Kadima Rehabilitation & Nursing At Washington
KADIMA REHABILITATION & NURSING AT WASHINGTON in WASHINGTON, PA — inspection on March 27, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of Resident R3's TAR for March 2026, failed to include
3/7/26, 3/8/26, 3/9/26, 3/11/26, 3/13/26, 3/15/26, and 3/20/26.
Further review of the TAR revealed that the order was ordered to be completed in the morning but incorrectly scheduled to be completed at night.
During an observation on 3/27/26, at 2:16 p.m.
Resident R3 was noted to have his ace wraps applied, with a large amount of blood present on the wraps.
During an interview at this time, Resident R3 stated that staff don't always apply the ace wraps and confirmed that he cannot do so himself.
Additionally, Resident R3 stated that when he does have them on, staff do not assist him to take them off, that he rings his light, but no one comes.
Review of the clinical record indicated Resident R4 was admitted to the facility on [DATE].
Review of the MDS dated [DATE], included diagnoses of coronary artery disease (damage or disease in the heart's major blood vessels), atrial fibrillation (disease of the heart characterized by irregular and often faster heartbeat), and the need for assistance with personal care.
Review of the plan of care dated 2/13/26, indicated Resident R4 required assistance with personal care and included in the interventions was, Bilateral below the knee TED hose daily. On in AM, off in PM.
Review of physician's order dated 3/10/26, indicated, Bilateral below the knee TED hose daily, on in AM, off at hs (hour of sleep).
Review of Resident R4's TAR for March 2026, indicated that LPN Employee E3 had applied Resident R4's ace wraps on 3/27/26.
During an observation on 3/27/26, at approximately 2:20 p.m.
Resident R4 was noted not to have her compression stockings applied.
Review of the clinical record indicated Resident R5 was admitted to the facility on [DATE].
Review of the MDS dated [DATE], included diagnoses of Alzheimer's disease (a type of brain disorder that causes problems with memory, thinking and behavior), diabetes, and the need for assistance with personal care.
Review of the plan of care dated 4/8/25, indicated Resident R5 has fluid volume excess and included in the interventions was, [NAME] hose BLE (bilateral lower extremities) on every am/off every HS.
Review of physician's order dated 7/29/25, indicated, Apply ted hose every day shift for edema.
Review of Resident R5's TAR for March 2026, failed to include documentation that Resident R3's ace wraps were applied on 3/4/26, 3/5/26, 3/6/26, 3/7/26, 3/8/26, 3/9/26, 3/10/26, and 3/11/26.
Further review indicated that RN Employee E4 had applied Resident R5's ace wraps on 3/27/26.
During an observation on 3/27/26, at approximately 2:24 p.m.
Resident R5 was noted not to have her compression stockings applied.
When Resident R5 asked Registered Nurse (RN) Employee E1 how they looked, RN Employee E1 stated, Swollen, as usual.
During an interview on 3/27/26, at approximately 3:00 p.m. the Nursing Home Administrator confirmed that the facility failed to follow physician's orders for five of seven residents . 28 Pa.
Code 201.18 (b)(1) Management.28 Pa.
Code 201.29(d) Resident rights.28 Pa.
Code 211.10 (c)(d) Resident care policies.28 Pa.
Code: 211.12(d)(1)(3)(5) Nursing services.
395679 03/27/2026
Kadima Rehabilitation & Nursing at Washington 1198 W.
Wylie Avenue Washington, PA 15301
Review of the facility policy Call Light Response dated 1/7/26, indicated, Staff will respond to the call light and the resident's requests and needs in a timely manner.
During an interview on 3/27/26, at approximately 11:25 a.m., when asked if the facility maintained sufficient staff, Resident R6 stated, No, and they need better staff.
Half don't do their job; they sit there and screw around.
When asked if they receive showers, Resident R6 stated that it depends on which aides are on shift.
Resident R6 further confirmed that they have urinated on themselves while waiting for staff to respond to the call light.
During an interview on 3/27/26, at approximately 12:49 p.m.
