Inspection Reports for
Calvert City Convalescent Center
1201 FIFTH AVE, CALVERT CITY, KY, 42029
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% better than Kentucky average
Kentucky average: 4.7 deficiencies/year
Deficiencies per year
4
3
2
1
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Dec 4, 2025
Visit Reason
Annual survey inspection of Calvert City Convalescent Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Census: 90
Deficiencies: 0
Date: Mar 14, 2025
Visit Reason
An Abbreviated Survey investigating Complaints KY00044352 and KY00044360 was initiated on 2025-03-13 and concluded on 2025-03-14.
Complaint Details
Investigation of Complaints KY00044352 and KY00044360 found no deficient practices.
Findings
There was no deficient practice identified with Complaint KY00044352 and KY00044360.
Report Facts
Sample Size: 12
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Oct 3, 2024
Visit Reason
The investigation was conducted due to a complaint and subsequent discovery that the Assistant Director of Nursing (ADON) diluted a resident's morphine vial by injecting water to correct a reported volume loss, raising concerns about medication tampering and potential harm to the resident.
Complaint Details
The complaint investigation substantiated that the ADON diluted a morphine vial for Resident 48. The incident was reported to the State Board of Nursing, and the ADON was terminated. No resident received medication from the tampered vial, and no doses were missed or late.
Findings
The facility confirmed that the ADON diluted the morphine vial for Resident 48, but no medication from the tampered vial was administered to the resident. The ADON was terminated, and the facility implemented corrective measures including new syringe types, lock boxes, shelving for accurate measurement, and staff education to prevent recurrence.
Deficiencies (1)
F 0602: The facility failed to protect residents from misappropriation of property when the ADON diluted a morphine vial for Resident 48 by injecting water to correct volume loss. This action violated medication administration policies and posed potential harm.
Report Facts
Residents affected: 1
Morphine doses administered: 5
Morphine doses not recorded on MAR: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN 1 | Assistant Director of Nursing | Admitted to diluting the morphine vial and was terminated for this action. |
| LPN 10 | Licensed Practical Nurse | Reported concerns about morphine volume discrepancies and refused to sign narc log after dilution was discovered. |
| LPN 11 | Licensed Practical Nurse | Administered morphine doses and noted discrepancies in narc log and MAR documentation. |
| Administrator | Led investigation, replaced tampered vial, terminated ADON, and reported incident to State Survey Agency and State Board of Nursing. | |
| Director of Nursing | Director of Nursing | Oversaw corrective actions and confirmed no medication from diluted vial was administered. |
Inspection Report
Routine
Deficiencies: 3
Date: Oct 3, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident grievances, food safety, and infection prevention and control at Calvert City Convalescent Center.
Findings
The facility failed to properly document and resolve resident grievances, did not consistently follow food storage and labeling protocols, and did not ensure oxygen tubing was dated and changed weekly as required, potentially risking resident safety.
Deficiencies (3)
F 0585: The facility failed to follow its grievance policy by not documenting or tracking resident grievances and not providing timely updates to residents on grievance resolutions.
F 0812: The facility failed to store, prepare, distribute, and serve food in accordance with professional standards, including improper dating, labeling, and sealing of food items.
F 0880: The facility failed to maintain an infection prevention program by not ensuring oxygen tubing and cannulas were dated and changed weekly as required, affecting 3 of 13 residents.
Report Facts
Residents affected: 3
Full pies stored uncovered: 6
Residents affected: Residents affected by grievance and food safety deficiencies described as 'Few' but no exact number given
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Dietary Manager | Provided information on food safety policies and training |
| Licensed Practical Nurse 5 | LPN | Interviewed regarding oxygen tubing change procedures |
| Registered Nurse 3 | RN | Interviewed regarding oxygen tubing supply and checks |
| Infection Preventionist Nurse | IP Nurse | Interviewed regarding infection control policies and oxygen tubing |
| Director of Nursing | DON | Interviewed regarding infection control and oxygen tubing procedures |
| Administrator | Administrator | Interviewed regarding grievance process and infection control oversight |
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Nov 14, 2019
Visit Reason
The inspection was conducted as a routine annual survey to assess compliance with health and safety regulations at Calvert City Convalescent Center.
Findings
The facility was found deficient in several areas including failure to keep cleaning chemicals out of residents' reach, inadequate monitoring of significant weight loss in a resident, improper storage of respiratory equipment, and failure to follow hand sanitation protocols during meal service.
Deficiencies (4)
F 0689: The facility failed to ensure the residents environment was free from accident hazards by leaving germicidal cleaning wipes unattended and within reach of residents who wander.
F 0692: The facility failed to ensure one resident with significant weight loss was placed on weekly weights as required by facility policy to monitor nutritional status.
F 0695: The facility failed to properly store a resident's nebulizer mouthpiece in a plastic bag when not in use, increasing risk of contamination.
F 0812: The facility failed to ensure staff sanitized their hands between passing food trays and between residents during meal service, risking cross contamination.
Report Facts
Residents affected: 4
Residents affected: 1
Residents affected: 1
Residents affected: 3
Weight loss percentage: 10.8
Weight loss in pounds: 17.5
Weight loss in pounds: 1.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide #1 | Certified Nurse Aide | Interviewed regarding storage of germicidal wipes and nebulizer mask |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Interviewed regarding storage of germicidal wipes and nebulizer mask |
| Director of Nursing | Director of Nursing | Interviewed regarding expectations for chemical storage, weight monitoring, nebulizer storage, and hand sanitation |
| Registered Dietitian | Registered Dietitian | Interviewed regarding weight monitoring and nutritional interventions for Resident #11 |
| Dietary Aide | Dietary Aide | Interviewed regarding hand sanitation during meal pass |
| Registered Nurse #1 | Registered Nurse | Interviewed regarding hand sanitation during meal pass |
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