How many deficiencies did Kadima Rehabilitation & Nursing at New Castle get at its last inspection?

3 health deficiencies at the standard inspection on May 8, 2026. The Pennsylvania average is 10.

Does Kadima Rehabilitation & Nursing at New Castle accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Kadima Rehabilitation & Nursing at New Castle?

CMS lists 22 owners and managers, and links the home to Kadima Healthcare Group. Legal business name: NEW CASTLE REHABILITATION & NURSING LLC.

Kadima Rehabilitation & Nursing at New Castle: Inspections

The record in brief

At its most recent standard inspection, on May 8, 2026, inspectors cited 3 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

Of 10 health citations since December 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $8,018 in the last three years; the largest was $8,018, and the latest is dated June 7, 2024.

Nurses and nurse aides worked 3.54 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.73 of those hours.

55.2% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

CMS links it to Kadima Healthcare Group, an affiliated group of 14 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

112/23

206/24

205/25

108/25

101/26

305/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

May 8, 2026Standard inspection · 3 citations

E

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

F711 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 7, 2026

Inspectors wroteBased on review of clinical records and staff interviews, it was determined that the facility failed to ensure that the physician signs and dates all orders during each of his/her visits for six of 20 residents reviewed (Residents R7, R11, R23, R59, R60, and R61).
D

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

F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2026

Inspectors wroteBased on review of facility policy, clinical records and staff interviews, it was determined that the facility failed to make certain that necessary resident information was communicated to the receiving healthcare provider upon transfer to the hospital for two of four residents reviewed for hospitalization (Residents R4 and R59) and that the facility failed to provide the resident and/or resident representative with a written notice of the facility bed-hold policy (explanation of how long a bed can be held during a leave of absence and the cost per day) upon or within twenty-four hours of transfer for one of four residents reviewed for hospitalization (Closed Record Resident CR64).
D

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2026

Inspectors wroteBased on review of facility policy and manufacturer's guidelines, observation, and staff interview, it was determined that the facility failed to appropriately date and store medications in one of two nursing medication rooms (West).

January 8, 2026Complaint inspection · 1 citation

D

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

F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 3, 2026

Inspectors wroteBased on review of clinical records and staff interview, it was determined that the facility failed to send copies of notice of discharge to the representative of the Office of State Long-Term Care (LTC) Ombudsman for one of one residents reviewed (Resident R1).

August 29, 2025Complaint inspection · 1 citation

F

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

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 4, 2025

Inspectors wroteBased on review of facility policy, observations and staff interview, it was determined that the facility failed to ensure that food was stored in accordance with standards for food safety for three of three kitchen refrigerators and four of four kitchen freezers and corresponding temperature logs reviewed.

May 30, 2025Standard inspection, Complaint inspection · 2 citations

E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 19, 2025

Inspectors wroteBased on review of facility policy and resident council minutes, observations, and staff and resident interviews, it was determined that the facility failed to provide sufficient nursing staff and services to promote the physical and mental well-being and meet the needs for four of 19 residents interviewed (Residents R3, R24, R25, and R43).
E

Ensure 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.

F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 19, 2025

Inspectors wroteBased on review of facility policies, dietary and clinical records, observations, and resident and staff interviews, it was determined that the facility failed to provide daily menus, update menu changes, and notify residents of a change to the menu; and failed to provide a nutritionally adequate menu for one of one residents noted with a gluten free allergy (Resident R1).

June 7, 2024Standard inspection · 2 citations

G

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

F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) July 12, 2024

Inspectors wroteBased on review of resident rights, clinical records, and facility documentation, and staff interview, it was determined that the facility failed to provide proper resident assistance during bathing that resulted in a fall with actual harm of a fracture of the right shoulder for one of 17 residents reviewed (Resident R41).
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 12, 2024

Inspectors wroteBased on review of clinical records and staff interviews, it was determined that the facility failed to implement care and services identified on a comprehensive care plan regarding provision of care for activities of daily living (ADL) for one of 17 residents reviewed (Resident R41).

December 13, 2023Complaint inspection · 1 citation

D

Ensure that residents are free from significant medication errors.

F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 12, 2024

Inspectors wroteBased on review of facility policy and clinical records, and staff interviews, it was determined that the facility failed to ensure that it was free from significant medication errors for one of one residents reviewed (Resident R1).

