Kadima Rehab: Resident Rights Violation - PA
Inspectors who visited Kadima Rehabilitation & Nursing at Washington on January 30 found the facility had gone twelve consecutive months without a functioning water management program to detect or control Legionella, the bacteria responsible for Legionnaires' disease, a severe form of pneumonia that can be fatal in older and immunocompromised patients.
The facility had a Legionella policy on paper, last reviewed January 9, 2025, that laid out specific requirements: a water management team, a flow diagram of the building's water system, risk assessments, monitoring, corrective actions, and documentation. None of it was being followed.
At some point during the year, staff had ordered a water test through a company called Tap Score. Inspectors pulled the document. It contained no water pathogens. A Tap Score support employee, reached by phone during the inspection on January 29, confirmed the test had been ordered to screen for forever chemicals only, and that nothing in the test would have detected anything toxic to waterborne bacteria.
Chlorine levels, which industry guidance recommends keeping between 0.50 and 3.00 parts per million to suppress Legionella growth, had never been documented. No testing protocol existed. No acceptable ranges had been set. No corrective actions had been recorded, because no monitoring had been done that would trigger them.
The maintenance director confirmed it directly. The facility, he told inspectors, 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 reviewed.
Inspectors cited the deficiency as affecting many residents, with the potential for actual harm.
The water in the building's pipes, showers, and cooling systems went unmonitored for a full year.
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.
At some point during the year, staff had ordered a water test through 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.