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Medicare-certifiedSkilled Nursing

Kadima Rehabilitation & Nursing at Palmyra

Palmyra, PennsylvaniaMedicare inspection record
(717) 838-3011

About Kadima Rehabilitation & Nursing at Palmyra

KADIMA REHABILITATION & NURSING AT PALMYRA provides skilled nursing and rehabilitation care for residents in Palmyra, Pennsylvania who need medical support during recovery or transition. Our team focuses on personalized treatment plans and compassionate care to help patients regain independence.

Community at a glance

Capacity

39 residents

Location

Palmyra, PA

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

341 NORTH RAILROAD ST, Palmyra, Pennsylvania 17078

(717) 838-3011

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Medicare lists Kadima Rehabilitation & Nursing at Palmyra as a Special Focus Facility: a home with a history of serious quality problems that inspectors visit more often until it improves.

At its most recent standard inspection, on March 5, 2026, state inspectors cited 15 health deficiencies (the Pennsylvania average is 10.0).

Nurses and nurse aides spend 3 hours 37 minutes with each resident a day, below the Pennsylvania average of 3 hours 53 minutes.

Medicare fined Kadima Rehabilitation & Nursing at Palmyra once in the last three years, $31,346 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 37 minutesBelow the Pennsylvania average
Registered nurse time per resident, per day1 hour 3 minutesAbove the Pennsylvania average
Nursing staff who left in the past year63%Above the Pennsylvania average

3 administrators have left the home in the past year.

Inspections

73 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

June 1, 2026 · Complaint investigation · 1 citation

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

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 25, 2026

March 5, 2026 · Standard inspection · 12 citations

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

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 1, 2026
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 1, 2026
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 1, 2026
  • Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Apr 1, 2026
  • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 1, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 1, 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 1, 2026
  • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Apr 1, 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 1, 2026
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Apr 1, 2026
  • Honor the resident's right to organize and participate in resident/family groups in the facility.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 1, 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 1, 2026
February 4, 2026 · Complaint investigation · 2 citations+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 19, 2026
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Feb 19, 2026
July 3, 2025 · Standard inspection · 25 citations+
  • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Immediate danger to residents, widespread (level L)Nutrition and DietaryCorrected Aug 6, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Immediate danger to residents, widespread (level L)Nutrition and DietaryCorrected Aug 6, 2025
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, widespread (level F)Quality of Life and CareCorrected Aug 6, 2025
  • 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.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Aug 6, 2025
  • 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.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Aug 6, 2025
  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Aug 6, 2025
  • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Aug 6, 2025
  • 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.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Aug 7, 2025
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Aug 6, 2025
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Aug 6, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Aug 6, 2025
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Aug 6, 2025
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Aug 6, 2025
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Aug 6, 2025
  • Ensure residents have reasonable access to and privacy in their use of communication methods.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Aug 6, 2025
  • Honor the resident's right to organize and participate in resident/family groups in the facility.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 6, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 6, 2025
  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Aug 6, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 6, 2025
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 6, 2025
  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 6, 2025
  • Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Aug 6, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 26, 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 6, 2025
  • Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Aug 6, 2025
May 30, 2025 · Complaint investigation · 1 citation+
  • Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jun 4, 2025
April 4, 2025 · Complaint investigation · 1 citation+
  • Post nurse staffing information every day.

    Minimal harm or risk, widespread (level C)Nursing and Physician ServicesFrom a complaintPlan to fix it accepted
March 1, 2025 · Complaint investigation · 1 citation+
  • Post nurse staffing information every day.

    Minimal harm or risk, widespread (level C)Nursing and Physician ServicesFrom a complaintCorrected Mar 25, 2025
February 14, 2025 · Complaint investigation · 1 citation+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Mar 11, 2025
August 9, 2024 · Standard inspection · 16 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Sep 26, 2024
  • 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.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Oct 30, 2024
  • Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Sep 26, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Sep 26, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Sep 26, 2024
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Oct 30, 2024
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Sep 26, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Sep 26, 2024
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 26, 2024
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Sep 26, 2024
  • Provide or obtain dental services for each resident.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 26, 2024
  • Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Sep 26, 2024
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Sep 26, 2024
  • Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Sep 26, 2024
  • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Minimal harm or risk, widespread (level C)Resident RightsCorrected Sep 26, 2024
  • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Minimal harm or risk, widespread (level C)AdministrationCorrected Sep 26, 2024

Showing the 60 most recent. The full list is on Medicare.gov.

Fines and payment denials

1 fine totaling $31,346 and 1 Medicare payment denial in the last three years.

  • July 3, 2025Payment denial, 20 days
  • July 3, 2025Fine: $31,346

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Palmyra Rehabilitation & Nursing LLC
Medicare-certified beds
39
Average residents per day
34
Accepts
Medicare and Medicaid
First certified
May 1, 1981
Part of a chain
Kadima Healthcare Group, 14 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
395506

Location

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341 NORTH RAILROAD STPalmyra, PA 17078

12 other communities within 10 miles

Senior living near Palmyra

Questions about Kadima Rehabilitation & Nursing at Palmyra

How did Kadima Rehabilitation & Nursing at Palmyra do on its last inspection?+

State inspectors visited on March 5, 2026 and cited 15 health deficiencies, 4 of them from complaint investigations. The Pennsylvania average is 10.0.

How much nursing care does each resident get at Kadima Rehabilitation & Nursing at Palmyra?+

Nurses and aides spend 3 hours 37 minutes with each resident per day, including 1 hour 3 minutes from registered nurses. 63% of nursing staff left over the past year.

Has Kadima Rehabilitation & Nursing at Palmyra been fined by Medicare?+

Yes. Medicare fined Kadima Rehabilitation & Nursing at Palmyra once in the last three years, totaling $31,346.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Palmyra Skilled Nursing in Pennsylvania Skilled Nursing guide Information last updated October 2026