Inspection Reports for
Cumberland Valley Nursing & Rehabilitation Center
301 SOUTH MAIN STREET, BURKESVILLE, KY, 42717
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
57% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Abbreviated Survey
Census: 84
Deficiencies: 0
Date: Jun 27, 2025
Visit Reason
An Abbreviated Survey was conducted from 06/26/2025 to 06/27/2025 to investigate complaints KY#00046619 and KY#00046620.
Complaint Details
Complaints KY#00046619 and KY#00046620 were investigated and found to be unsubstantiated as the facility was in compliance.
Findings
The facility was found to be in compliance with regulatory practice with no deficiencies cited.
Report Facts
Sample Resident Size: 3
Inspection Report
Enforcement
Deficiencies: 2
Date: Oct 19, 2024
Visit Reason
The inspection was conducted due to immediate jeopardy concerns related to the facility's failure to develop and implement comprehensive care plans and provide adequate supervision to prevent sexual abuse among residents.
Findings
The facility failed to develop and implement comprehensive person-centered care plans with measurable objectives for residents exhibiting inappropriate sexual behaviors. The facility also failed to provide adequate supervision to prevent sexual abuse, resulting in multiple incidents involving resident R33 and others. Immediate jeopardy was identified and later removed after corrective actions.
Deficiencies (2)
F656: The facility failed to develop and implement a comprehensive care plan with measurable objectives and timeframes for 3 residents exhibiting inappropriate sexual behaviors.
F689: The facility failed to ensure adequate supervision to prevent sexual abuse for 3 residents, resulting in multiple incidents of sexual abuse and inadequate protective interventions.
Report Facts
Residents sampled: 27
Residents affected: 3
Monitoring duration: 8
Monitoring duration: 24
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Regional Vice President of Operations | Provided interview statements regarding care plan interventions and supervision | |
| Social Services Director | Provided interview statements and updated care plans related to supervision and interventions | |
| Certified Medication Technician 1 | CMT | Observed inappropriate behavior and removal of resident's hand from another resident's brief |
| Licensed Practical Nurse 4 | LPN | Documented progress notes related to incidents and monitoring |
| Licensed Practical Nurse 7 | LPN | Provided interview about monitoring and supervision tasks |
| Administrator | Provided interview regarding investigation and effectiveness of interventions | |
| Medical Director | Provided interview regarding resident behavior and monitoring recommendations |
Inspection Report
Enforcement
Deficiencies: 4
Date: Oct 19, 2024
Visit Reason
The inspection was conducted due to multiple incidents involving failure to develop and implement comprehensive care plans addressing residents' needs, specifically related to supervision and prevention of sexual abuse, as well as deficiencies in food and nutrition service personnel qualifications and food safety practices.
Findings
The facility failed to develop and implement comprehensive person-centered care plans for residents with measurable objectives and timeframes, particularly for a resident exhibiting sexually inappropriate behaviors, resulting in immediate jeopardy to resident health and safety. Additionally, the facility failed to ensure adequate supervision to prevent sexual abuse and did not maintain proper food service personnel certifications or follow food safety standards.
Deficiencies (4)
F656: The facility failed to develop and implement a comprehensive care plan with measurable objectives and timeframes for residents with complex needs, including supervision to prevent sexual abuse for 3 of 27 sampled residents.
F689: The facility failed to provide adequate supervision to prevent sexual abuse for 3 of 27 sampled residents, resulting in multiple incidents of inappropriate sexual contact.
F802: The facility failed to employ food service personnel with required food handler certifications for Dietary Aides, violating state requirements.
F812: The facility failed to store, prepare, distribute, and serve food in accordance with professional food safety standards, including improper food storage, uncovered plates, and inadequate hair and beard coverings for food handlers.
Report Facts
Residents sampled: 27
Residents affected: 3
Increased monitoring duration: 8
1:1 monitoring duration: 24
Deficiency citations: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Regional Vice President of Operations | Provided statements regarding care plan interventions and supervision | |
| Social Services Director | Updated care plans and provided interviews about supervision and interventions | |
| Licensed Practical Nurse 4 | Documented progress notes and provided interview about incident reporting | |
| Certified Medication Technician 1 | Witnessed incidents and provided statements about monitoring | |
| Medical Director | Provided statements about resident behaviors and monitoring needs | |
| Assistant Food and Nutritional Services Manager | Provided interviews about food service deficiencies and policies | |
| Regional Food and Nutritional Services Manager | Provided interviews about food service policies and deficiencies | |
| Health Department Employee 1 | Provided statements about food handler certification requirements |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Oct 11, 2019
Visit Reason
Annual inspection of Cumberland Valley Nursing & Rehabilitation Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Sep 20, 2018
Visit Reason
The inspection was conducted as an annual survey to assess compliance with nursing home regulations, including nurse staffing postings and infection prevention and control programs.
Findings
The facility failed to post nurse staffing information and resident census daily as required. Additionally, the facility did not maintain an adequate infection prevention and control program, evidenced by a Licensed Practical Nurse failing to perform proper hand hygiene during a dressing change.
Deficiencies (2)
F 0732: The facility failed to post the number of Registered Nurses, Licensed Practical Nurses, and resident census daily as required by policy and regulation.
F 0880: The facility failed to maintain an infection prevention and control program, as an LPN did not perform hand hygiene between removing soiled gloves and donning clean gloves during wound care.
Report Facts
Residents sampled: 35
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Named in infection control hand hygiene deficiency |
| Director of Nursing | Director of Nursing | Interviewed regarding nurse staffing posting and infection control |
| Infection Control Nurse | Infection Control Nurse | Interviewed regarding infection control expectations |
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