Inspection Reports for Danville Centre for Health and Rehabilitation
642 NORTH THIRD STREET, KY, 40422
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Inspection Report
Complaint Investigation
Census: 82
Deficiencies: 0
Oct 27, 2025
Visit Reason
An Abbreviated Survey investigating complaint 2651084 was initiated and concluded on 10/27/2025.
Findings
Complaint 2651084 was in compliance with regulatory requirements, and no deficient practice was identified.
Complaint Details
Complaint 2651084 was investigated and found to be in compliance with no deficiencies identified.
Inspection Report
Abbreviated Survey
Census: 84
Deficiencies: 2
Jan 24, 2025
Visit Reason
An Abbreviated Survey investigating multiple complaints was conducted from 01/09/2025 through 01/24/2025 to assess compliance with 42 CFR 483 subpart B, including an Immediate Jeopardy (IJ) situation related to resident elopement.
Findings
The facility failed to implement a comprehensive care plan and provide adequate supervision to prevent elopement of Resident 2, who eloped on 04/04/2023 during a period when the wander guard alarm system was not functioning due to sprinkler system testing. Immediate Jeopardy was identified but later removed. The facility implemented corrective actions including enhanced monitoring, staff education, door security improvements, and ongoing audits.
Complaint Details
The survey was complaint-driven, investigating multiple complaints (KY00036555, KY00038311, KY00038737, KY00039303, KY00040056, KY00041843, KY00041872, KY00042943, KY00043550, KY00043936, KY00044616). Immediate Jeopardy was identified related to failure to prevent elopement but was removed after corrective actions.
Severity Breakdown
SS=J: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to develop and implement a comprehensive care plan ensuring adequate supervision to prevent elopement of Resident 2. | SS=J |
| Failure to provide adequate monitoring and supervision to prevent elopements, resulting in Resident 2 exiting the facility without staff knowledge. | SS=J |
Report Facts
Survey Dates: 2025-01-09 to 2025-01-24
Sample Size: 14
Residents at risk for elopement: 16
BIMS score: 3
Distance traveled during elopement: 120
Census: 74
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| KMA7 | Kentucky Medication Aide | Responsible for Resident 2's supervision during elopement incident; reported being alone with 18 residents and unaware of elopement |
| RN1 | Registered Nurse | Reported that two staff were supposed to monitor hallways during alarm shutdown and that elopement could have been prevented with closer monitoring |
| Plant Operations Director | Plant Operations Director | Reported that staff were unaware that door alarms were silenced during sprinkler testing and no monitoring was in place |
| Social Services Director | Social Services Director | Reviewed and updated care plans and elopement profiles after incident |
| Vice President of Operations | Vice President of Operations | Completed root cause analysis and educated leadership on procedures after incident |
| Administrator | Facility Administrator | Notified of Immediate Jeopardy and involved in corrective action plan |
| Director of Nursing | Director of Nursing | Assessed Resident 2 after elopement, involved in corrective action plan and education |
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