Inspection Reports for
Clinton County Care and Rehabilitation Center

404 NORTH WASHINGTON STREET, ALBANY, KY, 42602

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

6% worse than Kentucky average
Kentucky average: 4.7 deficiencies/year

Deficiencies per year

8 6 4 2 0
2019
2021
2025

Occupancy

Latest occupancy rate 90% occupied

Based on a June 2025 inspection.

Occupancy rate over time

80% 85% 90% 95% 100% May 2025 Jun 2025

Inspection Report

Re-Inspection
Census: 47 Deficiencies: 1 Date: Jun 9, 2025

Visit Reason
An off-site revisit survey was conducted on 06/09/2025 to verify the facility's compliance following a previous inspection on 06/04/2025. The prior survey was a recertification and abbreviated survey initiated on 05/05/2025 and concluded on 05/08/2025, investigating multiple complaints and regulatory violations.

Complaint Details
Multiple complaints were investigated (KY#00044856, KY#00043950, KY#00040778, KY#00040783, KY#00040455, KY#00040298, KY#00042907, KY#00038147, KY#00042907, KY#00042903, KY#00036934, KY#00040778, KY#00040016, KY#00039935, KY#00039865, KY#00038701, KY#00038673, KY#00036725, KY#00035831) and found to be in compliance.
Findings
The facility was found to be in substantial compliance as of 06/09/2025 after implementing an acceptable plan of correction. The prior inspection identified a deficiency related to food procurement, storage, preparation, and sanitary practices with a scope and severity level of 'D'. The facility took corrective actions including cleaning, removal of expired or improperly stored food items, staff education, and quality assurance measures.

Deficiencies (1)
Failure to store, prepare, and serve food in a sanitary manner in accordance with professional standards for food service safety.
Report Facts
Facility Census: 47 Sample Resident Size: 27 Deficiency Severity Level: D Inspection Dates: 3

Employees mentioned
NameTitleContext
Dietary AideDA1Interviewed regarding chemical storage and kitchen sanitation procedures
Dietary ManagerDMInterviewed regarding cleaning schedules and food safety practices; responsible for corrective actions
Cook 1Interviewed regarding food leftovers and kitchen cleaning
AdministratorInterviewed regarding kitchen policies and expectations for dietary staff
Regional Dietary ManagerReviewed pull dates and use by dates for food items; audited cleaning lists and education
Facility AdministratorResponsible for quality assurance meetings and implementation of corrective action plan
Medical DirectorAttended QAPI meetings and reviewed plan of correction
Director of Nursing ServicesExpected to attend QAPI meetings related to corrective action plan
Dietary ManagerExpected to attend QAPI meetings and involved in education and corrective actions

Inspection Report

Routine
Census: 45 Deficiencies: 4 Date: May 8, 2025

Visit Reason
The inspection was conducted to assess compliance with food service safety standards in the facility's kitchen, including proper storage, preparation, and sanitation of food and equipment.

Findings
The facility failed to store, prepare, and serve food in a sanitary manner according to professional standards. Observations included improper chemical storage, unclean kitchen equipment, and food items stored open, unsealed, unlabeled, undated, or past expiration dates.

Deficiencies (4)
F 0812: The facility failed to procure food from approved sources and did not store, prepare, distribute, and serve food in accordance with professional standards. Chemicals were improperly stored near the handwashing station, creating sanitation risks.
The milk cooler had a one inch deep freezer-burnt build-up of ice, a used uncapped pen, and dirt/food particles on the floor, indicating poor sanitation.
Heavy kitchen equipment such as the stove had dried food particles, debris in the grease trap, and a gritty-greased blackened substance covering the bottom shelf, showing inadequate cleaning.
Food items were stored open, unsealed, unlabeled, undated, or past expiration dates, including chicken patties, cheeses, eggs, cut onions, and hotdog buns, risking cross contamination and foodborne illness.
Report Facts
Residents receiving food from kitchen: 45 Expired hotdog buns: 12 Chicken patties: 11 Opened eggs: 16

Inspection Report

Routine
Deficiencies: 3 Date: May 8, 2025

Visit Reason
The inspection was conducted to assess compliance with food service safety standards in the facility's kitchen, including proper storage, preparation, and sanitation of food and equipment.

