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Nursing homeFAID #10978

Kadima Rehabilitation & Nursing At Palmyra

341 NORTH RAILROAD ST, PALMYRA, PA, 17078

(717) 838-3011

39 licensed beds

Federal inspectors issued 56 citations across 19 inspections in the last three years, with $31,346 in fines. Listing last updated 2026-11-06.

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Address

341 North Railroad St

Palmyra, PA 17078

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Public record summary

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Bed capacity

CMS facility ID

395506

Care type

Nursing home

County

Lebanon

Facility name

Kadima Rehabilitation & Nursing At Palmyra

Street address

341 NORTH RAILROAD ST

City / state / ZIP

Palmyra, PA 17078

Phone

(717) 838-3011

About this facility — Kadima Rehabilitation & Nursing At Palmyra

Kadima Rehabilitation & Nursing At Palmyra is a Medicare/Medicaid-certified skilled nursing facility in Palmyra, Pennsylvania. It is licensed for 39 beds — well below the median for skilled nursing facilities in Pennsylvania (119 beds).

It is one of 7 senior care facilities in Palmyra and 656 skilled nursing facilities across Pennsylvania. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Kadima Healthcare Group, a group of 14 facilities on this site.

Federal inspectors have cited Kadima Rehabilitation & Nursing At Palmyra 56 times across 19 inspections in the last three years, including 6 food-safety citations, and CMS has imposed $31,346 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Kadima Healthcare Group

Ownership type

For profit - Individual

Registered owners & officers

Cibc Bank Usa

Mortgage holder · Operational control — since 2025

Harkins, Andrea

Operational control · Additional disclosable party — since 2025

Kadima Healthcare Group Inc

Operational control · Additional disclosable party — since 2018

Lowden, Thomas

Operational control · Additional disclosable party — since 2025

Martin Friedman Cpa Pc

Additional disclosable party — since 2025

Morris, Daniel

Operational control · Additional disclosable party — since 2018

Palmyra Property Management Llc

Additional disclosable party — since 2018

Pearlstein, Robert

Additional disclosable party — since 2021

Pinnacle Healthcare Solutions Llc

Operational control · Additional disclosable party — since 2024

Rivera, Zenaida

Operational control · Additional disclosable party — since 2025

Rosen, Jacob

Operational control · Additional disclosable party — since 2025

Strauss, Jonathan

Operational control · Additional disclosable party — since 2018

Regulatory standing

Federal court records

2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1981-05-01

Health deficiencies

6 at the last standard inspection

Federal fines

$31,346 total

Last standard inspection

2026-08-27

Nurse staffing

3.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$492 per day (≈ $14,960/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

74% Medicaid · 6% Medicare · 20% private/other

Occupancy

94% (fiscal year 2023)

Vs. state median

19% above the PA median of $415/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 6 food-safety citations on its three-year record — flagged below among the inspections.

2026-08-27Health inspection3 citations

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-09-21

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-09-21

F-0689

D · No harm found

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

Corrected 2026-09-21

2026-06-01Health inspectionComplaint-triggered1 citation

F-0684

D · No harm foundFrom a complaint

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

Corrected 2026-06-25

13 earlier / fire-safety inspections (52 citations)

2026-03-05Health inspectionComplaint-triggered12 citations

F-0565

D · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2026-04-01

F-0578

D · No harm found

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.

Corrected 2026-04-01

F-0604

D · No harm found

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2026-04-01

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2026-04-01

F-0684

D · No harm found

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

Corrected 2026-04-01

F-0688

D · No harm found

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.

Corrected 2026-04-01

F-0689

E · No harm found

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

Corrected 2026-04-01

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2026-04-01

F-0710

D · No harm foundFrom a complaint

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Corrected 2026-04-01

F-0761

D · No harm found

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.

Corrected 2026-04-01

F-0868

D · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2026-04-01

F-0919

D · No harm found

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2026-04-01

2026-02-04Health inspectionComplaint-triggered2 citations

F-0684

D · No harm foundFrom a complaint

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

Corrected 2026-02-19

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-02-19

2025-07-03Health inspection25 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-08-06

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-08-06

F-0565

D · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-08-06

F-0576

E · No harm found

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2025-08-06

F-0628

E · No harm found

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-08-06

F-0684

D · No harm found

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

Corrected 2025-08-06

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-08-06

F-0689

E · No harm found

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

Corrected 2025-08-06

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-08-06

F-0692

F · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-08-06

F-0693

D · No harm found

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.

Corrected 2025-08-06

F-0698

E · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-08-06

F-0710

D · No harm found

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Corrected 2025-08-06

F-0725

F · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-08-06

F-0756

E · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-08-06

F-0801

F · No harm foundFood safety

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.

Corrected 2025-08-06

F-0802

L · Immediate jeopardyFood safety

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2025-08-06

F-0805

D · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-08-06

F-0806

F · No harm foundFood safety

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-08-06

F-0810

D · No harm foundFood safety

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2025-08-06

F-0812

L · Immediate jeopardyFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-08-06

F-0836

F · No harm found

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.

