Inspection Reports for Bedford Springs Health and Rehabilitation
50 SHEPHERD LANE, KY, 40006
Back to Facility ProfileInspection Report Summary
The most recent inspection on April 9, 2025, identified deficiencies related to emergency preparedness and life safety code compliance. Earlier inspections were not provided for comparison, so it is unclear if these issues represent a new or ongoing pattern. The main deficiencies involved failure to maintain and update emergency preparedness plans and communication, as well as life safety concerns including delayed egress door alarms and noncompliant portable space heaters. No complaint investigations or enforcement actions such as fines or license suspensions were listed in the available reports. The facility achieved substantial compliance shortly after this inspection, indicating corrective actions were implemented.
Deficiencies (last 1 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
| Description | Severity |
|---|---|
| Failed to maintain an Emergency Preparedness Program (EPP) reviewed and updated annually. | SS=F |
| Failed to maintain and update the Emergency Preparedness Plan based on all hazards risk assessment. | SS=F |
| Failed to develop and maintain an emergency preparedness communication plan updated at least every 2 years. | SS=F |
| Egress doors equipped with delayed egress locks lacked audible alarms when activated. | SS=D |
| Portable space heaters used in the facility did not comply with NFPA standards. | SS=D |
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Interviewed regarding delayed egress door alarms and portable space heaters; verified findings during exit conference on 04/09/2025. | |
| Administrator | Interviewed regarding Emergency Preparedness Program, Communication Plan, Hazard Risk Assessment, and Life Safety findings; verified findings during exit conference on 04/09/2025. | |
| Senior Administrator | Educated Administrator on requirements for Emergency Preparedness Manual and Communication Plan updates. |
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