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Kadima Rehabilitation & Nursing at Latrobe

576 Fred Rogers Drive, Latrobe, PA 15650 · Westmoreland County · (724) 537-4441

107 certified beds, about 100 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1993

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395892 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 19, 2026, inspectors cited 10 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

Of 70 health citations since October 2023, 4 were rated as actual harm or immediate jeopardy to residents.

CMS lists 2 fines totaling $17,073 in the last three years; the largest was $8,674, and the latest is dated December 4, 2024.

Nurses and nurse aides worked 3.20 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.

71.4% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

CMS links it to Kadima Healthcare Group, an affiliated group of 14 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 70 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
4G
0H
0I
Potential for more than minimal harm
46D
18E
2F
Potential for minimal harm
0A
0B
0C
May 28, 2026Complaint inspection · 2 citations
  1. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 23, 2026
    Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to provide a clean and homelike environment for two of 13 residents reviewed (Residents 2, 4 ), in the East dining room, and in three out of three shower rooms reviewed (East, [NAME] 1 and [NAME] 2).
  2. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 23, 2026
    Inspectors wroteBased on clinical record reviews, resident and staff interviews, it was determined that the facility failed to provide discharge planning for one of 13 residents reviewed (Resident 2) who planned to be discharged to go home.
May 8, 2026Complaint inspection · 3 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 28, 2026
    Inspectors wroteBased on review of policies, clinical records and investigation documents, as well as staff interviews, it was determined that the facility failed to ensure that residents were free from neglect by providing a food item the resident was allergic to for one of three residents reviewed (Resident 1), which resulted in an anaphylactic reaction requiring hospitalization.
  2. G
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that residents were not provided with foods that they were allergic to for one of three residents reviewed (Resident 1), resulting in an allergic reaction for the resident. This deficiency was cited as past non-compliance.
  3. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 28, 2026
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that care plans were updated to reflect residents' food allergies for one of three residents reviewed (Resident 1).
March 19, 2026Standard inspection · 10 citations
  1. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 29, 2026
    Inspectors wroteBased on review of facility policies, clinical records, and shower schedules, as well as staff interviews, it was determined that the facility failed to ensure that residents were provided with showers as scheduled for one of 45 residents reviewed (Resident 72).
  2. E
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 29, 2026
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that central venous catheters were flushed per facility policy for three of 45 residents reviewed (Resident 64, 91, 107).
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 29, 2026
    Inspectors wroteBased on review of policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to maintain resident dignity for one of 45 residents reviewed (Residents 27).
  4. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 29, 2026
    Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to provide a clean and homelike environment by not maintaining ceiling heating ventilation and air conditioning units (HVAC), and not providing a clean wheelchair for one of 45 residents reviewed (Residents 5).
  5. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 29, 2026
    Inspectors wroteBased on review of policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that care plans were updated to reflect changes in residents' care needs for two of 45 residents reviewed (Resident's 65 and 72).
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 29, 2026
    Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that bowel protocols were followed as ordered by the physician for one of 45 residents reviewed (Resident 3).
  7. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 29, 2026
    Inspectors wroteBased on review of policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that the residents' environment remained as free of accident hazards as possible by transporting a resident without leg rests for one of 45 residents reviewed (Resident 42).
  8. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 29, 2026
    Inspectors wroteBased on review of facility policies, manufacturer's prescribing information, facility's medications not to be crushed list, and residents' clinical records, as well as observations and staff interviews, it was determined that the facility failed to maintain a medication error rate of less than five percent.
  9. D
    Ensure 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 29, 2026
    Inspectors wroteBased on a review of the facility policies, the facility's list of medications that are not to be crushed, as well as observations and staff interviews, it was determined that the facility failed to label medications with the appropriate instructions for administration for one of 45 residents reviewed (Resident 32).
  10. D
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 29, 2026
    Inspectors wroteBased on review of the facility's plans of correction for previous surveys, and the results of the current survey, it was determined that the facility's Quality Assurance Performance Improvement (QAPI) committee failed to correct quality deficiencies and ensure that plans to improve the delivery of care and services effectively addressed recurring deficiencies.
January 14, 2026Complaint inspection · 1 citation
  1. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to maintain accountability for controlled medications (drugs with the potential to be abused) for three of five residents reviewed (Residents 2,3,5).
December 10, 2025Standard inspection, Complaint inspection · 12 citations
  1. E
    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
    F691 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 11, 2025
    Inspectors wroteBased on review clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that residents were provided with proper colostomy care for two of 33 residents reviewed (Residents 4 and 84).
  2. E
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 11, 2025
    Inspectors wroteBased on review of facility policy and clinical records, as well as observations staff interviews, it was determined that the facility failed to provide adequate treatment and care for a peripherally inserted central catheter (PICC - a thin tube that's inserted through a vein in your arm and passed through to the larger veins near your heart) for one of 33 residents reviewed (Resident 58).
  3. E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 11, 2025
    Inspectors wroteBased on review of facilty policy and clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that communication was shared regarding a resident's health status or changes in condition before and after dialysis for one of 33 residents reviewed that received dialysis (Resident 1).
  4. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 11, 2025
