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

Note: If you need to change the font size, click the "View" menu at the top of the page, place the mouse over the "Text Size" menu item, and select the desired font size.

Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

KADIMA REHABILITATION & NURSING AT LITITZ
Inspection Results For:

There are 142 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.


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

Initial comments:

Findings of an Abbreviated Complaint Survey completed on April 30, 2025, at Kadima Rehabilitation & Nursing at Lititz, identified deficient practice, related to the reported complaint allegations, under the requirements of 42 CFR Part 483, Subpart B Requirements for Long Term Care Facilities and the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations as they relate to the Health portion of the survey process.

Plan of Correction:

483.10(f)(10)(iii) REQUIREMENT Accounting and Records of Personal Funds:

This is a less serious (but not lowest level) deficiency and affects more than a limited number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status. This deficiency was not found to be throughout this facility.

§483.10(f)(10)(iii) Accounting and Records.
(A) The facility must establish and maintain a system that assures a full and complete and separate accounting, according to generally accepted accounting principles, of each resident's personal funds entrusted to the facility on the resident's behalf.
(B) The system must preclude any commingling of resident funds with facility funds or with the funds of any person other than another resident.
(C)The individual financial record must be available to the resident through quarterly statements and upon request.

Observations:

Based upon interview, it was determined the facility failed to ensure residents were provided quarterly statements in regard to their personal funds for three of three residents interviewed (Resident 1, Resident 2 and Resident 3).

Findings include:

During an interview with residents on April 29, 2025 at 11:00 a.m. it was revealed that residents do not receive quarterly statements regarding personal finances.

No documented evidence was provided on April 29, 2025 to support quarterly statements sent to residents by facility staff.

Interview with the Nursing Home Administrator via telephone on April 30, 2025 at 2:00 p.m. revealed that the facility and/or corporate offices have not sent quarterly statements to any residents during 2024 or 2025.

28 Pa. Code 201.18(b)2) Management

Plan of Correction - To be completed: 06/09/2025

1. Facility will send retro quarterly statements to residents affected.
2. Resident records that should receive quarterly statements will be audited by NHA or designee to ensure that an updated and accurate list is available of all residents that receive quarterly statements.

3 Re-education will be completed by NHA or BOM regarding distribution of quarterly statements. Statements will be sent to POA via certified mail or if the resident is cognitive and does own finances a quarterly statement receipt will be signed by the resident to document that residents received necessary paperwork.
4.. Audits will be conducted monthly x4 by NHA or designee and "will be submitted to QAPI for review and analysis of need for ongoing monitoring.

Back to County Map

Home : Press Releases : Administration
Health Planning and Assessment : Office of the Secretary
Health Promotion and Disease Prevention : Quality Assurance

Copyright © 2001 Commonwealth of Pennsylvania. All Rights Reserved.
Commonwealth of PA Privacy Statement