Deficiencies per Year
4
3
2
1
0
Moderate
Inspection Report
Abbreviated Survey
Census: 87
Deficiencies: 3
Apr 24, 2025
Visit Reason
A Recertification and Abbreviated Survey was initiated on 04/22/2025 and concluded on 04/24/2025 to assess compliance with healthcare regulations and investigate complaints.
Findings
The facility was found to have deficit practice with a scope and severity of a 'F' level status. Deficiencies included failure to provide adequate nail care for a resident, unsafe environmental conditions such as black substance and mold in shower rooms and resident rooms, and unsecured handrails in corridors.
Complaint Details
No regulatory violations were identified for several complaints listed by their KY numbers. One complaint (KY#00039044) was found non-compliant.
Severity Breakdown
F: 2
E: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure one resident received necessary nail care, resulting in long, dirty nails with black substance underneath. | F |
| Facility failed to provide housekeeping services to ensure a clean and sanitary environment; black, fuzzy substance (mold) observed in multiple shower rooms and resident bathrooms. | F |
| Corridors lacked firmly secured handrails on both sides, with loose or missing screws and parts, creating safety hazards. | E |
Report Facts
Survey Census: 87
Sample Size: 46
Sample Size for ADL Deficiency: 21
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| State Registered Nurse Aid (SRNA) 1 | State Registered Nurse Aid | Provided nail care to Resident #6 and described nail care procedures |
| Registered Nurse (RN) 1 | Registered Nurse | Interviewed regarding nail care oversight and procedures |
| Director of Nursing | Director of Nursing | Conducted audits, provided education on nail care, and interviewed about facility practices |
| Administrator | Administrator | Interviewed regarding expectations for resident nail care and housekeeping standards |
| Housekeeping Supervisor | Housekeeping Supervisor | Interviewed about cleaning practices and handrail maintenance |
| Maintenance Assistant | Maintenance Assistant | Interviewed about black substance issue and handrail maintenance |
| Assistant Director of Maintenance | Assistant Director of Maintenance | Interviewed about handrail conditions and maintenance responsibilities |
| Restorative Nurse 1 | Restorative Nurse | Interviewed about loose handrails and resident safety concerns |
| Housekeeping Manager | Housekeeping Manager | Interviewed about cleaning schedules and black substance observations |
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