    Inspectors wroteBased on a review of policies, as well as observations and staff interviews, it was determined that the facility failed to ensure that ice was stored under sanitary conditions for the ice machine located in the dining room.
  5. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 11, 2025
    Inspectors wroteBased on review of facility policies and personnel records, as well as staff interviews, it was determined that the facility failed to ensure that reference checks were obtained prior to hire for five of five new employees reviewed (Nurse Aides 1 and 2, Licensed Practical Nurse 3, Registered Nurse 4, Maintenance Director).
  6. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 11, 2025
    Inspectors wroteBased on clinical record reviews and staff interviews, it was determined the facility failed to ensure that a discharge summary was completed by the physician for one out of 33 residents reviewed (Resident 100).
  7. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 11, 2025
    Inspectors wroteBased on review of facility policy and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that physician's orders regarding medication administration were followed for one of 33 residents reviewed (Resident 78).
  8. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 11, 2025
    Inspectors wroteBased on review of facility policy and clinical records, as well as staff interviews, it was determined that the facility failed to provide medication as ordered by the physician, resulting in a significant medication error for one of 33 residents reviewed (Resident 78)
  9. D
    Ensure 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 11, 2025
    Inspectors wroteBased on review of facility policies and manufacturer's instructions, as well as observations and staff interviews, it was determined that the facility failed to label multi-dose containers of medications with the date they were opened in one of three medication rooms observed (East 1 medication room).
  10. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 11, 2025
    Inspectors wroteBased on review of facility policy and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that the designated interdisciplinary team member obtained the required information from the contracted hospice provider for one of 33 residents reviewed (Resident 42) who were receiving hospice services.
  11. D
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 11, 2025
    Inspectors wroteBased on review of the facility's plans of correction for previous surveys, and the results of the current survey, it was determined that the facility's Quality Assurance Performance Improvement (QAPI) committee failed to maintain compliance with nursing home regulations and ensure that plans to improve the delivery of care and services effectively addressed recurring deficiencies.
  12. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 11, 2025
    Inspectors wroteBased on review of policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to maintain professional practices that support infection prevention and control for three of 33 residents reviewed (Resident 58, 63, and 103).
July 30, 2025Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 27, 2025
    Inspectors wroteBased on clinical record reviews, as well as staff interviews, it was determined that the facility failed to follow physician's orders for one of three residents reviewed (Resident 2). An admission Minimum Data Set (MDS) assessment (a mandatory assessment of a resident's abilities and care needs) for Resident 2, dated July 3, 2025, revealed that the resident was cognitively intact, needed assistance from staff for daily care needs, and had medical diagnoses that included infection of joint prothesis and diabetes mellitus. [...]
May 20, 2025Standard inspection, Complaint inspection · 12 citations
  1. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that care plans were updated to reflect changes in residents' care needs for five of 36 residents reviewed (Residents 3, 17, 33, 58, 61).
  2. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that residents received care and treatment in accordance with professional standards of practice, by failing to ensure that physician's orders were followed for two of 36 residents reviewed (Residents 17, 78).
  3. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on a review of manufacturer's instructions, observations, and staff interviews, it was determined that the facility failed to ensure that ice was stored under sanitary conditions for the ice machine next to the kitchen.
  4. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on clinical record reviews and resident and staff interviews, it was determined that the facility failed to honor the resident's right to make informed choices and participate in his/her treatment for one of 36 residents reviewed (Resident 52).
  5. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on review of policies and employee files, as well as staff interviews, it was determined that the facility failed to ensure that license checks were obtained prior to hire for one of one registered nurse reviewed (RN 1).
  6. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on a review of the Resident Assessment Instrument User's Manual and clinical records, as well as staff interviews, it was determined that the facility failed to complete accurate Minimum Data Set assessments for five of 36 residents reviewed (Residents 17, 20, 21, 25, 61).
  7. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to complete safety assessments for one of 36 residents reviewed who used siderails (Resident 3) and two of 36 residents reviewed (Residents 9, 25) who used an air mattress.
  8. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on clinical record reviews and observations, as well as staff interviews, it was determined that the facility failed to ensure urinary output was monitored for two of 36 residents reviewed (Residents 33, 78) who had an indwelling urinary catheter.
  9. D
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to ensure that the posting of their nurse staffing was current.
  10. D
    Ensure 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on review of policies, as well as observations and staff interviews, it was determined that the facility failed to ensure that a controlled drug was properly stored in one of two medication rooms reviewed (East Side Medication Room).
  11. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to maintain clinical records that were accurately documented for two of three residents reviewed (Residents 2, 3).
  12. D
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on review of the facility's plans of correction for previous surveys, and the results of the current survey, it was determined that the facility's Quality Assurance Performance Improvement (QAPI) committee failed to correct quality deficiencies and ensure that plans to improve the delivery of care and services effectively addressed recurring deficiencies.
February 24, 2025Complaint inspection · 1 citation
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 25, 2025
    Inspectors wroteBased on review of facility policy, observations, and staff interviews, it was determined that the facility failed to provide a safe and sanitary environment in three of three soiled utility rooms.
January 6, 2025Complaint inspection · 3 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on review of facility policies, job descriptions, staff education records, clinical records, and investigation reports, as well as staff interviews, it was determined that the facility failed to ensure that residents were free from neglect while being transported to dialysis for one of 12 residents reviewed (Resident 1), resulting in harm to Resident 1 due to a fall that resulted in a fracture.
