Inspection Reports for
Berea Health and Rehabilitation
601 RICHMOND ROAD, BEREA, KY, 40403
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
51% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Census: 82
Deficiencies: 0
Date: Apr 10, 2025
Visit Reason
A Standard Recertification and Abbreviated complaint survey investigating complaints KY#44375 and KY#45434 was initiated on 04/08/2025 and concluded on 04/10/2025 by the Department of Health & Family Services with the Office of Inspector General.
Complaint Details
Investigation of complaints KY#44375 and KY#45434; no deficient practice cited.
Findings
The facility was found to be in compliance with regulatory requirements of KY#44375 and KY#45434 as well as the standard recertification survey; no deficient practice was cited.
Report Facts
Sample Size: 20
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Apr 10, 2025
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at Berea Health and Rehabilitation.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Enforcement
Deficiencies: 2
Date: Jul 27, 2024
Visit Reason
The inspection was conducted due to an Immediate Jeopardy (IJ) related to failure to develop and implement a baseline care plan and failure to provide safe and appropriate respiratory care for a resident requiring a Bi-level Positive Airway Pressure (Bi-pap) machine and oxygen therapy.
Findings
The facility failed to develop and implement a baseline care plan for a resident requiring supplemental oxygen and Bi-pap therapy, resulting in the resident being found unresponsive and subsequently deceased. The facility also failed to ensure the necessary respiratory equipment was available upon the resident's readmission, and failed to notify the physician of the equipment unavailability. Immediate Jeopardy was identified and later removed after the facility implemented corrective actions.
Deficiencies (2)
F655: The facility failed to develop and implement a baseline care plan with detailed interventions for a resident requiring supplemental oxygen and Bi-pap therapy, resulting in serious injury or death.
F695: The facility failed to provide safe and appropriate respiratory care consistent with professional standards for a resident requiring Bi-pap and oxygen therapy, contributing to the resident's death.
Report Facts
Deficiencies cited: 2
Audits completed: 42
Oxygen flow rate: 5
Oxygen saturation: 41
Bi-pap settings: 18
Bi-pap settings: 6
Oxygen flow rate: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN 1 | Licensed Practical Nurse | Named in failure to follow Physician's Order and delay of care for resident |
| Physician 1 | Physician | Resident's attending physician who discharged resident with oxygen and Bi-pap orders |
| Assistant Director of Nursing | Assistant Director of Nursing | Placed order for CPAP machine and educated staff on respiratory equipment policies |
| Director of Nursing | Director of Nursing | Involved in admission process and disciplinary action for LPN 1 |
| Medical Director | Medical Director | Facility Medical Director involved in policy and survey discussions |
| Administrator | Administrator | Facility Administrator involved in education and policy enforcement |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Apr 5, 2024
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at Berea Health and Rehabilitation.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Oct 23, 2020
Visit Reason
The inspection was conducted as a comprehensive annual survey to assess compliance with regulatory requirements related to resident care, safety, and facility operations.
Findings
The facility was found deficient in multiple areas including failure to develop and implement comprehensive care plans addressing hydration needs, inadequate supervision to prevent accidents related to diet consistency, insufficient monitoring of residents' fluid intake leading to dehydration risks, improper respiratory care with incorrect oxygen settings, and failure to securely store controlled medications.
Deficiencies (5)
F 0656: The facility failed to develop and implement a person-centered care plan to monitor hydration status for three residents, resulting in inadequate fluid intake and dehydration.
F 0689: The facility failed to ensure residents were safe from accidents by allowing a resident assessed for nectar thickened liquids to have access to thin liquids.
F 0692: The facility failed to provide sufficient fluids to maintain health for five residents, with documented inadequate fluid intake and lack of timely notification to healthcare providers.
F 0695: The facility failed to provide respiratory care consistent with professional standards by not maintaining the prescribed oxygen flow rate for a resident.
F 0761: The facility failed to store controlled drugs in a permanently affixed locked compartment as required, with a controlled medication found unsecured in a refrigerator.
Report Facts
Days resident did not meet fluid requirements: 37
BUN level: 156
Creatinine level: 4.2
Fluid intake per day: 1386
Fluid intake per day: 2112
Fluid intake per day: 1300
Fluid intake per day: 1600
Fluid intake per day: 1900
Oxygen flow rate ordered: 3
Oxygen flow rate observed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Named in relation to findings on oxygen flow rate and medication storage. |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Named in relation to oxygen flow rate monitoring. |
| State Registered Nursing Assistant #5 | State Registered Nursing Assistant | Responsible for documenting fluid intake and reporting resident decline. |
| State Registered Nursing Assistant #4 | State Registered Nursing Assistant | Responsible for documenting fluid intake and reporting resident decline. |
| Clinical Coordinator | Nurse Consultant | Provided information on staff training and assessment procedures. |
| Registered Dietician | Dietician | Responsible for assessing residents' fluid requirements and nutritional status. |
| Advanced Registered Nurse Practitioner | ARNP | Ordered laboratory tests and treatments related to dehydration for Resident #174. |
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