Starfile

Starfile / Pennsylvania

KADIMA REHABILITATION & NURSING AT IRWIN

249 MAUS DRIVE, NORTH HUNTINGDON, PA 15642 · CCN 395382

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★☆☆☆☆ 1
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Limited Liability company
Certified beds
120
Avg residents/day
110.0
Phone
7248634374

Inspection history vs Pennsylvania & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityPennsylvania avgNational avgvs state
12025-12-191610.19.5+5.9 worse
22025-01-311510.99.8+4.1 worse
32023-12-213410.59.3+23.5 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care3
Resident assessment and care planning3
Nursing and physician services2
Resident rights3
Nutrition and dietary2
Pharmacy service1
Environmental1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.1769.3%
RN staffing (reported)0.5077.8%
Total nurse staffing (adjusted)3.50

Fines & penalties

Total fines
$184,982
Number of fines
7
Number of penalties
7
Payment denials
0

Chain

Chain
KADIMA HEALTHCARE GROUP
Facilities in chain
15
Chain avg overall
1.80 / 5

Inspection citations (65)3 immediate jeopardy

  1. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-12-19 · Health · corrected 2026-02-03

    Potential for more than minimal harm

  2. DF0584Honor 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.2025-12-19 · Health · corrected 2026-02-03

    Potential for more than minimal harm

  3. EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-12-19 · Health · corrected 2026-02-03

    Potential for more than minimal harm

  4. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-19 · Health · corrected 2026-02-03

    Potential for more than minimal harm

  5. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-19 · Health · corrected 2026-02-03

    Potential for more than minimal harm

  6. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-12-19 · Health · corrected 2026-02-03

    Potential for more than minimal harm

  7. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-12-19 · Health · corrected 2026-02-03

    Potential for more than minimal harm

  8. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-12-19 · Health · corrected 2026-02-03

    Potential for more than minimal harm

  9. FF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2025-12-19 · Health · corrected 2026-02-03

    Potential for more than minimal harm

  10. FF0908Keep all essential equipment working safely.2025-12-19 · Health · corrected 2026-02-03

    Potential for more than minimal harm

  11. DF0641Ensure each resident receives an accurate assessment.2025-08-05 · Health · corrected 2025-08-27

    Potential for more than minimal harm

  12. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-05 · Health · corrected 2025-08-27

    Potential for more than minimal harm

  13. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-08-05 · Health · corrected 2025-08-27

    Potential for more than minimal harm

  14. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-15 · Health

    Potential for more than minimal harm

  15. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-15 · Health

    Potential for more than minimal harm

  16. DF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.2025-07-15 · Health

    Potential for more than minimal harm

  17. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-01-31 · Health · corrected 2025-02-25

    Potential for more than minimal harm

  18. DF0637Assess the resident when there is a significant change in condition2025-01-31 · Health · corrected 2025-02-25

    Potential for more than minimal harm

  19. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-31 · Health · corrected 2025-02-25

    Potential for more than minimal harm

  20. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-01-31 · Health · corrected 2025-02-25

    Potential for more than minimal harm

  21. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-01-31 · Health · corrected 2025-02-25

    Potential for more than minimal harm

  22. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-31 · Health · corrected 2025-02-25

    Potential for more than minimal harm

  23. EF0880Provide and implement an infection prevention and control program.2025-01-31 · Health · corrected 2025-02-25

    Potential for more than minimal harm

  24. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-07 · Health · corrected 2025-01-16

    Potential for more than minimal harm

  25. EF0692Provide enough food/fluids to maintain a resident's health.2024-08-02 · Health · corrected 2024-08-22

    Potential for more than minimal harm

  26. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-08-02 · Health · corrected 2024-08-22

    Potential for more than minimal harm

  27. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-08-02 · Health · corrected 2024-08-22

    Potential for more than minimal harm

  28. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-08-02 · Health · corrected 2024-08-22

    Potential for more than minimal harm

  29. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-06-18 · Health · corrected 2024-06-27

    Potential for more than minimal harm

  30. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-03-05 · Health · corrected 2024-04-02

    Potential for more than minimal harm

  31. EF0880Provide and implement an infection prevention and control program.2024-03-05 · Health · corrected 2024-04-02

    Potential for more than minimal harm

  32. FF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-12-27 · Health · corrected 2024-01-30

    Potential for more than minimal harm

  33. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-12-21 · Health · corrected 2024-01-30

