With a score of 12/100, Kadima Rehabilitation & Nursing At Pottstown ranks in the bottom tier of Pennsylvania nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
With 3.28 total nurse hours per resident per day, Kadima Rehabilitation & Nursing At Pottstown falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 34 deficiencies at Kadima Rehabilitation & Nursing At Pottstown, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.28 | 3.8 | Below Average |
| Registered Nurses (RN) | 1.00 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.59 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.69 | 2.4 | Below Average |
| Weekend Total Nursing | 2.97 | 3.8 | Below Average |
| Weekend RN Hours | 0.85 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nov 19, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Nov 19, 2025 · Infection Control Deficiencies
- Tag 0628 Severity DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Nov 19, 2025 · Resident Rights Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Nov 19, 2025 · Quality of Life and Care Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 19, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.3% | 4.5% | Average |
| Falls with major injury | 2.2% | 3.0% | Better |
| On antipsychotic medication | 20.9% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 31.5% | 14.0% | Worse |
| Excessive weight loss | 7.6% | 7.5% | Average |
| New/worsened incontinence | 21.6% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $138,400
How This Grade Was Calculated
This facility's grade of F is based on a score of 12 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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