Kadima Rehabilitation & Nursing At Washington

Review of the Resident Assessment Instrument 3.0 User's Manual, effective October 2023, indicated that a Brief Interview for Mental Status (BIMS) is a screening test that aides in detecting cognitive impairment.

The BIMS total score suggests the following distributions:13-15: cognitively intact8-12: moderately impaired0-7: severe impairment

Review of the clinical record indicated Resident R8 was originally admitted to the facility on [DATE].

Review of Resident R8's Minimum Data Set (MDS - a periodic assessment of care needs) dated 9/12/25 and admission records, indicated diagnoses of hypothyroidism (thyroid gland creates less than the normal amount of thyroid hormone.

The result is the slowing down of many bodily functions), anxiety, and depression. A BIMS score of 14. A review of the clinical record revealed that Resident R8 provided power of attorney (POA) (residents sister) for health care documents to the facility, that included an advance directive dated 1/3/02. On 2/23/22 facility documentation of Healthcare Determinations page reveals the resident does not have an advanced directive and no copy of the advanced directive has been provided to the facility.

There is no evidence that periodic advanced directive review occurred with Resident R8 or the power of attorney.

During an interview on 1/30/26 at approximately 10 a.m. the Social Service Director Employee E1 confirmed that Resident R8 and the POA have been invited to the care conferences.

The POA has not responded to the mailed invitations to attend and has not been visiting the resident for some time.

The facility was unable to provide documentation to show if the resident or the POA attended the care conferences in the past twelve months, the documentation reveals code status had been reviewed at the conference by the staff in attendance.

Review of the clinical record indicated Resident R36 was admitted to the facility on [DATE].

Review of Resident R36's Minimum Data Set (MDS - a periodic assessment of care needs) dated 12/18/25 and admission records, indicated diagnoses of diabetes mellitus (high blood sugar), hypertension (high blood pressure), and depression. A BIMS score of 13. A review of the clinical record failed to reveal an advance directive, evidence that a periodic advanced directive review occurred or documentation that Resident R36 was given the opportunity to formulate an Advanced Directive.

During an interview on 1/30/26 at approximately 10 a.m. the Social Service Director Employee E1 confirmed that Resident R36 and family had been invited to the care conferences.

The facility was unable to provide documentation to show if the resident or the family attended the care conferences in the past twelve months, the documentation reveals code status had been reviewed at the conference by the staff in attendance.

During an interview on 1/30/26 at 10:30 a.m. the Nursing Home Administrator (NHA) confirmed that the facility failed to provide the opportunity to formulate an advance directive (written instructions for when the individual is incapacitated) or conduct periodic review of instructions. 28 Pa.

Code: 201.29(b)(d)(j) Resident rights.

395679 01/30/2026

Kadima Rehabilitation & Nursing at Washington 1198 W.

Wylie Avenue Washington, PA 15301

Federal health inspectors cited KADIMA REHABILITATION & NURSING AT WASHINGTON in WASHINGTON, PA for a deficiency under regulatory tag F-F0579 during a standard health inspection conducted on 2026-01-30.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Provide information about how to apply for and use Medicare and Medicaid benefits.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 20 deficiencies cited during this inspection of KADIMA REHABILITATION & NURSING AT WASHINGTON.

Correction Status: Deficient, Provider has no plan of correction.

limited to receiving treatment and supports for daily living safely.

observations, resident, and staff interviews, it was determined that the facility failed to provide a

Nursing Units).

Findings include:During an observation on 01/28/2026, from 10:12 a.m., through 11:25 a.m., the following was identified:Residents R44 and R41(room [ROOM NUMBER]) window air conditioner unit not covered to prevent cold air from entering, Resident R112 stated that she had told them cold air was coming in but was not fixed.

