Kadima Rehabilitation & Nursing at Harmony
191 Evergreen Mill Road · Harmony, PA · 16037 · 7244526970
115 certified beds For profit - Limited Liability company Chain: Kadima Healthcare Group Part of a CCRC
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $174,201 |
Inspection citations (75 in the current record)
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Potential for harm · D April 30, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 24, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 6, 2026 · Quality of Life and Care
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Potential for harm · D June 12, 2025 · found via complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected July 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J May 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · D May 9, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 13, 2025 · Resident Rights
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Potential for harm · D May 9, 2025
Keep residents' personal and medical records private and confidential.
Corrected June 13, 2025 · Resident Rights
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Potential for harm · D May 9, 2025
Honor 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.
Corrected June 13, 2025 · Resident Rights
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Potential for harm · D May 9, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 9, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 9, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 13, 2025 · Resident Rights
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Potential for harm · E May 9, 2025
Ensure each resident receives an accurate assessment.
Corrected June 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 9, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 9, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · D May 9, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · D May 9, 2025
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 June 13, 2025 · Quality of Life and Care
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Potential for harm · D May 9, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · E May 9, 2025
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · E May 9, 2025
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 June 13, 2025 · Pharmacy Service
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Potential for harm · F May 9, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected June 13, 2025 · Nutrition and Dietary
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Potential for harm · F May 9, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 13, 2025 · Nutrition and Dietary
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Potential for harm · F May 9, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected June 13, 2025 · Administration
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Potential for harm · D May 9, 2025
Provide and implement an infection prevention and control program.
Corrected June 13, 2025 · Infection Control
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Potential for harm · D May 9, 2025
Have policies on smoking.
Corrected June 13, 2025 · Environmental
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No harm found · C May 9, 2025
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected June 13, 2025 · Resident Rights
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Potential for harm · D December 12, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 13, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 9, 2025 | Fine | $43,450 |
| January 5, 2024 | Fine | $130,751 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395758 · certified since June 1, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.