PlainNursing
CMS Nursing Home Compare · August 2026

Kadima Rehabilitation & Nursing at Palmyra

341 North Railroad St, Palmyra, PA 17078

Kadima Rehabilitation & Nursing at Palmyra, a 39-bed for profit - limited liability company nursing facility in Palmyra, PA, holds no current CMS overall rating - not currently rated against the 3.0-star national average, with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 7178383011

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N/A
CMS overall · nat'l 3.0
3.61
Below average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 2 serious
$31K
Federal penalties (1)

The verdict

Kadima Rehabilitation & Nursing at Palmyra, a 39-bed for profit - limited liability company nursing facility in Palmyra, PA, holds no current CMS overall rating - not currently rated against the 3.0-star national average, with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

N/A
CMS overall · national 3.0
3.61
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 656 PA nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

N/A

Staffing

N/A

Quality Measures

N/A

Long-Stay Quality

N/A

Facility Information

Provider Number
395506
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
39
Residents
34
In Hospital
No
County
Lebanon
Last Inspection
Mar 5, 2026
Special Focus
SFF

Staffing Data

How the 3.61 total nursing hours per resident-day are staffed:

RN Hours
1.04 (nat'l avg: 0.69)
LPN Hours
0.58
CNA Hours
2.00
Total Nursing Hours
3.61 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
63.0%
RN Turnover
76.5%

What the CMS Record Reveals About Kadima Rehabilitation & Nursing at Palmyra

Kadima Rehabilitation & Nursing at Palmyra operates 39 certified beds in Palmyra, PA with approximately 34 residents currently in care, and carries a CMS overall rating of no current rating.

The inspection file contains 50 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $31K against this provider. Reported nurse staffing runs 3.61 total hours per resident day (national average 3.86); RN hours specifically are 1.04 per resident day. This facility is currently an active CMS Special Focus Facility, a small, published list reserved for providers with a persistent pattern of serious quality problems that puts them under enhanced federal oversight.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Kadima Rehabilitation & Nursing at Palmyra falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 63.0% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D - Isolated - Minimal harm Jun 1, 2026 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 25, 2026

D - Isolated - Minimal harm Mar 5, 2026 Tag: 0919

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

Category: Environmental Deficiencies

Corrected: Apr 1, 2026

D - Isolated - Minimal harm Mar 5, 2026 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Apr 1, 2026

D - Isolated - Minimal harm Mar 5, 2026 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 1, 2026

D - Isolated - Minimal harm Mar 5, 2026 Tag: 0710

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 1, 2026

D - Isolated - Minimal harm Mar 5, 2026 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 1, 2026

D - Isolated - Minimal harm Mar 5, 2026 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 1, 2026

D - Isolated - Minimal harm Mar 5, 2026 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 1, 2026

D - Isolated - Minimal harm Mar 5, 2026 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 1, 2026

D - Isolated - Minimal harm Mar 5, 2026 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 1, 2026

D - Isolated - Minimal harm Mar 5, 2026 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Apr 1, 2026

D - Isolated - Minimal harm Mar 5, 2026 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Apr 1, 2026

E - Pattern - Minimal harm Mar 5, 2026 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 1, 2026

D - Isolated - Minimal harm Feb 4, 2026 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Feb 19, 2026

D - Isolated - Minimal harm Feb 4, 2026 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 19, 2026

D - Isolated - Minimal harm Jul 3, 2025 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 26, 2025

D - Isolated - Minimal harm Jul 3, 2025 Tag: 0810

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 6, 2025

D - Isolated - Minimal harm Jul 3, 2025 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 6, 2025

D - Isolated - Minimal harm Jul 3, 2025 Tag: 0710

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 6, 2025

D - Isolated - Minimal harm Jul 3, 2025 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 6, 2025

D - Isolated - Minimal harm Jul 3, 2025 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 6, 2025

D - Isolated - Minimal harm Jul 3, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 6, 2025

D - Isolated - Minimal harm Jul 3, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 6, 2025

D - Isolated - Minimal harm Jul 3, 2025 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Aug 6, 2025

D - Isolated - Minimal harm Jul 3, 2025 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Aug 6, 2025

E - Pattern - Minimal harm Jul 3, 2025 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Aug 6, 2025

E - Pattern - Minimal harm Jul 3, 2025 Tag: 0698

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 6, 2025

E - Pattern - Minimal harm Jul 3, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 6, 2025

E - Pattern - Minimal harm Jul 3, 2025 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Aug 6, 2025

E - Pattern - Minimal harm Jul 3, 2025 Tag: 0576

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

Category: Resident Rights Deficiencies

Corrected: Aug 6, 2025

E - Pattern - Minimal harm Jul 3, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Aug 6, 2025

F - Widespread - Minimal harm Jul 3, 2025 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Aug 6, 2025

F - Widespread - Minimal harm Jul 3, 2025 Tag: 0838

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.