Corrected 2025-08-07

F-0838

F · No harm found

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.

Corrected 2025-08-06

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-08-26

F-0868

F · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-08-06

2025-05-30Health inspectionComplaint-triggered1 citation

F-0627

D · No harm foundFrom a complaint

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2025-06-04

2025-04-04Health inspectionComplaint-triggered1 citation

F-0732

C · No harm foundFrom a complaint

Post nurse staffing information every day.

2025-03-01Health inspectionComplaint-triggered1 citation

F-0732

C · No harm foundFrom a complaint

Post nurse staffing information every day.

Corrected 2025-03-25

2025-02-14Health inspectionComplaint-triggered1 citation

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-03-11

2024-04-27Health inspectionComplaint-triggered3 citations

F-0620

D · No harm foundFrom a complaint

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.

Corrected 2024-06-04

F-0684

D · No harm foundFrom a complaint

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

Corrected 2024-06-04

F-0921

E · No harm foundFrom a complaint

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-06-04

2024-03-07Health inspectionComplaint-triggered1 citation

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-04-16

2024-02-25Health inspectionComplaint-triggered1 citation

F-0698

D · No harm foundFrom a complaint

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-04-08

2023-12-19Health inspectionComplaint-triggered1 citation

F-0686

D · No harm foundFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-01-18

2023-12-10Health inspectionComplaint-triggered1 citation

F-0676

D · No harm foundFrom a complaint

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-01-16

2023-11-19Health inspectionComplaint-triggered2 citations

F-0684

D · No harm foundFrom a complaint

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

Corrected 2023-12-23

F-0689

D · No harm foundFrom a complaint

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

Corrected 2023-12-23

Federal penalties

2025-07-03Fine$31,346

2025-07-03Medicare payment denial — 20 days

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 395506.

Quality of care & staffing

How it compares in Pennsylvania.

Inspection citations, 3 years

More than 74% of nursing homes in the state

State median: 37

Federal fines, 3 years

$31,346

More than 79% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

3.5

Higher than 38% of nursing homes in the state

State median: 3.6

Nursing staff turnover, annual

50%

Higher than 66% of nursing homes in the state

State median: 45%

Resident outcomes

On 19 federal quality measures, this facility does better than the Pennsylvania average on 7 and worse on 9. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	24.3%	16.4%	13.5%	Worse than state
Lose too much weight	5.4%	6.0%	5.1%	Near state average
With a catheter inserted and left in their bladder	1.5%	0.6%	0.7%	Worse than state
With a urinary tract infection	3.3%	1.4%	1.5%	Worse than state
Have depressive symptoms	9.0%	13.8%	13.5%	Better than state
Were physically restrained	0.0%	0.2%	0.1%	Better than state
Experiencing one or more falls with major injury	9.1%	3.1%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	89.4%	87.8%	93.7%	Near state average
Ability to walk independently worsened	11.8%	15.4%	12.7%	Better than state
Received an antianxiety or hypnotic medication	10.7%	20.1%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	93.7%	95.3%	Near state average
With pressure ulcers	7.3%	4.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	20.3%	25.0%	18.3%	Better than state
Received an antipsychotic medication	13.6%	17.6%	15.4%	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	25.0%	70.8%	82.3%	Worse than state
Newly received an antipsychotic medication	5.7%	1.4%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	27.0%	70.9%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	18.9%	22.0%	23.4%	Better than state
Had an outpatient emergency department visit	11.6%	9.5%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0684 6 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0689 4 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0565 2 inspections. Honor the resident's right to organize and participate in resident/family groups in the facility.
F-0692 2 inspections. Provide enough food/fluids to maintain a resident's health.
F-0710 2 inspections. Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Verify & compare

Where to check, and what's nearby.

Who to contact in Pennsylvania

Licensing: Pennsylvania Department of Health
File a complaint: 800-254-5164 · Online
Long-Term Care Ombudsman: 717-783-8975. A free advocate for residents and families.
Adult Protective Services: 800-490-8505. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Wellspan Good Samaritan Hospital, about 9.8 miles. CMS rating 5 of 5.
Lebanon Va Medical Center, about 10 miles. CMS rating 5 of 5.
Pennsylvania Psychiatric Institute, about 16 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Lebanon Valley Brethren Home, Palmyra, about 1.4 miles. CMS rating 5 of 5.
Kadima Rehabilitation & Nursing At Campbelltown, Palmyra, about 2.5 miles. CMS rating 1 of 5.
The Lebanon Valley Home, Annville, about 5.1 miles. CMS rating 3 of 5.
Alpine Valley Post Acute and Healthcare Center, Lebanon, about 9.3 miles. CMS rating 5 of 5.
Lebanon Skilled Nursing and Rehabilitation Center, Lebanon, about 9.5 miles. CMS rating 1 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 56 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered