Kadima Rehabilitation & Nursing at Lititz

Name: Kadima Rehabilitation & Nursing at Lititz
Address: 125 SOUTH BROAD STREET, Lititz, PA, 17543, US
Telephone: 7176260211

125 South Broad Street, Lititz, PA 17543 · Lancaster County · 42 certified beds · avg 39 residents/day · certified since Jul 1, 1983

Part of chain: KADIMA HEALTHCARE GROUP (14 facilities, chain avg rating 1.8★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.88

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jul 18, 2025 · F-0697

The facility did not provide safe and appropriate pain management for a resident who needed it.

Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Aug 8, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (33)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 23, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 23, 2026	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint
Dec 17, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Dec 17, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Jul 18, 2025	▲ G · Actual harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Jul 18, 2025	F · Potential for harm, facility-wide	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Jul 18, 2025	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Jul 18, 2025	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jul 18, 2025	E · Potential for harm, repeated	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jul 18, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 18, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 18, 2025	E · Potential for harm, repeated	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Jul 18, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to manage their own money and financial affairs.
Jul 18, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jul 18, 2025	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds.
Jul 18, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Jul 18, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jul 18, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jul 18, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jul 18, 2025	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jul 18, 2025	D · Potential for harm, one-off	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Jun 3, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Jun 3, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Jun 3, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Apr 29, 2025	E · Potential for harm, repeated	The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. · from a complaint
Jun 7, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 7, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 7, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jun 7, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 31, 2023	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Aug 31, 2023	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Aug 31, 2023	C · Minimal risk, facility-wide	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Aug 31, 2023	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 17).

Year	Citations	Serious (G–L)	Worst severity that year
2023	4	0	E
2024	4	0	F
2025	23	1	G ▲
2026	2	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

0 fines totaling $0, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Apr 29, 2025	Payment Denial	6 days from Aug 2, 2025

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Pennsylvania avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.88	3.94	3.95	bottom 6% in Pennsylvania; bottom 10% in the U.S.
Registered Nurse hours	0.87	0.80	0.69	top 29% in Pennsylvania; top 23% in the U.S.
Weekend total nurse staffing	2.56	3.58	3.50	bottom 5% in Pennsylvania; bottom 11% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.69	0.56	0.48	top 24% in Pennsylvania; top 17% in the U.S.
Total nursing staff turnover (%)	82.1	44.5	45.8	bottom 1% in Pennsylvania; bottom 2% in the U.S.
RN turnover (%)	80.0	39.9	42.9	bottom 3% in Pennsylvania; bottom 6% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.46, RN 1.05, weekend 3.09. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Bedwell, Mary Ruth	Individual	Operational/Managerial Control	NOT APPLICABLE	10/20/2025
Bedwell, Mary Ruth	Individual	ADP of the SNF	NOT APPLICABLE	10/20/2025
Boucher, Susanne	Individual	Operational/Managerial Control	NOT APPLICABLE	04/22/2025
Boucher, Susanne	Individual	ADP of the SNF	NOT APPLICABLE	04/22/2025
Cibc Bank USA	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	08/06/2025
Cibc Bank USA	Organization	Operational/Managerial Control	NOT APPLICABLE	08/06/2025
Harkins, Andrea	Individual	Operational/Managerial Control	NOT APPLICABLE	09/15/2025
Harkins, Andrea	Individual	ADP of the SNF	NOT APPLICABLE	09/15/2025
Kadima Healthcare Group INC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/29/2018
Kadima Healthcare Group INC	Organization	ADP of the SNF	NOT APPLICABLE	11/21/2025
Lititz Property Management LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/29/2018
Lowden, Thomas	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
Lowden, Thomas	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2025
Martin Friedman Cpa PC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2025
Morris, Daniel	Individual	Operational/Managerial Control	NOT APPLICABLE	08/29/2018
Morris, Daniel	Individual	ADP of the SNF	NOT APPLICABLE	08/29/2018
Pearlstein, Robert	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2021
Pinnacle Healthcare Solutions INC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/01/2024
Pinnacle Healthcare Solutions INC	Organization	ADP of the SNF	NOT APPLICABLE	11/21/2025
Strauss, Jonathan	Individual	Operational/Managerial Control	NOT APPLICABLE	08/29/2018

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What mental health services do you provide on-site, and who delivers them?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Moravian Manor	0.3 mi	Lititz, PA	★★★★★	5/5
Luther Acres Manor	0.8 mi	Lititz, PA	★☆☆☆☆	2/5	abuse
Brethren Village	3.3 mi	Lancaster, PA	★★★☆☆	2/5	abuse
Rehabilitation Center at Brethren Village LLC	3.3 mi	Lancaster, PA	★★★★★	5/5
Neffsville Nursing and Rehabilitation	3.4 mi	Lancaster, PA	★☆☆☆☆	1/5
Landis Homes	3.5 mi	Lititz, PA	★★★★★	4/5
Pleasant View Communities	4.3 mi	Manheim, PA	★★★★★	4/5
United Zion Retirement Communi	4.4 mi	Lititz, PA	★★★★★	4/5
Maple Farm	5.3 mi	Akron, PA	★★★★★	5/5
Trillium Place	6.5 mi	Lancaster, PA	★★★★★	5/5
Ephrata Manor	7.2 mi	Ephrata, PA	★★★★☆	4/5
Rose City Nursing and Rehab at Lancaster	7.6 mi	Lancaster, PA	★★☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Lititz →

Facility data as of CMS processing date 2026-08-01. CCN 395590.

The Care File

Visit checklist — Kadima Rehabilitation & Nursing at Lititz

125 South Broad Street, Lititz, PA 17543 · 7176260211

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $0

Most serious findings on record:

▲ Jul 18, 2025 (F-0697, Actual harm, one-off): The facility did not provide safe and appropriate pain management for a resident who needed it.

Questions for the administrator:

☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What mental health services do you provide on-site, and who delivers them?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 395590 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)