CCN 395506 · Lebanon County, Pennsylvania
Kadima Rehabilitation & Nursing at Palmyra
341 North Railroad St, Palmyra, PA 17078
Kadima Rehabilitation & Nursing at Palmyra is a 39-bed for-profit nursing home in Palmyra, Pennsylvania, first certified for Medicare or Medicaid in 1981. CMS publishes no overall star rating for it in its September 2026 data. It averaged 34.3 residents a day, about 88% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 39
- Average residents per day
- 34.3 (87.9% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Palmyra Rehabilitation & Nursing LLC
- Certified since
- May 1, 1981
- Chain or affiliated group
- Kadima Healthcare Group (14 facilities, chain average 1.9 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Pennsylvania median | US median |
|---|---|---|---|
| Overall rating | not rated | State spread: 145 at 1, 135 at 2, 118 at 3, 97 at 4, 157 at 5 | |
| Health inspections | not rated | ||
| Quality measures | not rated | ||
| Staffing | not rated | ||
| Total nurse hours per resident per day | 3.61 | 3.63 | 3.68 |
| RN hours per resident per day | 1.04 | 0.66 | 0.58 |
| Weekend nurse hours per resident per day | 3.32 | ||
| Nursing staff turnover | 63.0% | 44.2% | 44.9% |
| Occupancy (residents / beds) | 87.9% | 88.7% | 85.7% |
| Fines reported by CMS | 1 totaling $31,346 | ||
| Health deficiencies, latest standard survey | 15 (Mar 5, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Kadima Rehabilitation & Nursing at Palmyra does not meet it today: no overall rating, no health inspection rating. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Cibc Bank USAOrganization | Mortgage Interest | n/a | 08/06/2025 |
| Cibc Bank USAOrganization | Operational / Managerial Control | n/a | 08/06/2025 |
| Kadima Healthcare Group IncOrganization | Operational / Managerial Control | n/a | 08/29/2018 |
| Pinnacle Healthcare Solutions IncOrganization | Operational / Managerial Control | n/a | 11/01/2024 |
| Harkins, AndreaIndividual | Operational / Managerial Control | n/a | 09/15/2025 |
| Lowden, ThomasIndividual | Operational / Managerial Control | n/a | 10/01/2025 |
| Morris, DanielIndividual | Operational / Managerial Control | n/a | 08/29/2018 |
| Rivera, ZenaidaIndividual | Operational / Managerial Control | n/a | 10/27/2025 |
| Rosen, JacobIndividual | Operational / Managerial Control | n/a | 07/29/2025 |
| Strauss, JonathanIndividual | Operational / Managerial Control | n/a | 08/29/2018 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Cibc Bank USA.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Aug 28, 2018 | Palmyra Rehabilitation & Nursing LLC | Maybrook-P Palmyra Opco, LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.