Kadima Rehabilitation & Nursing At Lititz

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

49.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 58 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 44.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 29 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.78 therapist hours per resident per day in 2026Q1 — more than 94% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 42 beds and averages 39.3 residents a day — about 94% occupied, or roughly 3 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.46 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 1.05 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.63 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.09 hrs/resident/day on weekends vs 3.62 on weekdays — 15% thinner on weekends. RN hours go from 1.19 to 0.69 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 82% is well above the national median of 45%. 3 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

33 citations, most serious first. The 11 most serious are shown; the remaining 22 are one tap away and print in full.

• Actual harm · G2025-07-18 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Number of residents sampled: Number of residents cited: Based upon clinical record review, review of facility documentation, and staff interview it was determined the facility failed to ensure proper care and treatment after a fall resulting in actual harm when a resident experienced severe pain after a fall and subsequent fracture due to the facility not providing interventions or monitoring the resident's pain for one of one resident reviewed (Resident 52).Findings include:Review of Resident 52's diagnosis list revealed diagnoses including Dementia (irreversible, progressive degenerative disease of the brain, resulting in loss of reality contact and functioning ability), Peripheral Vascular Disease (PVD - poor circulation of the extremities) and osteoarthritis (degenerative joint disease).Review of Resident 52's care plan revealed Resident 52 was at risk for falls and has acute and chronic pain.Review of Resident 52's progress notes dated May 8, 2025, revealed [At] 4:30 a.m. resident screamed out from room and found lying flat on the floor rolled in blankets. Last observed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-23 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on a review of the facility's policy, clinical records, hospital records review, and staff interview, it was determined that the facility failed to appropriately monitor and address the bowel movement of one of two residents reviewed (Resident R1).Findings include: A review of the facility's policy titled Bowel Protocol, revised on November 1, 2024, revealed that residents' bowel movements will be monitored daily by the 11-7 nursing supervisor. Residents who have not had a bowel movement for 2 days are identified and considered to be at risk for constipation. Residents will continue to be monitored by nursing for bowel movements following each step: Step one, for residents who have not had a bowel movement for 2 days: Give Prune juice 4 ounces, three doses, or two ounces of bran mixture. If prune juice was ineffective, administer Milk of Magnesia (Used as a laxative to relieve constipation) 30 ml PO in AM on day 3. Step 3: If there are no results from the MOM within 24 hours of administration, administer a Dulcolax Suppository (Provides fast relief for occasional constipation…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-23 · tag F0740 — failed to provide behavioral / mental-health care — isolated
  Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of clinical records, hospital records, and staff interviews, it was determined that the facility failed to timely and appropriately provide behavioral services for one of two residents reviewed (Resident1).Findings include: A review of Resident 1's diagnosis list includes altered mental status, urinary tract infection (UTI- A common bacterial infection occurring anywhere in urinary system, most frequently in the bladder), depression (A mood disorder causing persistent sadness, loss of interest, and function impairment), and anxiety (A disorder that involve repeated episodes of sudden feeling of intense anxiety and fear of terror that reach a peak within minutes). A review of Resident R1's admission Minimum Data Set (MDS- A standardized assessment tool that measures health status in long-term care residents) dated November 11, 2025, revealed that the resident was cognitively intact. A review of the nursing progress notes dated November 18, 2025, at 1:55 p.m., revealed that the medication nurse was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-17 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on a review of the facility's policies, clinical records review, and staff interviews, it was determined that the facility failed to ensure resident was free from neglect for one of the two residents reviewed. (Resident CL1).Findings include:A review of the facility's policy titled Abuse Reporting and Investigation, revealed ABUSE means the willful infliction of injury, unreasonable confinement, intimidation, or punishment resulting in physical harm, pain, or mental anguish. Abuse includes verbal abuse, sexual abuse, physical abuse, and mental abuse facilitated or enabled using technology. Willful means the individual must have acted deliberately, not that the individual must have intended to inflict injury or harm. Types of abuse include Verbal Abuse, Sexual Abuse, Physical Abuse, Involuntary Seclusion, Mental Abuse, Neglect, and Misappropriation of Resident Property.A review of the facility's policy titled Medication Administration, with a revision date of November 2024, revealed that medications are administered, as prescribed, in accordance with good nursing principles and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-17 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the facility's policy, clinical records review, and staff interview, it was determined that the facility failed to timely provide wound treatment on an identified skin impairment on a resident's ankle for one of the two residents reviewed (Resident CL2). Findings include:A review of the facility's policy titled Skin and Wound Management Policy, revised on April 3, 2025, revealed Residents identified with skin impairments will have appropriate interventions implemented to promote healing. Wound location, characteristics, and a physician's order for treatment are documented in the medical records. The same policy revealed Residents are provided with appropriate prevention and treatment to encourage integrity and healing.Clinical record review revealed Resident CL2 was admitted to the facility from the hospital on November 12, 2025, post fall and diagnosis of Rhabdomyolysis (A serious condition where damaged muscle tissue breaks down, releasing harmful substances [Myeloglobin] into the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-07-18 · tag F0628 — widespread
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility policy, clinical record review and staff interviews, it was determined that the facility failed to notify a representative of the Office of the State Long-Term Care Ombudsman of the transfer or discharge for 4 of 4 (6, 7, 41, and 47) residents reviewed. The facility also failed to provide written information about the bed-hold policy to the resident, and if applicable the resident's representative, at the time of transfer, or in cases of emergency transfer, within 24 hours for 3 of 3 residents reviewed (7, 41, and 47). Additionally, the facility failed to reconcile the medications prior to discharge for one of one resident (6).Findings include:Review of facility policy Bed Hold Policy and Procedure revised November 1, 2024, revealed that upon discharge from the facility and admission to a hospital, the social service department or the Administrator's designee will contact, by telephone and in writing, the resident/agent (responsible party) to inform them that the resident was discharged to the hospital. The bedhold letter and bedhold reservation request must be…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-07-18 · tag F0801 — widespread
  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.
  What the surveyor found here — the official record, unedited, may be distressing

