Greenville, PA

Kadima Rehabilitation & Nursing At Greenville

4-star overall rating with 4-star inspections with 7 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

110 Fredonia Road, Greenville, PA

(724) 588-8090

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

154

Certified beds

Average residents

127

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Kadima Healthcare Group

Operator or chain grouping

Approved since

1967-01-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.43

Registered nurse staffing

LPN hours / resident day

0.97

Licensed practical nurse staffing

Aide hours / resident day

1.89

Nurse aide staffing

Weekend hours

3.00

Weekend nurse staffing

RN turnover

50%

Annual RN turnover

Total nurse turnover

43%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.6	1.7 1.1 pts better	1.9 1.3 pts better	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	2.2	1.2 1 pts worse	1.8 0.4 pts worse	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	88.5%	86.9% 1.6 pts better	93.4% 4.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.0%	93.5% 5.5 pts better	95.5% 3.5 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	5.1%	3.2% 1.9 pts worse	3.3% 1.8 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	0.8%	6.5% 5.7 pts better	11.4% 10.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	6.8%	6.5% 0.3 pts worse	5.4% 1.4 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.7%	19.9% 3.2 pts better	19.6% 2.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	16.3%	18.7% 2.4 pts better	16.7% 0.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened	23.3%	19.6% 3.7 pts worse	16.3% 7 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	21.3%	18.3% 3 pts worse	14.9% 6.4 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.0%	0.9% 0.1 pts worse	1.0% About the same	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	0.8%	1.7% 0.9 pts better	1.7% 0.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	32.8%	26.4% 6.4 pts worse	19.8% 13 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	6.3%	5.3% 1 pts worse	5.1% 1.2 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	72.8%	68.9% 3.9 pts better	81.7% 8.9 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	13.0%	9.8% 3.2 pts worse	12.0% 1 pts worse	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	1.6%	1.5% 0.1 pts worse	1.6% About the same	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	80.2%	68.7% 11.5 pts better	79.7% 0.5 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.1%	23.1% 8 pts better	23.9% 8.8 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-06 · Fire 2025-06-06

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-07-18 · Fire 2024-07-18

0 health deficiencies

No concentrated health issue counts in this cycle.

12 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2023-08-18 · Fire 2023-08-18

2 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-06

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-07-15

F · Potential for more than minimal harm 2025-06-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-15

F · Potential for more than minimal harm 2025-06-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-07-15

E · Potential for more than minimal harm 2025-06-06

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-07-15

D · Potential for more than minimal harm 2025-06-06

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-07-15

C · Minimal harm 2025-06-06

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-07-15

C · Minimal harm 2025-06-06

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-07-15

F · Potential for more than minimal harm 2024-07-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-22

E · Potential for more than minimal harm 2024-07-18

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-08-26

E · Potential for more than minimal harm 2024-07-18

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2024-08-26

D · Potential for more than minimal harm 2024-07-18

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-08-26

D · Potential for more than minimal harm 2024-07-18

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-08-26

D · Potential for more than minimal harm 2024-07-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-08-26

C · Minimal harm 2024-07-18

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-10-22

C · Minimal harm 2024-07-18

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-10-22

C · Minimal harm 2024-07-18

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-08-26

C · Minimal harm 2024-07-18

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-08-26

C · Minimal harm 2024-07-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-10-22

B · Minimal harm 2024-07-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-26

F · Potential for more than minimal harm 2023-08-18

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-09-21

D · Potential for more than minimal harm 2023-08-18

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-09-21

D · Potential for more than minimal harm 2023-08-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-09-21

C · Minimal harm 2023-08-18

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-09-21

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Not marked corrected

D · Potential for more than minimal harm 2025-11-21

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2025-12-18

D · Potential for more than minimal harm 2025-11-21

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-12-18

D · Potential for more than minimal harm 2025-06-06

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-07-15

D · Potential for more than minimal harm 2025-06-06

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-07-15

D · Potential for more than minimal harm 2025-06-06

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-07-15

D · Potential for more than minimal harm 2025-03-17

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-04-15

E · Potential for more than minimal harm 2023-08-18

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-09-14

D · Potential for more than minimal harm 2023-08-18

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-09-14

Penalties and ownership

What sits behind the stars

Ownership

Morris, Daniel

5% Or Greater Direct Ownership Interest · Individual

50% 15 facilities 2024-11-01

Strauss, Jonathan

5% Or Greater Direct Ownership Interest · Individual

50% 20 facilities 2024-11-01

Dallam, Angela