Health inspection·March 28, 2025

F 0567 Honor the resident's right to manage his or her financial affairs. Level of Harm - Minimal harm or potential for actual harm Based on staff and resident interviews, it was determined that the facility failed to have petty cash available in the facility for any resident who may request funds from their accounts. Residents Affected - Few Findings include: Interviews with Resident's 4, 5, 6,and 7 on Mach 28, 2025 from 11:15 to 11:40 a.m. revealed residents never request funds from their accounts and residents had no knowledge of how much money, if any, was available in their accounts. Interview conducted with Nursing Home Administrator (NHA) on March 28, 2025, at 2:00 p.m. when the above information was presented the NHA stated when residents request funds a check is written from the resident's account. The NHA will then take the check to the bank and cash it on behalf of the resident. The NHA confirmed that no petty cash was available in the facility for resident use. 28 Pa. Code 201.14(a) Responsibility of licensee 28 Pa. Code 201.29(a)(d)(e) Resident Rights Page 1 of 2 395827 395827 03/28/2025 Kadima Rehabilitation & Nursing at Pottstown 3031 Chestnut Hill Road Pottstown, PA 19464

F 0624 Prepare residents for a safe transfer or discharge from the nursing home. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, staff and resident interviews it was determined that the facility failed to provide appropriate preparation of the resident prior to transfer and discharge for one of three residents reviewed (Resident R1). Residents Affected - Few Findings include: Review of Resident R1's clinical record revealed resident was admitted on [DATE], with medical diagnosis that include Chronic Obstructive Pulmonary Disease with Acute Exacerbation (lung and airway disease that restricts breathing with sudden or severe worsening), Pain, and Bronchitis (inflammation of airway to lungs). Review of Resident R1's clinical records revealed a nursing progress note dated February 20, 2025, documenting the resident was discharged and left at 1:25 p.m., with family to home in [NAME], PA, scheduled medications and prescriptions were made available. Discharge instruction was provided. Further review of Resident R1's clinical records revealed a discharge note dated February 24, 2025, documenting the resident was sent home with family. Discharge instructions were given to resident. Resident had order for Continuous Positive Airway Pressure (CPAP) machine, (a machine that keeps airways open while you sleep) and an oxygen concentrator (a medical device that supplies extra air) to be delivered to home. Home supplies were not delivered, and resident went to [NAME] hospital according to family. Review of Resident R1's clinical record revealed a discharge planning summary assessment dated [DATE]. Further review of the discharge summary failed to reveal any home supplies were ordered for the resident. Further review of resident's clinical records revealed no documentation a CPAP machine or oxygen concentrator was ordered for the resident. Interview conducted with Nursing Home Administrator (NHA) on March 28, 2025, at 2:00 p.m. when the above information was presented the NHA confirmed the facility had no documentation to confirm the resident's CPAP machine and oxygen concentrator were ordered. 28 Pa Code 211.16(a) Social Services 395827 Page 2 of 2