Health inspection·January 23, 2026

F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Based on review of clinical records, facility policy, and staff interview, it was determined that the facility failed to have complete and accurate documentation regarding personal hygiene, oral hygiene, toileting, and dressing for three of three residents reviewed (Residents R1, R2, and R3).Findings include: Review of facility policy entitled Flow of Care dated 3/27/25, indicated The provision of targeted care needs shall be documented on Care Tracker/Point of Care/ADL [activities of daily living] Flow Records. Review of Resident R1's clinical record revealed an admission date of 12/12/25, with diagnoses that included fracture of neck of left femur (broken bone of the hip), chronic obstructive pulmonary disease (when your lungs do not have adequate air flow), and hypertension (high blood pressure). Review of resident R1's clinical record under tasks (area in the clinical record where nursing assistant's document) for the month of December 2025, revealed oral hygiene, personal hygiene, toileting hygiene, and upper and lower body dressing lacked evidence of documentation on 12/12/25, 12/13/25, 12/14/25, 12/15/25, 12/16/25, 12/18/25, and 12/19/25, that oral hygiene, personal hygiene, toileting hygiene, and upper and lower body dressing had been completed. Review of Resident R1's physician's orders revealed an order dated 12/14/25, to turn and reposition every two hours dated. Resident R1's clinical record lacked evidence that he/she was turned and repositioned every two hours per physician's orders. Review of Resident R2's clinical record revealed an admission date of 11/15/25, with diagnoses that included heart failure (a condition where the heart cannot supply the body with enough blood), hypertension, and need for assistance with personal care. Review of resident R2's clinical record under tasks for the month of December 2025, revealed oral hygiene, personal hygiene, toileting hygiene, and upper and lower body dressing lacked evidence of documentation on 12/1/25, 12/3/25, 12/4/25, 12/6/25, 12/7/25, 12/8/25, 12/9/25, 12/10/25, 12/11/25, 12/12/25, 12/13/25, 12/14/25, 12/15/25, 12/16/25, 12/22/25, 12/23/25, 12/24/25, 12/25/25, 12/26/25, 12/27/25, 12/28/25, 12/29/25, 12/30/25, and 12/31/25, that oral hygiene, personal hygiene, toileting hygiene, and upper and lower body dressing had been completed. Review of Resident R3's clinical record revealed an admission date of 11/26/25, with diagnoses that included anxiety (a condition that causes a person to be nervous, uneasy, or worried about something or someone), respiratory failure (a condition where your lungs don't exchange air properly), and hypertension. Review of resident R3's clinical record under tasks for the month of December 2025, revealed oral hygiene, personal hygiene, toileting hygiene, and upper and lower body dressing lacked evidence of documentation on 12/1/25, 12/6/25, 12/7/25, 12/8/25, 12/9/25, 12/10/25, 12/11/25, 12/12/25, 12/13/25, 12/15/25, 12/16/25, 12/27/25, 12/31/25, that oral hygiene, personal hygiene, toileting hygiene, and upper and lower body dressing had been completed. During an interview on 1/23/26, at 10:15 a.m. the Nursing Home Administrator and Director of Nursing confirmed that Residents R1, R2 and R3's clinical records did not have complete documentation regarding turning and repositioning, personal hygiene, oral hygiene, toileting, and dressing. They also confirmed that turning and repositioning, Page 1 of 2 395197 395197 01/23/2026 Kadima Rehabilitation & Nursing at New Wilmington 520 New Castle Street New Wilmington, PA 16142

F 0842 personal hygiene, oral hygiene, toileting, and dressing should be documented in the clinical record after it is completed. 28 Pa. Code 211.5(f) Medical Records 28 Pa. Code 211.12(d)(1)(5) Nursing Services Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some 395197 Page 2 of 2