Home / Pennsylvania / Pottstown
3031 Chestnut Hill Road, Pottstown, PA 19464 · Montgomery County · (610) 469-6228
41 certified beds, about 31 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1990
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395827 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on November 20, 2025, inspectors cited 6 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 34 health citations since November 2023, 4 were rated as actual harm or immediate jeopardy to residents (4 immediate jeopardy).
CMS lists 3 fines totaling $128,929 in the last three years; the largest was $57,882, and the latest is dated February 27, 2025.
Nurses and nurse aides worked 3.42 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 1.05 of those hours.
CMS links it to Kadima Healthcare Group, an affiliated group of 14 nursing homes.
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.
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 34 health citations on file.
Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to properly label, date, and monitor food products in the Main Kitchen.
Inspectors wroteBased upon observation, it was determined that the facility failed to ensure infection control practices were monitored on two of two nursing units and two of two medication carts.
Inspectors wroteBased upon clinical record review, it was determined that the facility failed to obtain a physician's discharge summary for a resident discharged home (Resident 41)
Inspectors wroteBased on clinical record review and staff interviews, it was determined that the facility failed to follow physician-ordered parameters for pain medication administration for one of 16 residents reviewed (Resident R24).
Inspectors wroteBased upon observation, it was determined that the facility failed to ensure residents were free from accidents and hazards for one of two medication carts (Cart 1).
Inspectors wroteBased on clinical record review, staff interviews, and policy review, it was determined that the facility failed to implement non-pharmacological interventions prior to administering PRN pain medication for one of 16 residents reviewed (Resident R24).
Inspectors wroteBased on staff and resident interviews, it was determined that the facility failed to have petty cash available in the facility for any resident who may request funds from their accounts.
Inspectors wroteBased on clinical record review, staff and resident interviews it was determined that the facility failed to provide appropriate preparation of the resident prior to transfer and discharge for one of three residents reviewed (Resident R1).
Inspectors wroteBased on review of facility documentation, clinical records, and interviews with staff and residents it was determined the facility failed to ensure the transportation vehicle had a safety inspection from [DATE], until February 4, 2025, during which time the vehicle was used to transport seven residents on 11 separate occasions to medical appointments. Additionally, staff using the transport van had not been trained in safety procedures. This resulted in an Immediate Jeopardy which had the potential to cause residents discomfort or pain and to jeopardize the health and safety of residents.
Inspectors wroteBased on a review of job descriptions it was determined that the Nursing Home Administrator (NHA) and the Director of Nursing (DON) did not effectively manage the facility to make certain that proper procedures were followed to ensure proper staffing to care for and protect residents from potentially unsafe condition in the facility.
Inspectors wroteBased on a review of clinical records and interviews with staff, it was determined that the facility failed to maintain complete and accurate medical records for one of eight residents reviewed (Resident 1).
Inspectors wroteBased on observations, review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to ensure correct installation, use, and maintenance of bed rails for one resident (Resident 1)
Inspectors wroteBased on review of clinical records, facility documentation, observations, and interviews with staff, it was determined the facility failed to ensure residents were free from neglect by failing to provide sufficient nursing staff to ensure nursing care, safety, and related services for 39 residents on November 22, 2024, during the 3 p.m. to 11 p.m. and 11 p.m. to 7 a.m. shifts. The facility failed to provide necessary nursing services to 39 out of 39 residents due to the lack of appropriate nursing levels placing all 39 residents in the facility in an Immediate Jeopardy situation. (Resdients R1, R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, R12, R13, R14, R15, R16, R17, R18, R19, R20, R21, R22, R23, R24, R25, R26, R27, R28, R29, R30, R31, R32, R33, R34, R35, R36, R37, R38, R39) Findings Include: Observation upon arrival at the nursing home on November 22, 2024, at 3:53 p.m. [...]
Inspectors wroteBased on clinical record review, review of facility documentation, observations, and staff interviews, it was determined the facility failed to maintain sufficient nursing staff to provide nursing care and related services to assure resident safety on one of one nursing units on November 22, 2024, during the 3 p.m. to 11 p.m. and 11 p.m. to 7 a.m. shifts. Residents did not receive care and services due to the lack of appropriate nursing levels placing all 39 residents in the facility in an Immediate Jeopardy situation. (Resdients R1, R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, R12, R13, R14, R15, R16, R17, R18, R19, R20, R21, R22, R23, R24, R25, R26, R27, R28, R29, R30, R31, R32, R33, R34, R35, R36, R37, R38, R39) Findings Include: [...]
