New Wilmington, PA

Kadima Rehabilitation & Nursing At New Wilmington

4-star overall rating with 4-star inspections with 3 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

520 New Castle Street, New Wilmington, PA

(724) 946-3511

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

115

Certified beds

Average residents

102

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Kadima Healthcare Group

Operator or chain grouping

Approved since

1967-12-19

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

15 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.69

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.81

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

1.93

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.44

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.50

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.06

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.59

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.69

CMS adjusted RN staffing hours

Adjusted total hours

3.43

CMS adjusted total nurse staffing hours

Case-mix index

1.37

Higher values indicate more complex resident acuity

RN turnover

65%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

59%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,359

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

44.74

Composite VBP score used to determine payment impact.

Payment multiplier

0.9979

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

4.43

Baseline 56.79% · Performance 45.56% · Measure score 4.43 · Achievement 4.43 · Improvement 3.02

Adjusted total nurse staffing

4.51

Baseline 3.11 hours · Performance 4.36 hours · Measure score 4.51 · Achievement 4.51 · Improvement 4.19

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.85%	10.72% 0.1 pts worse	No Different than the National Rate · Eligible stays 43 · Observed rate 11.63% · Lower 95% interval 6.85%
Discharge to community	50.36%	50.57% 0.2 pts worse	No Different than the National Rate · Eligible stays 28 · Observed rate 46.43% · Lower 95% interval 35.3%
Medicare spending per beneficiary	0.77	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 24 · Denominator 24
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 24
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	4.17%	2.29% 1.9 pts worse	Numerator 1 · Denominator 24 · Adjusted rate 3.9%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 117
Staff flu vaccination coverage	14.37%	42% 27.6 pts worse	Numerator 25 · Denominator 174
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.

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 · Adjusted 0.6 · Observed 0.6 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.1	1.2 0.9 pts worse	1.8 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.2 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.6%	86.9% 11.7 pts better	93.4% 5.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 98.7% · Q3 98.6% · Q4 98.7% · 4Q avg 98.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	88.1%	93.5% 5.4 pts worse	95.5% 7.4 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 88.1%
Percentage of long-stay residents experiencing one or more falls with major injury	3.8%	3.2% 0.6 pts worse	3.3% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 3.9% · Q3 4.1% · Q4 2.6% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.7%	6.5% 1.2 pts worse	11.4% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 4.3% · Q3 11.8% · Q4 10.5% · 4Q avg 7.7%
Percentage of long-stay residents who lose too much weight	8.2%	6.5% 1.7 pts worse	5.4% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 9.1% · Q3 9.9% · Q4 9.9% · 4Q avg 8.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.1%	19.9% 1.8 pts better	19.6% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 20.8% · Q3 13.9% · Q4 19.2% · 4Q avg 18.1%
Percentage of long-stay residents who received an antipsychotic medication	33.3%	18.7% 14.6 pts worse	16.7% 16.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.7% · Q2 30.2% · Q3 32.7% · Q4 35.8% · 4Q avg 33.3% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	12.5%	19.6% 7.1 pts better	16.3% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 11.2% · Q3 12.7% · Q4 20.0% · 4Q avg 12.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.5%	18.3% 4.8 pts better	14.9% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 12.9% · Q3 13.0% · Q4 16.9% · 4Q avg 13.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.3%	1.7% 1.4 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.1%	26.4% 1.3 pts better	19.8% 5.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 27.5% · Q3 30.1% · Q4 24.8% · 4Q avg 25.1%
Percentage of long-stay residents with pressure ulcers	10.3%	5.3% 5 pts worse	5.1% 5.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 13.2% · Q3 12.2% · Q4 8.5% · 4Q avg 10.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	77.9%	68.9% 9 pts better	81.7% 3.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 52.5% · Q2 82.4% · Q3 87.2% · Q4 88.4% · 4Q avg 77.9%
Percentage of short-stay residents who had an outpatient emergency department visit	8.2%	9.8% 1.6 pts better	12.0% 3.8 pts better	Short Stay · 20240701-20250630 · Adjusted 8.2% · Observed 9.1% · Expected 12.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	82.5%	68.7% 13.8 pts better	79.7% 2.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 82.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	13.1%	23.1% 10 pts better	23.9% 10.8 pts better	Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 13.6% · Expected 24.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-19 · Fire 2025-03-19

3 health deficiencies

Top issue: Environmental (1 deficiency)

10 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 2 Health 2024-04-11 · Fire 2024-04-11

0 health deficiencies

No concentrated health issue counts in this cycle.

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-05-19 · Fire 2023-05-19

4 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-19

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-04-30

F · Potential for more than minimal harm 2025-03-19

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2025-04-30

F · Potential for more than minimal harm 2025-03-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-30

F · Potential for more than minimal harm 2025-03-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-04-30

E · Potential for more than minimal harm 2025-03-19

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-04-30

D · Potential for more than minimal harm 2025-03-19

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-04-30

C · Minimal harm 2025-03-19

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-04-30

C · Minimal harm 2025-03-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-30

C · Minimal harm 2025-03-19

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2025-04-30

C · Minimal harm 2025-03-19

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-04-30

F · Potential for more than minimal harm 2024-04-11

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-06-12

F · Potential for more than minimal harm 2024-04-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-12

E · Potential for more than minimal harm 2024-04-11

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-06-12

D · Potential for more than minimal harm 2024-04-11

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-06-12

C · Minimal harm 2024-04-11

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2024-06-12

D · Potential for more than minimal harm 2023-05-19

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 2023-05-25

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-23

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Not marked corrected

E · Potential for more than minimal harm 2025-06-13

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-07-15

D · Potential for more than minimal harm 2025-03-19

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 2025-04-30

E · Potential for more than minimal harm 2023-05-19

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-06-15

D · Potential for more than minimal harm 2023-05-19

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-06-15

D · Potential for more than minimal harm 2023-05-19

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-06-15

D · Potential for more than minimal harm 2023-05-19

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 2023-06-15

Penalties and ownership

What sits behind the stars

Ownership

Cibc Bank Usa

Operational/Managerial Control · Organization

0% 121 facilities 2024-11-01

Cibc Bank Usa

5% Or Greater Security Interest · Organization

0% 121 facilities 2024-11-01

George, Christine