Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Kadima Rehabilitation & Nursing At North Strabane during CMS and state inspections, most recent first.
A resident with depression, acute respiratory failure, and an endocrine referral for osteoporosis management had a stapled packet containing PHI, including demographics, diagnoses, physician information, pick-up time, F/U endocrinology details, and current physician orders, left face up on the nurse's station counter. This information was visible to residents, families, visitors, and non-medical staff while no staff were present. The RNAC and DON acknowledged that this confidential information should not have been accessible in this manner.
Surveyors observed a treatment cart containing drugs and biologicals left unlocked and unattended in a hallway outside a resident room, in violation of facility policy requiring medication compartments to be locked when not in use and carts not to be left unattended. An RNAC acknowledged that the cart should not have been left in this condition, and the DON confirmed the failure to properly secure the treatment cart, constituting noncompliance with state requirements for medication storage and nursing services.
Surveyors found that the facility had not formally designated a qualified onsite individual to be responsible for the infection prevention and control program. During an interview, the DON stated that an Infection Control Nurse had recently been hired but was not yet in the role, and that the DON was currently acting as the Infection Control Nurse based on her training. The DON confirmed that there was no designated qualified infection preventionist in place, resulting in noncompliance with applicable management, personnel, and nursing services regulations.
The facility did not offer COVID-19 vaccinations to five residents, despite CDC guidelines and its own policy requiring such actions. The residents' last vaccinations were in 2021, and there was no evidence of subsequent offers or education on updated immunizations. The DON confirmed the lack of documentation or evidence of compliance with vaccination protocols.
The facility failed to maintain complete and accurate medical records for several residents, as documentation of showers was missing or incomplete. The DON confirmed that some records were not transferred to the electronic system, leading to discrepancies in the care documentation.
The facility failed to ensure call bells were within reach for three residents, as required by policy. During a survey, it was found that the call bells for these residents, who have various medical conditions including hypertension, schizophrenia, and hemiplegia, were on the floor and inaccessible. This was confirmed by nursing staff and the DON, violating resident care policies and rights.
The facility failed to offer pneumococcal immunizations to two residents, despite policy and CDC recommendations. Both residents, with significant medical conditions, had no documentation in their records indicating they were offered or declined the vaccine, nor was there evidence of education on the vaccine's risks and benefits. The Nursing Home Administrator confirmed this oversight.
The facility failed to provide adequate nail care for four residents, resulting in long and unclean fingernails and toenails. Observations and interviews revealed that residents had not received necessary nail trimming, despite facility policies requiring such care. The DON confirmed that podiatry services had not been provided since June, affecting the residents' hygiene.
The facility failed to pay bills in a timely manner, resulting in the Ambulance Vendor ceasing services due to an outstanding balance of $29,361.90. The Nursing Home Administrator confirmed the facility's failure to pay bills on time and arranged alternative transportation.
Failure to Protect Resident PHI at Nurse's Station
Penalty
Summary
The facility failed to maintain the confidentiality of a resident's medical information when a packet containing personal health information (PHI) was left exposed at the nurse's station. Facility policy on confidentiality requires employees to comply with HIPAA and applicable federal and state laws and to reasonably protect confidential information. The resident involved had diagnoses including depression and acute respiratory failure, with current diagnoses confirmed on a recent MDS assessment. A physician order documented an endocrine referral for osteoporosis management. During an observation at the nurse's station, a stapled packet of papers was found lying face up on the counter, visible to residents, family members, visitors, and non-medical staff, with no staff present at the station. The packet contained the resident's demographic information, including home address, date of birth, physician name, diagnoses, scheduled pick-up time from the facility, follow-up endocrinology information, current physician orders, and a blank consultation report. In interviews, the RN Assessment Coordinator confirmed that the resident's confidential PHI should not have been accessible at the nurse's station, and the DON confirmed that the facility failed to maintain the confidentiality of the resident's medical information.