Findings
The facility failed to store, prepare, and serve food in a sanitary manner according to professional standards. Observations included improper chemical storage, unclean kitchen equipment, and food items stored open, unsealed, unlabeled, undated, or past expiration dates.

Deficiencies (3)
F0812: The facility failed to procure food from approved sources and did not store, prepare, and serve food in a sanitary manner. Chemicals were improperly stored near the handwashing station, and the kitchen floor was dirty and sticky.
Heavy kitchen equipment such as the stove and milk cooler were not cleaned per the facility's cleaning schedule, with buildup of grease, food particles, and ice inside equipment.
Food items in refrigerators and storage were found open, unsealed, unlabeled, undated, or past expiration dates, including chicken patties, cheeses, eggs, cut onions, and hotdog buns.
Report Facts
Residents receiving food from kitchen: 45 Chicken patties: 11 Opened eggs: 16 Expired hotdog buns: 12

Inspection Report

Annual Inspection
Deficiencies: 7 Date: Dec 22, 2021

Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements related to resident rights, privacy, care planning, catheter care, medication storage, and infection control.

Findings
The facility was found deficient in multiple areas including failure to ensure resident dignity and privacy, incomplete and untimely Minimum Data Set (MDS) assessments, failure to revise care plans to reflect resident refusals, unsecured catheter tubing, unlocked medication carts left unattended, and inadequate infection control practices including inconsistent visitor screening and improper disinfection of blood glucose monitors.

Deficiencies (7)
F 0550: The facility failed to ensure one resident was treated with respect and dignity as catheter bags were left uncovered and visible from the hallway, and privacy curtains were not pulled.
F 0583: The facility failed to provide visual privacy during care and treatment for four residents, including failure to pull privacy curtains and close blinds during wound care, blood glucose monitoring, and insulin injections.
F 0636: The facility failed to conduct an admission comprehensive Minimum Data Set (MDS) assessment within the required timeframe for one resident; the assessment was not completed as of the survey date.
F 0657: The facility failed to revise the care plan for one resident to address refusal of care related to securing catheter tubing and use of dignity bags despite documented refusals.
F 0690: The facility failed to ensure catheter tubing was secured for one resident; the resident refused to wear leg straps and the care plan did not address this refusal.
F 0761: The facility failed to ensure medication carts were locked when unattended; observation revealed one medication cart unlocked and unattended.
F 0880: The facility failed to implement an effective infection prevention program by not consistently screening visitors and ambulance personnel for COVID-19 and failing to disinfect blood glucose monitors according to manufacturer recommendations.
Report Facts
Residents sampled: 23 Residents affected in dignity deficiency: 1 Residents affected in privacy deficiency: 4 Residents affected in MDS assessment deficiency: 1 Residents affected in care plan revision deficiency: 1 Residents affected in catheter securing deficiency: 1 Residents affected in medication cart deficiency: 1 Residents affected in infection control deficiency: 3

Employees mentioned
NameTitleContext
Licensed Practical Nurse #3Licensed Practical NurseNamed in medication cart unlocked finding and blood glucose monitor disinfection finding
Licensed Practical Nurse #4Licensed Practical NurseNamed in privacy deficiency observation and interview
Director of NursingDirector of NursingNamed in multiple findings including care plan revision, catheter care, medication cart policy, and infection control
AdministratorAdministratorNamed in multiple findings including care plan revision, medication cart policy, and infection control
State Registered Nurse Aide #3State Registered Nurse AideNamed in catheter care and infection control findings
Licensed Practical Nurse #2Licensed Practical NurseNamed in catheter care and infection control findings
Registered Nurse #1Registered NurseNamed in infection control findings

Inspection Report

Deficiencies: 0 Date: Apr 11, 2019

Visit Reason
This document is a statement of deficiencies and plan of correction for Clinton County Care and Rehabilitation Center following a survey completed on April 11, 2019.

Findings
No health deficiencies were found during the survey.

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