Fire safety inspections

28 fire safety citations on file: 14 on May 8, 2026, 12 on May 30, 2025, 1 on March 19, 2025, 1 on June 7, 2024.

Every fire safety citation28 citations

F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · May 8, 2026 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · May 8, 2026 · Corrected (the home has a date of correction)
E
Install a two-hour-resistant firewall separation.

K 133 · May 8, 2026 · Corrected (the home has a date of correction)
E
Have simulated fire drills held at unexpected times.

K 712 · May 8, 2026 · Corrected (the home has a date of correction)
D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · May 8, 2026 · Corrected (the home has a date of correction)
D
Have exits that are accessible at all times.

K 271 · May 8, 2026 · Corrected (the home has a date of correction)
D
Install smoke barrier doors that can resist smoke for at least 20 minutes.

K 374 · May 8, 2026 · Corrected (the home has a date of correction)
D
Have power receptacles that are properly grounded.

K 912 · May 8, 2026 · Corrected (the home has a date of correction)
C
Establish emergency prep training and testing.

E 36 · May 8, 2026 · Corrected (the home has a date of correction)
C
Conduct testing and exercise requirements.

E 39 · May 8, 2026 · Corrected (the home has a date of correction)
C
Meet other general requirements.

K 100 · May 8, 2026 · Corrected (the home has a date of correction)
B
Have properly located and lighted "Exit" signs.

K 293 · May 8, 2026 · Corrected (the home has a date of correction)
B
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · May 8, 2026 · Corrected (the home has a date of correction)
B
Ensure proper usage of power strips and extension cords.

K 920 · May 8, 2026 · Corrected (the home has a date of correction)
F
Properly provide smoke detection systems in areas open to corridors.

K 347 · May 30, 2025 · deficient, provider has
E
Have proper medical gas storage and administration areas.

K 923 · May 30, 2025 · deficient, provider has
D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

K 223 · May 30, 2025 · deficient, provider has
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · May 30, 2025 · deficient, provider has
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · May 30, 2025 · deficient, provider has
D
Have simulated fire drills held at unexpected times.

K 712 · May 30, 2025 · Corrected (the home has a date of correction)
C
Develop Emergency Preparedness policies and procedures.

E 13 · May 30, 2025 · Corrected (the home has a date of correction)
C
Establish policies and procedures for sheltering.

E 22 · May 30, 2025 · Corrected (the home has a date of correction)
C
Establish emergency prep training and testing.

E 36 · May 30, 2025 · Corrected (the home has a date of correction)
C
Conduct testing and exercise requirements.

E 39 · May 30, 2025 · Corrected (the home has a date of correction)
B
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · May 30, 2025 · deficient, provider has
B
Have restrictions on the use of highly flammable decorations.

K 753 · May 30, 2025 · Corrected (the home has a date of correction)
F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · March 19, 2025 · Corrected (the home has a date of correction)
C
Inspect, test, and maintain automatic sprinkler systems.

K 353 · June 7, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
June 7, 2024	Fine	$8,018

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Pennsylvania	United States
All nursing staff (RN, LPN and aides)	3.54	3.89	3.86
Registered nurses	0.73	0.79	0.69
All nursing staff on weekends	3.26	3.53	3.42
Nurse aides	1.81
Licensed practical nurses	1.00
Nursing staff turnover (share who left in a year)	55.2%	44.5%	45.8%
Registered nurse turnover	60.0%	39.9%	42.9%
Administrators who left	2

CMS expects 3.99 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.66 on weekdays and 3.26 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.65 in April to June 2025 to 3.54 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.54	0.73	3.66	3.26	2.0%	0 of 90	60
Oct to Dec 2025	3.54	0.75	3.67	3.22	5.9%	0 of 92	58
Jul to Sep 2025	3.54	0.72	3.67	3.23	7.3%	0 of 92	58
Apr to Jun 2025	3.65	0.79	3.80	3.27	7.1%	0 of 91	59
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Pennsylvania, Jan to Mar 2026	3.69	0.65	3.82	3.34	11.3%	0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Pennsylvania

Job	Median	Middle half	Employed
Pennsylvania, all employers
CNAs (nursing assistants)	$21.44	$18.88 to $22.52	67,740
LPNs and LVNs	$30.74	$29.02 to $35.01	38,260
Registered nurses	$46.36	$38.75 to $50.35	146,520
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Pennsylvania	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	18.8	16.8	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.8	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	3.4	1.4	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.9	3.1	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	3.4	1.4	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	18.2	17.0	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	5.3	4.8	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	28.5	17.7	15.4

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Kadima Rehabilitation & Nursing at New Castle's Medicare short-stay residents. How to read these, and what Medicare pays for.

CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: NEW CASTLE REHABILITATION & NURSING LLC. CMS links this home to Kadima Healthcare Group, a group of 14 nursing homes averaging 1.9 stars overall.

Name	Role	Type	Since
Cibc Bank USA	5% or greater security interest	Organization	11/01/2024
Cibc Bank USA	Operational/managerial control	Organization	11/01/2024
Kadima Healthcare Group Inc	Operational/managerial control	Organization	11/01/2024
Pinnacle Healthcare Solutions Inc	Operational/managerial control	Organization	11/01/2024
Desmet, Lynn	Operational/managerial control	Individual	11/01/2024
Lowden, Thomas	Operational/managerial control	Individual	11/01/2024
Morris, Daniel	Operational/managerial control	Individual	11/01/2024
Naylor, Diedre	Operational/managerial control	Individual	11/01/2024
Stockhausen, James	Operational/managerial control	Individual	11/01/2024
Strauss, Jonathan	Operational/managerial control	Individual	11/01/2024
Tinker, Sonya	Operational/managerial control	Individual	11/01/2024
Kadima Healthcare Group Inc	Adp of the SNF	Organization	11/01/2024
Pinnacle Healthcare Solutions Inc	Adp of the SNF	Organization	11/01/2024
Desmet, Lynn	Adp of the SNF	Individual	11/01/2024
Lowden, Thomas	Adp of the SNF	Individual	11/01/2024
Morris, Daniel	Adp of the SNF	Individual	11/01/2024
Naylor, Diedre	Adp of the SNF	Individual	11/01/2024
Romeo, Michelle	Adp of the SNF	Individual	11/01/2024
Stockhausen, James	Adp of the SNF	Individual	11/01/2024
Strauss, Jonathan	Adp of the SNF	Individual	11/01/2024
Thimons, David	Adp of the SNF	Individual	11/01/2024
Tinker, Sonya	Adp of the SNF	Individual	11/01/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on May 8, 2026: "Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on May 8, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on May 8, 2026: "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."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 29, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.26 hours per resident per day, below the Pennsylvania average of 3.53.
How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Edison Manor Nursing & Rehabilitation Center
New Castle, 0.5 mi · 1 of 5 stars · 36 citations
Quality Life Services - New Castle
New Castle, 1.7 mi · 3 of 5 stars · 26 citations
Avalon Care Center
New Castle, 1.9 mi · 2 of 5 stars · 29 citations
Haven Convalescent Home, Inc
New Castle, 2.1 mi · 5 of 5 stars · 1 citation
Jameson Nursing and Rehab Center
New Castle, 3 mi · 5 of 5 stars · 4 citations
Kadima Rehabilitation & Nursing at New Wilmington
New Wilmington, 7.6 mi · 4 of 5 stars · 9 citations
Shenango Presbyterian Seniorcare
New Wilmington, 7.9 mi · 5 of 5 stars · 1 citation
Masternick Memorial Health Care Center
New Middletown, 10.6 mi · 4 of 5 stars · 7 citations

Pennsylvania contacts for a concern about a nursing home

These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.

Common questions

What is Kadima Rehabilitation & Nursing at New Castle's Medicare star rating?: CMS rates Kadima Rehabilitation & Nursing at New Castle 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Kadima Rehabilitation & Nursing at New Castle get at its last inspection?: 3 health deficiencies at the standard inspection on May 8, 2026. The Pennsylvania average is 10.
Has Kadima Rehabilitation & Nursing at New Castle been fined?: Yes. CMS lists 1 fine totaling $8,018 in the last three years.
Does Kadima Rehabilitation & Nursing at New Castle accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Kadima Rehabilitation & Nursing at New Castle?: CMS lists 22 owners and managers, and links the home to Kadima Healthcare Group. Legal business name: NEW CASTLE REHABILITATION & NURSING LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.