Unlocked and Unattended Treatment Cart with Medications
Penalty
Summary
The facility failed to properly secure a treatment cart containing drugs and biologicals, contrary to its own policy and regulatory requirements. The facility’s medication storage policy stated that compartments containing medications must be locked when not in use and that trays or carts used to transport such items are not to be left unattended. During an observation on 4/2/26 at 9:00 a.m., a treatment cart was found outside resident room [ROOM NUMBER]A in an unlocked and unattended state. At 9:04 a.m., the RN Assessment Coordinator (Employee E1) confirmed that the treatment cart should not have been left unlocked and unattended, and at 9:30 a.m., the Director of Nursing confirmed that the facility failed to properly secure the treatment cart, resulting in noncompliance with Pennsylvania Code requirements for nurses’ stations, pharmacy services, and nursing services. No additional information was provided in the report regarding specific residents’ medical histories or conditions at the time of the deficiency.
Failure to Designate a Qualified Infection Preventionist
Penalty
Summary
Surveyors determined that the facility failed to designate a qualified individual onsite who was responsible for implementing infection prevention and control programs and activities. During an interview, the DON reported that the facility had just hired an Infection Control Nurse, but that this person was not yet functioning in the role, and the DON was currently acting as the Infection Control Nurse. The DON stated she had the necessary training but confirmed that the facility had not formally designated a qualified individual or individuals onsite to be responsible for the infection prevention and control program, resulting in noncompliance with state regulatory requirements related to licensee responsibility, management, personnel records, and nursing services. No specific residents or clinical events were described in the report, and no additional details were provided regarding patient conditions or direct care issues associated with this deficiency.
Failure to Offer COVID-19 Vaccinations to Residents
Penalty
Summary
The facility failed to offer COVID-19 vaccinations to five residents, as required by the Centers for Disease Control and Prevention (CDC) guidelines. The facility's policy, dated January 12, 2023, mandates compliance with CDC guidance and the offering of immunizations as indicated. However, a review of the clinical records for residents revealed that their last COVID-19 vaccinations were administered in 2021, with no subsequent offers or educational information provided regarding updated COVID-19 immunizations. During an interview, the Director of Nursing confirmed the absence of documentation or evidence that the residents were educated about or offered COVID-19 vaccinations to remain up-to-date. This deficiency was identified for residents who had been admitted to the facility after their last recorded COVID-19 immunization dates in 2021. The facility's failure to provide necessary vaccine information and offers of immunization was noted as a violation of specific Pennsylvania Code regulations related to medical records, resident care policies, and nursing services.
Incomplete Documentation of Resident Care
Penalty
Summary
The facility failed to ensure that medical records for four residents were complete and accurately documented. The review of facility policies and clinical records, along with staff interviews, revealed that the documentation of showers provided to residents was incomplete or missing. Specifically, for Resident R14, the Bath/Shower Task Report for September and October 2024 lacked documentation of showers for several days, and although there were records of shower refusal and a bed bath, these were not documented in the clinical record. Similarly, Resident R22's records did not include documentation of showers for specific days, and while there were notes of a shower refusal and a provided shower, these were not reflected in the clinical record. Resident R48's documentation was also incomplete, with missing records of showers between mid-September and early October 2024. The Director of Nursing confirmed that some showers were documented on paper but not transferred to the electronic medical record. For Resident R57, the Bath/Shower Task indicated scheduled showers, but the clinical record did not document these showers on the specified dates. The Director of Nursing acknowledged these findings, confirming the facility's failure to maintain complete and accurate medical records for the residents involved.
Inaccessible Call Bells for Residents
Penalty
Summary
The facility failed to ensure that call bells were within reach for three residents, as required by their policy. The policy, dated February 22, 2024, mandates that a call bell or alternative device be placed within reach of each resident while in their room, toilet, or bathing area. During a survey conducted on October 8, 2024, it was observed that the call bells for three residents were not accessible. Resident R30, who has diagnoses of hypertension, hyperlipidemia, and schizophrenia, was found with his call light button on the floor, and he was unaware of its location when asked. This was confirmed by RN Employee E1. Similarly, Resident R35, who has hemiplegia of the left dominant side following a stroke and depression, was found with her call light button on the floor, making it inaccessible. This was confirmed by GPN Employee E2. Resident R36, diagnosed with hemiparesis following a stroke and hypertension, also had his call light button on the floor, confirmed by the same GPN. The Director of Nursing later confirmed that the facility failed to ensure the accessibility of call bells for these residents, violating specific Pennsylvania Code regulations related to resident care policies, nursing services, and resident rights.
