Kadima Rehabilitation & Nursing at Lititz

125 South Broad Street · Lititz, PA · 17543 · 7176260211

42 certified beds For profit - Limited Liability company Chain: Kadima Healthcare Group

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.

Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Total nurse staffing below 3.0 hours per resident-day

3.00 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

82% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 37
Serious harm & abuse 20% 94
Staffing 20% 56
Federal penalties 15% 82
Trend 10% 18
Context 5% 75

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: 1 of 5

Total nurse hours / resident-day3.003.48 min · 4.1 strong
RN hours / resident-day0.880.55–0.75
Weekend hours / resident-day2.81≈ weekday level
Nursing turnover / year82%median 45%
Fines (3-yr window)none

Inspection citations (33 in the current record)

  • Potential for harm · D January 23, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 13, 2026 · Quality of Life and Care

  • Potential for harm · D January 23, 2026 · found via complaint

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected February 13, 2026 · Quality of Life and Care

  • Potential for harm · D December 17, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected January 16, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 17, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected January 16, 2026 · Quality of Life and Care

  • Actual harm · G July 18, 2025

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected August 8, 2025 · Quality of Life and Care

  • Potential for harm · D July 18, 2025

    Honor the resident's right to manage his or her financial affairs.

    Corrected August 8, 2025 · Resident Rights

  • Potential for harm · D July 18, 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 August 8, 2025 · Resident Rights

  • Potential for harm · D July 18, 2025

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected August 8, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 18, 2025

    Respond appropriately to all alleged violations.

    Corrected August 8, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F July 18, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected August 8, 2025 · Resident Rights

  • Potential for harm · D July 18, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 8, 2025 · Quality of Life and Care

  • Potential for harm · D July 18, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected August 8, 2025 · Quality of Life and Care

  • Potential for harm · D July 18, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected August 8, 2025 · Quality of Life and Care

  • Potential for harm · D July 18, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected August 8, 2025 · Quality of Life and Care

  • Potential for harm · E July 18, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected August 8, 2025 · Pharmacy Service

  • Potential for harm · E July 18, 2025

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected August 8, 2025 · Pharmacy Service

  • Potential for harm · F July 18, 2025

    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.

    Corrected August 8, 2025 · Nutrition and Dietary

  • Potential for harm · E July 18, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 8, 2025 · Nutrition and Dietary

  • Potential for harm · E July 18, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 8, 2025 · Infection Control

  • Potential for harm · E July 18, 2025

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Corrected August 8, 2025 · Infection Control

  • Potential for harm · D July 18, 2025

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected August 8, 2025 · Nursing and Physician Services

  • Potential for harm · D June 3, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected July 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 3, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected July 11, 2025 · Quality of Life and Care

  • Potential for harm · D June 3, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected July 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E April 29, 2025 · found via complaint

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Corrected June 9, 2025 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
April 29, 2025Payment Denial6 days

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 395590 · certified since July 1, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.