Kadima Rehab: Ethics Training Violations - PA
That detail came not from inspectors but from the testing company itself. A Tap Score support staffer confirmed in a phone interview on January 29 that the test "did not include testing for any water pathogens only for forever chemicals, which did not include any chemical that would be toxic to water pathogens."
The facility's own Legionella policy, last reviewed in January 2025, required specific prevention measures and outlined a water management plan with seven core elements, including risk assessment, monitoring, corrective actions, and documentation. Inspectors found no evidence that any of those elements had been implemented across twelve consecutive months, from January 2025 through January 2026.
The Maintenance Director confirmed it directly. In an interview on January 29, he told inspectors the facility had no documentation of water testing as required under its own Legionella policy and acknowledged the facility had failed to maintain a comprehensive water management program.
Federal guidance issued in 2018 requires long-term care facilities to conduct risk assessments identifying where Legionella could grow, develop water management programs aligned with industry standards, and document testing results and corrective actions. Industry standards recommend maintaining residual chlorine levels between 0.50 and 3.00 parts per million. Kadima had no policy specifying any type of water testing at all.
Legionella thrives in building water systems, particularly in conditions common to large facilities: water heaters, cooling towers, decorative fountains, and plumbing with low flow. Older adults with compromised immune systems face the highest risk of severe illness if exposed.
The inspection covered all residents in the facility. Inspectors classified the violation as having minimal harm or potential for actual harm. No Legionnaires' cases were identified in the report. What the report does not answer is how the facility would have known if there had been.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Kadima Rehabilitation & Nursing At Washington from 2026-01-30 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 5, 2026 · Our methodology
KADIMA REHABILITATION & NURSING AT WASHINGTON in WASHINGTON, PA was cited for violations during a health inspection on January 30, 2026.
That detail came not from inspectors but from the testing company itself.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.