Category: Administration Deficiencies

Corrected: Aug 6, 2025

F - Widespread - Minimal harm Jul 3, 2025 Tag: 0836

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.

Category: Administration Deficiencies

Corrected: Aug 7, 2025

F - Widespread - Minimal harm Jul 3, 2025 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 6, 2025

F - Widespread - Minimal harm Jul 3, 2025 Tag: 0801

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 6, 2025

F - Widespread - Minimal harm Jul 3, 2025 Tag: 0725

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

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 6, 2025

F - Widespread - Minimal harm Jul 3, 2025 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 6, 2025

L - Widespread - Jeopardy Jul 3, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 6, 2025

L - Widespread - Jeopardy Jul 3, 2025 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 6, 2025

D - Isolated - Minimal harm May 30, 2025 Tag: 0627

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Category: Resident Rights Deficiencies

Corrected: Jun 4, 2025

C - Widespread - No harm Apr 4, 2025 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

C - Widespread - No harm Mar 1, 2025 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 25, 2025

E - Pattern - Minimal harm Feb 14, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 11, 2025

B - Pattern - No harm Aug 9, 2024 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Sep 26, 2024

B - Pattern - No harm Aug 9, 2024 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Sep 26, 2024

C - Widespread - No harm Aug 9, 2024 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Sep 26, 2024

C - Widespread - No harm Aug 9, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Sep 26, 2024

C - Widespread - No harm Aug 9, 2024 Tag: 0577

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category: Resident Rights Deficiencies

Corrected: Sep 26, 2024

C - Widespread - No harm Aug 9, 2024 Tag: 0574

The resident has the right to receive notices in a format and a language he or she understands.

Category: Resident Rights Deficiencies

Corrected: Sep 26, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 23.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.9% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.6% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 8.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 13.8% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 7.5% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 11.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 4.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.4% No
Percentage of long-stay residents who have depressive symptoms Long Stay 11.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 84.1% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 10.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 77.8% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 20.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 18.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 12.9% No

Penalty History 1 penalties totaling $31K

Date Type Amount
Jul 3, 2025 Fine $31K
Jul 3, 2025 Payment Denial -

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Kadima Rehabilitation & Nursing at Palmyra, both outside PA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Kadima Rehabilitation & Nursing at Palmyra

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The PA registry aggregates state averages and the highest-rated homes in this cohort. View PA registry
  • Peer homes near 39 beds show how CMS stars vary at a similar scale in PA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What are the staffing levels at Kadima Rehabilitation & Nursing at Palmyra?
Kadima Rehabilitation & Nursing at Palmyra reports 3.61 total nursing hours per resident day (national average: 3.86). RN hours are 1.04 per resident day (national average: 0.69). Nursing staff turnover is 63.0%.
How many beds does Kadima Rehabilitation & Nursing at Palmyra have?
Kadima Rehabilitation & Nursing at Palmyra has 39 certified beds with approximately 34 residents. The facility is located at 341 North Railroad St, Palmyra, PA 17078.
Does Kadima Rehabilitation & Nursing at Palmyra have any deficiencies on record?
Yes, Kadima Rehabilitation & Nursing at Palmyra has 50 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Kadima Rehabilitation & Nursing at Palmyra received any fines or penalties?
Yes, Kadima Rehabilitation & Nursing at Palmyra has received 1 penalties totaling $31K.
Who owns Kadima Rehabilitation & Nursing at Palmyra?
Kadima Rehabilitation & Nursing at Palmyra is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Kadima Rehabilitation & Nursing at Palmyra last inspected?
The most recent health inspection for Kadima Rehabilitation & Nursing at Palmyra was on Mar 5, 2026.
What quality measures are tracked for Kadima Rehabilitation & Nursing at Palmyra?
Kadima Rehabilitation & Nursing at Palmyra is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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