Inspectors wroteBased on observation and staff interview it was determined the facility failed to ensure a Director of Nursing was employed full time at the facility. Findings Include: Interview with Licensed Nursing Employee E2 on November 22, 2024 at 3:30 p.m. revealed there was no Director of Nursing (DON) since the last DON resigned on November 20, 2024. Interview with the Nursing Home Administrator on November 22, 2024 at 6:30 p.m. confirmed there has not been a DON employed since November 20, 2024 and there was a new DON starting on November 25, 2024. Interview with Licensed Nursing Employee E19 on November 25, 2024 at 9:30 a.m. confirmed it was the first day as DON and they were completing their orientation. The facility failed to have a full time Director of Nursing from November 20, 2024 to November 25, 2024. [...]
Inspectors wroteBased on a review of job descriptions it was determined that the Nursing Home Administrator (NHA) and the Director of Nursing (DON) did not effectively manage the facility to make certain that proper procedures were followed to ensure proper staffing to care for and protect residents from potentially unsafe condition in the facility.
Inspectors wroteBased on review of facility policy, observations, and interview with staff, it was determined that the facility failed to maintain appropriate temperatures during dishwashing.
Inspectors wroteBased on facility policy review, staff interviews, and observations it was determined the facility failed to implement enhanced barrier precautions for the entire facility. Findings Include: Review of a training being developed based on facility policy revealed recommendations now include use of Enhanced Barrier Precautions (EBP) for residents with chronic wounds or indwelling medical devices during high contact resident care activities regardless of their multidrug-resistant organism status, EBP include the use of gown and gloves when there is a potential for exposure to the affected area. Observations made during all days of the survey revealed none of the residents with chronic wounds or indwelling medical devices had any signs to indicate the implementation of EBP or PPE available for use. Observation of tracheostomy care on October 25, 2024 at 10:30 a.m. [...]
Inspectors wroteBased on clinical record review and staff interview it was determined the facility failed to complete clinal assessments completely and accurately for 8 of 16 residents reviewed. (Residents 4, 6, 13, 17, 21, 29, 34, and 38) Findings Include: Review of Resident 4's Quarterly Minimum Data Set (MDS- periodic assessment of resident needs) dated August 29, 2024, revealed Sections C for cognitive assessment and section D for mood were not completed. Review of Resident 6's Quarterly MDS, dated [DATE], revealed Sections C for cognitive assessment and section D for mood were not completed. Review of Resident 13's Quarterly MDS, dated [DATE], revealed Sections C for cognitive assessment and section D for mood were not completed. Review of Resident 17's Quarterly MDS, dated [DATE], revealed Sections C for cognitive assessment and section D for mood were not completed. [...]
Inspectors wroteBased on facility policy, clinical record review, and staff interview, it was determined the facility failed to obtain and monitor weights for two of 12 residents reviewed for nutrition (Residents 6 and 24).
Inspectors wroteBased on staff interviews and review of facility policy it was determined the facility had no grievance offer to monitor and system in place to ensure the prompt resolution of grievances.
Inspectors wroteBased on clinical record review and staff interview it was determined the facility failed to develop interventions to prevent pressure ulcer for one of two residents reviewed. (Resident 4) Findings Include: Review of Resident 4's Braden assessment dated [DATE] revealed the resident was at risk for the development of pressure ulcers. Review of Resident 4's care plan revealed there was a care plan for the risk of pressure ulcer developed on July 7, 2024 with the only intervention being to apply lotion. Review of Resident 4's skin/wound notes revealed a note by the wound CRNP on September 9, 2024 noting a left heel 4.5 centimeter x 3.5 centimeter dry eschar (black dead tissue) cap forming (unstageable pressure ulcer). Interview with the Director of Nursing and the Nursing Home Administrator on October 25, 2024 at 10:00 a.m. [...]