  2. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on review of facility policies, clinical records, and facility investigation documents, as well as staff interviews, it was determined that the facility failed to ensure that the residents' environment remained as free from accident hazards as possible for one of 12 residents reviewed (Resident 1) who used a wheelchair, resulting in a fracture.
  3. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on observations, staff and family interviews, and review of cleaning schedules, it was determined that the facility failed to provide a clean and homelike environment in residents' rooms for five of 12 residents reviewed (Residents 6, 8, 9, 10, 11)
October 22, 2024Complaint inspection · 5 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 14, 2024
    Inspectors wroteBased on review of facility policy, observations, and staff interviews, it was determined that the facility failed to provide a safe and sanitary environment in three of three soiled utility rooms.
  2. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 14, 2024
    Inspectors wroteBased on review of facility policies, observations, and staff interviews, it was determined that the facility failed to ensure that each resident's personal privacy was maintained.
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 14, 2024
    Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that physician's orders for medications and treatments were followed for three of seven residents reviewed (Residents 1, 2, 3).
  4. D
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 14, 2024
    Inspectors wroteBased on review of facility policy, observations, and staff interviews, it was determined that the facility failed to properly contain and dispose of garbage in one of two outside dumpsters.
  5. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 14, 2024
    Inspectors wroteBased on observations and interviews with staff, it was determined that the facility failed to provide a safe, comfortable, and functional environment related to laundry services.
August 8, 2024Complaint inspection · 4 citations
  1. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that the hypoglycemic protocol was followed for one of nine residents reviewed (Resident 1), failed to ensure that physician's orders for medications were followed for one of nine residents reviewed (Resident 4), failed to schedule appointments as ordered for two of nine residents reviewed (Residents 5, 9), and failed to ensure that residents were taken to scheduled appointments for one of nine residents reviewed (Resident 9).
  2. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to notify the resident and legal guardian in writing regarding hospitalizations for three of nine residents reviewed (Residents 1, 5, 9).
  3. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that medications were administered as ordered by the physician for one of nine residents reviewed (Resident 1), resulting in significant medication errors for the resident.
  4. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteBased on review of clinical records, as well as resident and staff interviews, it was determined that the facility failed to maintain clinical records that were complete and accurately documented for two of nine residents reviewed (Residents 5, 6).
May 9, 2024Complaint inspection · 3 citations
  1. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 7, 2024
    Inspectors wroteBased on interviews with family and staff, it was determined that the facility failed to provide a safe, comfortable and functional environment related to laundry services.
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 7, 2024
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to complete thorough investigations to rule out abuse or neglect following two falls for one of 12 residents reviewed (Resident 3).
  3. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 7, 2024
    Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to follow physician's orders for two of 12 residents reviewed (Residents 11, 12) who had an indwelling urinary catheter.
March 19, 2024Complaint inspection · 7 citations
  1. F
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    F802 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on resident and staff interviews and dietary schedules, it was determined that the facility failed to have sufficient dietary staff to perform essential kitchen duties.
  2. F
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on review of facility policies and observations, as well as resident and staff interviews, it was determined that the facility failed to serve food items at palatable temperatures.
  3. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on clinical record reviews, as well as observations and staff interviews, it was determined that the facility failed to provide a safe, clean and homelike environment in residents' shared shower rooms (East and West).
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on review of facility policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to develop and implement an ongoing infection prevention and control program in two shower rooms (East and [NAME] Hall) that are shared by residents.
  5. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on review of policies, clinical records, and investigation reports, as well as staff interviews, it was determined that the facility failed to ensure that one of 14 residents reviewed (Resident 4) was free from physical and verbal abuse.
  6. D
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to ensure essential equipment was in safe operating condition in resident bathrooms.
  7. D
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on observations, a review of clinical records, as well as staff and resident interviews, it was determined that the facility failed to maintain an effective pest control program.
November 8, 2023Complaint inspection · 2 citations
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 8, 2023
    Inspectors wroteBased on clinical record reviews and interviews with residents and staff, it was determined that the facility failed to ensure that residents were provided with showers as scheduled for one of four residents reviewed (Resident 1).
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 8, 2023
    Inspectors wroteBased on review facility policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to use proper infection control practices for handling linen while providing care for two of six residents reviewed (Residents 5, 6).
October 11, 2023Complaint inspection · 4 citations
  1. E
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on clinical record reviews and resident and staff interviews, it was determined that the facility failed to provide adequate, ongoing activities designed to meet the needs of residents for three of nine residents reviewed (Residents 7, 8, 9).
  2. E
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on review of policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to monitor and record a resident's fluid intake for one of nine residents reviewed (Resident 4).
  3. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on a review of clinical records, as well as staff interviews, it was determined that the facility failed to accommodate a resident's preference for a shower for one of nine residents reviewed (Resident 1).
  4. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on review of policies and agency employee files, as well as staff interviews, it was determined that the facility failed to ensure that licensure checks were obtained prior to hire for one of three agency employee files reviewed (Licensed Practical Nurse 1).

