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.
| Cycle | Inspection date | This facility | Pennsylvania avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-19 | 16 | 10.1 | 9.5 | +5.9 worse |
| 2 | 2025-01-31 | 15 | 10.9 | 9.8 | +4.1 worse |
| 3 | 2023-12-21 | 34 | 10.5 | 9.3 | +23.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 2 |
| Resident rights | 3 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
| Environmental | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.17 | 69.3% |
| RN staffing (reported) | 0.50 | 77.8% |
| 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- FF0908Keep all essential equipment working safely.2025-12-19 · Health · corrected 2026-02-03
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-08-05 · Health · corrected 2025-08-27
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0637Assess the resident when there is a significant change in condition2025-01-31 · Health · corrected 2025-02-25
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2025-01-31 · Health · corrected 2025-02-25
Potential for more than minimal harm
- 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
- EF0692Provide enough food/fluids to maintain a resident's health.2024-08-02 · Health · corrected 2024-08-22
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2024-03-05 · Health · corrected 2024-04-02
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- EF0610Respond appropriately to all alleged violations.2023-12-21 · Health · corrected 2024-01-30
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2023-12-21 · Health · corrected 2024-01-30
Potential for more than minimal harm
- 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
- DF0675Honor each resident's preferences, choices, values and beliefs.2023-12-21 · Health · corrected 2024-01-30
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0680Ensure the activities program is directed by a qualified professional.2023-11-29 · Health · corrected 2023-12-28
Potential for more than minimal harm
- 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
- 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
- DF0908Keep all essential equipment working safely.2023-08-23 · Health · corrected 2023-09-05
Potential for more than minimal harm
- 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
- 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
- EF0680Ensure the activities program is directed by a qualified professional.2023-07-25 · Health · corrected 2023-08-22
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0760Ensure that residents are free from significant medication errors.2023-05-01 · Health · corrected 2023-05-31
Potential for more than minimal harm
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MORRIS, DANIEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2024-11-01 |
| STRAUSS, JONATHAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2024-11-01 |
| PINNACLE HEALTHCARE SOLUTIONS INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-01 |
| LOWDEN, THOMAS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-01 |
| NAYLOR, DALTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-01 |
| NAYLOR, DIEDRE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-01 |
| SCHMELTZ, JENNIFER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-01 |
| MORRIS, DANIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-01 |
| STRAUSS, JONATHAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-01 |
| KADIMA HEALTHCARE GROUP INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-01 |
Other facilities in NORTH HUNTINGDON
| Name | Overall | Beds |
|---|---|---|
| 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.