Federal inspection record · CMS data as of October 1, 2026
Kadima Rehabilitation & Nursing At Irwin
249 Maus Drive, North Huntingdon, PA · (724) 863-4374
- Certified beds
- 120
- Residents per day
- 112
- Ownership
- For-Profit
- Chain
- Kadima Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 22, 1977
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Pennsylvania homes
Kadima Rehabilitation & Nursing At Irwin carries 118 inspection points. That is fewer than 22% of Pennsylvania's 652 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–33 pts
- 3★ 33–65 pts
- 2★ 65–128 pts
- 1★ over 128 pts
Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
52 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary12F
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
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
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
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care9E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Provide enough food/fluids to maintain a resident's health.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Honor each resident's preferences, choices, values and beliefs.
- D
Ensure the activities program is directed by a qualified professional.
Resident Rights7E
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
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.
- 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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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
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.
Resident Assessment and Care Planning6E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident when there is a significant change in condition
- E
Ensure each resident receives an accurate assessment.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Freedom from Abuse, Neglect, and Exploitation4E
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Respond appropriately to all alleged violations.
Nursing and Physician Services4E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Administration4E
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- E
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
- E
Hire a qualified full-time social worker in a facility with more than 120 beds.
- C
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Pharmacy Service3D
- 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.
- 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.
- 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.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Environmental1F
- F
Keep all essential equipment working safely.
Inspection history
2025-12-19
11 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2025-01-31
14 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-12-21
27 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (8 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 24 min of nursing staff time a day, 31 min of it from a registered nurse.
This home
3 h 24 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 67% of nursing staff and 55% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.2 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 0.4 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.4 pts worse | 87.4% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine11 pts worse | 82.7% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse | 3.5% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.8 pts worse | 16.6% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.4 pts worse | 11.4% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.2 pts worse | 25.3% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.1 pts better | 15.5% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3 pts worse | 18.4% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.2 pts worse | 19.6% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2 pts worse | 2.6% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts worse | 2.6% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.7 pts better | 23.3% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers5.1 pts worse | 9.8% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine21.2 pts worse | 49.6% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.6 pts worse | 12.1% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts worse | 2.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine31.1 pts worse | 39.8% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.3 pts better | 17.7% | 22.0% | 23.4% |
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Who owns and runs it
21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Morris, Daniel | 5% Or Greater Indirect Ownership Interest · Individual | 50% | 15 facilities |
| Irwin Realty Management LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Kadima Healthcare Group Inc | Operational/Managerial Control · Organization | 0% | 14 facilities |
| Kadima Healthcare Group Inc | Adp Of The SNF · Organization | 0% | 14 facilities |
| Lowden, Thomas | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Lowden, Thomas | Adp Of The SNF · Individual | 0% | 14 facilities |
| Morris, Daniel | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Morris, Daniel | Adp Of The SNF · Individual | 0% | 15 facilities |
| Naylor, Dalton | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Naylor, Dalton | Adp Of The SNF · Individual | 0% | 1 facilities |
| Naylor, Diedre | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Naylor, Diedre | Adp Of The SNF · Individual | 0% | 8 facilities |
| Pinnacle Healthcare Solutions LLC | Operational/Managerial Control · Organization | 0% | 18 facilities |
| Pinnacle Healthcare Solutions LLC | Adp Of The SNF · Organization | 0% | 18 facilities |
| Romeo, Michelle | Adp Of The SNF · Individual | 0% | 9 facilities |
| Schmeltz, Jennifer | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schmeltz, Jennifer | Adp Of The SNF · Individual | 0% | 1 facilities |
| Strauss, Jonathan | Managing Control - Governing Body · Individual | 0% | 19 facilities |
| Strauss, Jonathan | Operational/Managerial Control · Individual | 0% | 19 facilities |
| Strauss, Jonathan | Adp Of The SNF · Individual | 0% | 19 facilities |
| Thimons, David | Adp Of The SNF · Individual | 0% | 11 facilities |
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Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- E
Install corridor and hallway doors that block smoke.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install corridor and hallway doors that block smoke.
- C
Provide properly protected cooking facilities.
- C
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems3F
- C
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
Services1D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous1C
- C
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Transitions Healthcare North Huntingdon
North Huntingdon, PA · Transitions Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 34 min
- Fines
- $0
-
Woodhaven Health & Rehab Center
Monroeville, PA · Saber Healthcare Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 27 min
- Fines
- $37,480
-
Monroeville Post Acute
Monroeville, PA · Pacs Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 4 min
- Fines
- $36,430