Lebanon County, Pennsylvania · Nursing home
Kadima Rehabilitation & Nursing at Palmyra
Not rated
341 North Railroad St, Palmyra, PA 17078
At a glance
- Overall rating Not rated
- Nurse time per resident, per day 3.61 hours Below the state average of 3.89
- Nursing staff who left in a year 63.0% Above the state average of 44.5%
- Health citations, last 3 inspection cycles 73 2 at the harm level or above
- Fines in 3 years $31,346 1 fine
- Certified beds in use 87.9% of 39 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Kadima Rehabilitation & Nursing at Palmyra is a 39-bed nursing home in Palmyra, Pennsylvania (Lebanon County). CMS has not published an overall star rating for it as of Sep 2026. It reports 3.61 nurse staffing hours per resident per day, below the Pennsylvania average of 3.89. CMS lists 1 fine totaling $31,346 in the past three years.
- Certified beds
- 39
- Residents per day (average)
- 34.3
- Certified since
- 1981 (45 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Kadima Healthcare Group (14 homes)CMS Special Focus: SFF
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus Facility. CMS has placed this home under closer oversight because of its inspection record. CMS does not publish star ratings for a home while it is in the program. What a Special Focus Facility is
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Kadima Rehabilitation & Nursing at Palmyra
Chosen from this home's public data.
- CMS lists this home in its Special Focus Facility program. What is the improvement plan, and what has changed so far?Special Focus status in CMS data
- CMS lists 1 fine totaling $31,346 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 15 health deficiencies in the latest inspection cycle (the standard inspection on Mar 5, 2026 plus complaint and infection-control inspections); the Pennsylvania average is 10.0. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall Not rated Pennsylvania average 3.0
- Health inspections Not rated Pennsylvania average 2.8
- Staffing Not rated Pennsylvania average 3.0
- Quality measures Not rated Pennsylvania average 3.6
The vertical line marks the Pennsylvania average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.61 h Pennsylvania average 3.89
- Nurse aides 2.00 h Pennsylvania average 2.19
- Licensed practical nurses 0.58 h Pennsylvania average 0.91
- Registered nurses 1.04 h Pennsylvania average 0.79
- All staff, weekends 3.32 h Pennsylvania average 3.53
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Pennsylvania average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover63.0%
- Pennsylvania average44.5%
- Registered nurse turnover76.5%
- Pennsylvania average39.9%
- Administrators who left3
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Pennsylvania and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Pennsylvania | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 23.5% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.4% | 6.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% | 0.7% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.6% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 11.0% | 10.8% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 8.7% | 3.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.1% | 87.5% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 13.8% | 17.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.9% | 20.0% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 77.8% | 93.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 7.5% | 4.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.4% | 25.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 11.1% | 17.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.62 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.18 | 1.78 |
Short-stay residents
| Measure | This home | Pennsylvania | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 18.5% | 70.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 4.4% | 1.4% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 12.9% | 68.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 22.5% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 9.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 73 health deficiencies in the three most recent inspection cycles. Of these, 2 were at the immediate jeopardy level; the rest were graded as no actual harm. 17 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jul 3, 2025: Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 5, 2026 | 15 | 0 |
| Jul 3, 2025 | 29 | 0 |
| Aug 9, 2024 | 29 | 0 |
Pennsylvania homes averaged 10.0 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (73)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 25, 2026)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 1, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · Deficient, Provider has date of correction (Apr 1, 2026)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Apr 1, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 1, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 1, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 1, 2026)
-
DPotential for more than minimal harm, isolated
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.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 1, 2026)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 1, 2026)
-
DPotential for more than minimal harm, isolated
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Apr 1, 2026)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Apr 1, 2026)
-
DPotential for more than minimal harm, isolated
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · Deficient, Provider has date of correction (Apr 1, 2026)
-
DPotential for more than minimal harm, isolated
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental · Deficient, Provider has date of correction (Apr 1, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 19, 2026)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Feb 19, 2026)
-
LImmediate jeopardy, widespread
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 6, 2025)
-
LImmediate jeopardy, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 6, 2025)
-
FPotential for more than minimal harm, widespread
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 6, 2025)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · Deficient, Provider has date of correction (Aug 6, 2025)
-
FPotential for more than minimal harm, widespread
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.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 6, 2025)
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FPotential for more than minimal harm, widespread
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 6, 2025)
-
FPotential for more than minimal harm, widespread
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.
Administration · Deficient, Provider has date of correction (Aug 7, 2025)
-
FPotential for more than minimal harm, widespread
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.
Administration · Deficient, Provider has date of correction (Aug 6, 2025)
-
FPotential for more than minimal harm, widespread
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · Deficient, Provider has date of correction (Aug 6, 2025)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Aug 6, 2025)
-
EPotential for more than minimal harm, pattern
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights · Deficient, Provider has date of correction (Aug 6, 2025)
-
EPotential for more than minimal harm, pattern
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (Aug 6, 2025)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 6, 2025)
-
EPotential for more than minimal harm, pattern
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 6, 2025)
-
EPotential for more than minimal harm, pattern
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Aug 6, 2025)
Showing the 30 most recent of 73.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jul 3, 2025 | Fine | $31,346 |
| Jul 3, 2025 | Payment Denial | 20 days |
Pennsylvania homes averaged 0.8 fines and $25,774 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Pennsylvania
- Size629 of 656 by certified beds
- Pennsylvania average residents per day104.6
- ChainKadima Healthcare Group
- Chain average overall rating1.9 of 5
- Resident or family councilResident
- Homes in Palmyra3
- Homes in Lebanon County10
Common questions
What is the CMS star rating for Kadima Rehabilitation & Nursing at Palmyra?
CMS has not published an overall star rating for Kadima Rehabilitation & Nursing at Palmyra as of Sep 2026.
How many beds does Kadima Rehabilitation & Nursing at Palmyra have?
Kadima Rehabilitation & Nursing at Palmyra has 39 certified beds. It averages 34.3 residents per day, about 87.9% of its certified beds.
How much nursing care do residents get at Kadima Rehabilitation & Nursing at Palmyra?
The home reports 3.61 hours of nurse staffing per resident per day, including 1.04 hours from registered nurses. The Pennsylvania average is 3.89 hours and 0.79 hours from registered nurses.
Has Kadima Rehabilitation & Nursing at Palmyra been fined?
Yes. CMS lists 1 fine totaling $31,346 in the past three years. It also lists 1 payment denial.
Does Kadima Rehabilitation & Nursing at Palmyra accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Lebanon Valley Brethren Home 88beds 62.0%in use 5.10nurse hours a day
- 1 of 5 Kadima Rehabilitation & Nursing at Campbelltown 53beds 95.8%in use 3.32nurse hours a day
- 3 of 5 Lebanon Valley Home the 55beds 88.7%in use 4.68nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Lebanon County
Who to call in Pennsylvania
These offices serve residents of every nursing home in Pennsylvania.
- Long-term care ombudsman Pennsylvania Long-Term Care Ombudsman Program 717-783-8975 An advocate for residents and their families.
- File a complaint about a nursing home Division of Nursing Care Facilities 1-800-254-5164 The state agency that inspects nursing homes.
Pennsylvania staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 395506. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.