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Nursing HomeMedicaid Investigative

Kadima Rehabilitation & Nursing at Harmony

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

191 Evergreen Mill Road, Harmony, PA 16037115 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 55 Google reviews

5
4
3
2
1
Kadima Rehabilitation & Nursing at Harmony Nursing Home in Harmony, PA — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Above-median deficiencies (22 vs median 8.0)
  • High staff turnover (61%)

Bottom 25% in PA · Below recommended RN staffing · Worst in KADIMA HEALTHCARE GROUP chain · $174,201 in fines · Abuse citation

Source: Medicare data

What this means for your family

While the rehab therapy team is frequently praised for their effectiveness, the facility has a documented history of severe administrative and communication failures. If you choose this facility, ensure you have a clear, written plan for billing and maintain frequent, in-person visits to monitor your loved one's care, as response times and staffing levels are inconsistent.

Google Reviews

Google Reviews

55 reviews on Google
Kadima Rehabilitation & Nursing at Harmony receives highly polarized feedback, with some families praising the attentive rehab staff and others reporting severe neglect and administrative dysfunction. While some visitors highlight clean facilities and compassionate care, multiple reports describe significant issues with chronic understaffing, poor communication, and persistent billing errors. Families should be aware of serious allegations regarding patient safety and the facility's history of name changes.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean4.0Activities7.0MedsN/AMemory2.0Comms2.0Value1.0

Strengths

  • Attentive and friendly rehab therapy staff
  • Effective post-discharge follow-up communication
  • Clean and well-maintained physical environment
  • Compassionate end-of-life care

Concerns

  • Chronic understaffing leading to neglect (mentioned by 6 reviewers)
  • Persistent and inaccurate billing issues (mentioned by 3 reviewers)
  • Poor communication and unprofessional staff behavior (mentioned by 5 reviewers)
  • Unsanitary conditions and hygiene neglect (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'19(9)'21(6)'23(1)'25(13)'26(5)

Distribution · 52 analyzed

5
24
4
5
3
1
2
1
1
21

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent focus on staffing, could you walk me through how you ensure consistent daily care and supervision for residents during shift changes?
  • 2I noticed some feedback regarding billing processes; what steps does your administrative team take to ensure transparency and accuracy in monthly statements?
  • 3How do you maintain your standards for room cleanliness and hygiene, especially given the high volume of residents in the facility?
  • 4Could you share how your team coordinates communication with families to ensure we are kept in the loop regarding our loved one's health and daily status?
  • 5What specific activities or social programs are currently in place to help residents stay engaged and connected throughout the week?
  • 6How does your nursing team handle medical emergencies or urgent changes in a resident's condition during evening and weekend hours?

Personalized based on this facility's data


Key Review Excerpts

There are staffing deficits everywhere, but they did a fantastic job keeping my grandmother safe and made sure all of her basic needs were met.

Long-term resident's family · 2026★★★★★

My mother was on hallway north west. She was treated with dignity and respect all the time. The aides were sweet helpful and understanding when she needed something or when I had a question or needed something from them.

Long-term resident's family · 2019★★★★★

They have been over billing my mother-in-law's stay since day one. They keep sending us a monthly bill with an astronomical amount that is absolutely incorrect!

Long-term resident's family · 2024☆☆☆☆
Source: 55 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

3

measures

Worse Than Avg

12

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility42.5%
Worse than Avg
Here
42.5%
US
93.4%
PA
87.1%
Butler
92.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.0%
Better than Avg
Here
3.0%
US
12.1%
PA
8.3%
Butler
17.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility26.3%
Worse than Avg
Here
26.3%
US
15.5%
PA
17.7%
Butler
15.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility23.3%
Worse than Avg
Here
23.3%
US
15.3%
PA
18.4%
Butler
14.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.4%
Worse than Avg
Here
21.4%
US
14.4%
PA
17.5%
Butler
13.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility18.0%
Better than Avg
Here
18.0%
US
19.5%
PA
19.9%
Butler
25.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility8.9%
Worse than Avg
Here
8.9%
US
81.8%
PA
69.2%
Butler
81.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility7.6%
Worse than Avg
Here
7.6%
US
79.8%
PA
68.7%
Butler
78.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.8%
Worse than Avg
Here
4.8%
US
1.6%
PA
1.4%
Butler
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

24deficiencies
2penalties
Well above state avg (10.1)
23 complaint-triggered
$174,201 in fines

Families have filed numerous complaints triggering 21 deficiencies, with recurring safety issues including accident prevention appearing across multiple complaint investigations. The facility shows persistent problems with safety oversight, fire safety systems, and dietary services, with many identical deficiencies repeating across surveys from 2023 to 2025. While most issues are marked as corrected, the pattern of recurring violations in critical areas like resident protection and building safety suggests ongoing operational challenges that families should carefully evaluate.

Apr 30, 2026Complaint
1
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Feb 24, 2026Complaint
1
0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

Jun 12, 2025Complaint
1
0603Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

May 9, 2025Routine
49
0806Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0835Potential for harm · WidespreadCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0100Potential for harm · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

0133Potential for harm · WidespreadCorrected

Construction Deficiencies

Install a two-hour-resistant firewall separation.

0271Potential for harm · WidespreadCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0745Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0225Potential for harm · PatternCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0311Potential for harm · PatternCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0911Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0926Potential for harm · IsolatedCorrected

Environmental Deficiencies

Have policies on smoking.

0912Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0575Minimal · WidespreadCorrected

Resident Rights Deficiencies

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.

0006Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0015Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0020Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0023Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for medical documentation.

0032Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0035Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0036Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0041Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0111Minimal · WidespreadCorrected

Construction Deficiencies

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

0355Minimal · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0923Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0293Minimal · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0363Minimal · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0712Minimal · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

May 9, 2025Complaint
1
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Dec 12, 2024Complaint
1
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

May 9, 2025

$43,450

Fine

Jan 5, 2024

$130,751

Ownership & Operations

Who Operates This Facility

Owner / Operator

Kadima Rehabilitation & Nursing at Harmony

Organization Type

for profit

Chain Affiliation

Chain Name

Kadima Healthcare Group

Chain Size

15 facilities nationwide

Chain avg rating: 1.8/5 · Rank 11 of 14 (Worst)

Ownership & Management

Key personnel

Harmont Realty Management LLC5% or Greater Mortgage InterestCibc Bank USA5% or Greater Security InterestMorris, DanielManaging Control - Governing BodyStrauss, JonathanManaging Control - Governing BodyCibc Bank USAManager
Source: Medicare provider data

Contact

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References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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