Kadima Rehab Washington: Compression Wrap Failures - PA
That was the scene at Kadima Rehabilitation & Nursing at Washington on March 27, 2026, when state inspectors arrived on a complaint inspection and found a pattern of missed compression treatments across multiple residents with serious circulatory conditions.
The resident, identified in the inspection report as Resident R3, has lymphedema, a condition in which fluid builds in the tissues and causes swelling that compression wraps are specifically ordered to control. His physician had ordered ace wraps applied every morning to both legs, from the base of his toes to one inch below the knee. His treatment administration record for March 2026 showed the wraps were not documented as applied on March 3, 4, 5, 6, 7, 8, 9, 11, 13, 15, or 20. Eleven days out of the first three weeks of the month.
The record also showed the order had been entered incorrectly into the scheduling system — set for nighttime completion instead of morning, which is when the physician ordered it done.
When inspectors observed him at 2:16 in the afternoon, his wraps were on. They were visibly bloody.
He told inspectors he cannot apply the wraps himself. He told them that when he does have them on and needs them removed, he rings for help and no one comes.
Two other residents had their own compression orders going unfollowed the same day.
Resident R4, who has coronary artery disease and atrial fibrillation, had a physician's order for bilateral compression stockings to go on every morning and come off at bedtime. Her treatment record for March 27 showed a nurse had documented applying them that day. When inspectors observed her at approximately 2:20 in the afternoon, she had no compression stockings on.
Resident R5 has Alzheimer's disease, diabetes, and a documented problem with excess fluid volume. Her physician had ordered compression stockings applied every day shift for edema. Her treatment record showed no documentation of the stockings being applied on March 4, 5, 6, 7, 8, 9, 10, or 11. Eight consecutive days. Her record for March 27 showed a nurse had documented applying them that morning. When inspectors observed her at approximately 2:24 in the afternoon, she had no compression stockings on either.
Inspectors were present when Resident R5 asked a registered nurse how her legs looked.
"Swollen, as usual," the nurse said.
The nursing home administrator, interviewed at approximately 3:00 in the afternoon on the day of the inspection, confirmed that the facility had failed to follow physician's orders for five of the seven residents whose records were reviewed.
Five of seven.
The inspection report does not describe the conditions of the two residents whose orders were being followed. It does not explain what happened on the eleven days Resident R3 went without his wraps. It does not say whether anyone reviewed his wounds before March 27 or noticed the blood.
What it does say is that Resident R3 confirmed the pattern himself: staff don't always apply them. He rings. Nobody comes.
Compression wraps and stockings for conditions like lymphedema, edema, coronary artery disease, and atrial fibrillation are not comfort measures. They are prescribed interventions to manage fluid, reduce swelling, and protect tissue. When they go unapplied for days at a time in residents who cannot apply them independently, fluid accumulates, skin breaks down, and wounds develop. Resident R3's wraps were bloody on the day inspectors arrived. The report does not say how long they had been that way.
The facility is located at 1198 W. Wylie Avenue in Washington, Pennsylvania.
Kadima Rehabilitation & Nursing at Washington had not provided a public plan of correction at the time this report was reviewed.
Resident R3 told inspectors he cannot do it himself. He rings his light. No one comes.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Kadima Rehabilitation & Nursing At Washington from 2026-03-27 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: June 18, 2026 · Our methodology
KADIMA REHABILITATION & NURSING AT WASHINGTON in WASHINGTON, PA was cited for violations during a health inspection on March 27, 2026.
His physician had ordered ace wraps applied every morning to both legs, from the base of his toes to one inch below the knee.
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.