Fire safety inspections

13 fire safety citations on file: 1 on March 19, 2026, 9 on May 20, 2025, 3 on December 4, 2024.

Every fire safety citation13 citations
  1. C
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · March 19, 2026 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 20, 2025 · Corrected (the home has a date of correction)
  3. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 20, 2025 · Corrected (the home has a date of correction)
  4. E
    Install corridor and hallway doors that block smoke.
    K 363 · May 20, 2025 · Corrected (the home has a date of correction)
  5. C
    Conduct risk assessment and an All-Hazards approach.
    E 6 · May 20, 2025 · Corrected (the home has a date of correction)
  6. C
    Have properly located and lighted "Exit" signs.
    K 293 · May 20, 2025 · Corrected (the home has a date of correction)
  7. C
    Provide properly protected cooking facilities.
    K 324 · May 20, 2025 · Corrected (the home has a date of correction)
  8. C
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 20, 2025 · Corrected (the home has a date of correction)
  9. C
    Have simulated fire drills held at unexpected times.
    K 712 · May 20, 2025 · Corrected (the home has a date of correction)
  10. C
    Have proper power supply for life support equipment.
    K 915 · May 20, 2025 · Corrected (the home has a date of correction)
  11. E
    Install a two-hour-resistant firewall separation.
    K 133 · December 4, 2024 · Corrected (the home has a date of correction)
  12. E
    Install corridor and hallway doors that block smoke.
    K 363 · December 4, 2024 · Corrected (the home has a date of correction)
  13. C
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 4, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
December 4, 2024Fine $8,399
December 4, 2024Fine $8,674
December 4, 2024Payment Denial 16 days from January 29, 2025

