Kadima Rehabilitation & Nursing At Pottstown - 1-Star Rehab Facility in Pottstown, PA | PlacetStroke ProgramOrthopedic ProgramDementia Unit
Clinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 20.88%Falls causing major injury 2.17%Pressure ulcers (high-risk) 4.35%Source: CMS MDS Quality Measures. Updated quarterly.
Admissions Contacts
CMS Star Ratings
Last inspected: Mar 2025 (433 days ago)🔍 Health Inspection
1/5
★☆☆☆☆
📊 Quality Measures
4/5
★★★★☆
1h
State avg: 47 min · US avg: 41 min
Total Nurse / Resident / Day
3h 17m
State avg: 3h 54m · US avg: 3h 53m
1 min
State avg: 6 min · US avg: 4 min
N/A
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
86%above avg
US avg: 64%
Federal Penalties
36 penalties · $1,245,600 total
| Date | Type | Fine | Denial Days |
|---|
| 2/27/2025 | Fine | $27,950 | - |
| 2/27/2025 | Fine | $27,950 | - |
| 2/27/2025 | Fine | $27,950 | - |
| 2/27/2025 | Fine | $27,950 | - |
| 2/27/2025 | Fine | $27,950 |
N/A
State avg: 23.1 · US avg: 23.9
N/A
State avg: 9.8 · US avg: 12.0
VBP Performance Score
19/100
Incentive Payment
-1.80% penalty
Healthcare-Assoc. Infections
N/A
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
18.8 days
Avg Payment / Stay
$9,199.27
Patient Complexity
3.60 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
| 10/25/2024 | Payment Denial | - | 30 |
| 10/25/2024 | Payment Denial | - | 30 |
| 10/25/2024 | Payment Denial | - | 30 |
| 10/25/2024 | Payment Denial | - | 30 |
| 10/25/2024 | Payment Denial | - | 30 |
| 10/25/2024 | Payment Denial | - | 30 |
| 10/25/2024 | Payment Denial | - | 30 |
| 10/25/2024 | Payment Denial | - | 30 |
| 10/25/2024 | Payment Denial | - | 30 |
Inspection Citations
Survey: March 28, 2025(6 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
Survey: February 27, 2025(9 citations)
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
Survey: December 30, 2024(3 citations)
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: November 27, 2024(12 citations)
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
Survey: October 25, 2024(24 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
⚪ MinimalAdministration Deficiencies
+ 3 more survey(s) not shown in snapshot
High Performing
State avg: 3.2 · US avg: 3.3
4.3 per 100
State avg: 5.3 · US avg: 5.1
N/A
State avg: 1.5 · US avg: 1.6
N/A
State avg: 68.7 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
🟡 Potential for Harm
Resident Assessment and Care Planning Deficiencies
Complaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🔴 Immediate Jeopardy
Nursing and Physician Services Deficiencies
Complaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🔴 Immediate JeopardyFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🔴 Immediate JeopardyNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for Harm
Infection Control Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
⚪ MinimalAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
⚪ MinimalAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
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