Kadima Rehabilitation & Nursing at Palmyra
341 North Railroad St, Palmyra, PA 17078
Kadima Rehabilitation & Nursing at Palmyra is a nursing home in Palmyra, Pennsylvania. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star ratingnot rated by CMS
- Last standard health inspectionAugust 27, 2026 (2 months ago)
- Health citations since November 19, 202356 (Pennsylvania average 31)
- Fines in the past three years1, $31,346 in total
- CMS flagsSpecial Focus Facility
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CMS flags
Special Focus Facility
CMS puts a small number of homes in this program. CMS inspects them more often until they meet the program's exit rules.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 8, 2026
Fine
CMS changed the fine from July 3, 2025 from $30,884 to $31,346.
Health inspection on August 27, 2026
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on September 21, 2026.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on September 21, 2026.
CMS has cited this home for F0656 2 times since 2024.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on September 21, 2026.
CMS has cited this home for F0689 4 times since 2023.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to not rated by CMS.
Star rating
The CMS health inspection star rating changed from 1 of 5 to not rated by CMS.
Star rating
The CMS staffing star rating changed from 2 of 5 to not rated by CMS.
Star rating
The CMS quality measures star rating changed from 2 of 5 to not rated by CMS.
Special Focus Facility
CMS now lists this home as a Special Focus Facility.
CMS update of June 24, 2026
Fine
CMS changed the fine from July 3, 2025 from $47,514 to $30,884.
Health inspection on June 1, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on June 25, 2026.
CMS has cited this home for F0684 6 times since 2023.
CMS update of May 27, 2026
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility candidate.
CMS update of April 29, 2026
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Health inspection on March 5, 2026
12 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 12 citations
Citation F0689. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on April 1, 2026.
Citation F0565. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to organize and participate in resident/family groups in the facility.
CMS lists it as corrected on April 1, 2026.
CMS has cited this home for F0565 2 times since 2025.
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on April 1, 2026.
Citation F0604. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS lists it as corrected on April 1, 2026.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on April 1, 2026.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on April 1, 2026.
Citation F0688. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on April 1, 2026.
Citation F0692. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on April 1, 2026.
CMS has cited this home for F0692 2 times since 2025.
Citation F0710. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
CMS lists it as corrected on April 1, 2026.
CMS has cited this home for F0710 2 times since 2025.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on April 1, 2026.
Citation F0868. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
CMS lists it as corrected on April 1, 2026.
CMS has cited this home for F0868 2 times since 2025.
Citation F0919. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Make sure that a working call system is available in each resident's bathroom and bathing area.
CMS lists it as corrected on April 1, 2026.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
Health inspection on February 4, 2026
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on February 19, 2026.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on February 19, 2026.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
Fire safety citation
CMS removed citation K0100 from the fire safety inspection on August 20, 2024.
Fire safety citation
CMS removed citation K0211 from the fire safety inspection on August 20, 2024.
Fire safety citation
CMS removed citation K0241 from the fire safety inspection on August 20, 2024.
Fire safety citation
CMS removed citation K0291 from the fire safety inspection on August 20, 2024.
Fire safety citation
CMS removed citation K0293 from the fire safety inspection on August 20, 2024.
Fire safety citation
CMS removed citation K0321 from the fire safety inspection on August 20, 2024.
Fire safety citation
CMS removed citation K0324 from the fire safety inspection on August 20, 2024.
Fire safety citation
CMS removed citation K0345 from the fire safety inspection on August 20, 2024.
Fire safety citation
CMS removed citation K0353 from the fire safety inspection on August 20, 2024.
Fire safety citation
CMS removed citation K0355 from the fire safety inspection on August 20, 2024.
Fire safety citation
CMS removed citation K0371 from the fire safety inspection on August 20, 2024.
Fire safety citation
CMS removed citation K0511 from the fire safety inspection on August 20, 2024.
Fire safety citation
CMS removed citation K0521 from the fire safety inspection on August 20, 2024.
Fire safety citation
CMS removed citation K0712 from the fire safety inspection on August 20, 2024.
Fire safety citation
CMS removed citation K0761 from the fire safety inspection on August 20, 2024.
Fire safety citation
CMS removed citation K0912 from the fire safety inspection on August 20, 2024.
Fire safety citation
CMS removed citation K0914 from the fire safety inspection on August 20, 2024.
Fire safety citation
CMS removed citation K0918 from the fire safety inspection on August 20, 2024.
Fire safety citation
CMS removed citation K0919 from the fire safety inspection on August 20, 2024.
August 6, 2025
Payment stoppedCMS stopped payment for new admissions from August 6, 2025, for 20 days.
Health inspection on July 3, 2025
25 citationsCMS lists this as a standard inspection.
Severity L is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
67 of 656 Pennsylvania homes (10%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $31,346 on July 3, 2025.
Show the 25 citations
Citation F0802. Severity L: immediate jeopardy, widespread.
The rule CMS cited:
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
CMS lists it as corrected on August 6, 2025.
