Inspection Reports for
Barren County Nursing and Rehabilitation
300 WESTWOOD STREET, GLASGOW, KY, 42141
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
21% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Aug 8, 2025
Visit Reason
The inspection was conducted to investigate complaints regarding failure to develop and implement comprehensive care plans, failure to provide ordered treatments, failure to provide appropriate respiratory care, and failure to maintain food safety standards in the facility.
Complaint Details
The investigation was complaint-driven, focusing on care plan deficiencies, treatment failures, respiratory care errors, and food safety violations. The complaints were substantiated with observations, interviews, and record reviews confirming failures in care and safety.
Findings
The facility failed to develop and implement a comprehensive care plan and provide ordered treatments for a resident with skin tears. Staff failed to deliver oxygen therapy as ordered for a resident with COPD. The kitchen failed to maintain food safety standards, including improper food storage and unsanitary conditions, potentially affecting all residents.
Deficiencies (4)
F 0656: The facility failed to develop and implement a comprehensive person-centered care plan for Resident 60, who had skin tears on admission, and failed to implement care plan interventions as ordered.
F 0684: The facility failed to provide treatment and care according to orders and care plans for Resident 60, including failure to change dressings as ordered and use correct wound care supplies.
F 0695: The facility failed to provide safe and appropriate respiratory care for Resident 91 by delivering oxygen at 4L/M instead of the ordered 2L/M for multiple shifts.
F 0812: The facility failed to store, prepare, distribute, and serve food in accordance with professional standards, including uncovered food, strong odors, soiled kitchen areas, and unclean ice machines, potentially affecting all 89 residents.
Report Facts
Residents sampled: 19
Residents affected by food safety issue: 89
Oxygen flow rate ordered: 2
Oxygen flow rate observed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN1 | Registered Nurse | Named in failure to implement ordered wound care treatments for Resident 60 |
| LPN3 | Licensed Practical Nurse | Named in failure to monitor and correctly administer oxygen therapy for Resident 91 |
| Director of Nursing | Director of Nursing | Interviewed regarding expectations for care plan accuracy and treatment implementation |
| Administrator | Administrator | Interviewed regarding staff expectations and facility policies on care and food safety |
| Medical Director | Medical Director | Interviewed regarding expectations for following physician orders and wound care |
| Cook1 | Cook | Interviewed regarding food storage responsibilities and food safety |
| Cook2 | Cook | Interviewed regarding food storage and contamination risks |
| Cook3 | Cook | Interviewed regarding kitchen cleaning and food storage responsibilities |
| Dietary Manager | Dietary Manager | Interviewed regarding food safety policies and kitchen cleanliness expectations |
Inspection Report
Abbreviated Survey
Census: 87
Deficiencies: 0
Date: Feb 14, 2025
Visit Reason
An Abbreviated Survey was conducted to assess the facility's compliance with 42 CFR 483 subpart B.
Findings
The facility was found to be in substantial compliance with no deficiencies issued related to the cited regulations.
Report Facts
Survey Dates: From 2025-02-12 to 2025-02-14
Survey Census: 87
Sample Size: 18
Supplemental Residents: 0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Nov 29, 2023
Visit Reason
Annual inspection survey of Barren County Nursing and Rehabilitation facility to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Mar 9, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding an alleged resident-to-resident physical abuse incident at the facility.
Complaint Details
The complaint investigation involved an incident on 04/04/2022 where Resident #31 slapped Resident #125. The incident was reported to the state survey agency. Resident #125 was not injured. Resident #31 was educated on not hitting others and sent for psychiatric evaluation. Interviews with staff and residents confirmed the event and subsequent actions.
Findings
The facility failed to protect a resident's right to be free from physical abuse by another resident. Resident #31 slapped Resident #125 in the lobby, and the facility did not prevent this incident despite behavioral care plans and supervision requirements.
Deficiencies (1)
F 0600: The facility failed to protect residents from all types of abuse including physical abuse. Resident #31 slapped Resident #125 while in the lobby, violating the resident's right to be free from abuse.
Report Facts
Sample size: 29
BIMS score: 1
BIMS score: 15
Medication dosage: 15
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Mar 9, 2023
Visit Reason
The inspection was conducted to investigate a complaint regarding the facility's failure to ensure a consistent process for addressing resident grievances, specifically related to Resident #42's concerns about assault and missing personal items.
