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KADIMA REHABILITATION & NURSING AT CAMPBELLTOWN Inspection Report, Violations & Safety Grade (PALMYRA, Pennsylvania)

2880 HORSESHOE PIKE, PALMYRA, Pennsylvania 17078

Phone: 7178382231

CMS Overall:1/5

Overview & Bed Count

Certified Beds
53
Avg Residents/Day
49.8
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Lebanon
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
Yes

CMS Star Ratings

Overall1/5
Health1/5
Staffing1/5
Quality1/5

Nurse Staffing Check

MetricThis FacilityPennsylvania AvgDifference
RN Hours per Resident per Day0.720.78-0.05
Total Nurse Hours per Resident per Day3.393.90-0.51
CMS Staffing Rating1/53.1/5-
Nursing Staff Turnover69.8%44.6%-

Health Citation History

75 health citations on record

DateCategoryDescriptionSeverity
2026-08-26Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2026-08-26Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2026-08-26Nutrition and Dietary DeficienciesEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D – Moderate Harm Potential
2026-08-26Environmental DeficienciesKeep all essential equipment working safely.D – Moderate Harm Potential
2026-07-14Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2026-03-21Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F – Moderate Harm Potential
2026-01-22Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2026-01-22Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.E – Moderate Harm Potential
2026-01-22Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.E – Moderate Harm Potential
2026-01-22Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2026-01-22Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2026-01-22Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2026-01-22Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2026-01-22Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2025-07-30Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2025-06-23Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2025-06-16Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.E – Moderate Harm Potential
2025-06-06Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F – Moderate Harm Potential
2025-06-06Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.F – Moderate Harm Potential
2025-06-06Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.F – Moderate Harm Potential
2025-06-06Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F – Moderate Harm Potential
2025-06-06Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-06-06Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyF – Moderate Harm Potential
2025-06-06Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2025-06-06Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.F – Moderate Harm Potential
2025-06-06Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.E – Moderate Harm Potential
2025-06-06Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E – Moderate Harm Potential
2025-06-06Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.E – Moderate Harm Potential
2025-06-06Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.E – Moderate Harm Potential
2025-06-06Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.E – Moderate Harm Potential
2025-06-06Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E – Moderate Harm Potential
2025-06-06Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2025-06-06Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.D – Moderate Harm Potential
2025-06-06Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-06-06Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2025-06-06Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2025-06-06Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2025-06-06Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2025-06-06Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2025-05-27Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.E – Moderate Harm Potential
2025-04-21Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K – Immediate Jeopardy
2025-04-21Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.G – Actual Harm
2025-04-21Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E – Moderate Harm Potential
2025-04-17Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2025-04-17Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-04-17Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2025-04-17Quality of Life and Care DeficienciesEnsure each resident must receive and the facility must provide necessary behavioral health care and services.D – Moderate Harm Potential
2024-12-17Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F – Moderate Harm Potential
2024-12-17Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.E – Moderate Harm Potential
2024-12-17Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential

Showing 50 of 75 citations.

Fire Safety Citation History

39 fire safety citations on record

DateCategoryDescriptionSeverity
2026-01-22Egress DeficienciesHave properly located and lighted "Exit" signs.F – Moderate Harm Potential
2026-01-22Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2026-01-22Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2026-01-22Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2026-01-22Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2026-01-22Gas, Vacuum, and Electrical Systems DeficienciesEnsure precautions for handling oxygen cylinders and equipment are correctly followed.E – Moderate Harm Potential
2026-01-22Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.C – Minimal Harm Potential
2026-01-22Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.C – Minimal Harm Potential
2026-01-22Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.C – Minimal Harm Potential
2026-01-22Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.C – Minimal Harm Potential
2025-06-06Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2025-06-06Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-06-06Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-06-06Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.F – Moderate Harm Potential
2025-06-06Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-06-06Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2025-06-06Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2025-06-06Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).C – Minimal Harm Potential
2025-06-06Construction DeficienciesMeet other general requirements.C – Minimal Harm Potential
2025-06-06Egress DeficienciesHave properly located and lighted "Exit" signs.C – Minimal Harm Potential
2025-06-06Smoke DeficienciesProvide properly protected cooking facilities.C – Minimal Harm Potential
2025-06-06Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.C – Minimal Harm Potential
2025-06-06Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.C – Minimal Harm Potential
2025-06-06Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.C – Minimal Harm Potential
2025-03-06Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-03-06Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-07-18Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-07-18Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-07-18Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-07-18Egress DeficienciesHave horizontal exits used in accordance with safety requirements.E – Moderate Harm Potential
2024-07-18Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2024-07-18Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2024-07-18Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2024-07-18Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).C – Minimal Harm Potential
2024-07-18Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.C – Minimal Harm Potential
2024-07-18Construction DeficienciesMeet other general requirements.C – Minimal Harm Potential
2024-07-18Smoke DeficienciesProvide properly protected cooking facilities.C – Minimal Harm Potential
2024-07-18Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.C – Minimal Harm Potential
2024-04-09Construction DeficienciesSatisfy building requirements after a repair, renovation, modification, or change of user/occupancy.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2025-03-06Payment Denial-75 days starting 2025-06-07

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