Resident R112's personal fan had a white dusty substance covering the filtering area.Residents R77 and R2 (room [ROOM NUMBER]) air conditioner window unit was left with gaps in covered area allowing cold air to enter.Resident R61(room [ROOM NUMBER]) unit was loose from window and uncovered allowing cold air to enter room.Residents R35 and R25 (Room141) air conditioner window unit is observed with a flannel shirt to prevent cold air from entering and window blind is broken.Resident R30 and R71(Room137) air conditioning window unit has gaps in plastic allowing cold air to enter.Residents R76 and R39 (room [ROOM NUMBER]) has a towel under air conditioner unit and has gaps in plastic allowing cold air to enter.Additional resident rooms with broken blinds include:Residents R20, R51 and R43 room [ROOM NUMBER])Residents R36 and R8(Room132)Residents R53 and R38(Room133)Residents R31 and R32 (Room134)Residents R33 and R23 (Room136)Residents R42 and R4(Room140)Residents R5 and R63 (Room117) has a plastered unfinished wall under the window Residents R71 and R59 (Room138) has loose floor strip at entrance, causing a potential tripping hazardResidents R54 and R10 (Room116) has area around electrical plug that has unfinished plasterResidents R3, R1 and R14 (Room143) has unfinished plaster area around the heater, and their bathroom wall has broken wall areasResident R71 and R59 (Room138) bathroom walls are chipped

During an interview on 1/28/26, at 11:25 a.m., Maintenance Director Employee E2 confirmed the above findings and that the facility failed to provide a safe, clean, comfortable, and homelike environment on two of two nursing units (North and South Nursing Units).28 Pa.

Code: 207.2(a) Administrator's responsibility.28 Pa.

Code: 201.29(k) Resident rights.

395679 01/30/2026

Kadima Rehabilitation & Nursing at Washington 1198 W.

Wylie Avenue Washington, PA 15301

During a group interview, on 1/28/26 at approximately 1:30 p.m., consensus from the group revealed the residents have a fear of reprisal if they complain or file a grievance related to call light response time and staff attitude.

The residents stated they fear they will be retaliated against, by being pointed out as the person who complains or is never satisfied, they have seen it happen to others.

During the interviews the residents asked and requested multiple that the surveyor promise them to keep their identity confidential.

Review of the facility grievance policy, there is no wording contained in the policy, indicating the grievance can be anonymously completed and submitted.

Review of the facility grievance form, there is no wording contained on the form, indicating the grievance can be anonymously completed and submitted.

Review of a grievance filed by Resident R77, dated 8/8/25, revealed concerns related to the food being undercooked, cold and noodles overflowing in the bowl.

When interviewed by food service, the resident stated someone else filled out the form for them and the food is fine just too much in the bowls.

The form has a section for the resident's name and name of concerned party and person filing the concern including phone number, all sections contain the resident's name (no other person listed as completing the form).

Review of a grievance filed by Resident R201, dated 8/14/25, revealed concerns related to staff after filing an incident report. I don't like how she makes me feel like I'm the problem because of my mental health issues.

Review of a grievance filed on behalf of Resident R200, dated 9/2/25, revealed concerns documented for wait times.

Resident requested her bed linen be changed, after an hour the resident went and got the linens and changed the bed.

The aide returned later that day as reportedly told the resident You need to be more patient I have a lot of residents to take care of.

Resident stated in her grievance, the aide doesn't need to chastise me and that the aide was unprofessional and as a resident she does not deserve to be spoken to and treated this way.

During an interview on 1/30/26, at 10:45 a.m. the Nursing Home Administrator and Director of Nursing confirmed that the facility failed to make certain, residents who voice grievances can do so without fear of discrimination or reprisal. 28 PA Code: 201.18(e)(4) Management. 28 PA Code: 201.29(a)(b)(c) Resident rights.

395679 01/30/2026

Kadima Rehabilitation & Nursing at Washington 1198 W.

Wylie Avenue Washington, PA 15301

Review of facility provided documentation indicated a submitted event that indicated Resident R400 allegation of abuse from the Activity Director Employee E20, which had been submitted as per regulation, however, further review of the facility provided documentation did not include a thorough investigation which identified Resident R401 as the resident who instigated the situation and also further identified other staff verbally abusing the Resident R400 with threats of calling the police and telling Resident R400 he could not come to the Activity instead of attempting to de-escalate the situation.

