Inspection Reports for Elkton Nursing and Rehabilitation Center
506 ALLENSVILLE ROAD, ELKTON, KY, 42220
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Same as Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 1
Jul 25, 2025
Visit Reason
The inspection was conducted due to complaints regarding call lights not being answered timely and call lights being inaccessible to residents in the facility.
Findings
The facility failed to ensure residents had the right to receive services with reasonable accommodations of resident needs and preferences, specifically related to call lights being out of reach and not answered promptly for 7 of 15 sampled residents. Observations and interviews confirmed delays in answering call lights and call lights being inaccessible to residents.
Complaint Details
The complaint investigation found substantiated issues with call lights not being answered timely and call lights being out of reach for residents R8, R9, R30, R32, R33, R36, and R49. Residents reported delays of over an hour in call light response, and some staff were restricted from entering certain resident rooms. Interviews with staff and administration confirmed the need for staff education and in-services to address these issues.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure call lights were within reach and answered timely for residents. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents sampled: 15
Residents affected: 7
BIMS score: 15
BIMS score: 4
BIMS score: 11
Oxygen flow rate: 3.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse 4 | Licensed Practical Nurse | Interviewed regarding call light response and resident R32's panic attacks |
| Licensed Practical Nurse 3 | Licensed Practical Nurse | Interviewed about staff responsibilities for call light placement |
| Assistant Director of Nursing | Assistant Director of Nursing | Interviewed about call light issues and staff education |
| Director of Nursing | Director of Nursing | Interviewed about expectations for call light response and staff education |
| Administrator | Administrator | Interviewed about facility expectations for compassionate care and call light response |
Inspection Report
Annual Inspection
Deficiencies: 3
Jul 25, 2025
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements related to resident rights, safety, medication storage, and facility cleanliness at Elkton Nursing and Rehabilitation Center.
Findings
The facility was found deficient in accommodating residents' needs and preferences, particularly regarding timely response to call lights and accessibility of call lights for 7 of 15 sampled residents. Additionally, the facility failed to maintain a clean, comfortable, and homelike environment with issues such as food wrappers and liquids on handrails. The medication storage was also deficient, with expired and damaged COVID-19 vaccine syringes found in the medication refrigerator.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure residents had the right to receive services with reasonable accommodations of resident needs and preferences, including timely answering of call lights and accessibility of call lights for 7 out of 15 sampled residents. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure a clean, comfortable, and homelike environment; handrails along hall corridors were filled with food wrappers, crumbs, and a Styrofoam cup containing liquid. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to store drugs and biologicals properly; observed expired and shattered COVID-19 vaccine syringes in medication refrigerator. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Sampled residents with call light issues: 7
Expired COVID-19 vaccine syringes: 2
Shattered COVID-19 vaccine syringes: 1
Number of sampled residents: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse 4 | Licensed Practical Nurse | Mentioned in relation to call light response and resident R32's care. |
| Housekeeper 1 | Housekeeper | Interviewed regarding housekeeping duties and cleanliness issues. |
| Housekeeping Supervisor | Housekeeping Supervisor | Interviewed regarding housekeeping staff responsibilities and cleaning audits. |
| Director of Nursing | Director of Nursing | Interviewed regarding expectations for call light response, facility cleanliness, and medication storage. |
| Administrator | Administrator | Interviewed regarding expectations for staff performance and facility standards. |
| Kentucky Medication Aide 1 | Medication Aide | Interviewed regarding medication storage and expired medications. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Sep 12, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to timely report an allegation of resident-to-resident abuse within the required two-hour timeframe.
Findings
The facility failed to report an allegation of abuse involving resident R40 within the two-hour timeframe as required by policy. The incident involved another resident, R34, kicking R40's foot in the dining room, witnessed by resident R49. The report to administration and the state agency was delayed by two days.
Complaint Details
The complaint involved an incident on 08/24/2024 where resident R34 kicked resident R40's foot in the dining room. The allegation was reported by resident R49 to RN9 on the same day but was not reported to the Administrator until 08/26/2024. The facility submitted the initial report to the state agency on 08/26/2024, two days after the incident. RN9 did not report the incident immediately because she did not consider it abuse. The Administrator acknowledged the facility was out of compliance for timely reporting.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Date of incident: Aug 24, 2024
Date report submitted to state agency: Aug 26, 2024
BIMS score: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| RN9 | Registered Nurse | Reported the allegation of abuse to administration late and did not consider the incident abuse |
| Administrator | Notified late of the abuse allegation, initiated investigation, and reported to state agency |
Inspection Report
Routine
Deficiencies: 7
Sep 12, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, medication administration, infection control, and pharmacy services at Elkton Nursing and Rehabilitation Center.
