Skip to main content
Complaint Investigation

Kadima Rehabilitation & Nursing At Pottstown

February 27, 2025 · Pottstown, PA · 3031 Chestnut Hill Road
Citations 1
CMS Rating 1/5
Beds 41
Provider ID 395827
Healthcare Facility
Kadima Rehabilitation & Nursing At Pottstown
Pottstown, PA  ·  View full profile →
Inspection Summary

KADIMA REHABILITATION & NURSING AT POTTSTOWN in POTTSTOWN, PA — inspection on February 27, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Advertisement

Inspection Findings

FF689
Minimal harm or Few Based on a review of clinical records and interviews with staff, it was determined that the facility failed to affected

Review of progress note of January 31, 2025, at 6:53 a.m. revealed resident is 2/9 (two of nine shifts) s/p (status post - condition or status after a specific event) fall.

Further review of the clinical record revealed no documentation indicating that the resident had a fall.

Review of facility documentation dated January 30, 2025, revealed that resident was being transported to pain management this am 0820 [8:20 a.m.], he slid from his wheelchair to the floor of the van, the driver stopped (COTA-L [certified occupational therapist - licensed] and repositioned back into the wheelchair, fastened the seat belts, and continued on to his appointment, after determining that there was not injury sustained during the fall.

Interview with the Nursing Home Adminstrator on February 27, 2025, at 3:35 p.m confirmed that there was no documentation in the clinical record that the resident had sustained a fall.

28 Pa.

Code 211.5(f) Clinical records

Previously 10/25/24

28 Pa.

Code: 211.12(d)(1) Nursing services

395827

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 POTTSTOWN, 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 POTTSTOWN or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

Advertisement