The home failed to provide safe, appropriate pain management for a resident who needed it. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Nursing home report
Kadima at Lititz
Registered name: KADIMA REHABILITATION & NURSING AT LITITZ
LITITZ, PA · Medicare-certified · 42 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Kadima at Lititz has a 1-star overall rating, with 1-star staffing and quality measures ratings and 2-star health inspections. It is flagged for the lowest overall rating; reported nurse staffing is 3.46 hours per resident per day, below the 4.1 federal benchmark, and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.4637 hrs/resident/day
Quality measures
Last inspection: January 23, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4637.
Staffing detail
- Registered nurses
- 1.05
- Licensed practical nurses
- 0.79
- Nurse aides
- 1.63
- Weekend nursing
- 3.09
Hours per resident per day.
Total staff turnover: 82%
Registered nurse turnover: 80%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
15%21.4%Worsening
Residents with a fall causing major injury
3.3%3.2%No change
Residents with pressure ulcers (bedsores)
6.2%14.7%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.7%3.4%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
29.6%33.3%Worsening
Residents whose ability to walk got worse
—27.4%—
Long-stay residents on antianxiety or sleep medication
25.9%22.6%Improving
Short-stay residents newly given an antipsychotic
3.7%0%Improving
Residents with a long-term catheter
6.5%0%Improving
Residents with new or worsening incontinence
33.9%31.1%Improving
Residents with depressive symptoms
13%8%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—81.8%—
Long-stay residents given the pneumonia vaccine
66.7%87.1%Improving
Short-stay residents given the seasonal flu vaccine
—42.1%—
Short-stay residents given the pneumonia vaccine
22.1%40.3%Improving
What the inspectors found
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: F
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 6 days
Medicare/Medicaid payment denial
Apr 29, 2025
Operator & ownership
Recent ownership change · Aug 29, 2018
Now operated by Kadima Rehabilitation & Nursing at Lititz, previously The Gardens at Lititz.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of KADIMA HEALTHCARE GROUP · 15 homes · 1.7 stars avg
- Occupancy
- 39.3 residents on an average day (94% of 42 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 43 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.