Review of other residents witnessing the situation identified Resident R401 as the instigator and the other staff as being verbally abusive towards Residents R400 by stating the threats and not allowing his attendance at the activity.

During an interview on 1/ 28/26, at 1/29/26, at 11:20 a.m., the Nursing Home Administrator and Director of Nursing confirmed the facility did not conduct complete investigation on Resident R400's allegations as required.28 Pa.

Code: 201.14(a) Responsibility of licensee28 Pa.

Code: 201.18(b)(1)(3) Management28 Pa.

Code: 211. 10(d) Resident care policies28 Pa.

Code: 211.12(d)(3) Nursing services

395679 01/30/2026

Kadima Rehabilitation & Nursing at Washington 1198 W.

Wylie Avenue Washington, PA 15301

Review of a psychiatry note dated 12/10/25, indicated Resident R18 had a diagnosis of chronic PTSD with extensive trauma history.

Review of Resident R18's care plan dated 9/9/25, failed to reveal a care plan with goals and interventions for PTSD.

During an interview on 1/30/26, at 11:00 a.m. the Director of Nursing confirmed that the facility failed to ensure that a comprehensive resident care plan was complete for resident care needs for Resident R18. 28 Pa.

Code 211.12(d)(5) Nursing Services.

395679 01/30/2026

Kadima Rehabilitation & Nursing at Washington 1198 W.

Wylie Avenue Washington, PA 15301

Management. 28 Pa.

Code: 201.20(a) Staff development. 28 Pa.

Code: 211.12(a)(c)(d)(1)(2)(3)(4)

395679 01/30/2026

Kadima Rehabilitation & Nursing at Washington 1198 W.

Wylie Avenue Washington, PA 15301

E17 and E18).

Findings include:Review of personnel files revealed that Nurse Aide Employee E13 hire

revealed that Nurse Aide Employee E15 hire date was 7/31/23, there was no performance evaluation completed.Review of personnel files revealed that Nurse Aide Employee E16 hire date was 9/11/24, there was no performance evaluations completed.Review of personnel files revealed that Nurse Aide Employee E17 hire date was 11/25/24, there was no performance evaluations completed.Review of personnel files revealed that Nurse Aide Employee E18 hire date was 11/27/24, there was no performance evaluations completed.

During an interview on 1/30/26, at 10:15 a.m., the Director of Nursing confirmed that the facility failed to complete annual performance evaluations for five of five nurse aides (NA Employee E13, E15, E16, E17 and E18).28 Pa Code: 201.20 (a)(b)(c)(d) Staff development.28 Pa Code: 201.14 (a) Responsibility of licensee.

395679 01/30/2026

Kadima Rehabilitation & Nursing at Washington 1198 W.

Wylie Avenue Washington, PA 15301

During an interview on 1/27/26, at 9:42 a.m., Dietary Manager Employee E21 confirmed that the facility failed to properly store food products which created the potential for food borne illness and cross contamination in the Main Kitchen.28 Pa.

Code: 201.14(a) Responsibility of licensee.28 Pa.

Code: 201.18(b)(3) Management.

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Kadima Rehabilitation & Nursing at Washington 1198 W.

Wylie Avenue Washington, PA 15301

for residents competently during both day-to-day operations (including nights and weekends) and

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on

documentation, it was determined the facility failed to conduct and document a comprehensive, evidence-based facility assessment to ensure licensed nursing staff possessed the required training and competencies necessary to provide care and services for residents and Inform staffing decisions to ensure that there are a sufficient number of staff with the appropriate competencies and skill sets necessary to care for its residents' needs as identified through resident assessments and plans of care as required.

Findings include:

Review of the Centers for Medicare and Medicaid Services Memorandum, Revised Guidance for Long-Term Care Facility Assessment Requirements (QSO-24-13-NH) dated June 18, 2024, revealed that the facility assessment must include an evaluation of diseases, conditions, physical or cognitive limitations of the resident population, acuity (the level of severity of residents' illnesses, physical, mental, and cognitive limitations, and conditions) and any other pertinent information about the resident population as a whole that may affect the services the facility must provide.