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)3.203.893.86
Registered nurses0.390.790.69
All nursing staff on weekends3.113.533.42
Nurse aides1.81
Licensed practical nurses1.00
Nursing staff turnover (share who left in a year)71.4%44.5%45.8%
Registered nurse turnover66.7%39.9%42.9%
Administrators who left1

CMS expects 3.49 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.24 on weekdays and 3.11 on weekends, 4% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 13.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.82 in April to June 2025 to 3.20 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.200.393.243.11 13.5%0 of 90100
Oct to Dec 20253.380.473.423.26 22.0%0 of 9293
Jul to Sep 20253.520.503.593.34 30.3%0 of 9289
Apr to Jun 20253.820.633.913.59 39.9%0 of 9184
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
13.616.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.50.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.71.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.13.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.41.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
17.817.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.54.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
35.017.715.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.21.8

Owners and operators

Legal business name: LATROBE REHABILITATION & NURSING LLC. CMS links this home to Kadima Healthcare Group, a group of 14 nursing homes averaging 1.9 stars overall.

NameRoleTypeShareSince
Kadima Healthcare Group IncOperational/managerial controlOrganization11/01/2024
Pinnacle Healthcare Solutions IncOperational/managerial controlOrganization11/01/2025
Lowden, ThomasOperational/managerial controlIndividual11/01/2024
Morris, DanielOperational/managerial controlIndividual11/01/2024
Naylor, DiedreOperational/managerial controlIndividual11/01/2024
Palmer, DeborahOperational/managerial controlIndividual11/01/2024
Strauss, JonathanOperational/managerial controlIndividual11/01/2024
Thomas, KimberlyOperational/managerial controlIndividual11/01/2024
Kadima Healthcare Group IncAdp of the SNFOrganization11/01/2024
Latrobe Realty Management LLCAdp of the SNFOrganization11/01/2024
Pinnacle Healthcare Solutions IncAdp of the SNFOrganization11/01/2024
Lowden, ThomasAdp of the SNFIndividual11/01/2024
Morris, DanielAdp of the SNFIndividual11/01/2024
Naylor, DiedreAdp of the SNFIndividual11/01/2024
Palmer, DeborahAdp of the SNFIndividual11/01/2024
Romeo, MichelleAdp of the SNFIndividual11/01/2024
Strauss, JonathanAdp of the SNFIndividual11/01/2024
Thimons, DavidAdp of the SNFIndividual11/01/2024
Thomas, KimberlyAdp of the SNFIndividual11/01/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 19 problems in this area, most recently on March 19, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 11 problems in this area, most recently on May 28, 2026: "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."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 7 problems in this area, most recently on May 8, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on March 19, 2026: "Ensure medication error rates are not 5 percent or greater."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.11 hours per resident per day, below the Pennsylvania average of 3.53.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Kadima Rehabilitation & Nursing at Latrobe's Medicare star rating?
CMS rates Kadima Rehabilitation & Nursing at Latrobe 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Kadima Rehabilitation & Nursing at Latrobe get at its last inspection?
10 health deficiencies at the standard inspection on March 19, 2026. The Pennsylvania average is 10.
Has Kadima Rehabilitation & Nursing at Latrobe been fined?
Yes. CMS lists 2 fines totaling $17,073 in the last three years.
Does Kadima Rehabilitation & Nursing at Latrobe accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Kadima Rehabilitation & Nursing at Latrobe?
CMS lists 19 owners and managers, and links the home to Kadima Healthcare Group. Legal business name: LATROBE REHABILITATION & NURSING LLC.

Sources

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