Inspectors wroteBased on clinical record review and staff interview it was determinant the facility failed to ensure proper care for a foley catheter for one of one resident reviewed. (Resident 2) Findings Include: Review of Resident 2's physician orders revealed an order dated September 14, 2024 for a Foley catheter (a flexible tube that drains urine from the bladder into a collection bag outside the body). Review of Resident 2's entire clinical record revealed there was no documented evidence the facility was providing care to the catheter. Interview with the Director of Nursing on October 25, 2024 at 10:00 a.m. confirmed there was no documentation to show the facility was providing care to Resident 2's Foley catheter. 28 Pa. Code 211.5 (f) Clinical record 28 Pa. Code 211.12 (c)(d)(1)(3) Nursing services
Inspectors wroteBased on staff interview it was determined the facility failed to develop a resident assessment. Findings Include: During entrance conference with the Nursing Home administrator and Director of Nursing on October 22, 2024 at 9:30 a.m. the facility was asked to provide their facility assessment. Interview with the Nursing Home Administrator on October 25, 2024 at 10:00 a.m. revealed the facility did not have a current facility assessment. 28 Pa.
Inspectors wroteBased on interview and clinical record review failed to ensure that residents attend medical appointments using reliable transportation service for two of three residents reviewed (Residents R1 and R3).
Inspectors wroteBased on observations and staff and resident interviews it was determined that the facility failed to maintain a temperature range between 71 to 81 degrees Fahrenheit in random selection of rooms and common areas occupied by residents resulting in immediate jeopardy to the residents.
Inspectors wroteBased on a review of job descriptions it was determined that the Nursing Home Administrator (NHA) and the Director of Nursing (DON) did not effectively manage the facility to make certain that proper procedures were followed to protect residents from potentially unsafe environmental condition in the facility.
Inspectors wroteBased on staff interviews it was determined the facility failed to have a certified infection preventionist. Findings Include: Interview with the Director of Nursing and the Nursing Home Administrator during entrance on October 31, 2023 at 9:45 a.m. revealed the NHA was the infection Preventionist. Interview with the NHA on November 3, 2023 at 12:45 p.m. confirmed the NHA was not certified as an infection preventionist and there was no other staff in the building qualified as infection preventionist. 28 Pa. Code 201.14 (a) Responsibility of licensee 28 Pa. Code 201.18 (e)(1)(3)(6) Management 28 Pa. Code 211.12 (c)(d)(1)(3)(5) Nursing services
Inspectors wroteBased on clinical record review and staff interview it was determined the facility failed to complete clinal assessments completely and accurately for 13 of 16 residents reviewed. (Residents 2, 4, 5, 6, 7, 8, 10, 11, 22, 25, 26, 27, and 139) Findings Include: Review of Resident 2's Quarterly Minimum Data Set (MDS- periodic assessment of resident needs) dated September 11, 2023, revealed Sections C for cognitive assessment and section D for mood were not completed. Review of Resident 4's Annual MDS, dated [DATE] revealed Sections C for cognitive assessment and section D for mood were not completed. Review of Resident 5's Significant Change MDS, dated [DATE] revealed Sections C for cognitive assessment and section D for mood were not completed. Review of Resident 6's Quarterly MDS, dated [DATE] revealed Sections C for cognitive assessment and section D for mood were not completed. [...]
Inspectors wroteBased on review of policies, staff statements and clinical records, as well as resident and staff interviews, it was determined that the facility failed to notify the physician of lab services failing to draw labs for one resident (Resident 37).
Inspectors wroteBased on review of facility documentation and staff interview, it was determined that the facility failed to provide the required Notice of Medicare Provider Non-Coverage (NOMNC) and Skilled Nursing Facility Advanced Beneficiary Notice (SNF-ABN) to the resident or resident's representative for two of three records reviewed (Residents 5 and 33).
Inspectors wroteBased on clinical record review and staff interview it was determined that the facility failed to notify the representative of the Office of the State Long-Term Care Ombudsman of resident transfers in writing and with required transfer information for one of 5 resident records reviewed (Residents 139).
Inspectors wroteBased on observations, clinical record review, and interviews with staff it was determined that the facility failed to follow physician, and or clarify physician, orders regarding Medication Administration for one of eight residents reviewed (Resident 139).
Inspectors wroteBased on review of the facility assessment and employee interview it was determined the facility failed to update the facility assessment at least annually. Findings Include: Review of the facility assessment provided to the surveyors revealed an assessment completion date of November 6, 2023. Interview with the Nursing Home Administrator on November 6, 2023 at 9:30 a.m. revealed the facility assessment had not been provided to the surveys due to not having been updated since December 6, 2021 and the NHA was currently in the process of updating it. The facility failed to update the facility assessment as need and at least annually. 28 Pa.