Continued review revealed, The assessment of the resident population should drive staffing decisions and inform the facility about what skills and competencies staff must possess in order to deliver the necessary care required by the residents being served.The facility assessment dated [DATE], and provided during survey on January 30, 2026, identified that the facility provided specialized services for residents with behaviors, infectious diseases, and have an effective system to identify, collect and use data and information from all departments and monitor performance.The facility could not provide documented evidence that licensed nursing staff received initial or ongoing training or competency evaluations (the ability of staff to demonstrate, through education and skills validation, that they can safely and effectively perform specific clinical procedures) in providing care for residents with behaviors, infectious diseases and have trained staff related to providing feedback of effective systems relate to quality assurance, as required by the facility's own assessment.

During an interview o 1/30/26, at 11:40 a.m., the Nursing Home Administrator and the Director of Nursing (DON) confirmed that the facility failed to ensure its facility assessment was operationalized through staff training, competency evaluation, and implementation of policies and procedures related to conduct and document a comprehensive, evidence-based facility assessment to ensure licensed nursing staff possessed the required training and competencies necessary to provide care and services for residents and Inform staffing decisions to ensure that there are a sufficient number of staff with the appropriate competencies and skill sets necessary to care for its residents' needs as identified through resident assessments and plans of care as required. 28 Pa.

Code 201.14(a) Responsibility of licensee.28 Pa.

Code 201.19 (6)(7) Personnel records.28 Pa.

Code 201.18 (b)(1)(3)(e)(1)(2) Management.28 Pa.

Code 211.12 (c)(d)(1)(5) Nursing Services.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

395679 01/30/2026

Kadima Rehabilitation & Nursing at Washington 1198 W.

Wylie Avenue Washington, PA 15301

quarterly

the facility failed to conduct Quality Assessment and Assurance (QAA) meetings at least quarterly

4/23/25, 5/28/25, 6/25/25 ,7/30/25, 8/27/25, 9/24/25,10/28/25, 11/18/25, and 12/16/25).Findings Include:Review of Quality assurance and Performance Improvement sign in sheets and attendance records for 2/12/25, 3/19/25, 4/23/25, 5/28/25, 6/25/25 ,7/30/25, 8/27/25, 9/24/25,10/28/25, 11/18/25, and 12/16/25, failed to reveal the Lab Representative and Community Member, one of whom must be the facility's administrator, owner, board member, or other individual in a leadership role who has knowledge of facility systems and the authority to change those systems.During an interview on 1/30/26, at 10:20 a.m. the Nursing Home Administrator confirmed that the facility failed to conduct Quality Assessment and Assurance (QAA) meetings at least quarterly with all the required committee members for four of four quarterly meeting (2/12/25, 3/19/25, 4/23/25, 5/28/25, 6/25/25 ,7/30/25, 8/27/25, 9/24/25,10/28/25, 11/18/25, and 12/16/25), as required.

395679 01/30/2026

Kadima Rehabilitation & Nursing at Washington 1198 W.

Wylie Avenue Washington, PA 15301

Review of a water test that had been conducted in 2025, identified a document from a company called Tap score.

The document did not include any specific water pathogens that were being tested for.During a phone interview on 1/29/26, at 1:10 p.m., Tapscore support staff Employee E3 stated that the test conducted did not include testing for any water pathogens only for forever chemicals, which did not include any chemical that would be toxic to water pathogens.

During an interview on 1/29/26 at approximately 1:22 p.m., the Maintenance Director, Employee E2 confirmed the facility had no documentation of water testing as per the Legionella Policy and that the facility failed to maintain a comprehensive program for water management to monitor the potential development and spread of Legionella and failed to implement control measures for Legionella within the facility.28 Pa.

Code: 201.14(a) Responsibility of licensee.28 Pa.

Code: 201.18(b)(1)(e)(1) Management.

395679 01/30/2026

Kadima Rehabilitation & Nursing at Washington 1198 W.