Resident R1 stated that she felt there was not sufficient staff, and they sometimes only have four aides (nurse aides) for the entire building.
Observation at this time revealed Resident R1 had facial hair on her chin.
During an interview on 3/27/26, at approximately 1:15 p.m. when asked if the facility maintained sufficient staff, Resident R7 stated, No.
When asked what was lacking due to care, she stated that she has to wait a long time for call light response, particularly at night.
During an interview on 3/27/26, at approximately 1:25 p.m. when asked if the facility maintained sufficient staff, Resident R8 stated, It could be more.
During an observation on 3/27/26, at 2:16 p.m.
Resident R3 was noted to have his ace wraps applied, with a large amount of blood present on the wraps.
During an interview at this time, Resident R3 stated that staff don't always apply the ace wraps and confirmed that he cannot do so himself.
Additionally, Resident R3 stated that when he does have them on, staff do not assist him to take them off, that he rings his light, but no one comes.
Review of Resident Council minutes dated 2/5/26, indicated concerns regarding ice water not being provided and that nursing staff are not very nice.
Review of Resident Council minutes dated 3/5/26, indicated concerns regarding ice water not being provided, call light response times, struggling to know who their aide is.
During an interview on 3/27/26, at approximately 3:00 p.m. the Nursing Home Administrator confirmed that the facility failed to have sufficient nursing staff to provide nursing and related services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of five of eight residents. 28 Pa.
Code: 201.14(a) Responsibility of licensee.28 Pa.
Code 201.18(e)(6) Management. 28 Pa.
Code: 201.20(a) Staff development.28 Pa.
Code: 211.12(a)(c)(d)(1)(2)(3)(4) Nursing services.
395679 03/27/2026
Kadima Rehabilitation & Nursing at Washington 1198 W.
Wylie Avenue Washington, PA 15301
Review of the clinical record indicated Resident R1 was admitted to the facility on [DATE].
Review of Resident R1's Minimum Data Set (MDS - periodic assessment of care needs) dated 2/26/26, included diagnoses of heart failure (a progressive heart disease that affects pumping action of the heart muscles), history of deep vein thrombosis (DVT, is a blood clot that forms in a deep vein, usually in the leg or pelvis), and lymphedema (the build-up of fluid in soft body tissues).
Review of the plan of care for high blood pressure and CHF (congestive heart failure) dated 2/26/26, indicated to observe for signs and symptoms of CHF: SOB (shortness of breath), chest pain, edema (swelling caused by too much fluid trapped in the body's tissues), or elevated B/P (blood pressure).
Review of the plan of care actual/potential risk for skin integrity impairment indicated the care plan was updated on 3/6/26, stating, Lymphedema.
Review of a nurse practitioner's note dated 2/24/26, indicated Resident R1 had a diagnosis of lymphedema.
Review of the Assessment/Plan section of the note indicated, Lymphedema: on diuretics, needs f/u (follow-up) with lymphedema clinic.
Review of a physician's note dated 2/25/26, indicated Resident R1 had a diagnosis of lymphedema.
Review of the Assessment/Plan section of the note indicated, Lymphedema: chronic, on diuretics, needs f/u with lymphedema clinic as outpatient.
Review of a nurse practitioner's note dated 3/3/26, indicated Resident R1 had a diagnosis of lymphedema.
Review of the Assessment/Plan section of the note indicated, Lymphedema: chronic, on diuretics, needs f/u with lymphedema clinic as outpatient.
Review of Resident R1's clinical record failed to reveal an order for the appointment or an attempt to schedule the follow-up lymphedema appointment.
During an interview on 3/27/26, at approximately 1:00 p.m.
Registered Nurse Employee E1 confirmed that Resident R1 was not provided a follow-up appointment with the lymphedema clinic.
During an interview on 3/27/26, at approximately 3:00 p.m. the Nursing Home Administrator confirmed that the facility failed to schedule a follow-up appointment for one of four residents. 28 Pa.
Code: 211.16(a) Social services.