Health inspection·June 13, 2025

F 0919 Make sure that a working call system is available in each resident's bathroom and bathing area. Level of Harm - Minimal harm or potential for actual harm Based on review of facility policy, observations, and resident and staff interviews, it was determined that the facility failed to ensure that the call bell system was adequately working for one of four nursing units (West Hall Nursing Unit). Residents Affected - Some Findings include: Review of the facility policy entitled, Call Light Response with a revision date of 11/1/24 , revealed that a call bell or alternative device will be placed within the reach of each resident while in their room, toilet or bathing area. The resident will be instructed in the use of the call bell or alternative device. Staff will respond to the call bell in a timely manner. Staff will be alert to signals that the call bell is on by the following: Flashing light on intercom Beeping of intercom Lighted call signal over the resident's door Sounding of tap bell Observation of the [NAME] Hall Nursing Unit, revealed the call bell system in the corridors did not illuminate when resident call bells in their rooms had been activated. Upon review of maintenance records, it was confirmed that the call bell system on the [NAME] Hall Nursing Unit had not been functioning since 4/22/25, and a temporary call bell system was installed on 4/29/25. A price quote for a new call bell system was obtained but was not completed. Upon observation of the temporary call bell system on the [NAME] Hall Nursing Unit, it was confirmed that residents can call, but no visible overhead light system illuminates. Requests by residents go to a screen located in center hall at the time of call. It was observed that if another resident uses their call bell before staff becomes aware, the previous resident's call is not visible and there is no way to review previous calls and those calls get missed. During interviews with residents at the time and date of the investigation revealed the following: Resident R1 stated that there are long wait times always, on all shifts; you will wait hours to get assistance sometimes; the system does not have a light system over the door and employees don't know you call; wait times have been worse since the original system stopped working. (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 395197 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 395197 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/13/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Kadima Rehabilitation & Nursing at New Wilmington 520 New Castle Street New Wilmington, PA 16142 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)