Wylie Avenue Washington, PA 15301

Review of the Facility assessment dated [DATE], with a previous review date of 1/9/25, did not include Effective Communication in the list of staff training topics.

Review of the facility policy Staff Development Program last reviewed on 1/7/26, with a previous review date of 1/9/25, did not include Effective Communication in the list of topics for staff training.Physical Therapy Aide Employee E9 had a hire date of 9/15/16, failed to have Effective Communication in-service between 1/17/25, and 1/30/26.Nurse Aide Employee E15 had a hire date of 7/31/23, failed to have Effective Communication in-service education between 1/17/25, and 1/30/26.

During an interview on 1/30/26, at 10:15 a.m., the Director of Nursing confirmed that the facility failed to provide training on Effective Communication for two of ten staff members.28 Pa Code: 201.14 (a) Responsibility of licensee.28 Pa Code: 201.18 (b)(1) Management.28 Pa Code: 201.20 (a)(c) Staff development.

care for its residents.

determined that the facility failed to provide training on resident rights for three of ten staff members

reviewed 1/7/26, listed under the training topics Residents rights is identified.

Review of the facility policy Staff Development Program last reviewed on 1/7/26, with a previous review date of 1/9/25, identified resident rights as a topic for orientation and annual trainings required.Physical Therapy Aide Employee E9 had a hire date of 9/15/16, failed to have Resident Rights in-service between 1/17/25, and 1/30/26.Environmental Services Employee E10 had a hire date of 2/22/06, failed to have Resident Rights in-service education between 2/22/25 and 1/30/26.Nurse Aide Employee E15 had a hire date of 7/31/23, failed to have Resident Rights in-service education between 1/17/25, and 1/30/26.

During an interview on 1/30/26, at 10:15 a.m., the Director of Nursing confirmed that the facility failed to provide training on Resident Rights for three of ten staff members. 28 Pa Code: 201.14 (a) Responsibility of licensee.28 Pa Code: 201.18 (b)(1) Management.28 Pa Code: 201.20 (a)(c) Staff development.

395679 01/30/2026

Kadima Rehabilitation & Nursing at Washington 1198 W.

Wylie Avenue Washington, PA 15301

report abuse, neglect, and exploitation.

determined that the facility failed Prevention of Abuse and Neglect in-service education for two of ten

reviewed 1/7/26, listed under the training topics Abuse Training is identified.

Review of the facility policy Staff Development Program last reviewed on 1/7/26, with a previous review date of 1/9/25, identified abuse as a topic for orientation and annual trainings required.Physical Therapy Aide Employee E9 had a hire date of 9/15/16, failed to have Abuse training in-service between 1/17/25, and 1/30/26.Nurse Aide Employee E15 had a hire date of 7/31/23, failed to have Abuse Training in-service education between 1/17/25, and 1/30/26.

During an interview on 1/30/26, at 10:15 a.m., the Director of Nursing confirmed that the facility failed to provide training on abuse for two of ten staff members.28 Pa Code: 201.14 (a) Responsibility of licensee.28 Pa Code: 201.18 (b)(1) Management.28 Pa Code: 201.20 (a)(c) Staff development.

395679 01/30/2026

Kadima Rehabilitation & Nursing at Washington 1198 W.

Wylie Avenue Washington, PA 15301

Improvement Program.

minimal harm Based on review of facility assessment, personnel in-service training records, and staff interview, it was determined that the facility failed to provide training on Quality Assurance and Performance

E17and E18).Findings include:Review of S483.95(d) Quality assurance and performance improvement.

A facility must include as part of its QAPI program mandatory training that outlines and informs staff of the elements and goals of the facility's QAPI program as set forth at S 483.75.

Review of the Facility Assessment most recently reviewed 1/7/26, listed under the training topics QAPI is not identified.

Review of the facility policy Staff Development Program last reviewed on 1/7/26, with a previous review date of 1/9/25, did not identify QAPI as a topic for orientation and annual trainings required.Physical Therapy Aide Employee E9 had a hire date of 9/15/16, failed to have QAPI training in-service between 1/17/25, and 1/30/26.Environmental Services Employee E10 had a hire date of 2/22/06, failed to have QAPI training in-service between 2/22/24, and 1/30/26.

