Kadima Rehab: Staff Training Deficiencies - PA
Inspectors visiting Kadima Rehabilitation & Nursing at Washington on January 30 found that the facility's Water Management Program contained no protocol for any specific type of water testing. When they dug into the one water test the facility had conducted in 2025, they found it wasn't what it appeared to be.
The test came from a company called Tap Score. A phone call to Tap Score's support staff resolved the question quickly. Employee E3 told inspectors that the test "did not include testing for any water pathogens," covering only forever chemicals, which have no effect on bacterial growth. Legionella was never tested for. Neither were Pseudomonas, Acinetobacter, or any of the other opportunistic pathogens the facility's own policy identified as risks.
The Maintenance Director, identified in the report as Employee E2, confirmed it directly: the facility had no documentation of water testing as required under its Legionella policy, and the comprehensive water management program had not been maintained.
Legionella thrives in building water systems, particularly where water temperatures and disinfectant levels aren't monitored. Nursing home residents, many of them elderly with weakened immune systems, are among the most vulnerable to Legionnaires' disease, a severe pneumonia that can be fatal.
Federal guidance issued in 2018 requires long-term care facilities to conduct risk assessments, implement water management programs built around industry standards, and document testing results with acceptable ranges for control measures like chlorine levels. The recommended chlorine range is 0.50 to 3.00 parts per million. Kadima had no documentation showing those levels were ever checked.
The facility's policy existed on paper, reviewed and dated. The monitoring it required did not.
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.
When they dug into the one water test the facility had conducted in 2025, they found it wasn't what it appeared to be.
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.