Failure to Offer Pneumococcal Immunization to Residents
Penalty
Summary
The facility failed to ensure that pneumococcal immunizations were offered to two residents, identified as R18 and R40, as per the facility's policy and CDC recommendations. The facility's policy, dated January 12, 2023, mandates offering Pneumovax and Influenza vaccines as indicated. However, a review of the clinical records for Resident R18 and Resident R40 showed no evidence that the pneumococcal vaccine was offered or that the residents declined it. Additionally, there was no documentation of education provided to the residents or their representatives regarding the risks and benefits of the pneumonia vaccination. Resident R18, who was admitted to the facility with diagnoses including Multiple Sclerosis, paraplegia, and seizure disorder, was noted in the Minimum Data Set (MDS) dated June 27, 2023, as not up to date with the pneumococcal vaccine. Similarly, Resident R40, admitted with diagnoses of Atrial Fibrillation, paraplegia, and schizophrenia, was also not up to date according to the MDS dated August 25, 2022. The Nursing Home Administrator confirmed the facility's failure to offer the pneumococcal immunization to these residents during an interview.
Failure to Provide Adequate Nail Care
Penalty
Summary
The facility failed to provide adequate hygienic care for four residents, specifically in the area of nail care. Observations revealed that these residents had long, unclean fingernails and toenails, which were not addressed according to the facility's policies. Resident R15 was observed with very long and unclean fingernails and toenails, and there was no documentation on her shower sheet regarding the need for nail trimming. Resident R25 had long fingernails with black substances underneath and callused, soiled toenails, despite documentation indicating the need for trimming. Resident R38 also had very long and unclean fingernails, with no shower sheets available for review. Resident R54, who has a communication disorder, was observed with long and unclean nails and indicated through gestures that his nails had not been trimmed. Interviews with residents and staff confirmed the lack of nail care. Resident R38 stated that she had not had her nails cut since arriving at the facility, and Resident R54 used gestures to communicate the same issue. The Director of Nursing confirmed that the facility had not ensured that residents' nails were trimmed and acknowledged that podiatry services had not been provided since June 2024. This lack of service affected the four residents identified in the report, leading to the deficiency in providing necessary nursing services as required by the facility's policies and regulations.
Failure to Pay Bills in a Timely Manner
Penalty
Summary
The facility failed to pay bills in a timely manner, as evidenced by a review of vendor invoices, facility financial documents, and interviews with vendors and staff. According to 28 PA Code Commonwealth of Pennsylvania Long Term Care Licensure Regulations, subsection S201.14(g), a facility owner must pay bills incurred in the operation of a facility in a timely manner if they are not in dispute and are for services essential to residents' health and safety. A vendor communication dated 12/27/23 indicated that the Ambulance Vendor was no longer providing services to the facility and was owed $29,361.90. During an interview, the Nursing Home Administrator confirmed that the facility no longer used the Ambulance Vendor's services and had arranged alternative transportation. A contractor report revealed a balance of $27,649.37, and the Nursing Home Administrator confirmed the facility's failure to pay bills on time.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,003 citations issued within 25 miles in the last 12 months — including the 17 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Canonsburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wecare At South Hills Rehabilitation And Nrsg Ctr | 0.5 mi | — | 42 | 3 |
| Mcmurray Hills Rehabilitation And Healthcare Cente | 1.3 mi | ★★★★★ | 3 | 0 |
| Peters Township Post Acute | 1.3 mi | ★★★★★ | 11 | 0 |
| Townview Health And Rehabilitation Center | 2.5 mi | ★★★★★ | 4 | 0 |
| Greenery Center For Rehab And Nursing | 2.9 mi | ★★★★★ | 45 | 1 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Kadima Rehabilitation & Nursing At North Strabane.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.