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Complaint Investigation

Kinzua Nursing And Rehab

Inspection Date: September 5, 2025
Total Violations 1
Facility ID 395363
Location WARREN, PA
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Inspection Findings

F-Tag F0842

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

documented as completed and 16 were blank. [DATE REDACTED], cleanse left buttock with wound cleanser pat dry and apply medihoney cover with border gauze. Out of 4 opportunities to document completion, one was documented as completed and three were blank. [DATE REDACTED], cleanse bilateral buttocks apply a thin layer of triad (wound treatment) to areas of excoriation leave open to air every shift for wound healing. Out of 20 opportunities to document completion, 15 were documented as complete and five were blank. [DATE REDACTED], left buttock cleanse wound pack tunnel with iodoform apply calcium alginate to entire open area cover with border gauze every day shift. Out of five opportunities to document completion, one was documented as completed and four were blank. Resident Resident R11's clinical record revealed an admission date of [DATE REDACTED], with diagnoses that included pressure ulcer right heel, adult failure to thrive, protein calorie malnutrition, and bipolar disorder. Review of Resident Resident R11's August Treatment Administration Record revealed the following treatment orders: [DATE REDACTED], coccyx pressure ulcer cleanse with wound wash apply medihoney and cover with optifoam dressing every day shift. Out of 27 opportunities to document completion, 16 were documented as completed and 11 were blank. [DATE REDACTED], weekly weights for four weeks every day shift every seven days. Out of four opportunities to document completion, one was documented and three were blank. [DATE REDACTED], treatment to right heel cleanse with wound cleanser cover with betadine gauze and cover with bordered gauze dressing every day shift. Out of 19 opportunities to document completion, 10 were documented as completed and nine were blank. During an interview on [DATE REDACTED], at 1:25 p.m. the DON confirmed that Resident Resident R2's, Resident R7's and Resident R11's clinical records were incomplete regarding treatment documentation. 28 Pa.

Code 211.5(f)(ii)(iii) Medical records 28 Pa. Code 211.12(d)(1)(5) Nursing services

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📋 Inspection Summary

KINZUA NURSING AND REHAB in WARREN, PA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 WARREN, 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 KINZUA NURSING AND REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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