Kadima Rehab: Quality Oversight Failures - PA
Inspectors visiting the facility on January 30 found that the nursing home had gone twelve consecutive months, January 2025 through January 2026, without maintaining the water management program its own policy required. The facility had a Legionella policy, updated just weeks before the inspection. What it didn't have was any documentation that anyone had followed it.
The single water test the facility could produce came from a company called Tap Score. When inspectors called Tap Score directly, a support staff member confirmed the test had checked for "forever chemicals," not waterborne pathogens, and included nothing that would indicate whether Legionella or similar bacteria were present or growing in the building's water system.
The maintenance director confirmed it plainly: the facility had no documentation of water testing as required under its own Legionella policy and had failed to maintain a comprehensive water management program for the entire period.
What the program was supposed to include wasn't complicated or new. Federal health regulators issued guidance on this in 2018, requiring nursing homes to conduct facility risk assessments, develop water management plans based on established industry standards, specify testing protocols with acceptable ranges, and document results. The CDC toolkit and ASHRAE industry standards both exist to help facilities do exactly this. Industry guidance recommends maintaining residual chlorine levels between 0.50 and 3.00 parts per million, a basic, measurable target. Kadima had no documentation of ever measuring it.
Legionella grows in building water systems and causes Legionnaires' disease, a severe form of pneumonia. Nursing home residents, many of them elderly and medically compromised, are among the most vulnerable populations if an outbreak occurs.
The facility's water management policy listed seven core elements required for a functioning program: a management team, a system description, a risk assessment, monitoring controls, corrective actions, verification, and documentation. Inspectors found no evidence that any of them had been consistently implemented across the year under review.
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 facility had a Legionella policy, updated just weeks before the inspection.
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.