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Kadima Rehabilitation & Nursing at Palmyra, Palmyra, Pennsylvania

73
Citations from health inspectionsPennsylvania average: 32 a home
2
Residents harmed or put in dangerPennsylvania average: 1.2 a home
$31,346
Fines from the federal governmentPennsylvania average: $25,774 a home
No rating given
Overall rating in starsPennsylvania average: 3.0

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

15 inspection visits produced 73 citations. Residents were in immediate danger in two findings. Federal fines came to $31,346 (one fine). Once, Medicare stopped paying for new admissions.

This home is a Special Focus Facility. Homes that have done poorly on past inspections are put on this list by CMS, and they get extra attention.

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Quick Look at the Record

The home's overall star rating
No rating is given while the home stays on the Special Focus list
Rating for health inspections
No rating is given while the home stays on the Special Focus list
Rating for staffing
No rating is given while the home stays on the Special Focus list
Rating for quality of care
No rating is given while the home stays on the Special Focus list
Nurse time for each resident
3.61 hours each dayThe Pennsylvania average is 3.89 hours
Time from registered nurses
1.04 hours each dayThe Pennsylvania average is 0.79 hours
Nursing staff who left during one year
63%against the Pennsylvania average of 44.5%
Beds that are certified
39
Ownership
Limited Liability company (for profit)
Chain
Kadima Healthcare Group, with 14 homes
Street address
341 North Railroad St, Palmyra, Pennsylvania 17078
County
Lebanon

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

One citation dated June 1, 2026

  • F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

12 citations dated March 5, 2026

  • F919 Working Call System in Bathrooms: risk of harm, no one found hurt, one or a few residents.
  • F868 Quality Group Membership and Quarterly Meetings: risk of harm, no one found hurt, one or a few residents.
  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
  • F710 Doctor's Order to Admit and Ongoing Doctor Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents.
  • F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
  • F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
  • F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents.
  • F604 Freedom From Physical Restraints: risk of harm, no one found hurt, one or a few residents.
  • F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
  • F565 Right to Resident and Family Groups: risk of harm, no one found hurt, one or a few residents.

Two citations dated Feb. 4, 2026

  • F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

25 citations dated July 3, 2025

  • F868 Quality Group Membership and Quarterly Meetings: risk of harm, no one found hurt, widespread.
  • F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
  • F838 Facility Wide Assessment of Needed Resources: risk of harm, no one found hurt, widespread.
  • F836 Licensed and Following All Laws: risk of harm, no one found hurt, widespread.
  • F812 Food Storage and Kitchen Safety: immediate danger to residents, widespread.
  • F810 Special Eating Utensils and Mealtime Help: risk of harm, no one found hurt, one or a few residents.
  • F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, widespread.
  • F805 Food Prepared to Meet Individual Needs: risk of harm, no one found hurt, one or a few residents.
  • F802 Enough Kitchen Support Staff: immediate danger to residents, widespread.
  • F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, widespread.
  • F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, a pattern, several residents.
  • F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread.
  • F710 Doctor's Order to Admit and Ongoing Doctor Care: risk of harm, no one found hurt, one or a few residents.
  • F698 Dialysis Care: risk of harm, no one found hurt, a pattern, several residents.
  • F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents.
  • F692 Enough Food and Fluids: risk of harm, no one found hurt, widespread.
  • F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents.
  • F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents.
  • F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
  • F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, a pattern, several residents.
  • F576 Private Access to Communication Methods: risk of harm, no one found hurt, a pattern, several residents.
  • F565 Right to Resident and Family Groups: risk of harm, no one found hurt, one or a few residents.
  • F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents.
  • F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents.

One citation dated May 30, 2025

  • F627 Safe Transfer or Discharge Meeting Resident Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated April 4, 2025

  • F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread, found on a complaint visit.

One citation dated March 1, 2025

  • F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread, found on a complaint visit.

One citation dated Feb. 14, 2025

  • F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

20 citations dated Aug. 9, 2024

  • F882 Qualified Infection Prevention Leader: risk of harm, no one found hurt, widespread.
  • F868 Quality Group Membership and Quarterly Meetings: minimal risk to residents, widespread.
  • F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
  • F810 Special Eating Utensils and Mealtime Help: risk of harm, no one found hurt, one or a few residents.
  • F808 Doctor Ordered Special Diets: risk of harm, no one found hurt, one or a few residents.
  • F807 Drinks to Keep Residents Hydrated: risk of harm, no one found hurt, one or a few residents.
  • F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, widespread.
  • F791 Dental Services for Residents: risk of harm, no one found hurt, one or a few residents.
  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
  • F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, one or a few residents.
  • F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
  • F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents.
  • F623 Notice Before Transfer or Discharge: minimal risk to residents, widespread.
  • F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, one or a few residents.
  • F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
  • F583 Keep Resident Records Private: minimal risk to residents, a pattern, several residents.
  • F577 Access to Inspection Results and Advocates: minimal risk to residents, widespread.
  • F574 Notices in an Understandable Language and Format: minimal risk to residents, widespread.
  • F565 Right to Resident and Family Groups: minimal risk to residents, a pattern, several residents.
  • F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents.

Three citations dated April 27, 2024

  • F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F620 Fair Admission Without Giving Up Benefits: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated March 7, 2024

  • F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated Feb. 25, 2024

  • F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated Dec. 19, 2023

  • F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated Dec. 10, 2023

  • F676 Help Residents Keep Daily Living Abilities: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Two citations dated Nov. 19, 2023

  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Payment Denials and Fines

DatePenaltyAmount
July 3, 2025Fine$31,346
July 3, 2025Payment denial for new admissions20 days

Ownership and Management of the Home

  • The home is run by Cibc Bank USA (operational or managerial control).
  • The home is run by Kadima Healthcare Group Inc. (operational or managerial control).
  • The home is run by Pinnacle Healthcare Solutions Inc. (operational or managerial control).

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 395506. Other homes in Pennsylvania.