Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

KADIMA REHABILITATION & NURSING AT CHESWICK

CHESWICK, PA · 121 certified beds · Last Life Safety survey November 7, 2024

CMS Certification Number 395538 · first certified September 1982

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

  • New ownershipOwnership changed November 1, 2024 (change of ownership)from CHESWICK REHABILITATION AND WELLNESS CENTER LLC
11
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within PA

11 citations — more than 51% of the 656 certified nursing homes in PA. Compared within PA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (September 2025 to November 2025), and past the point by which nine in ten PA facilities have been surveyed. This facility’s last Life Safety survey was November 2024. Facilities in PA are typically surveyed 10–12 months after the last one (median 11), measured over 1,113 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

13 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index

  • F-0584 Honor 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.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

How that compares

Citations on file over three years

Compared with the median facility in PA, and nationally. Surveyors differ markedly between states, so the PA figure is the meaningful one.

This facility11PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility11
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
32022-1272023-1212024-11
Citations at each Life Safety survey
Survey dateCitations
December 15, 20223
December 21, 20237
November 7, 20241

Most-cited tags

Most-cited tags at this facility
K-03532K-03632K-03241K-09121K-02251K-03211K-03451K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22023-12-21
K-0363Install corridor and hallway doors that block smoke.22024-11-07
K-0324Provide properly protected cooking facilities.12023-12-21
K-0912Have power receptacles that are properly grounded.12023-12-21
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.12023-12-21
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12023-12-21
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12022-12-15
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-12-21

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies3
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

November 7, 2024 — 1 citation

Citations issued on November 7, 2024
TagWhat the surveyor checksStatus
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 22, 2024)

December 21, 2023 — 7 citations

Citations issued on December 21, 2023
TagWhat the surveyor checksStatus
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (January 19, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (January 19, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (January 19, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 19, 2024)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (January 19, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 19, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (January 19, 2024)

December 15, 2022 — 3 citations

Citations issued on December 15, 2022
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 17, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 17, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 17, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.