Findings
The facility failed to initiate required PASARR screenings for a resident with new psychiatric diagnoses, failed to ensure proper medication administration and timely medication delivery, failed to provide adequate assistance with activities of daily living including nail care, failed to act on pharmacist recommendations timely, had a medication error rate above 5%, and failed to maintain proper infection control practices including lack of N95 fit testing for staff.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 7
Deficiencies (7)
| Description | Severity |
|---|---|
| Failed to initiate a new Level I PASARR screening for a resident with new psychiatric diagnoses after admission. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure services met professional standards of quality related to medication administration errors for a resident receiving metformin. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to provide assistance with activities of daily living, specifically nail care, for a resident with a hand contracture. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure medications were obtained from the pharmacy in a timely manner for two residents. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure pharmacy recommendations were acted upon timely for one resident. | Level of Harm - Minimal harm or potential for actual harm |
| Medication error rate was 7.41%, exceeding the acceptable rate of less than 5%. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to maintain infection prevention and control practices during urostomy care, wound care, and medication administration; failed to ensure staff were fit tested for N95 respirators. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Medication error rate: 7.41
BIMS score: 9
BIMS score: 11
BIMS score: 6
BIMS score: 13
BIMS score: 15
Medication count: 30
Medication count: 14
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Medical Records Director | Described PASARR screening process and failure to update diagnoses for resident R14 | |
| Director of Nursing | Unaware of PASARR process; stated expectations for medication administration and infection control | |
| Administrator | Stated expectations for PASARR assessments, medication administration, nail care, wound care, and infection control | |
| Kentucky Medication Aide 12 | Observed medication administration errors and inability to locate medications | |
| Social Services Director | Administered medications and described medication reorder process | |
| Licensed Practical Nurse 27 | Administered medications and described medication administration standards | |
| Pharmacist 23 | Described pharmacy refill issues and medication supply problems | |
| Pharmacist 15 | Conducted medication regimen reviews and described lack of physician response | |
| Registered Nurse 13 | Observed performing urostomy care with infection control breaches | |
| Licensed Practical Nurse 7 | Observed performing wound care with infection control breaches | |
| State Registered Nurse Aide 8 | Reported no N95 fit testing | |
| State Registered Nurse Aide 6 | Reported no N95 fit testing | |
| Registered Nurse 19 | Reported no N95 fit testing | |
| Kentucky Medication Aide 20 | Reported no N95 fit testing | |
| Registered Nurse 9 | Reported no N95 fit testing | |
| Registered Nurse 21 | Reported no N95 fit testing |
Inspection Report
Complaint Investigation
Deficiencies: 2
Dec 6, 2019
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to implement care plan interventions to prevent falls for Resident #20, specifically the failure to place non-skid strips in front of the resident's toilet as ordered.
Findings
The facility failed to ensure non-skid strips were placed in front of Resident #20's toilet despite a physician's order and care plan intervention. Observations and interviews confirmed the absence of the strips, even after the resident was moved to a new room, indicating a failure in staff follow-through and environmental safety measures.
Complaint Details
The investigation was complaint-driven, focusing on Resident #20's fall risk and the facility's failure to implement ordered safety interventions. The complaint was substantiated based on observations, record reviews, and interviews confirming the absence of non-skid strips despite orders and care plans.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to implement care plan interventions to prevent falls for Resident #20 by not placing non-skid strips in front of the toilet as ordered. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to ensure the resident's environment was free from accident hazards by not placing non-skid strips in front of the toilet for Resident #20. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents sampled: 16
Residents affected: 1
Dates related to care plan and orders: Care plan initiated on 10/17/19, intervention ordered on 10/22/19, resident moved on 11/04/19, observations on 12/03/19 and 12/05/19
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Confirmed absence of non-skid strips in front of Resident #20's toilet during interview on 12/05/19 | |
| Administrator | Interviewed on 12/06/19 regarding Resident #20's room move and failure to ensure non-skid strips were in place |
Loading inspection reports...