Complaint Details
The complaint involved Resident #42 reporting being hit by another resident and having missing clothes. The facility did not file a grievance or properly investigate the complaint. Interviews revealed inconsistent understanding and documentation of grievances versus concerns among staff. The resident's grievance was not substantiated due to lack of documentation and follow-up.
Findings
The facility failed to maintain proper grievance documentation and resolution efforts for Resident #42's complaint of being hit by another resident and missing belongings. Additionally, the facility failed to ensure food was covered during transport to prevent contamination, potentially affecting 46 residents.
Deficiencies (2)
F 0585: The facility failed to ensure a consistent process was in place for addressing resident grievances and maintaining evidence of efforts to resolve grievances for Resident #42. The grievance related to an assault and missing items was not properly documented or resolved.
F 0812: The facility failed to ensure food was covered during transport to resident hallways, exposing food to potential contamination. This affected residents on two halls and involved uncovered salads, desserts, and beverages during meal delivery.
Report Facts
Residents affected by grievance deficiency: 1
Residents potentially affected by food contamination: 46
Sample size of residents reviewed for grievance concerns: 29
Brief Interview for Mental Status (BIMS) score: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Services Director (SSD) | Named in grievance process interviews and findings | |
| Administrator | Named in grievance process interviews and findings | |
| Registered Nurse (RN) #8 | Interviewed regarding grievance handling for Resident #42 | |
| Certified Nurse Aide (CNA) #14 | Observed and interviewed regarding meal tray delivery | |
| Licensed Practical Nurse (LPN) #15 | Interviewed regarding meal tray delivery and uncovered food | |
| Certified Dietary Manager (CDM) | Interviewed regarding meal tray delivery procedures | |
| Registered Dietitian | Interviewed regarding expectations for covered meal carts | |
| Director of Nursing (DON) | Interviewed regarding grievance handling and meal delivery | |
| Activities Director | Interviewed regarding resident rights and grievance education |
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Dec 4, 2019
Visit Reason
The inspection was conducted as a comprehensive annual survey to assess compliance with regulatory standards for nursing home care.
Findings
The facility was found deficient in multiple areas including failure to update and revise care plans for residents on anticoagulant and diabetic therapy, improper respiratory care practices, inadequate medication labeling and storage, and failure to maintain proper hand sanitation during meal service.
Deficiencies (4)
F 0657: The facility failed to ensure the care plan was reviewed and revised for a resident on anticoagulant and diabetic therapy, resulting in no documented interventions for Certified Nurse Aides to follow.
F 0695: The facility failed to provide safe and appropriate respiratory care, including improper storage of nebulizer equipment and lack of oxygen use signage outside resident rooms.
F 0761: The facility failed to ensure drugs and biologicals were labeled according to professional principles, including four insulin pens not dated when opened and a bottle of Tums improperly stored at a resident's bedside.
F 0812: The facility failed to serve food in accordance with professional standards due to staff not sanitizing hands during meal pass after contact with contaminated items.
Report Facts
Residents sampled for care plan review: 18
Residents reviewed for respiratory care: 18
Insulin pens not dated: 4
Medication carts observed: 2
Residents affected: 1
Residents affected: 2
Residents affected: Few
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide (CNA) #3 | Provided care for Resident #40 and reported lack of training on anticoagulant and diabetic care | |
| Certified Nurse Aide (CNA) #4 | Provided care for Resident #40 and reported lack of knowledge about anticoagulant therapy | |
| MDS Coordinator | Reported adding bleeding risks to care plans but had not updated Resident #40's CNA care plan | |
| Director of Nursing (DON) | Acknowledged lack of special training for CNAs on anticoagulant therapy and diabetic care; committed to revising care plans | |
| Registered Nurse (RN) #1 | Interviewed regarding respiratory care and medication storage practices | |
| Licensed Practical Nurse (LPN) #1 | Interviewed about medication dating practices | |
| Licensed Practical Nurse (LPN) #2 | Interviewed about medication dating practices | |
| Assistant Chief Nursing Executive (CNE) | Interviewed about medication dating policy and expectations | |
| Administrator | Interviewed about facility policy and expectations for medication storage and use | |
| Certified Nurse Aide (CNA) #1 | Interviewed about hand sanitation during meal service |
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