Inspection Reports for Bardstown Heatlh & Rehabilitation

120 LIFE CARE WAY, BARDSTOWN, KY, 40004

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Inspection Report Summary

The most recent inspection on July 18, 2025, identified deficiencies related to care plan revisions, nutrition and hydration maintenance, and medication storage, but no deficiencies were issued specifically for the complaints investigated. Earlier inspections, including the March 12, 2025 abbreviated survey, found no deficiencies. The main issues cited involved updating care plans timely for residents with weight loss, maintaining nutritional status, and proper medication labeling and storage. Complaint investigations were mostly unsubstantiated, with no deficiencies linked directly to those complaints. The inspection history shows some emerging concerns in resident care and medication management following a period of compliance.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

36% better than Kentucky average
Kentucky average: 4.7 deficiencies/year

Deficiencies per year

4 3 2 1 0
2025

Inspection Report

Complaint Investigation
Census: 48 Deficiencies: 3 Date: Jul 18, 2025

Visit Reason
A Recertification and Abbreviated Survey was conducted investigating multiple complaints (KY00042169, KY00043565, KY00043767, KY00043862, KY00044575, KY00045344, KY00046734, and KY00046736). The survey was to determine compliance with 42 CFR 483 Subpart B.

Complaint Details
The survey investigated complaints KY00042169, KY00043565, KY00043767, KY00043862, KY00044575, KY00045344, KY00046734, and KY00046736. No deficiencies were issued related to these complaints. The facility was found not in substantial compliance overall.
Findings
The facility was found not to be in substantial compliance with 42 CFR 483 Subpart B, with deficiencies cited at the highest scope and severity of an 'E'. No deficiencies were issued related to the specific complaints investigated.

Deficiencies (3)
Care Plan Timing and Revision - The facility failed to revise the Comprehensive Care Plan for 1 of 15 sampled residents who sustained severe weight loss in less than one month.
Nutrition/Hydration Status Maintenance - The facility failed to maintain acceptable parameters of nutritional status and failed to implement interventions related to weight loss for 1 of 2 sampled residents reviewed for nutrition.
Label/Store Drugs and Biologicals - The facility failed to store, label, and dispose of medications in accordance with accepted professional standards for 1 of 2 medication rooms and 2 of 2 medication carts.
Report Facts
Survey Census: 48 Sample Size: 15 Supplemental Resident: 14 Weight loss: 32.6 Weight loss percentage: 18.09 Deficiencies cited: 3

Employees mentioned
NameTitleContext
Registered Nurse RN2Registered NurseInterviewed regarding weight checks and medication disposal
Director of Nursing DONDirector of NursingInterviewed regarding weight loss and care plan revisions
Registered Dietitian RDRegistered DietitianInterviewed regarding weight loss and nutrition interventions
Unit Manager UM1Unit ManagerObserved medication storage and interviewed about medication disposal
Assistant Director of Nursing ADONAssistant Director of NursingInterviewed regarding medication audits and staff training
Licensed Practical Nurse LPN4Licensed Practical NurseInterviewed regarding expired medications
Certified Nursing Aides CNA6 and CNA7Certified Nursing AidesInterviewed regarding weight measurements
AdministratorAdministratorInterviewed regarding care plan expectations and medication audits

Inspection Report

Abbreviated Survey
Deficiencies: 0 Date: Mar 12, 2025

Visit Reason
An abbreviated survey was conducted from 03/04/2025 through 03/12/2025.

Findings
No deficient practice was issued related to KY00046702 during the abbreviated survey.

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