01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-11-20 | 6 | 2025-11-20 | 0 |
| Cycle 2 | 2024-10-25 | 18 | 2024-10-25 | 0 |
| Cycle 3 | 2023-11-06 | 10 | 2023-11-06 | 2 |
CMS CCN 3958272026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Kadima Rehabilitation & Nursing At Pottstown
3031 Chestnut Hill Road · Pottstown, PA 19464 · Montgomery County
Certified beds41CMS provider file
Recent citation rows36current CMS citation release
Penalty rows4current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
36 rows in the current release
4 rows carry G–L scope/severity codes; 4 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-11-20 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-12-202025-11-20 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-12-202025-11-20 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-12-202025-11-20 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-12-202025-11-20 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-12-202025-11-20 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-12-202025-03-28 · HEALTHF0567Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Correction field: Deficient, Provider has date of correction · 2025-04-08 · complaint2025-03-28 · HEALTHF0624Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Prepare residents for a safe transfer or discharge from the nursing home.
Correction field: Deficient, Provider has date of correction · 2025-04-09 · complaint2025-02-27 · HEALTHF0689Severity K · pattern of immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-03-16 · complaint2025-02-27 · HEALTHF0835Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Correction field: Deficient, Provider has date of correction · 2025-03-16 · complaint2025-02-27 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-03-16 · complaint2024-12-30 · HEALTHF0700Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-01-26 · complaint2024-11-27 · HEALTHF0600Severity L · widespread immediate jeopardy
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.
Correction field: Deficient, Provider has date of correction · 2024-12-30 · complaint2024-11-27 · HEALTHF0725Severity L · widespread immediate jeopardy
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Correction field: Deficient, Provider has date of correction · 2024-12-30 · complaint2024-11-27 · HEALTHF0727Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Correction field: Deficient, Provider has date of correction · 2025-01-26 · complaint2024-11-27 · HEALTHF0835Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Correction field: Deficient, Provider has date of correction · 2024-12-30 · complaint2024-10-25 · HEALTHF0585Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2024-12-162024-10-25 · HEALTHF0641Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-12-162024-10-25 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-12-162024-10-25 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2024-12-162024-10-25 · HEALTHF0692Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2025-01-262024-10-25 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-12-162024-10-25 · HEALTHF0838Severity C · widespread; potential for minimal harm
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Correction field: Deficient, Provider has date of correction · 2024-12-162024-10-25 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-12-1603 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-02-27 | Fine | $18,168 | 0 |
| 2024-10-25 | Fine | $57,882 | 0 |
| 2024-10-25 | Payment Denial | $0 | 30 |
| 2023-11-06 | Fine | $52,568 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CIBC BANK USAOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 08/06/2025
- CIBC BANK USAOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/06/2025
- KADIMA HEALTHCARE GROUP INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/29/2018
- PINNACLE HEALTHCARE SOLUTIONS INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2024
- BOIDE, WILLIAMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/10/2025
- HARKINS, ANDREAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/15/2025
- LOWDEN, THOMASIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2025
- MORRIS, DANIELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/29/2018
- PARSONS, MICHELLEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/02/2025
- STRAUSS, JONATHANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/29/2018
- KADIMA HEALTHCARE GROUP INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/26/2025
- MARTIN FRIEDMAN CPA PCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2025
- PINNACLE HEALTHCARE SOLUTIONS INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/26/2025
- POTTSTOWN PROPERTY MANAGEMENT LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 08/29/2018
- BOIDE, WILLIAMIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/10/2025
- HARKINS, ANDREAIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/15/2025
- LOWDEN, THOMASIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/01/2025
- MORRIS, DANIELIndividual · ADP OF THE SNFNOT APPLICABLE · since 08/29/2018
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.42per resident day
RN hours1.05per resident day
Weekend nurse hours3.27per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS
Open the Pottstown ledger →