  Number of residents sampled: Number of residents cited: Based upon interview and observation, it was determined the facility failed to employ a Licensed Dietitian.Findings include:Review of clinical records failed to reveal evidence that a Licensed Dietitian was reviewing or monitoring the nutritional status of residents.Interview with the Nursing Home Administrator on July 18, 2025, at 1:30 p.m. confirmed that the Licensed Dietitian, supposedly employed by the facility, was unavailable. This interview further revealed that a Licensed Dietitian had not been reviewing the nutritional status or providing nutritional services to residents in the facility. 28 Pa. Code 201.18(e)(1) Management

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-07-18 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Number of residents sampled: Number of residents cited: Based upon clinical record review, it was determined the facility failed to ensure pharmacy consultant reviews were completed monthly as required for one of five records reviewed (Resident 3).Findings include:Review of Resident 3's clinical record failed to reveal evidence that Pharmacy Consultant reviews were completed for Resident 3 for the following months - July, September, October, November and December 2024 and January, February, March and June 2025.Review of Resident 7's clinical record indicated that the consultant pharmacist identified an irregularity during the drug regimen review of March 27, 2025. There was no documented evidence of the irregularity or that the physician addressed the irregularity.Review of Resident 17's clinical record indicated that the consultant pharmacist recommended Venlafaxine (antidepressant medication) be assessed for a gradual dose reduction on December 8, 2024. There was no documented evidence that the physician addressed the recommendation. Additionally, the consultant pharmacist…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-07-18 · tag F0757 — failed to avoid unnecessary drugs — pattern
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Number of residents sampled: Number of residents cited: Based upon clinical record review, review of select facility policies and procedures, and facility documentation, it was determined the facility failed to implement non-pharmaceutical interventions prior to the administration of pain medication for three residents and failed to monitor side effects of pain medication and anti-depressant medication for two residents (Resident 1, Resident 4, Resident 17). Findings include: Review of facility policy “Pain Management Guideline” effective August 2017, indicated that documentation and observation of care and treatment reflects ongoing monitoring of pain levels and interventions (pharmacological and non-pharmacological). The documentation will be reflected on the eMAR (electronic medication administration record) and progress notes. Review of Resident 1’s physician’s orders included an order for Oxycodone HCl (pain medication) 5 milligrams (mg) to be administered every six hours as needed for moderate to severe pain. Review of Resident 1’s clinical record failed to reveal evidence…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-07-18 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — the official record, unedited, may be distressing

  Number of residents sampled: Number of residents cited: Bases on observations and interviews with staff, it was determined that the facility failed to store food in accordance with professional standards for food service safety.Findings include:Observations on July 15, 2025, at 9:40 a.m. during a tour of the kitchen with Employee E3, a large build up of ice was noted in the walk-in freezer. Boxes of food were observed to be covered in ice to the point of not being able to identify what the items were.Interview at the time with Employee E3 confirmed that the ice build up had been an on-going problem.The above information was presented to the Nursing Home Administrator at 1:30 p.m. on July 18, 2025.483.60 Food Procurement, Store/Prepare/Serve - SanitaryPreviously cited 6/7/24

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-07-18 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — the official record, unedited, may be distressing

  Number of residents sampled: Number of residents cited: Bases on observations and interviews with staff, it was determined that the facility failed to handle, store, and process so as to prevent the spread of infection.Findings include:Observations of the laundry area on July 18, 2025, at 11:00 a.m. revealed large trash bags on the floor containing dirty items in front of the dryer. The folding table containing clean items was located approximately four feet from the dirty items. Shelves on the walls contained various maintenance items such as tools and small hardware items. Additional observations revealed no PPE (personal protective equipment) was available for staff to use while sorting and handling contaminated items.Interview with E4 at that time revealed that PPE is used when items are from rooms that are on transmission-based precautions, but the PPE is not available in the laundry area.483.80 Infection Prevention and ControlPreviously cited 6/7/2428 Pa. Code 205.2(c)28 Pa. Code 205.26(d)

  Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record. 1 Medicare payment denial on record.

• Medicare payment denial — starting 2025-08-02 for 6 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to KADIMA HEALTHCARE GROUP — 14 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 21 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $253K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in PA