 5, 2021
Tag 0609 D Sep 22, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Nov 5, 2021
Tag 0610 D Sep 22, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Nov 5, 2021
Tag 0684 D Sep 22, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Nov 5, 2021
Tag 0880 E Sep 22, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 5, 2021
Tag 0732 C Apr 5, 2021

Post nurse staffing information every day.

✓ Corrected: Apr 26, 2021
Advertisement

2020 15 violations

Tag 0825 D Nov 20, 2020

Provide or get specialized rehabilitative services as required for a resident.

✓ Corrected: Dec 9, 2020
Tag 0657 D Jul 17, 2020

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Sep 15, 2020
Tag 0677 D Jul 17, 2020

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Sep 15, 2020
Tag 0550 D Mar 12, 2020

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Aug 11, 2020
Tag 0580 D Mar 12, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Aug 11, 2020
Tag 0582 D Mar 12, 2020

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Aug 11, 2020
Tag 0641 D Mar 12, 2020

Ensure each resident receives an accurate assessment.

✓ Corrected: Aug 11, 2020
Tag 0656 D Mar 12, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 11, 2020
Tag 0684 D Mar 12, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Aug 11, 2020
Tag 0688 D Mar 12, 2020

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Aug 11, 2020
Tag 0690 D Mar 12, 2020

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Aug 11, 2020
Tag 0697 D Mar 12, 2020

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Aug 11, 2020
Tag 0756 D Mar 12, 2020

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Aug 11, 2020
Tag 0758 D Mar 12, 2020

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Aug 11, 2020
Tag 0842 D Mar 12, 2020

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Aug 11, 2020

2019 12 violations

Tag 0677 D May 10, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: May 31, 2019
Tag 0726 E Mar 16, 2019

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Apr 22, 2019
Tag 0908 D Mar 16, 2019

Keep all essential equipment working safely.

✓ Corrected: Apr 22, 2019
Tag 0606 E Jan 23, 2019

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

✓ Corrected: Feb 14, 2019
Tag 0610 D Jan 23, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Feb 14, 2019
Tag 0657 D Jan 23, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: May 31, 2019
Tag 0661 D Jan 23, 2019

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Feb 14, 2019
Tag 0690 D Jan 23, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Feb 14, 2019
Tag 0812 E Jan 23, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Feb 14, 2019
Tag 0842 D Jan 23, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Feb 14, 2019
Tag 0865 E Jan 23, 2019

Have a plan that describes the process for conducting QAPI and QAA activities.

✓ Corrected: May 31, 2019
Tag 0943 E Jan 23, 2019

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

✓ Corrected: Feb 14, 2019
Advertisement

2018 4 violations

Tag 0550 D Jan 8, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Feb 16, 2018
Tag 0607 D Jan 8, 2018

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Feb 16, 2018
Tag 0610 D Jan 8, 2018

Respond appropriately to all alleged violations.

✓ Corrected: Feb 16, 2018
Tag 0661 D Jan 8, 2018

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Feb 16, 2018

2017 8 violations

Tag 0226 E Feb 8, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

✓ Corrected: Feb 27, 2017
Tag 0278 D Feb 8, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

✓ Corrected: Feb 27, 2017
Tag 0279 D Feb 8, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 4, 2017
Tag 0281 D Feb 8, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Feb 8, 2017
Tag 0309 E Feb 8, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Mar 3, 2017
Tag 0311 D Feb 8, 2017

Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.

✓ Corrected: Feb 27, 2017
Tag 0441 E Feb 8, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Mar 2, 2017
Tag 0508 D Feb 8, 2017

Give or get x-rays and other tests in a timely manner to meet the needs of residents.

✓ Corrected: Mar 2, 2017
Advertisement