Inspection Reports for
Beaver Dam Nursing and Rehab Center, Inc
1595 US HWY 231 S., BEAVER DAM, KY, 42320
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
36% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Routine
Deficiencies: 3
Date: May 8, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to medication storage, food safety, and infection prevention and control at Beaver Dam Nursing & Rehab Center, Inc.
Findings
The facility failed to properly store medications and biologicals according to manufacturer guidelines, improperly stored food items including expired products, and did not consistently follow hand hygiene protocols during resident care.
Deficiencies (3)
F 0761: The facility failed to store medications in accordance with manufacturer recommendations, including storing food items in medication refrigerators and using insulin beyond recommended timeframes.
F 0812: The facility failed to store, prepare, distribute, and serve food in accordance with professional standards, including expired food items and uncovered produce in storage areas.
F 0880: The facility failed to establish an infection prevention and control program that ensured proper hand hygiene by staff during direct resident care.
Report Facts
Residents affected: 1
Residents affected: 50
Residents affected: 7
Days insulin used beyond recommendation: 36
Days COVID-19 vaccine thawed beyond recommendation: 75
Expired food use-by date: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN1 | Registered Nurse | Failed to perform hand hygiene before and after glove use during medication administration |
| LPN1 | Licensed Practical Nurse | Interviewed regarding insulin storage and replacement |
| Director of Nursing | Director of Nursing | Provided statements on medication storage and infection control expectations |
| Staff Development Coordinator | Staff Development Coordinator | Provided information on vaccine storage and medication refrigerator contents |
| Dietary Services Manager | Dietary Services Manager | Interviewed about food storage policies and corrective actions |
| Dietary Aide1 | Dietary Aide | Interviewed about food storage and expiration date practices |
| Dietary Aide2 | Dietary Aide | Interviewed about food expiration checks and training |
| Administrator | Administrator | Provided statements on staff expectations for medication storage and hand hygiene |
| Staff Development Infection Preventionist | Infection Preventionist | Interviewed about hand hygiene and infection control risks |
Inspection Report
Routine
Deficiencies: 2
Date: Mar 21, 2024
Visit Reason
The inspection was conducted to assess compliance with food safety and infection prevention and control standards at Beaver Dam Nursing & Rehab Center.
Findings
The facility failed to serve food at safe and appetizing temperatures during the lunch meal on 03/19/2024 and did not properly implement infection prevention and control practices, including staff handling drinking straws with bare hands, potentially exposing residents to infection risks.
Deficiencies (2)
F 0804: The facility failed to provide food and drink that was palatable, attractive, and served at a safe and appetizing temperature during the lunch meal on 03/19/2024. Temperatures of baked glazed ham and pulled barbecue chicken were below the preferred range of 140 to 165 degrees Fahrenheit.
F 0880: The facility failed to establish and maintain an infection prevention and control program, as staff were observed handling drinking straws with bare hands prior to serving residents, increasing risk of disease transmission for multiple residents.
Report Facts
Residents sampled: 21
Residents affected: 6
Residents affected: 4
Food temperature: 116
Food temperature: 126
Employees mentioned
| Name | Title | Context |
|---|---|---|
| SRNA #4 | State Registered Nurse Aide | Observed placing straws in residents' drinks with bare hands |
| SRNA #6 | State Registered Nurse Aide | Observed placing straws in residents' drinks with bare hands |
| Director of Rehabilitation | Observed touching resident's straw with bare hands | |
| Director of Nursing | Director of Nursing | Stated expectation that staff follow infection control guidelines |
| Administrator | Administrator | Stated expectation that staff follow infection control and food temperature policies |
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Oct 11, 2019
Visit Reason
The inspection was conducted as a routine annual survey of Beaver Dam Nursing & Rehab Center to assess compliance with regulatory requirements and quality of care standards.
Findings
The facility was found to have multiple deficiencies including failure to keep resident care information confidential, failure to implement a comprehensive person-centered care plan, failure to ensure a safe environment free from accident hazards, and failure to provide oxygen therapy according to physician orders. All deficiencies were assessed as causing minimal harm or potential for actual harm affecting a few residents.
Deficiencies (4)
F 0583: The facility failed to keep resident care information confidential for one of nineteen sampled residents. A sign with Activity of Daily Living care needs was posted on the resident's room wall facing the hallway and was visible to others.
F 0656: The facility failed to implement a comprehensive person-centered care plan for one of nineteen sampled residents. Staff failed to follow interventions to administer oxygen at 2 liters per minute via nasal cannula as ordered.
F 0689: The facility failed to ensure the residents' environment was free from accident hazards for one of nineteen sampled residents. An open bottle of Hydrogen Peroxide was found unattended in the resident's room.
F 0695: The facility failed to provide oxygen therapy according to the physician's order and care plan for one of nineteen sampled residents. Staff administered oxygen at 3 liters per minute instead of the ordered 2 liters per minute.
Report Facts
Residents sampled: 19
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Interviewed regarding confidentiality of resident care information and safety concerns about Hydrogen Peroxide |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Interviewed regarding oxygen administration and care plan adherence |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Interviewed regarding oxygen administration and clarification of oxygen orders |
| Director of Nursing | Director of Nursing | Interviewed regarding expectations for care plan adherence, confidentiality, and safety |
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