Elder Care Record

Pennsylvania › Montgomery County › Pottstown

Kadima Rehabilitation & Nursing At Pottstown

3031 Chestnut Hill Road, Pottstown, PA 19464

CCN 395827 · For-profit, limited liability company · 41 certified beds · chain Kadima Healthcare Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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 Pottstown, in Pottstown, Pennsylvania, is certified for 41 beds under for-profit, limited liability company ownership and belongs to the Kadima Healthcare Group chain.

CMS gives it 1 of 5 stars overall, below the Pennsylvania median of 3; the health inspection rating is 1, staffing 2 and quality measures 3.

Inspectors recorded 34 health deficiencies across the three most recent survey cycles (6, 18, 10 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 82.9 per 100 beds, more than the state median of 22.2.

CMS lists 4 penalties in the period covered: fines totalling $129K and 1 payment denial.

Reported nurse staffing is 3.4 hours per resident per day (1.0 RN), close to the Pennsylvania median of 3.6.

34health deficiencies, 3 survey cycles4 at actual harm or worse
$129Kfines listed by CMS4 penalties in period
3.4nurse hours per resident per daystate median 3.6
76%occupancy (residents ÷ beds)31 residents a day

Compared with county, state and nation

MeasureThis facilityMontgomery Co. medianPennsylvania medianUS average
Overall star rating1333.0
Health citations, 3 cycles34202628.7
Citations per 100 beds82.916.822.226.8
Total nurse hours per resident day3.43.63.63.9
RN hours per resident day1.00.70.70.7
Nursing staff turnover—42.5%44.3%45.8%
Fines listed$128,618$0$0—

County and state figures are medians across facilities (58 in the county, 656 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)6
Cycle 218
Cycle 310

Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Nov 2025, 25 Oct 2024.

Severity mix: K ×1 L ×3 D ×16 E ×6 F ×6 C ×2

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
20 Nov 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey20 Dec 2025
20 Nov 2025F0880Provide and implement an infection prevention and control program.EStandard survey20 Dec 2025
20 Nov 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey20 Dec 2025
20 Nov 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey20 Dec 2025
20 Nov 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey20 Dec 2025
20 Nov 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey20 Dec 2025
28 Mar 2025F0567Honor the resident's right to manage his or her financial affairs.DComplaint investigation8 Apr 2025
28 Mar 2025F0624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint investigation9 Apr 2025
27 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint investigation16 Mar 2025
27 Feb 2025F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.EComplaint investigation16 Mar 2025
27 Feb 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation16 Mar 2025
30 Dec 2024F0700Try 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.DComplaint investigation26 Jan 2025
27 Nov 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.LComplaint investigation30 Dec 2024
27 Nov 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.LComplaint investigation30 Dec 2024
27 Nov 2024F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FComplaint investigation26 Jan 2025
27 Nov 2024F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint investigation30 Dec 2024
25 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey16 Dec 2024
25 Oct 2024F0880Provide and implement an infection prevention and control program.FStandard survey16 Dec 2024
25 Oct 2024F0641Ensure each resident receives an accurate assessment.EStandard survey16 Dec 2024
25 Oct 2024F0692Provide enough food/fluids to maintain a resident's health.EStandard survey26 Jan 2025
25 Oct 2024F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard survey16 Dec 2024
25 Oct 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey16 Dec 2024
25 Oct 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey16 Dec 2024
25 Oct 2024F0838Conduct 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.CStandard survey16 Dec 2024
14 Jun 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation5 Aug 2024
6 Nov 2023F0584Honor 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.LStandard survey5 Jan 2024
6 Nov 2023F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard survey5 Jan 2024
6 Nov 2023F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard survey5 Jan 2024
6 Nov 2023F0641Ensure each resident receives an accurate assessment.EStandard survey5 Jan 2024
6 Nov 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey5 Jan 2024
6 Nov 2023F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey5 Jan 2024
6 Nov 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey5 Jan 2024
6 Nov 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey5 Jan 2024
6 Nov 2023F0838Conduct 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.CStandard survey5 Jan 2024

Penalties

DateTypeAmountDetail
27 Feb 2025Fine$18,168
25 Oct 2024Payment denial—30 days
25 Oct 2024Fine$57,882
6 Nov 2023Fine$52,568

Staffing

Total nursing3.42 h
Nurse aides1.65 h
LPN0.72 h
RN1.05 h
Weekend total3.27 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff —, RNs —; 4 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityPennsylvania medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay19.6%15.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.6%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.6%2.9%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay18.5%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.7%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay21.2%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: Pottstown Rehabilitation & Nursing, Llc. Chain: Kadima Healthcare Group (14 facilities).

OrganisationRole in the CMS recordInterestSince
Cibc Bank USA5% or greater mortgage interestNOT APPLICABLE08/06/2025
Cibc Bank USAOperational/managerial controlNOT APPLICABLE08/06/2025
Kadima Healthcare Group IncOperational/managerial controlNOT APPLICABLE08/29/2018
Pinnacle Healthcare Solutions IncOperational/managerial controlNOT APPLICABLE11/01/2024
Kadima Healthcare Group IncAdp of the snfNOT APPLICABLE11/26/2025
Pinnacle Healthcare Solutions IncAdp of the snfNOT APPLICABLE11/26/2025
Pottstown Property Management LLCAdp of the snfNOT APPLICABLE08/29/2018

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 Montgomery County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Artman Lutheran HomeAmbler615451727.9—11 May 2026
Dock TerraceLansdale7255500.0——
Dresher Hill Health and Rehabilitation CenterFort Washington11854354.2—30 Jan 2026
Elm Terrace GardensLansdale7255545.6—27 Mar 2025
Frederick Living - CedarwoodFrederick6155511.6—26 Oct 2023
Gwynedd Healthcare and Rehabilitation CenterLansdale181543158.3$24K4 Dec 2025
Health Center At the Hill At Whitemarsh, TheLafayette Hill6055511.7—14 Feb 2024
Hrh Transitional Care Unit(A D/B/A Entity of Hrhs)Meadowbrook21555314.3—19 Feb 2026

All 58 facilities in Montgomery County

Questions and answers

How many deficiencies has Kadima Rehabilitation & Nursing At Pottstown been cited for?

34 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.

Has Kadima Rehabilitation & Nursing At Pottstown been fined?

Yes. CMS lists fines totalling $129K in the period covered, plus 1 payment denial.

How does staffing at Kadima Rehabilitation & Nursing At Pottstown compare?

Reported total nurse staffing is 3.4 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 Pottstown?

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 Pottstown last inspected?

The most recent survey or investigation in the CMS record is dated 20 Nov 2025; the most recent standard health survey was 20 Nov 2025.

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.