Registered Nurse Employee E11 had a hire date of 11/4/19, failed to have QAPI training in-service between 11/4/24, and 1/30/26.

Activity Director Employee E12 had a hire date of 5/22/23, failed to have QAPI training in-service between 5/22/24, and 1/30/26.Nurse Aide Employee E13 had a hire date of 10/21/98, failed to have QAPI training in-service between 10/21/24, and 1/30/26.Central Supply Employee E14 had a hire date of 9/23/24, failed to have QAPI training in-service between 9/23/24, and 1/30/26.Nurse Aide Employee E15 had a hire date of 7/31/23, failed to have QAPI training in-service between 1/17/25, and 1/30/26.Nurse Aide Employee E16 had a hire date of 9/11/24, failed to have QAPI training in-service between 9/11/24, and 1/30/26.Nurse Aide Employee E17 had a hire date of 11/25/24, failed to have QAPI training in-service between 11/25/24, and 1/30/26.Nurse Aide Employee E18 had a hire date of 11/27/24, failed to have QAPI training in-service between 11/27/24, and 1/30/26.

During an interview on 1/30/26, at 10:15 a.m., the Director of Nursing confirmed that the facility failed to provide training on QAPI for ten of ten staff members.28 Pa Code: 201.14 (a) Responsibility of licensee.28 Pa Code: 201.18 (b)(1) Management.28 Pa Code: 201.20 (a)(c) Staff development.

395679 01/30/2026

Kadima Rehabilitation & Nursing at Washington 1198 W.

Wylie Avenue Washington, PA 15301

written standards, policies, and procedures for the program.

determined that the facility failed to provide training on Infection Control for ten of ten staff members

Facility Assessment most recently reviewed 1/7/26, listed under the training topics Infection Control Training is identified.

Review of the facility policy Staff Development Program last reviewed on 1/7/26, with a previous review date of 1/9/25, identified Infection Prevention and Control as a topic for orientation and annual trainings required.Physical Therapy Aide Employee E9 had a hire date of 9/15/16, failed to have Infection Control training in-service between 1/17/25, and 1/30/26.Environmental Services Employee E10 had a hire date of 2/22/06, failed to have Infection Control training in-service between 2/22/24, and 1/30/26.

Registered Nurse Employee E11 had a hire date of 11/4/19, failed to have Infection Control training in-service between 11/4/24, and 1/30/26.

Activity Director Employee E12 had a hire date of 5/22/23, failed to have Infection Control training in-service between 5/22/24, and 1/30/26.Nurse Aide Employee E13 had a hire date of 10/21/98, failed to have Infection Control training in-service between 10/21/24, and 1/30/26.Central Supply Employee E14 had a hire date of 9/23/24, failed to have Infection Control training in-service between 9/23/24, and 1/30/26.Nurse Aide Employee E15 had a hire date of 7/31/23, failed to have Infection Control training in-service between 1/17/25, and 1/30/26.Nurse Aide Employee E16 had a hire date of 9/11/24, failed to have Infection Control training in-service between 9/11/24, and 1/30/26.Nurse Aide Employee E17 had a hire date of 11/25/24, failed to have Infection Control training in-service between 11/25/24, and 1/30/26.Nurse Aide Employee E18 had a hire date of 11/27/24, failed to have Infection Control training in-service between 11/27/24, and 1/30/26.

During an interview on 1/30/26, at 10:15 a.m., the Director of Nursing confirmed that the facility failed to provide training on Infection Control for ten of ten staff members. 28 Pa Code: 201.14 (a) Responsibility of licensee.28 Pa Code: 201.18 (b)(1) Management.28 Pa Code: 201.20 (a)(c) Staff development.

395679 01/30/2026

Kadima Rehabilitation & Nursing at Washington 1198 W.

Wylie Avenue Washington, PA 15301

for ten of ten staff members (Employee E9, E10, E11, E12, E13, E14, E15, E16, E17 and E18).Findings

topics Code of Ethical Conduct is identified.

