Kadima Rehab: Grievance Policy Violations - PA
The test came from a company called Tap Score. When inspectors called Tap Score's support staff on January 29, an employee confirmed the test had checked only for "forever chemicals," not for any waterborne pathogens. Nothing in that test would have detected Legionella, the bacteria that causes Legionnaires' disease, a severe and sometimes fatal form of pneumonia that spreads through contaminated water systems in buildings exactly like nursing homes.
The facility's own Legionella policy, last reviewed in January 2025, laid out what was required: a water management team, a flow diagram of the building's water system, risk assessments, control measures, monitoring, corrective actions, and documentation. None of it was in place. The water management program the facility did maintain contained no policy for any specific type of water testing.
The Maintenance Director confirmed it directly during an interview that same afternoon. The facility had no documentation of water testing as required under its own Legionella policy, he said, and had failed to maintain a comprehensive water management program for the entire period inspectors reviewed, January 2025 through January 2026.
Twelve months. Every resident in the building, many of them elderly and medically compromised, spent that year in a facility whose water system had not been monitored for one of the most well-documented infection risks in institutional care settings.
Federal guidance issued in 2018 requires long-term care facilities to conduct risk assessments, implement water management programs built around CDC and industry standards, and document testing results. Industry guidance recommends maintaining residual chlorine levels between 0.50 and 3.00 parts per million. Kadima had no documentation showing it had measured chlorine levels or tested for Legionella, Pseudomonas, or any other waterborne pathogen at any point during the year.
What was in the water, nobody tested to find out.
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 4, 2026 · Our methodology
KADIMA REHABILITATION & NURSING AT WASHINGTON in WASHINGTON, PA was cited for violations during a health inspection on January 30, 2026.
The test came from a company called Tap Score.
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.