Kadima Rehab Washington: Staffing Failures Cited - PA
That detail came from a March 27 inspection at Kadima Rehabilitation & Nursing at Washington, a complaint investigation that found the facility failed to provide sufficient staffing for five of the eight residents inspectors reviewed that day.
The resident with the bloody wraps, identified in the inspection report as Resident R3, told inspectors that staff don't always apply the ace wraps in the first place. When they do, he said, they don't help him take them off at the end of the day. He rings his call light. Nobody comes. Inspectors noted the wraps themselves when they observed him at 2:16 in the afternoon, blood visible and present in large amounts on the bandaging still on his legs.
He is not able to manage them on his own.
Across the building that same day, Resident R6 told inspectors the staffing problem was straightforward: half the aides don't do their jobs. "They sit there and screw around," she said. Whether she gets a shower depends entirely on which aides happen to be working that shift. She also told inspectors she has urinated on herself while waiting for someone to answer her call light.
Resident R1, interviewed just before 1 p.m., said the building sometimes runs with only four aides for the entire facility. Inspectors noted when they spoke with her that she had facial hair visible on her chin, a detail that requires no elaboration about what level of personal care she was receiving. Resident R7 said she waits a long time for call light responses, particularly at night. Resident R8 said staffing "could be more."
The complaints weren't new. Resident Council meeting minutes from February 5 recorded concerns about ice water not being provided and nursing staff being "not very nice." The March 5 minutes, three weeks before inspectors arrived, listed the same ice water problem, slow call light response times, and residents saying they struggled to know who their aide even was on a given shift.
That last detail is its own kind of signal. When residents can't identify who is responsible for their care, the system for flagging problems, asking for help, or reporting neglect breaks down at the most basic level.
The nursing home administrator, interviewed at approximately 3 p.m. on the day of the inspection, confirmed the finding. The facility had failed to provide sufficient nursing staff to meet the physical, mental, and psychosocial needs of five of the eight residents reviewed. That confirmation is in the inspection record.
The facility's own written policy, dated January 7, 2026, states that staff will respond to call lights and resident requests in a timely manner. A separate policy from the same date states the facility will provide sufficient personnel on a 24-hour basis to carry out resident care plans. Both policies were in place. Neither was being followed, according to what inspectors found and what residents described.
CMS assigned the deficiency a harm level of minimal harm or potential for actual harm. That classification covers a wide range. It does not mean nothing happened. Resident R3's bloody wraps were visible evidence of what unmet care looks like in practice. Resident R6 had already experienced the consequence of waiting too long.
The inspection covered a complaint, meaning someone had raised concerns before inspectors walked through the door. The report does not identify who filed it.
Kadima Rehabilitation & Nursing at Washington operates at 1198 W. Wylie Avenue. The inspection was completed March 27, 2026.
Resident R6 put it plainly when inspectors asked whether the facility had enough staff. "No," she said, "and they need better staff." She said it at 11:25 in the morning. By 2:16 that afternoon, inspectors were standing in front of a man with blood on his bandages, waiting for someone to come.
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.
When they do, he said, they don't help him take them off at the end of the day.
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.