Review of the facility policy Staff Development Program last reviewed on 1/7/26, with a previous review date of 1/9/25, identified corporate compliance as a topic for orientation and annual trainings required.Physical Therapy Aide Employee E9 had a hire date of 9/15/16, failed to have Compliance and Ethics training in-service between 1/17/25, and 1/30/26.Environmental Services Employee E10 had a hire date of 2/22/06, failed to have Compliance and Ethics training in-service between 2/22/24, and 1/30/26.

Registered Nurse Employee E11 had a hire date of 11/4/19, failed to have Compliance and Ethics training in-service between 11/4/24, and 1/30/26.

Activity Director Employee E12 had a hire date of 5/22/23, failed to have Compliance and Ethics training in-service between 5/22/24, and 1/30/26.Nurse Aide Employee E13 had a hire date of 10/21/98, failed to have Compliance and Ethics training in-service between 10/21/24, and 1/30/26.Central Supply Employee E14 had a hire date of 9/23/24, failed to have Compliance and Ethics training in-service between 9/23/24, and 1/30/26.Nurse Aide Employee E15 had a hire date of 7/31/23, failed to have Compliance and Ethics training in-service between 1/17/25, and 1/30/26.Nurse Aide Employee E16 had a hire date of 9/11/24, failed to have Compliance and Ethics training in-service between 9/11/24, and 1/30/26.Nurse Aide Employee E17 had a hire date of 11/25/24, failed to have Compliance and Ethics training in-service between 11/25/24, and 1/30/26.Nurse Aide Employee E18 had a hire date of 11/27/24, failed to have Compliance and Ethics training in-service between 11/27/24, and 1/30/26.

During an interview on 1/30/26, at 10:15 a.m., the Director of Nursing confirmed that the facility failed to provide training on Compliance and Ethics for ten of ten staff members.28 Pa Code: 201.14 (a) Responsibility of licensee.28 Pa Code: 201.18 (b)(1) Management.28 Pa Code: 201.20 (a)(c) Staff development.

395679 01/30/2026

Kadima Rehabilitation & Nursing at Washington 1198 W.

Wylie Avenue Washington, PA 15301

dementia care and abuse prevention.

ensure that five of five sampled Nurse Aides (NA) received a minimum of 12 hours of in-service

nurse aide training records revealed that NA Employee E13 did not receive 12 hours of in-service training in the last year.The facility was unable to provide documented evidence that NA Employee E13 had received a minimum of 12 hours of in-service training yearly.Review of facility nurse aide training records revealed that NA Employee E15 did not receive 12 hours of in-service training in the last year.The facility was unable to provide documented evidence that NA Employee E15 had received a minimum of 12 hours of in-service training yearly.Review of facility nurse aide training records revealed that NA Employee E16 did not receive 12 hours of in-service training in the last year.The facility was unable to provide documented evidence that NA Employee E16 had received a minimum of 12 hours of in-service training yearly.Review of facility nurse aide training records revealed that NA Employee E16 did not receive 12 hours of in-service training in the last year.The facility was unable to provide documented evidence that NA Employee E16 had received a minimum of 12 hours of in-service training yearly.Review of facility nurse aide training records revealed that NA Employee E17 did not receive 12 hours of in-service training in the last year.The facility was unable to provide documented evidence that NA Employee E17 had received a minimum of 12 hours of in-service training yearly.Review of facility nurse aide training records revealed that NA Employee E18 did not receive 12 hours of in-service training in the last year.The facility was unable to provide documented evidence that NA Employee E18 had received a minimum of 12 hours of in-service training yearly.

During an interview on 1/30/26, at 10:15 a.m., the Director of Nursing confirmed that the facility failed to provide 12 hours of in-service trainings yearly for five of five nurse aides.28 Pa.

Code: 201.14(a) Responsibility of Licensee.28 Pa.

Code: 201.20(c) Staff Development.

395679 01/30/2026

Kadima Rehabilitation & Nursing at Washington 1198 W.

Wylie Avenue Washington, PA 15301