Kadima Rehabilitation & Nursing at IrwinCMS ratings, inspections and fines
- Address
- 249 Maus Drive, North Huntingdon, PA 15642
- CCN
- 395382
- Ownership type
- For-profit, limited liability company
- Certified beds
- 120
- Residents per day
- 115
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Kadima Rehabilitation & Nursing at Irwin an overall rating of 1 of 5 stars. The last standard survey was on 19 Dec 2025. The latest survey cycle has 14 health citations. The median for nursing homes in Pennsylvania is 8. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Pennsylvania (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Westmoreland County median | Pennsylvania median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 1.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 1.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 19 homes in the county, 656 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Pennsylvania median |
|---|---|---|---|
| Cycle 1 (latest) | 19 Dec 2025 | 14 | 8 |
| Cycle 2 | 31 Jan 2025 | 15 | 8 |
| Cycle 3 | No date | 25 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 14 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 Feb 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 18 Feb 2026 |
| 19 Dec 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 3 Feb 2026 |
| 19 Dec 2025 | F0584 | 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. | D | Standard survey | 3 Feb 2026 |
| 19 Dec 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 3 Feb 2026 |
| 19 Dec 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 3 Feb 2026 |
| 19 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 3 Feb 2026 |
| 19 Dec 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 3 Feb 2026 |
| 19 Dec 2025 | F0761 | 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. | D | Standard survey | 3 Feb 2026 |
| 19 Dec 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 3 Feb 2026 |
| 19 Dec 2025 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | Standard survey | 3 Feb 2026 |
| 19 Dec 2025 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 3 Feb 2026 |
| 5 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 27 Aug 2025 |
| 5 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 27 Aug 2025 |
| 5 Aug 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 27 Aug 2025 |
Survey cycle 2: 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 15 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 15 Jul 2025 | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 31 Jan 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 25 Feb 2025 |
| 31 Jan 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 25 Feb 2025 |
| 31 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 25 Feb 2025 |
| 31 Jan 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 25 Feb 2025 |
| 31 Jan 2025 | F0761 | 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. | D | Standard survey | 25 Feb 2025 |
| 31 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 Feb 2025 |
| 31 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 25 Feb 2025 |
| 7 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 16 Jan 2025 |
| 2 Aug 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint investigation | 22 Aug 2024 |
| 2 Aug 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 22 Aug 2024 |
| 2 Aug 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Complaint investigation | 22 Aug 2024 |
| 2 Aug 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Complaint investigation | 22 Aug 2024 |
Survey cycle 3: 25 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Jun 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Complaint investigation | 27 Jun 2024 |
| 5 Mar 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 2 Apr 2024 |
| 5 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 2 Apr 2024 |
| 27 Dec 2023 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Complaint investigation | 30 Jan 2024 |
| 21 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 30 Jan 2024 |
| 21 Dec 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 30 Jan 2024 |
| 21 Dec 2023 | F0584 | 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. | E | Standard survey | 30 Jan 2024 |
| 21 Dec 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 30 Jan 2024 |
| 21 Dec 2023 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 30 Jan 2024 |
| 21 Dec 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 30 Jan 2024 |
| 21 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 30 Jan 2024 |
| 21 Dec 2023 | F0675 | Honor each resident's preferences, choices, values and beliefs. | D | Standard survey | 30 Jan 2024 |
| 21 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 30 Jan 2024 |
