Inspection Reports for Breathitt Health & Rehabilitation
420 JETT DRIVE, KY, 41339
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
High
Moderate
Unclassified
Inspection Report
Abbreviated Survey
Deficiencies: 0
Mar 3, 2025
Visit Reason
An Abbreviated Survey was initiated and concluded on 03/03/2025 to investigate KY#00045145.
Findings
No deficient practice was identified during the abbreviated survey.
Inspection Report
Complaint Investigation
Census: 54
Deficiencies: 5
Feb 7, 2025
Visit Reason
A Standard Recertification Survey and Abbreviated Survey investigating Complaint KY00043181 was initiated on 02/02/2025 and concluded on 02/07/2025. The visit was complaint-related due to allegations of abuse and failure to protect residents' rights.
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 'G'. The facility failed to ensure residents were free from abuse and protect residents' rights to privacy and communication. Multiple interviews and record reviews confirmed verbal abuse by a Certified Nursing Assistant and failure to report allegations of abuse timely.
Complaint Details
Complaint KY00043181 alleged abuse by Certified Nursing Assistant (CNA)2 toward Resident (R)2, including verbal threats and rough care. The complaint was substantiated with findings of verbal abuse and failure to report allegations timely. CNA2 was suspended pending investigation. The facility was found not in substantial compliance and required corrective actions.
Severity Breakdown
G: 2
F: 1
D: 1
Deficiencies (5)
| Description | Severity |
|---|---|
| Failure to protect residents' rights to privacy and communication, including sending and receiving unopened mail. | — |
| Failure to ensure residents were free from abuse; verbal and physical abuse by Certified Nursing Assistant (CNA)2 toward Resident (R)2. | G |
| Failure to report allegations of abuse to appropriate authorities within required timeframes. | G |
| Failure to maintain effective infection prevention and control program, including failure to don appropriate PPE and handle linens properly. | D |
| Failure to store, prepare, distribute, and serve food in a sanitary manner, including discarding expired food items. | F |
Report Facts
Survey Census: 54
Sample Size: 19
Deficiency Severity Level G: 2
Deficiency Severity Level F: 1
Deficiency Severity Level D: 1
Expired Food Items: 8
Food Temperatures Checked: 6
Random Staff Interviews: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Hailey Adams | Eventus Whole Health | Conducted interviews and assessments related to resident rights and abuse investigation |
| Administrator | Notified of abuse allegations, conducted interviews, and educated staff on abuse policies | |
| Director of Nursing | Conducted interviews, educated staff, and monitored compliance with abuse prevention | |
| Assistant Director of Nursing | Participated in interviews and staff education on abuse prevention | |
| Certified Nursing Assistant (CNA)2 | Alleged perpetrator of verbal and physical abuse toward Resident R2 | |
| Registered Nurse 1 (RN1) | Reported abuse allegations and participated in investigation interviews | |
| Business Manager | Involved in mail handling and resident communication issues | |
| Dietary Manager | Responsible for food safety deficiencies including expired food and temperature checks |
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