Citation F0812. Severity L: immediate jeopardy, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 6, 2025.
Citation F0692. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on August 6, 2025.
Citation F0725. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS lists it as corrected on August 6, 2025.
Citation F0801. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on August 6, 2025.
Citation F0806. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS lists it as corrected on August 6, 2025.
Citation F0836. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on August 7, 2025.
Citation F0838. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on August 6, 2025.
Citation F0868. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
CMS lists it as corrected on August 6, 2025.
Citation F0550. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on August 6, 2025.
Citation F0576. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure residents have reasonable access to and privacy in their use of communication methods.
CMS lists it as corrected on August 6, 2025.
Citation F0628. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on August 6, 2025.
Citation F0689. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 6, 2025.
Citation F0698. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS lists it as corrected on August 6, 2025.
CMS has cited this home for F0698 2 times since 2024.
Citation F0756. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on August 6, 2025.
Citation F0552. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS lists it as corrected on August 6, 2025.
Citation F0565. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to organize and participate in resident/family groups in the facility.
CMS lists it as corrected on August 6, 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on August 6, 2025.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on August 6, 2025.
CMS has cited this home for F0686 2 times since 2023.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on August 6, 2025.
Citation F0693. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 6, 2025.
Citation F0710. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
CMS lists it as corrected on August 6, 2025.
Citation F0805. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS lists it as corrected on August 6, 2025.
Citation F0810. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
CMS lists it as corrected on August 6, 2025.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on August 26, 2025.
CMS update of June 25, 2025
Health citation
CMS removed citation F0623 from the health inspection on August 9, 2024.
Health inspection on May 30, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0627. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
CMS lists it as corrected on June 4, 2025.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Health inspection on April 4, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0732. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Post nurse staffing information every day.
CMS has cited this home for F0732 2 times since 2025.
Health inspection on March 1, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0732. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Post nurse staffing information every day.
CMS lists it as corrected on March 25, 2025.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on February 14, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 11, 2025.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Health inspection on April 27, 2024
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
Citation F0921. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on June 4, 2024.
Citation F0620. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 4, 2024.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on June 4, 2024.
CMS update of March 28, 2024
Ownership
CMS lists this home under a new chain.
Health inspection on March 7, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on April 16, 2024.
CMS update of February 29, 2024
Ownership
CMS lists this home under a new chain.
Health inspection on February 25, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0698. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS lists it as corrected on April 8, 2024.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of December 21, 2023
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility candidate.
Health inspection on December 19, 2023
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on January 18, 2024.
Health inspection on December 10, 2023
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0676. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
CMS lists it as corrected on January 16, 2024.
Health inspection on November 19, 2023
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on December 23, 2023.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on December 23, 2023.
CMS star ratings
- not rated by CMS CMS overall star rating
- not rated by CMS CMS health inspection star rating
- not rated by CMS CMS staffing star rating
- not rated by CMS CMS quality measures star rating
CMS does not give star ratings to homes in its Special Focus Facility program.
Facts from CMS
- Phone
- (717) 838-3011
- Last standard health inspection
- August 27, 2026 (2 months ago)
- Certified beds
- 39
- Residents per day, on average
- 34.4
- Ownership type
- For profit - Individual
- Legal business name
- Palmyra Rehabilitation & Nursing LLC
- Chain
- Kadima Healthcare Group
- Takes part in
- Medicare and Medicaid
More health citations than the Pennsylvania average (56 vs 31).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- CIBC BANK USAOperational/managerial control · not applicable · since 08/06/2025
- KADIMA HEALTHCARE GROUP INCOperational/managerial control · not applicable · since 08/29/2018
- PINNACLE HEALTHCARE SOLUTIONS LLCOperational/managerial control · not applicable · since 11/01/2024
- HARKINS, ANDREAOperational/managerial control · not applicable · since 09/15/2025
- LOWDEN, THOMASOperational/managerial control · not applicable · since 10/01/2025
Show 4 more
- MORRIS, DANIELOperational/managerial control · not applicable · since 08/29/2018
- RIVERA, ZENAIDAOperational/managerial control · not applicable · since 10/27/2025
- ROSEN, JACOBOperational/managerial control · not applicable · since 07/29/2025
- STRAUSS, JONATHANOperational/managerial control · not applicable · since 08/29/2018
Questions
When was Kadima Rehabilitation & Nursing at Palmyra last inspected?
CMS lists August 27, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Kadima Rehabilitation & Nursing at Palmyra have?
CMS lists 56 health citations since November 19, 2023. CMS also calls these deficiencies.
Has Kadima Rehabilitation & Nursing at Palmyra been fined?
CMS lists 1 fine in the past three years, $31,346 in total.
What is the CMS star rating of Kadima Rehabilitation & Nursing at Palmyra?
CMS does not give star ratings to homes in its Special Focus Facility program.
Is Kadima Rehabilitation & Nursing at Palmyra a Special Focus Facility?
Yes. CMS lists it as a Special Focus Facility.