| 21 Dec 2023 | F0761 | 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. | D | Standard survey | 30 Jan 2024 |
| 21 Dec 2023 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 30 Jan 2024 |
| 21 Dec 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 30 Jan 2024 |
| 21 Dec 2023 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 30 Jan 2024 |
| 21 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Jan 2024 |
| 21 Dec 2023 | F0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | E | Standard survey | 30 Jan 2024 |
| 21 Dec 2023 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Standard survey | 30 Jan 2024 |
| 21 Dec 2023 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | C | Standard survey | 30 Jan 2024 |
| 29 Nov 2023 | F0680 | Ensure the activities program is directed by a qualified professional. | D | Complaint investigation | 28 Dec 2023 |
| 29 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 28 Dec 2023 |
| 23 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 5 Sep 2023 |
| 23 Aug 2023 | F0908 | Keep all essential equipment working safely. | D | Complaint investigation | 5 Sep 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Pennsylvania median | Pennsylvania average (CMS) |
|---|---|---|---|
| All nurse staff | 3.17 | 3.60 | 3.89 |
| Registered nurses (RN) | 0.51 | 0.70 | 0.79 |
| Licensed practical nurses (LPN) | 0.87 | 0.91 | |
| Nurse aides | 1.79 | 2.19 | |
| All nurse staff, weekends | 2.89 | 3.30 | 3.53 |
- Nurse staff turnover in a year
- 65.6%
- Nurse staff turnover, Pennsylvania median
- 44.3%
- RN turnover in a year
- 57.9%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.0% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.2% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.4% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.0% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.4% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.0% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.5% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.1% | 17.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Irwin Rehabilitation & Nursing LLC
- Chain
- Kadima Healthcare Group (14 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Kadima Healthcare Group Inc | Operational/managerial control | 1 Nov 2024 | |
| Pinnacle Healthcare Solutions Inc | Operational/managerial control | 1 Nov 2024 | |
| Irwin Realty Management LLC | Adp of the snf | 1 Nov 2024 | |
| Kadima Healthcare Group Inc | Adp of the snf | 1 Nov 2024 | |
| Pinnacle Healthcare Solutions Inc | Adp of the snf | 1 Nov 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in Westmoreland County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Transitions Healthcare North Huntingdon | North Huntingdon | 3 of 5 | 11 | $0 | 30 Apr 2026 | |
| Wecare at Murrysville Rehab and Nursing Center | Murrysville | 1 of 5 | 21 | $8,883 | 20 Mar 2026 | |
| William Penn Care Center | Jeannette | 2 of 5 | 13 | $14,074 | 8 May 2026 | |
| Hempfield Manor | Greensburg | 1 of 5 | 20 | $0 | 20 Mar 2026 | |
| Westmoreland Manor | Greensburg | 2 of 5 | 9 | $0 | 9 Apr 2026 | |
| Redstone Highlands Health Care | Greensburg | 2 of 5 | 18 | $54,240 | 16 Apr 2026 | |
| Saint Anne Home | Greensburg | 1 of 5 | 14 | $39,719 | 26 Jun 2025 | |
| Rehab & Nursing Ctr Greater Pittsburgh | Greensburg | 2 of 5 | 11 | $8,159 | 26 Nov 2025 | |
| Greene Health & Rehab Center | Greensburg | 1 of 5 | 42 | $8,469 | 9 Dec 2025 | |
| Oak Hill Rehabilitation & Healthcare Center | Greensburg | 2 of 5 | 25 | $0 | 18 Jun 2025 | |
| Twin Lakes Rehabilitation and Healthcare CenterSpecial Focus candidate | Greensburg | 1 of 5 | 22 | $18,873 | 20 Nov 2025 | |
| Harmon House Health & Rehab Center | Mount Pleasant | 3 of 5 | 8 | $16,801 | 7 May 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Kadima Rehabilitation & Nursing at Irwin (CCN 395382). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/kadima-rehabilitation-nursing-at-irwin-north-huntingdon-pa-395382/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Kadima Rehabilitation & Nursing at Irwin last inspected?
- The latest inspection with a citation in the CMS record was on 3 Feb 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 31 Jan 2025.
- Who operates Kadima Rehabilitation & Nursing at Irwin?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Kadima Healthcare Group. The CMS ownership file names Kadima Healthcare Group Inc and Pinnacle Healthcare Solutions Inc for operational or managerial control. This site does not show the names of persons.
- Is Kadima Rehabilitation & Nursing at Irwin a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 4 homes in Pennsylvania as Special Focus Facilities and 20 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.