All states › Pennsylvania › Palmyra › Kadima Rehabilitation & Nursing at Palmyra
341 North Railroad St Palmyra, PA 17078 · Lebanon County
All 3 nursing homes in Palmyra, PA (3 take Medicaid)
CMS certification number 395506 · See this home on Medicare Care Compare
Is Kadima Rehabilitation & Nursing at Palmyra a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Kadima Rehabilitation & Nursing at Palmyra as of October 2026.
CMS has not given it an overall rating yet.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.53 hours per resident per day at Kadima Rehabilitation & Nursing at Palmyra, below the Pennsylvania median of 3.64 (US median: 3.72). About 0.87 of those hours are from registered nurses. On weekends it falls to 3.20 hours, 9% below its all-week average. 50% of nursing staff left within a year (Pennsylvania median 44.6%). 3 administrators left in the past year.
About this nursing home
Paying for care at Kadima Rehabilitation & Nursing at Palmyra: Medicare and Medicaid
Kadima Rehabilitation & Nursing at Palmyra is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Pennsylvania's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 27, 2026 and found 3 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 56 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 56 citations at Kadima Rehabilitation & Nursing at Palmyra across 15 inspection dates, 17 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 3, 2025. The most common areas cited were quality of life and care (20) and resident rights (9). The most serious was cited under the CMS rule to "provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service" (tag F0802, level L, July 3, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
August 27, 2026 · 3 citations
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
June 1, 2026 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
March 5, 2026 · 12 citations · includes complaint inspection
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DHonor the resident's right to organize and participate in resident/family groups in the facility.
DHonor 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.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DRespond appropriately to all alleged violations.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide 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.
DProvide enough food/fluids to maintain a resident's health.
DObtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
DEnsure 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.
DHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
DMake sure that a working call system is available in each resident's bathroom and bathing area.
February 4, 2026 · 2 citations · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
July 3, 2025 · 25 citations, includes immediate jeopardy
LProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
LProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide enough food/fluids to maintain a resident's health.
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
FEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
FEnsure 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.
FConduct 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.
FHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EEnsure residents have reasonable access to and privacy in their use of communication methods.
EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide safe, appropriate dialysis care/services for a resident who requires such services.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DHonor the resident's right to organize and participate in resident/family groups in the facility.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure 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.
DObtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DProvide special eating equipment and utensils for residents who need them and appropriate assistance.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
May 30, 2025 · 1 citation · includes complaint inspection
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
April 4, 2025 · 1 citation · includes complaint inspection
CPost nurse staffing information every day.
March 1, 2025 · 1 citation · includes complaint inspection
CPost nurse staffing information every day.
February 14, 2025 · 1 citation · includes complaint inspection
EProvide and implement an infection prevention and control program.
April 27, 2024 · 3 citations · includes complaint inspection
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DNot 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.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
March 7, 2024 · 1 citation · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
February 25, 2024 · 1 citation · includes complaint inspection
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
December 19, 2023 · 1 citation · includes complaint inspection
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
December 10, 2023 · 1 citation · includes complaint inspection
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
November 19, 2023 · 2 citations · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Questions to ask on a tour of Kadima Rehabilitation & Nursing at Palmyra
- Inspectors cited the home at the immediate-jeopardy level on July 3, 2025 under the rule on nutrition and dietary. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 27, 2026. How are staff trained, and how are concerns reported?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $31,346 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 3, 2025 | Fine | $31,346 |
| Jul 3, 2025 | Payment Denial | 20 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | — | — | — | — |
| August 2026 | — | — | — | — |
Location
Hospitals near Kadima Rehabilitation & Nursing at Palmyra
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
5.2 mi
Milton S Hershey Medical Center HersheyEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 4h 21m for patients treated and sent home
- 7.8 mi
-
9.8 mi
Good Samaritan Hospital LebanonEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 17m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Kadima Rehabilitation & Nursing at Palmyra › All nursing homes in Palmyra ›
Compare Kadima Rehabilitation & Nursing at Palmyra with the 3 closest homes side by side ›
Other Kadima Healthcare Group nursing homes in Pennsylvania
- Kadima Rehabilitation & Nursing at Lakeside · Dallas · 4 stars
- Kadima Rehabilitation & Nursing at New Castle · New Castle · 4 stars
- Kadima Rehabilitation & Nursing at New Wilmington · New Wilmington · 4 stars
- Kadima Rehabilitation & Nursing at North Strabane · Canonsburg · 3 stars
- Kadima Rehabilitation & Nursing at Lititz · Lititz · 2 stars
- Kadima Rehabilitation & Nursing at Latrobe · Latrobe · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 14 Kadima Healthcare Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.