Kadima Rehabilitation & Nursing at Palmyra
341 North Railroad St, Palmyra, PA 17078 · (717) 838-3011
For profit - Limited Liability company · 39 certified beds
Special Focus Facility Medicare doesn't rate this home: “This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.” Special Focus Facilities get a full inspection at least every six months.
Kadima Rehabilitation & Nursing at Palmyra is a Special Focus Facility, so Medicare doesn't rate it. Its last standard inspection, in March 2026, found 12 citations (the Pennsylvania average is 10). It was fined 1 time in the last three years, $31,346 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | Not available |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | Not available |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | Not available |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | Not available |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 5, 2026 found 12 citations. What an inspection citation means
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 5, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to organize and participate in resident/family groups in the facility.March 5, 2026 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.March 5, 2026 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.March 5, 2026 · F0604 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.March 5, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 5, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.March 5, 2026 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.March 5, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.March 5, 2026 · F0710 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.March 5, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyMarch 5, 2026 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that a working call system is available in each resident's bathroom and bathing area.March 5, 2026 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 17 citations.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 1, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.March 5, 2026 · F0710 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 4, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.February 4, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.May 30, 2025 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Post nurse staffing information every day.April 4, 2025 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
- Post nurse staffing information every day.March 1, 2025 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
- Provide and implement an infection prevention and control program.February 14, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.April 27, 2024 · F0620 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 27, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.April 27, 2024 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 7, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate dialysis care/services for a resident who requires such services.February 25, 2024 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.December 19, 2023 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.December 10, 2023 · F0676 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 19, 2023 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 19, 2023 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $31,346July 3, 2025
- Medicare payment denial for 20 daysStarting August 6, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Pennsylvania average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.61 | 3.89 | 3.86 |
| Registered nurses (RN) | 1.04 | 0.79 | 0.69 |
| Licensed practical nurses (LPN) | 0.58 | 0.91 | 0.86 |
| Nurse aides | 2.00 | 2.19 | 2.32 |
| Total nursing staff turnover | 63% | 44.5% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 39 |
| Average residents per day | 34.3 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Lebanon Valley Brethren Home Palmyra · ★★★★★ 5 out of 5 stars
- Kadima Rehabilitation & Nursing at Campbelltown Palmyra · ★★★★★ 1 out of 5 stars
- The Lebanon Valley Home Annville · ★★★★★ 3 out of 5 stars
- Cornwall Manor Cornwall · ★★★★★ 5 out of 5 stars
- Alpine Valley Post Acute and Healthcare Center Lebanon · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Kadima Rehabilitation & Nursing at Palmyra on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.