Pennsylvania › Lebanon County › Palmyra
Kadima Rehabilitation & Nursing At Palmyra
341 North Railroad St, Palmyra, PA 17078
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Kadima Rehabilitation & Nursing At Palmyra, in Palmyra, Pennsylvania, is certified for 39 beds under for-profit, limited liability company ownership and belongs to the Kadima Healthcare Group chain.
CMS gives it no overall rating; the health inspection rating is —, staffing — and quality measures —.
Inspectors recorded 73 health deficiencies across the three most recent survey cycles (15, 29, 29 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 187.2 per 100 beds, more than the state median of 22.2.
CMS lists 2 penalties in the period covered: fines totalling $31K and 1 payment denial.
Reported nurse staffing is 3.6 hours per resident per day (1.0 RN), close to the Pennsylvania median of 3.6; nursing staff turnover is 63.0%.
CMS flags that the facility is a Special Focus Facility.
Compared with county, state and nation
| Measure | This facility | Lebanon Co. median | Pennsylvania median | US average |
|---|---|---|---|---|
| Overall star rating | — | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 73 | 19 | 26 | 28.7 |
| Citations per 100 beds | 187.2 | 12.5 | 22.2 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.9 | 3.6 | 3.9 |
| RN hours per resident day | 1.0 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 63.0% | 40.1% | 44.3% | 45.8% |
| Fines listed | $31,346 | $0 | $0 | — |
County and state figures are medians across facilities (10 in the county, 656 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Mar 2026, 3 Jul 2025.
Severity mix: L ×2 D ×40 E ×13 F ×10 B ×2 C ×6
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 1 Jun 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 25 Jun 2026 |
| 5 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 1 Apr 2026 |
| 5 Mar 2026 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 1 Apr 2026 |
| 5 Mar 2026 | 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. | D | Standard survey | 1 Apr 2026 |
| 5 Mar 2026 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 1 Apr 2026 |
| 5 Mar 2026 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 1 Apr 2026 |
| 5 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 Apr 2026 |
| 5 Mar 2026 | 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 | 1 Apr 2026 |
| 5 Mar 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 1 Apr 2026 |
| 5 Mar 2026 | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Complaint investigation | 1 Apr 2026 |
| 5 Mar 2026 | 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 | 1 Apr 2026 |
| 5 Mar 2026 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 1 Apr 2026 |
| 5 Mar 2026 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 1 Apr 2026 |
| 4 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 19 Feb 2026 |
| 4 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 19 Feb 2026 |
| 3 Jul 2025 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | L | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | L | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | F | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 6 Aug 2025 |
| 3 Jul 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 | 6 Aug 2025 |
| 3 Jul 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | F | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0836 | 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 | Standard survey | 7 Aug 2025 |
| 3 Jul 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 | 6 Aug 2025 |
| 3 Jul 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0690 | 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 | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0693 | 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 | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 6 Aug 2025 |
| 3 Jul 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 26 Aug 2025 |
| 30 May 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 4 Jun 2025 |
| 4 Apr 2025 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | Deficient, Provider has no plan of correction |
| 1 Mar 2025 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 25 Mar 2025 |
| 14 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 11 Mar 2025 |
| 9 Aug 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 | 30 Oct 2024 |
| 9 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 Sep 2024 |
| 9 Aug 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 26 Sep 2024 |
| 9 Aug 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 30 Oct 2024 |
| 9 Aug 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 | 26 Sep 2024 |
| 9 Aug 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 26 Sep 2024 |
| 9 Aug 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. | E | Standard survey | 26 Sep 2024 |
| 9 Aug 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 26 Sep 2024 |
| 9 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 26 Sep 2024 |
| 9 Aug 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 26 Sep 2024 |
| 9 Aug 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 26 Sep 2024 |
| 9 Aug 2024 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Standard survey | 26 Sep 2024 |
| 9 Aug 2024 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 26 Sep 2024 |
| 9 Aug 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 26 Sep 2024 |
| 9 Aug 2024 | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | C | Standard survey | 26 Sep 2024 |
| 9 Aug 2024 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 26 Sep 2024 |
| 9 Aug 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard survey | 26 Sep 2024 |
| 9 Aug 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | C | Standard survey | 26 Sep 2024 |
| 9 Aug 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | B | Standard survey | 26 Sep 2024 |
| 9 Aug 2024 | F0583 | Keep residents' personal and medical records private and confidential. | B | Standard survey | 26 Sep 2024 |
| 27 Apr 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 4 Jun 2024 |
| 27 Apr 2024 | F0620 | 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. | D | Complaint investigation | 4 Jun 2024 |
| 27 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Jun 2024 |
| 7 Mar 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 | Complaint investigation | 16 Apr 2024 |
| 25 Feb 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 8 Apr 2024 |
| 19 Dec 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 18 Jan 2024 |
| 10 Dec 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint investigation | 16 Jan 2024 |
| 19 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 23 Dec 2023 |
| 19 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 23 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 Jul 2025 | Payment denial | — | 20 days |
| 3 Jul 2025 | Fine | $31,346 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 63.0%, RNs 76.5%; 3 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.5% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.9% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.7% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.4% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.8% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.5% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.1% | 17.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Palmyra Rehabilitation & Nursing Llc. Chain: Kadima Healthcare Group (14 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cibc Bank USA | 5% or greater mortgage interest | NOT APPLICABLE | 08/06/2025 |
| Cibc Bank USA | Operational/managerial control | NOT APPLICABLE | 08/06/2025 |
| Kadima Healthcare Group Inc | Operational/managerial control | NOT APPLICABLE | 08/29/2018 |
| Pinnacle Healthcare Solutions Inc | Operational/managerial control | NOT APPLICABLE | 11/01/2024 |
| Kadima Healthcare Group Inc | Adp of the snf | NOT APPLICABLE | 11/25/2025 |
| Palmyra Property Management LLC | Adp of the snf | NOT APPLICABLE | 08/29/2018 |
| Pinnacle Healthcare Solutions Inc | Adp of the snf | NOT APPLICABLE | 11/25/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Lebanon County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Alpine Valley Post Acute and Healthcare Center | Lebanon | 105 | 5 | 4 | 3 | 8 | 7.6 | — | 20 Sep 2024 |
| Cornwall Manor | Cornwall | 96 | 5 | 5 | 5 | 7 | 7.3 | — | 12 Jun 2025 |
| Lebanon Valley Brethren Home | Palmyra | 88 | 5 | 5 | 5 | 1 | 1.1 | — | 11 Jan 2024 |
| Lebanon Valley Home The | Annville | 55 | 5 | 5 | 5 | 2 | 3.6 | — | 5 Sep 2025 |
| Stoneridge Poplar Run | Myerstown | 60 | 4 | 4 | 4 | 11 | 18.3 | — | 14 Nov 2025 |
| Myerstown Nursing and Rehab LLC | Myerstown | 152 | 3 | 3 | 2 | 19 | 12.5 | — | 18 Jun 2026 |
| Cedar Haven Healthcare Centerabuse icon | Lebanon | 324 | 1 | 1 | 1 | 24 | 7.4 | $62K | 31 Mar 2026 |
| Kadima Rehabilitation & Nursing At CampbelltownSFF Candidate | Palmyra | 53 | 1 | 1 | 1 | 74 | 139.6 | — | 21 Mar 2026 |
All 10 facilities in Lebanon County
Questions and answers
How many deficiencies has Kadima Rehabilitation & Nursing At Palmyra been cited for?
73 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.
Has Kadima Rehabilitation & Nursing At Palmyra been fined?
Yes. CMS lists fines totalling $31K in the period covered, plus 1 payment denial.
How does staffing at Kadima Rehabilitation & Nursing At Palmyra compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.
Who operates Kadima Rehabilitation & Nursing At Palmyra?
It is part of the Kadima Healthcare Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Cibc Bank USA, Kadima Healthcare Group Inc and Pinnacle Healthcare Solutions Inc. Individual owners and managers are not listed on this site.
When was Kadima Rehabilitation & Nursing At Palmyra last inspected?
The most recent survey or investigation in the CMS record is dated 1 Jun 2026; the most recent standard health survey was 5 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.