Kadima Rehabilitation & Nursing at LuzerneCMS ratings, inspections and fines
- Address
- 463 North Hunter Hwy, Drums, PA 18222
- CCN
- 395484
- Ownership type
- For-profit, corporation
- Certified beds
- 37
- Residents per day
- 34
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Kadima Rehabilitation & Nursing at Luzerne an overall rating of 1 of 5 stars. The last standard survey was on 16 Jan 2025. The latest survey cycle has 8 health citations. The median for nursing homes in Pennsylvania is 8. CMS lists 2 fines with a total of $86,122 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Pennsylvania (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Luzerne County median | Pennsylvania median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 1 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 22 homes in the county, 656 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Pennsylvania median |
|---|---|---|---|
| Cycle 1 (latest) | 16 Jan 2025 | 8 | 8 |
| Cycle 2 | 29 Feb 2024 | 25 | 8 |
| Cycle 3 | No date | 24 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0801 | 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 | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0838 | 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 | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 14 Feb 2025 |
Survey cycle 2: 25 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Jun 2025 | F0801 | 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 | Complaint investigation | 11 Jul 2025 |
| 11 Jun 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Complaint investigation | 11 Jul 2025 |
| 11 Jun 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 11 Jul 2025 |
| 11 Jun 2025 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | L | Complaint investigation | 11 Jul 2025 |
| 11 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | L | Complaint investigation | 11 Jul 2025 |
| 17 Apr 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 11 Jun 2025 |
| 17 Apr 2025 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Complaint investigation | 11 Jun 2025 |
| 17 Apr 2025 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint investigation | 11 Jun 2025 |
| 15 Nov 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 16 Jan 2025 |
| 29 Feb 2024 | F0578 | 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 | Standard survey | 29 Apr 2024 |
| 29 Feb 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard survey | 29 Apr 2024 |
| 29 Feb 2024 | F0584 | 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. | E | Standard survey | 29 Apr 2024 |
| 29 Feb 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard survey | 29 Apr 2024 |
| 29 Feb 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 29 Apr 2024 |
| 29 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 29 Apr 2024 |
| 29 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 29 Apr 2024 |
| 29 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 29 Apr 2024 |
| 29 Feb 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 29 Apr 2024 |
| 29 Feb 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 29 Apr 2024 |
| 29 Feb 2024 | F0761 | 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 | Standard survey | 29 Apr 2024 |
| 29 Feb 2024 | F0801 | 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 | Standard survey | 29 Apr 2024 |
| 29 Feb 2024 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 29 Apr 2024 |
| 29 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 29 Apr 2024 |
| 29 Feb 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 29 Apr 2024 |
| 29 Feb 2024 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 29 Apr 2024 |
Survey cycle 3: 24 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Jul 2024 | F0584 | 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. | E | Complaint investigation | 18 Aug 2024 |
| 18 Jun 2024 | F0584 | 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. | E | Complaint investigation | 18 Aug 2024 |
| 18 Jun 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Complaint investigation | 23 Jul 2024 |
| 18 Jun 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 23 Jul 2024 |
| 26 Oct 2023 | F0679 | Provide activities to meet all resident's needs. | E | Complaint investigation | 28 Dec 2023 |
| 26 Oct 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint investigation | 28 Dec 2023 |
| 26 Oct 2023 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Complaint investigation | 28 Dec 2023 |
| 7 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 26 Oct 2023 |
| 20 Apr 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0688 | 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 | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0713 | Provide or arrange emergency care by a doctor 24 hours a day. | D | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | F | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 22 May 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 17 Apr 2025 | Fine | $22,639 | |
| 29 Feb 2024 | Fine | $63,483 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Pennsylvania median | Pennsylvania average (CMS) |
|---|---|---|---|
| All nurse staff | 3.75 | 3.60 | 3.89 |
| Registered nurses (RN) | 0.72 | 0.70 | 0.79 |
| Licensed practical nurses (LPN) | 1.03 | 0.91 | |
| Nurse aides | 2.00 | 2.19 | |
| All nurse staff, weekends | 3.49 | 3.30 | 3.53 |
- Nurse staff turnover in a year
- 36.1%
- Nurse staff turnover, Pennsylvania median
- 44.3%
- RN turnover in a year
- 60.0%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 36.0% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.7% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 29.8% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 33.3% | 17.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Luzerne Rehabilitation & Nursing, LLC
- Chain
- Kadima Healthcare Group (14 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cibc Bank USA | 5% or greater mortgage interest | 6 Aug 2025 | |
| Cibc Bank USA | Operational/managerial control | 6 Aug 2025 | |
| Kadima Healthcare Group Inc | Operational/managerial control | 29 Aug 2018 | |
| Pinnacle Healthcare Solutions Inc | Operational/managerial control | 1 Nov 2024 | |
| Kadima Healthcare Group Inc | Adp of the snf | 24 Nov 2025 | |
| Luzerne Property Management, LLC | Adp of the snf | 29 Aug 2018 | |
| Pinnacle Healthcare Solutions Inc | Adp of the snf | 24 Nov 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Luzerne County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Mountain City Nursing & Rehabilitation Center | Hazleton | 1 of 5 | 7 | $171,403 | 7 Feb 2025 | |
| Pavilion at St Luke Village, The | Hazleton | 2 of 5 | 8 | $90,662 | 12 Sep 2025 | |
| Manor at St Luke Village,The | Hazleton | 2 of 5 | 10 | $0 | 8 Jan 2026 | |
| Mountain Top Rehabilitation & Healthcare Center | Mountain Top | 2 of 5 | 19 | $0 | 20 Feb 2026 | |
| Birchwood Rehabilitation & Healthcare Center | Nanticoke | 1 of 5 | 17 | $123,390 | 31 Mar 2026 | |
| Lakewood Rehabilitation & Healthcare Center | Nanticoke | 1 of 5 | 18 | $291,613 | 24 Apr 2026 | |
| Edenbrook at Hampton | Wilkes Barre | 3 of 5 | 9 | $0 | 10 Apr 2026 | |
| Allied Services Meade Street Skilled Nursing | Wilkes Barre | 4 of 5 | 2 | $0 | 16 Jan 2026 | |
| Allied Services Center City Skilled Nursing | Wilkes Barre | 3 of 5 | 7 | $0 | 14 Nov 2025 | |
| Embassy of Wyoming Valley | Wilkes Barre | 2 of 5 | 25 | $20,496 | 30 Jan 2026 | |
| Heinz Transitional Rehabilitation Unit | Wilkes-Barre | 5 of 5 | 2 | $0 | 25 Sep 2025 | |
| Edenbrook on Second Ave | Kingston | 1 of 5 | 14 | $0 | 8 May 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Kadima Rehabilitation & Nursing at Luzerne (CCN 395484). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/kadima-rehabilitation-nursing-at-luzerne-drums-pa-395484/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Kadima Rehabilitation & Nursing at Luzerne last inspected?
- The latest inspection with a citation in the CMS record was on 11 Jun 2025. It was a complaint investigation. It gave 5 citations. The standard survey before the last one was on 29 Feb 2024.
- Who operates Kadima Rehabilitation & Nursing at Luzerne?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Kadima Healthcare Group. The CMS ownership file names 3 organisations for operational or managerial control. This site does not show the names of persons.
- Is Kadima Rehabilitation & Nursing at Luzerne a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 4 homes in Pennsylvania as Special Focus Facilities and 20 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.