Pennsylvania Department of Health
KADIMA REHABILITATION & NURSING AT CHESWICK
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

KADIMA REHABILITATION & NURSING AT CHESWICK
Inspection Results For:

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KADIMA REHABILITATION & NURSING AT CHESWICK - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:

Based on an Abbreviated Survey in response to a complaint, completed on June 30, 2026, was determined that Kadima Rehabilitation and Nursing at Cheswick was in compliance with the requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities; however, the facility was not in compliance with the 28. Pa Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.

Plan of Correction:

� 201.19(3) LICENSURE Personnel policies and procedures.:

(3) Documentation of credentials, which shall include, at a minimum, current certification, registration or licensure, if applicable, for the position to which the employee is assigned.

Observations:

Based on a review of new hire files and staff interview, it was determined that the facility failed to verify a professional license prior to employment for one out of three personnel files reviewed (Nurse Aide (NA) Employee E10.

Findings include:

Review of the facility policy "Personnel New Hire HR" last reviewed 11/1/25, indicated the facility shall maintain personnel records that are complete personnel record will include but not inclusive to: Copy of current license or certification, notation that original seen, document that it was verified.

Review of Nurse Aid Employee E10's personnel file revealed a hire date of 11/24/25. Review of the personnel file did not include a completed license verification check prior to their hire date.

During an interview on 6/30/26, at 2:20 p.m. the Director of Nursing confirmed that the facility failed to verify a professional license prior to employment for one out of three personnel files reviewed (NA Employee E10).

Plan of Correction - To be completed: 07/09/2026

All residents received appropriate care and services to meet their needs and there was no direct correlation to an individual resident. Director of Nursing audited all licensed nursing staff and certified nursing assistant staff personnel files to ensure documentation of current licensure or certification is present. Education to Nursing Administration and Human Resources was provided by Nursing Home Administrator on the requirement to verify professional licensure of nurses or certifications of nursing assistant personnel during pre-employment stage. Audits will be completed by Human Resources or designee on new nursing personnel employees to ensure professional licenses or certifications are verified and documented prior to the start of employment. Audits will be completely weekly for two weeks, then monthly for two months, then quarterly thereafter and results reported at quarterly QAPI committee.

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