Inspection Reports for
Auburn Nursing and Rehabilitation Center
139 PEARL ST., AUBURN, KY, 42206
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
28% worse than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
88% occupied
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Abbreviated Survey
Census: 58
Deficiencies: 0
Date: Nov 20, 2025
Visit Reason
An Abbreviated Survey was conducted to investigate multiple provider IDs (KY2632534, KY2639113, KY2668702, KY2668750, and KY2670416) from 11/19/2025 through 11/20/2025.
Findings
No deficiencies were issued related to the investigated provider IDs during the survey period.
Report Facts
Sample Size: 19
Inspection Report
Annual Inspection
Deficiencies: 8
Date: Sep 12, 2025
Visit Reason
The inspection was conducted as part of the facility's annual recertification survey to assess compliance with regulatory requirements including resident rights, safety, medical record accuracy, and quality assurance processes.
Findings
The facility was found deficient in multiple areas including failure to ensure completion and review of advance directives for sampled residents, inadequate housekeeping and maintenance resulting in broken floor tiles, incomplete PASARR screenings for mental health assessments, failure to post required nurse staffing information daily, storage of expired medications, improper food storage practices, incomplete and inaccurate medical records, and an ineffective Quality Assurance and Performance Improvement (QAPI) program that failed to identify and address these issues.
Deficiencies (8)
F578: The facility failed to ensure advance directives were completed and reviewed for four sampled residents. One resident had conflicting code status documentation and three residents had no evidence of being given the opportunity to formulate advance directives.
F584: The facility failed to provide housekeeping and maintenance services necessary to maintain a safe, clean, and homelike environment for five residents, evidenced by missing or broken floor tiles in resident rooms and concerns about housekeeping.
F645: The facility failed to accurately complete the PASARR screening process for nine sampled residents, lacking documentation of Level II assessments or appropriate referrals for mental health evaluations.
F732: The facility failed to consistently post required nurse staffing data, with no data posted for two of four days during the survey period.
F761: The facility failed to ensure expired drugs and biologicals were not available for resident use, with two expired influenza vaccines found in a medication refrigerator.
F812: The facility failed to store food in accordance with professional standards, including unlabeled, undated, and unsealed opened food items and dry storage totes stored too close to ceiling sprinkler heads.
F842: The facility failed to maintain complete, accurate medical records for eight sampled residents, including missing dates on medication administration records and failure to document ordered weights.
F865: The facility failed to develop and maintain an effective QAPI program that identified and addressed deficiencies in PASARR screenings and advance directive documentation for sampled residents.
Report Facts
Residents affected: 4
Residents affected: 5
Residents affected: 9
Residents affected: 56
Days missing staffing data: 2
Expired vaccines: 2
Residents affected: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN 1 | Licensed Practical Nurse | Interviewed regarding advance directive documentation and medication storage |
| DON | Director of Nursing | Interviewed regarding advance directives, staffing postings, medication storage, PASARR knowledge, and QAPI involvement |
| Administrator | Facility Administrator | Interviewed regarding expectations for advance directives, staffing postings, medication storage, PASARR, and QAPI |
| SSD | Social Services Director | Interviewed regarding advance directives and PASARR process |
| Maintenance Director | Maintenance Director | Interviewed regarding floor tile replacement and maintenance issues |
| Housekeeper 1 | Housekeeper | Interviewed regarding housekeeping and floor tile conditions |
| Scheduler | Staffing Coordinator | Interviewed regarding nurse staffing posting practices |
| Medical Records Staff | Medical Records Staff | Interviewed regarding PASARR data entry and chart audits |
| Kitchen Manager | Kitchen Manager | Interviewed regarding food storage practices |
| CMA 1 | Certified Medication Aide | Interviewed regarding expired medication handling |
| Director of Crisis for Life Skills | Director of Crisis for Life Skills (mental health clinic) | Interviewed regarding PASARR process and Level II assessments |
| Interim Administrator/Regional President | Interim Administrator/Regional President | Interviewed regarding staffing postings, medication storage, food storage, PASARR, and QAPI |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Apr 17, 2025
Visit Reason
An Abbreviated Survey was initiated and concluded on 04/17/2025 to assess compliance at Auburn Health Care.
Findings
The survey was substantiated with no deficiencies cited.
Inspection Report
Abbreviated Survey
Census: 50
Deficiencies: 1
Date: Apr 10, 2025
Visit Reason
An abbreviated survey was conducted from 04/08/2025 to 04/10/2025 investigating facilities KY00043324, KY00041651, KY00042246, and KY00043424, triggered by a deficiency cited.
Findings
The facility failed to establish and maintain an infection prevention and control program, specifically related to hand hygiene and use of personal protective equipment by staff. One Licensed Practical Nurse (LPN 1) failed to sanitize hands between glove changes and did not adhere to contact isolation protocols while providing care to a resident on contact precautions.
Deficiencies (1)
Failure to establish and maintain an infection prevention and control program, including hand hygiene and use of personal protective equipment.
