KADIMA REHABILITATION & NURSING AT LUZERNE
463 NORTH HUNTER HWY, DRUMS, PA 18222 · CCN 395484
SFF Candidate
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 37
- Avg residents/day
- 32.5
- Phone
- 5707884175
Inspection history vs Pennsylvania & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Pennsylvania avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-16 | 16 | 10.1 | 9.5 | +5.9 worse |
| 2 | 2024-02-29 | 21 | 10.9 | 9.8 | +10.1 worse |
| 3 | 2023-04-20 | 20 | 10.5 | 9.3 | +9.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident rights | 3 |
| Nutrition and dietary | 6 |
| Environmental | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.15 | 64.6% |
| RN staffing (reported) | 0.84 | 72.2% |
| Total nurse staffing (adjusted) | 4.75 | — |
Fines & penalties
- Total fines
- $86,122
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- KADIMA HEALTHCARE GROUP
- Facilities in chain
- 15
- Chain avg overall
- 1.80 / 5
Inspection citations (57)2 immediate jeopardy1 actual harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-06-11 · Health · corrected 2025-07-11
Potential for more than minimal harm
- EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2025-06-11 · Health · corrected 2025-07-11
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-06-11 · Health · corrected 2025-07-11
Potential for more than minimal harm
- LF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2025-06-11 · Health · corrected 2025-07-11
Immediate jeopardy
- LF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-11 · Health · corrected 2025-07-11
Immediate jeopardy
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-04-17 · Health · corrected 2025-06-11
Potential for more than minimal harm
- DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2025-04-17 · Health · corrected 2025-06-11
Potential for more than minimal harm
- DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2025-04-17 · Health · corrected 2025-06-11
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- FF0838Conduct 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.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-01-16 · Health · corrected 2025-02-14
Potential for minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-11-15 · Health · corrected 2025-01-16
Potential for more than minimal harm
- EF0584Honor 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.2024-07-23 · Health · corrected 2024-08-18
Potential for more than minimal harm
- EF0584Honor 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.2024-06-18 · Health · corrected 2024-08-18
Potential for more than minimal harm
- EF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-06-18 · Health · corrected 2024-07-23
Potential for more than minimal harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-06-18 · Health · corrected 2024-07-23
Potential for more than minimal harm
- EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-02-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- BF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-02-29 · Health · corrected 2024-04-29
Potential for minimal harm
- EF0584Honor 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.2024-02-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-02-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-02-29 · Health · corrected 2024-04-29
Potential for minimal harm
- EF0641Ensure each resident receives an accurate assessment.2024-02-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-29 · Health · corrected 2024-04-29
Actual harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-02-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-02-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- DF0761Ensure 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.2024-02-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-02-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- FF0814Dispose of garbage and refuse properly.2024-02-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-02-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-02-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-02-29 · Health · corrected 2024-04-29
Potential for minimal harm
- EF0679Provide activities to meet all resident's needs.2023-10-26 · Health · corrected 2023-12-28
Potential for more than minimal harm
- DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-10-26 · Health · corrected 2023-12-28
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-10-26 · Health · corrected 2023-12-28
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-07 · Health · corrected 2023-10-26
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-04-20 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-04-20 · Health · corrected 2023-05-22
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2023-04-20 · Health · corrected 2023-05-22
Potential for more than minimal harm
- EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-04-20 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2023-04-20 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-04-20 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0688Provide 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.2023-04-20 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-20 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-04-20 · Health · corrected 2023-05-22
Potential for more than minimal harm
- EF0700Try 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.2023-04-20 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0713Provide or arrange emergency care by a doctor 24 hours a day.2023-04-20 · Health · corrected 2023-05-22
Potential for more than minimal harm
- EF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-04-20 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2023-04-20 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-04-20 · Health · corrected 2023-05-22
Potential for more than minimal harm
- FF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2023-04-20 · Health · corrected 2023-05-22
Potential for more than minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2023-04-20 · Health · corrected 2023-05-22
Potential for minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MORRIS, DANIEL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2024-11-01 |
| STRAUSS, JONATHAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2024-11-01 |
| CIBC BANK USA | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-06 |
| KADIMA HEALTHCARE GROUP INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-08-29 |
| PINNACLE HEALTHCARE SOLUTIONS INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-01 |
| ARMSON, DYLAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-18 |
| HARKINS, ANDREA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-15 |
| LOWDEN, THOMAS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-10-01 |
| MORRIS, DANIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-08-29 |
| STRAUSS, JONATHAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-08-29 |
| STRYCZYNSKI, TRACY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-30 |
| CIBC BANK USA | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2025-08-06 |
Other facilities in DRUMS
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.