    Potential for more than minimal harm

  34. EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-12-21 · Health · corrected 2024-01-30

    Potential for more than minimal harm

  35. EF0584Honor 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.2023-12-21 · Health · corrected 2024-01-30

    Potential for more than minimal harm

  36. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-21 · Health · corrected 2024-01-30

    Potential for more than minimal harm

  37. EF0610Respond appropriately to all alleged violations.2023-12-21 · Health · corrected 2024-01-30

    Potential for more than minimal harm

  38. EF0641Ensure each resident receives an accurate assessment.2023-12-21 · Health · corrected 2024-01-30

    Potential for more than minimal harm

  39. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-21 · Health · corrected 2024-01-30

    Potential for more than minimal harm

  40. DF0675Honor each resident's preferences, choices, values and beliefs.2023-12-21 · Health · corrected 2024-01-30

    Potential for more than minimal harm

  41. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-21 · Health · corrected 2024-01-30

    Potential for more than minimal harm

  42. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-12-21 · Health · corrected 2024-01-30

    Potential for more than minimal harm

  43. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-12-21 · Health · corrected 2024-01-30

    Potential for more than minimal harm

  44. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-12-21 · Health · corrected 2024-01-30

    Potential for more than minimal harm

  45. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2023-12-21 · Health · corrected 2024-01-30

    Potential for more than minimal harm

  46. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-21 · Health · corrected 2024-01-30

    Potential for more than minimal harm

  47. EF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.2023-12-21 · Health · corrected 2024-01-30

    Potential for more than minimal harm

  48. EF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2023-12-21 · Health · corrected 2024-01-30

    Potential for more than minimal harm

  49. CF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2023-12-21 · Health · corrected 2024-01-30

    Potential for minimal harm

  50. DF0680Ensure the activities program is directed by a qualified professional.2023-11-29 · Health · corrected 2023-12-28

    Potential for more than minimal harm

  51. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-29 · Health · corrected 2023-12-28

    Potential for more than minimal harm

  52. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-23 · Health · corrected 2023-09-05

    Potential for more than minimal harm

  53. DF0908Keep all essential equipment working safely.2023-08-23 · Health · corrected 2023-09-05

    Potential for more than minimal harm

  54. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-07-25 · Health · corrected 2023-08-22

    Immediate jeopardy

  55. JF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-07-25 · Health · corrected 2023-08-22

    Immediate jeopardy

  56. EF0680Ensure the activities program is directed by a qualified professional.2023-07-25 · Health · corrected 2023-08-22

    Potential for more than minimal harm

  57. JF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2023-07-25 · Health · corrected 2023-08-22

    Immediate jeopardy

  58. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-07-25 · Health · corrected 2023-08-22

    Potential for more than minimal harm

  59. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-07-25 · Health · corrected 2023-08-22

    Potential for more than minimal harm

  60. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-07-11 · Health · corrected 2023-07-27

    Potential for more than minimal harm

  61. FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-07-11 · Health · corrected 2023-07-27

    Potential for more than minimal harm

  62. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-15 · Health · corrected 2023-07-06

    Potential for more than minimal harm

  63. DF0760Ensure that residents are free from significant medication errors.2023-05-01 · Health · corrected 2023-05-31

    Potential for more than minimal harm

  64. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-01 · Health · corrected 2023-05-31

    Potential for more than minimal harm

  65. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-05-01 · Health · corrected 2023-05-31

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
MORRIS, DANIELIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST50%2024-11-01
STRAUSS, JONATHANIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST50%2024-11-01
PINNACLE HEALTHCARE SOLUTIONS INCOrganizationOPERATIONAL/MANAGERIAL CONTROL2024-11-01
LOWDEN, THOMASIndividualOPERATIONAL/MANAGERIAL CONTROL2024-11-01
NAYLOR, DALTONIndividualOPERATIONAL/MANAGERIAL CONTROL2024-11-01
NAYLOR, DIEDREIndividualOPERATIONAL/MANAGERIAL CONTROL2024-11-01
SCHMELTZ, JENNIFERIndividualOPERATIONAL/MANAGERIAL CONTROL2024-11-01
MORRIS, DANIELIndividualOPERATIONAL/MANAGERIAL CONTROL2024-11-01
STRAUSS, JONATHANIndividualOPERATIONAL/MANAGERIAL CONTROL2024-11-01
KADIMA HEALTHCARE GROUP INCOrganizationOPERATIONAL/MANAGERIAL CONTROL2024-11-01

Other facilities in NORTH HUNTINGDON

NameOverallBeds
TRANSITIONS HEALTHCARE NORTH HUNTINGDON★★★☆☆120

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.