Report Facts
Survey Census: 50
Sample Size: 7
Observation Time: 1020
Observation Time: 1040
Compliance Date: May 12, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN 1 | Licensed Practical Nurse | Failed to sanitize hands between glove changes and adhere to contact isolation protocol |
| Director of Nursing | Director of Nursing | Interviewed and stated expectations for staff to follow contact isolation and handwashing policies |
| Administrator | Administrator | Interviewed and stated expectations for staff to follow contact isolation and handwashing policies |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Apr 10, 2025
Visit Reason
The inspection was conducted to assess the facility's compliance with infection prevention and control protocols, specifically related to hand hygiene and contact isolation procedures.
Findings
The facility failed to establish and maintain an effective infection prevention and control program. Licensed Practical Nurse (LPN) 1 did not sanitize hands between glove changes and failed to wear required personal protective equipment while providing care to a resident on contact precautions.
Deficiencies (1)
F 0880: The facility failed to provide and implement an infection prevention and control program. LPN 1 did not sanitize hands between glove changes and failed to wear gown, mask, and eye protection while providing care to a resident on contact precautions.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN 1 | Licensed Practical Nurse | Named in infection control deficiency for failure to sanitize hands and use PPE. |
| Director of Nursing | Director of Nursing | Interviewed regarding expectations for staff compliance with infection control policies. |
| Administrator | Administrator | Interviewed regarding expectations for staff compliance with infection control policies. |
Inspection Report
Routine
Deficiencies: 2
Date: Apr 22, 2022
Visit Reason
The inspection was conducted to assess compliance with care standards related to catheter care and food preferences for residents at Auburn Nursing and Rehabilitation Center.
Findings
The facility failed to ensure proper catheter care was provided to prevent urinary tract infections for one resident, including failure to change gloves and water during catheter care. Additionally, the facility failed to honor one resident's food preferences by serving disliked foods without offering alternatives.
Deficiencies (2)
F 0690: The facility failed to provide appropriate catheter care to prevent urinary tract infections for Resident #41, including failure to change gloves and water between dirty and clean tasks during catheter care.
F 0806: The facility failed to ensure Resident #34 received food that accommodated the resident's dislikes, serving mashed potatoes and beans despite the resident's expressed preferences.
Report Facts
Sampled residents: 15
Residents affected: 1
Residents affected: 1
Medication dosage: 500
Urine retention threshold: 300
BIMS score: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Named in catheter care deficiency for failing to change gloves and water during catheter care |
| CNA #2 | Certified Nursing Assistant | Named in catheter care deficiency for failing to change gloves during catheter care |
| LPN #1 | Licensed Practical Nurse | Interviewed regarding proper catheter care procedures |
| Director of Nursing | Director of Nursing | Provided expectations on catheter care and food preference compliance |
| Administrator | Administrator | Provided expectations on catheter care and food preference compliance |
| Dietary Employee #1 | Dietary Employee | Plated food items and responsible for honoring residents' food preferences |
| Dietary Employee #2 | Dietary Employee | Responsible for checking meal tray cards and honoring food preferences |
| Certified Dietary Manager | Certified Dietary Manager | Responsible for reviewing residents' food preferences and meal tray cards |
Inspection Report
Routine
Deficiencies: 6
Date: Jan 17, 2020
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident privacy, environment safety, transfer notifications, quality of care, therapeutic diet adherence, and medical record documentation at Auburn Nursing and Rehabilitation Center.
Findings
The facility was found deficient in ensuring resident privacy during care, maintaining a safe and clean environment, timely notification of resident transfers to the Ombudsman, meeting professional standards of care including assessments before and after PRN medication administration, following therapeutic diet orders, and maintaining complete and accurate medical records.
Deficiencies (6)
F 0583: The facility failed to ensure privacy for one resident during care as staff did not close blinds or curtains automatically.
F 0584: The facility failed to maintain a safe, clean, and homelike environment due to debris on grounds, stained ceiling tiles, chipping paint, and exposed drywall.
F 0623: The facility failed to notify the Office of the State Long-Term Care Ombudsman of transfers for three residents as required.
F 0658: The facility failed to ensure professional standards of care for one resident by not obtaining vital signs or assessing effectiveness of PRN medications after administration.
F 0808: The facility failed to follow therapeutic diet orders and accommodate resident preferences for one resident, serving an incorrect dietary supplement and disliked item.
F 0842: The facility failed to maintain complete and accurate medical records for one resident by not documenting assessments, vital signs, and medication effectiveness related to a change in condition.
Report Facts
Residents sampled: 17
Residents affected: 1
Residents affected: 3
Residents affected: 1
Residents affected: 1
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Failed to obtain vital signs and assess medication effectiveness for Resident #900 |
| LPN #2 | Licensed Practical Nurse | Failed to assess medication effectiveness for Resident #900 |
| RN #2 | Registered Nurse | Delivered incorrect meal tray to Resident #30 without checking tray card |
| Director of Nursing | Director of Nursing | Expected privacy, proper assessments, documentation, and adherence to orders |
| Housekeeping Supervisor | Housekeeping Supervisor | Responsible for cleaning and maintaining outdoor areas |
| Maintenance Director | Maintenance Director | Responsible for facility repairs and maintenance |
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