Federal inspection record · CMS data as of October 1, 2026
Kadima Rehabilitation & Nursing At Palmyra
341 North Railroad St, Palmyra, PA · (717) 838-3011
- Special Focus Facility
- Certified beds
- 39
- Residents per day
- 34
- Ownership
- For-Profit
- Chain
- Kadima Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 1981
3
What inspectors found
56 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.
Harm and immediate-jeopardy citations (2)
-
L
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
-
L
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Everything else, by area of care
Quality of Life and Care20F
- 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.
- E
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 appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F
Provide enough food/fluids to maintain a resident's health.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- 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.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- 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.
Resident Rights9E
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
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 dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Ensure residents have reasonable access to and privacy in their use of communication methods.
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Nursing and Physician Services5F
- D
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
- C
Post nurse staffing information every day.
- C
Post nurse staffing information every day.
Administration4F
- D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- F
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Nutrition and Dietary4F
- 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 each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning3D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service3E
- 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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Environmental2E
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2026-08-27
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2026-03-05
16 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-07-03
34 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (13 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 32 min of nursing staff time a day, 52 min of it from a registered nurse.
This home
3 h 32 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 64% of registered nurses left in the past year, along with 3 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$31,346 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-07-03 | Fine | $31,346 |
| 2025-07-03 | Payment Denial · 20 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts better | 89.4% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better | 100.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury6 pts worse | 9.1% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.8 pts better | 9.0% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts better | 5.4% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.4 pts better | 10.7% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4 pts better | 13.6% | 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 worsened3.6 pts better | 11.8% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.9 pts worse | 24.3% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts worse | 1.5% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.9 pts worse | 3.3% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.7 pts better | 20.3% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.6 pts worse | 7.3% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine45.8 pts worse | 25.0% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.1 pts worse | 11.6% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication4.3 pts worse | 5.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine43.9 pts worse | 27.0% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.1 pts better | 18.9% | 22.0% | 23.4% |
·
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 |
|---|---|---|---|
| Cibc Bank Usa | 5% Or Greater Mortgage Interest · Organization | 0% | 208 facilities |
| Cibc Bank Usa | Operational/Managerial Control · Organization | 0% | 208 facilities |
| Harkins, Andrea | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Harkins, Andrea | Adp Of The SNF · Individual | 0% | 6 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 |
| Martin Friedman Cpa Pc | Adp Of The SNF · Organization | 0% | 13 facilities |
| Morris, Daniel | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Morris, Daniel | Adp Of The SNF · Individual | 0% | 15 facilities |
| Palmyra Property Management LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Pearlstein, Robert | Adp Of The SNF · Individual | 0% | 20 facilities |
| Pinnacle Healthcare Solutions LLC | Operational/Managerial Control · Organization | 0% | 18 facilities |
| Pinnacle Healthcare Solutions LLC | Adp Of The SNF · Organization | 0% | 18 facilities |
| Rivera, Zenaida | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rivera, Zenaida | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rosen, Jacob | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Rosen, Jacob | Adp Of The SNF · Individual | 0% | 2 facilities |
| Strauss, Jonathan | Operational/Managerial Control · Individual | 0% | 19 facilities |
| Strauss, Jonathan | Adp Of The SNF · Individual | 0% | 19 facilities |
·
Other homes nearby
-
Lebanon Valley Brethren Home
Palmyra, PA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 5 h 12 min
- Fines
- $0
-
Kadima Rehabilitation & Nursing At Campbelltown
Palmyra, PA · Kadima Healthcare Group · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 23 min
- Fines
- $0
-
Lebanon Valley Home The
Annville, PA · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 52 min
- Fines
- $13,065