Kadima Rehabilitation & Nursing at Palmyra
341 North Railroad St · Palmyra, PA · 17078 · 7178383011
39 certified beds For profit - Limited Liability company Chain: Kadima Healthcare Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.50 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.02 | 0.55–0.75 |
| Weekend hours / resident-day | 3.14 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | 1 · $30,884 |
Inspection citations (72 in the current record)
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Potential for harm · D March 5, 2026
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected April 1, 2026 · Resident Rights
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Potential for harm · D March 5, 2026
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.
Corrected April 1, 2026 · Resident Rights
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Potential for harm · D March 5, 2026
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected April 1, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 5, 2026
Respond appropriately to all alleged violations.
Corrected April 1, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 5, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 1, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
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.
Corrected April 1, 2026 · Quality of Life and Care
-
Potential for harm · E March 5, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 1, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected April 1, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
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 April 1, 2026 · Pharmacy Service
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Potential for harm · D March 5, 2026
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected April 1, 2026 · Administration
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Potential for harm · D March 5, 2026
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected April 1, 2026 · Environmental
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Potential for harm · D March 5, 2026 · found via complaint
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected April 1, 2026 · Nursing and Physician Services
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Potential for harm · D February 4, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 19, 2026 · Quality of Life and Care
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Potential for harm · D February 4, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 19, 2026 · Pharmacy Service
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Immediate jeopardy · L July 3, 2025
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected August 6, 2025 · Nutrition and Dietary
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Immediate jeopardy · L July 3, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 6, 2025 · Nutrition and Dietary
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Potential for harm · E July 3, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 6, 2025 · Resident Rights
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Potential for harm · D July 3, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 6, 2025 · Resident Rights
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Potential for harm · D July 3, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected August 6, 2025 · Resident Rights
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Potential for harm · E July 3, 2025
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected August 6, 2025 · Resident Rights
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Potential for harm · E July 3, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected August 6, 2025 · Resident Rights
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Potential for harm · D July 3, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 6, 2025 · Quality of Life and Care
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Potential for harm · D July 3, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 6, 2025 · Quality of Life and Care
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Potential for harm · E July 3, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 6, 2025 · Quality of Life and Care
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Potential for harm · D July 3, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 6, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 3, 2025 | Fine | $30,884 |
| July 3, 2025 | Payment Denial | 20 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395506 · certified since May 1, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.