25.5/100
Poor
341 North Railroad St, Palmyra, PA 17078
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Special Focus Facility
CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.
2 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$30,884 in federal fines
CMS has fined this facility across 1 penalty action(s).
Nursing staff turnover of 63%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: March 5, 2026 (5 months ago).
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
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.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
No actual harm, potential for more than minimal harm
Part of KADIMA HEALTHCARE GROUP, which operates 15 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| CIBC BANK USA | Organization | 5% OR GREATER MORTGAGE INTEREST | — |
| CIBC BANK USA | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| KADIMA HEALTHCARE GROUP INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| PINNACLE HEALTHCARE SOLUTIONS INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| HARKINS, ANDREA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| LOWDEN, THOMAS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| MORRIS, DANIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| RIVERA, ZENAIDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| ROSEN, JACOB | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| STRAUSS, JONATHAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| KADIMA HEALTHCARE GROUP INC | Organization | ADP OF THE SNF | — |
| MARTIN FRIEDMAN CPA PC | Organization | ADP OF THE SNF | — |
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Kadima Rehabilitation & Nursing At Palmyra holds an ElderGrade of F (25.5 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.61 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 2 of the 72 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Kadima Rehabilitation & Nursing At Palmyra is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.