2 fire safety citations on file: 2 on July 19, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| February 27, 2025 | Fine | $18,479 |
| October 25, 2024 | Fine | $57,882 |
| October 25, 2024 | Payment Denial | 30 days from December 27, 2024 |
| November 6, 2023 | Fine | $52,568 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.42 | 3.89 | 3.86 |
| Registered nurses | 1.05 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.27 | 3.53 | 3.42 |
| Nurse aides | 1.65 | ||
| Licensed practical nurses | 0.72 | ||
| Nursing staff turnover (share who left in a year) | not reported | 44.5% | 45.8% |
| Registered nurse turnover | not reported | 39.9% | 42.9% |
| Administrators who left | 4 |
CMS expects 3.72 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.48 on weekdays and 3.27 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.64 in April to June 2025 to 3.42 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 | 3.42 | 1.05 | 3.48 | 3.27 | 0.0% | 0 of 90 | 31 |
| Oct to Dec 2025 | 3.06 | 1.07 | 3.13 | 2.87 | 0.0% | 0 of 92 | 34 |
| Jul to Sep 2025 | 3.28 | 1.00 | 3.40 | 2.97 | 0.0% | 0 of 92 | 35 |
| Apr to Jun 2025 | 3.64 | 0.92 | 3.76 | 3.37 | 42.3% | 0 of 91 | 32 |
| 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
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. If you work here, your report helps start one.
| 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.
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 | 19.6 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.6 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.6 | 3.1 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.5 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.7 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.2 | 17.7 | 15.4 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Kadima Rehabilitation & Nursing at Pottstown's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · Pennsylvania: 100 better, 108 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 11 eligible stays.
10.3% this home
No different from the national rate
US median of homes 10.7% · Pennsylvania: 3 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 36 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Pennsylvania: 7 better, 5 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 11 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Pennsylvania54.4% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 2 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Pennsylvania0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 4 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Pennsylvania2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 4 residents counted.
Not reported
CMS note: Newly certified nursing home with less than 12-15 months of data available or the nursing opened less than 6 months ago, and there were no data to submit or claims for this measure.
Median of homes: Pennsylvania100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025.
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.
Legal business name: POTTSTOWN 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 | Share | Since |
|---|---|---|---|---|
| Cibc Bank USA | 5% or greater mortgage interest | Organization | 08/06/2025 | |
| Cibc Bank USA | Operational/managerial control | Organization | 08/06/2025 | |
| Kadima Healthcare Group Inc | Operational/managerial control | Organization | 08/29/2018 | |
| Pinnacle Healthcare Solutions Inc | Operational/managerial control | Organization | 11/01/2024 | |
| Boide, William | Operational/managerial control | Individual | 02/10/2025 | |
| Harkins, Andrea | Operational/managerial control | Individual | 09/15/2025 | |
| Lowden, Thomas | Operational/managerial control | Individual | 10/01/2025 | |
| Morris, Daniel | Operational/managerial control | Individual | 08/29/2018 | |
| Parsons, Michelle | Operational/managerial control | Individual | 06/02/2025 | |
| Strauss, Jonathan | Operational/managerial control | Individual | 08/29/2018 | |
| Kadima Healthcare Group Inc | Adp of the SNF | Organization | 11/26/2025 | |
| Martin Friedman Cpa PC | Adp of the SNF | Organization | 01/01/2025 | |
| Pinnacle Healthcare Solutions Inc | Adp of the SNF | Organization | 11/26/2025 | |
| Pottstown Property Management LLC | Adp of the SNF | Organization | 08/29/2018 | |
| Boide, William | Adp of the SNF | Individual | 02/10/2025 | |
| Harkins, Andrea | Adp of the SNF | Individual | 09/15/2025 | |
| Lowden, Thomas | Adp of the SNF | Individual | 10/01/2025 | |
| Morris, Daniel | Adp of the SNF | Individual | 08/29/2018 | |
| Parsons, Michelle | Adp of the SNF | Individual | 06/02/2025 | |
| Pearlstein, Robert | Adp of the SNF | Individual | 01/01/2021 | |
| Strauss, Jonathan | Adp of the SNF | Individual | 08/29/2018 |
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.
Chosen from this home's own inspection record.
Licensed assisted living residences and personal care homes in the same town or within 5 miles, each with its Pennsylvania licence record.
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.