Kadima Rehab: Nurse Aide Training Deficiencies - PA
The aides are identified in inspection records only by employee number, E13, E15, E16, E17, and E18. What the records show for each of them is identical. No documented evidence of 12 hours of in-service training in the past year. The facility could not produce the paperwork because the training had not happened.
That is not a filing problem. It is a staffing problem, one that touches every resident those aides care for every day.
Nurse aides are the people closest to nursing home residents. They handle the most intimate work: bathing, dressing, toileting, repositioning residents who cannot move themselves, recognizing when something looks wrong and knowing what to do about it. The 12-hour annual training requirement exists because that knowledge degrades without reinforcement, and because care standards change. Dementia care techniques evolve. Abuse prevention protocols get updated. Infection control procedures shift. The training is how facilities make sure the person turning a resident in bed at 3 a.m. knows what they are doing and why.
At Kadima, five consecutive aides had gone through the year without it.
The Director of Nursing, interviewed by inspectors at 10:15 in the morning on the day of the survey, did not dispute the findings. She confirmed that the facility had failed to provide 12 hours of in-service training yearly for five of five nurse aides reviewed.
Five of five. That is not a random gap in record-keeping. That is a pattern, and the Director of Nursing said so herself.
It is worth pausing on what inspectors were actually looking for when they pulled these records. The in-service training requirement is not obscure. It covers areas the federal government considers fundamental to safe nursing home care, including, as the inspection report specifically notes, dementia care and abuse prevention. Those are not electives. Residents in memory care units are among the most vulnerable people in any nursing home, unable to reliably report when something has gone wrong, dependent entirely on staff who understand how to communicate with them, how to de-escalate distress, how to recognize when a behavioral change signals a medical problem rather than a mood. Abuse prevention training matters because nursing home residents are abused, and because aides who have not been trained on what constitutes abuse, how to recognize it, and what to do when they see it are less equipped to stop it.
Kadima's aides were working without that refreshed knowledge. For how long is unclear from the inspection record. The report says the training had not happened in the past year. It does not say when it last happened, or whether some of these employees had ever received it.
The facility is located at 1198 West Wylie Avenue in Washington, Pennsylvania, a small city about 25 miles southwest of Pittsburgh. The inspection was conducted January 30, 2026, and the report was printed July 16, 2026.
Inspectors cited the facility under two sections of Pennsylvania state code: 28 Pa. Code 201.14(a), which addresses the responsibilities of the licensee, and 28 Pa. Code 201.20(c), which governs staff development. The level of harm was classified as minimal harm or potential for actual harm. The residents affected were listed as some.
That classification, minimal harm or potential for actual harm, is the lower end of the federal harm scale. It does not mean nothing happened. It means inspectors did not find, during this survey, documented evidence that a specific resident was injured as a direct result of the training gap. What it does not rule out is the harder-to-measure harm: the aide who did not recognize a resident's agitation as pain because nobody had updated their training on dementia communication. The aide who witnessed something uncomfortable and did not know it met the definition of abuse. The aide who skipped a step in a repositioning procedure because the correct technique had never been reinforced.
Those harms do not always leave a paper trail. They are precisely the kind of harm that training is designed to prevent before it becomes visible in an incident report.
Nursing homes employ nurse aides at a scale that makes training logistics genuinely complicated. Aides work rotating shifts, overnight and weekend hours, and high turnover in the profession means facilities are constantly onboarding new staff while trying to maintain compliance for existing employees. None of that is an excuse for what inspectors found at Kadima. It is context for why training compliance requires active management, someone whose job it is to track who has completed what and to schedule the hours before the year runs out.
At Kadima, that system had broken down entirely for the five aides reviewed. The inspection report does not indicate that any of the five had partial hours documented and simply fell short. The language is consistent across all five: no documented evidence of the minimum training, and the facility was unable to provide it.
The Director of Nursing's confirmation is significant not because it was surprising, but because it closes off any ambiguity. There was no suggestion that the records existed somewhere and had not been located, no claim that training had occurred but gone undocumented through clerical error. The director confirmed the failure.
What happens next is a matter of the facility's plan of correction, which the inspection report directs readers to obtain from the facility or the state survey agency directly. The report itself does not include it.
What the report leaves behind is a specific, documented picture of five nurse aides caring for residents at a Pennsylvania nursing home without the annual training designed to keep those residents safe. The training covers dementia care. It covers abuse prevention. And for at least a full year, the people doing that work had not received it.
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: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 9, 2026 · Our methodology
KADIMA REHABILITATION & NURSING AT WASHINGTON in WASHINGTON, PA was cited for violations during a health inspection on January 30, 2026.
The aides are identified in inspection records only by employee number, E13, E15, E16, E17, and E18.
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.