Kadima Rehab: Infection Control Program Failures - PA
Inspectors visiting Kadima Rehabilitation & Nursing at Washington on January 30 found the facility had conducted exactly one water test during 2025. That test, run through a company called Tap Score, checked for forever chemicals. It detected nothing harmful to waterborne pathogens because it wasn't designed to. A Tap Score support staff member confirmed by phone 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 January 9, 2025, laid out a seven-element water management plan requiring risk assessments, control measures, monitoring, corrective actions, and documentation. None of it was implemented.
The Maintenance Director confirmed it directly. During 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 failure to maintain a comprehensive water management program.
Federal guidance from 2018 requires long-term care facilities to conduct risk assessments identifying where Legionella could grow, develop water management programs built around industry standards, specify testing protocols with acceptable ranges, and document results. Industry standards recommend residual chlorine levels between 0.50 and 3.00 parts per million. Kadima's water management program contained no policy for any specific type of water testing at all.
Legionnaires' disease is a particular danger in nursing home populations. Older adults and people with compromised immune systems face the highest risk of severe illness and death from exposure. The residents of Kadima spent the entirety of 2025 in a building where nobody was checking whether the water was safe.
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.
Inspectors visiting Kadima Rehabilitation & Nursing at Washington on January 30 found the facility had conducted exactly one water test during 2025.
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.