Inspection Reports for
Fordsville Nursing and Rehabilitation Center
313 MAIN STREET, FORDSVILLE, KY, 42343
Back to Facility ProfileDeficiencies (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/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Dec 5, 2025
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at Fordsville Nursing and Rehabilitation Center.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Census: 60
Deficiencies: 0
Date: Nov 17, 2025
Visit Reason
A complaint survey was conducted to investigate allegations at the facility.
Complaint Details
The complaint survey was substantiated with no deficiencies found.
Findings
The facility was found to be in substantial compliance with no regulatory deficiencies identified.
Report Facts
Survey Census: 60
Sample Size: 6
Supplemental Residents: 0
Inspection Report
Routine
Deficiencies: 5
Date: Aug 5, 2023
Visit Reason
Routine inspection of Fordsville Nursing and Rehabilitation Center to assess compliance with regulatory requirements related to resident rights, environment, abuse prevention, care planning, and infection control.
Findings
The facility was found deficient in multiple areas including failure to ensure proper advance directive handling for a cognitively impaired resident, inadequate maintenance of a homelike environment, failure to protect residents from abuse, failure to revise care plans after behavioral incidents, and failure to maintain an effective infection prevention and control program, including improper use of personal protective equipment.
Deficiencies (5)
F 0578: The facility failed to ensure a resident with severe cognitive impairment had his/her Advance Directive signed by the Resident Representative, resulting in the resident signing their own DNR documents without proper cognitive assessment.
F 0584: The facility failed to provide a safe, clean, comfortable, and homelike environment as evidenced by peeling wallpaper, chipped paint, and damaged walls in multiple resident rooms.
F 0600: The facility failed to protect residents from physical abuse for four residents, including incidents of hitting and inappropriate touching, with inadequate investigation and follow-up.
F 0657: The facility failed to review and revise a comprehensive person-centered care plan for a resident after multiple incidents of inappropriate sexual behavior.
F 0880: The facility failed to establish and maintain an infection prevention and control program, including failure of staff to don required personal protective equipment when providing care to a resident on Enhanced Barrier Precautions and inadequate management of scabies outbreaks.
Report Facts
Residents sampled: 55
Residents affected: 4
Residents affected: 5
Residents affected: 1
Residents affected: 2
BIMS scores: 3
BIMS scores: 0
BIMS scores: 9
BIMS scores: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Medication Technician #11 | CMT/Scheduler/Ward Clerk | Witnessed Resident #214 signing DNR documents without checking cognitive status |
| Director of Nursing | DON | Interviewed regarding Resident #214's cognitive assessment and witnessing DNR signing |
| Social Services Director | SSD | Involved in guardianship referral and care plan discussions |
| Licensed Practical Nurse #4 | LPN | Provided progress notes on abuse incidents |
| Certified Nursing Assistant #12 | CNA | Witnessed abuse incident between residents #213 and #50 |
| Certified Nursing Assistant #15 | CNA | Reported witnessing inappropriate touching between residents #49 and #36 |
| Minimum Data Set Coordinator | MDS Coordinator | Discussed care plan revision process |
| Registered Nurse #2 | RN | Failed to don PPE when providing care to Resident #16 on Enhanced Barrier Precautions |
| Certified Nursing Assistant #22 | CNA | Failed to don PPE when providing care to Resident #16 on Enhanced Barrier Precautions |
| Advanced Practice Registered Nurse | APRN | Provided clinical input on scabies outbreak and treatment |
| Medical Director | MD | Discussed scabies outbreak and treatment expectations |
| Administrator | Administrator | Oversaw facility compliance and expectations for care and infection control |
Inspection Report
Routine
Deficiencies: 4
Date: Aug 5, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights, environment safety, medication management, and infection control at Fordsville Nursing and Rehabilitation Center.
Findings
The facility was found deficient in ensuring proper handling of advance directives for cognitively impaired residents, maintaining a safe and homelike environment due to peeling wallpaper and damaged walls, removing expired medications from storage, and adhering to infection prevention protocols including proper use of personal protective equipment for residents on Enhanced Barrier Precautions.
Deficiencies (4)
F 0578: The facility failed to ensure a resident with severe cognitive impairment had his/her Advance Directive signed by the Resident Representative, as the resident signed their own DNR documents despite cognitive incapacity.
F 0584: The facility failed to maintain a safe, clean, comfortable, and homelike environment for five sampled residents due to peeling wallpaper, chipped paint, and damaged walls in multiple resident rooms.
F 0761: The facility failed to remove expired medications from one of two medication refrigerators, storing expired Promethagan suppositories for two residents.
F 0880: The facility failed to establish and maintain an infection prevention and control program, as staff did not don required gowns and gloves when providing care to residents on Enhanced Barrier Precautions, risking cross contamination.
Report Facts
Residents sampled for advance directive review: 3
Residents affected by environment deficiencies: 5
Expired medications observed: 6
Residents sampled for infection control: 55
Residents affected by infection control deficiencies: 2
BIMS score for Resident #214: 3
BIMS score for Resident #46: 0
BIMS score for Resident #16: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Medication Technician #11 | CMT/Scheduler/Ward Clerk | Witnessed Resident #214 signing DNR documents without checking cognitive status. |
| Director of Nursing | DON | Interviewed regarding Resident #214's cognitive assessment and medication expiration audits. |
| Social Services Director | SSD | Involved in guardianship referral and cognitive status communication for Resident #214. |
| Registered Nurse #2 | RN | Observed failing to don PPE when providing care to Resident #16 on Enhanced Barrier Precautions. |
| Certified Nursing Assistant #22 | CNA | Observed failing to don PPE when providing care to Resident #16 on Enhanced Barrier Precautions. |
| Administrator | Administrator | Provided expectations for staff regarding advance directives, environment, medication management, and infection control. |
Inspection Report
Annual Inspection
Deficiencies: 6
Date: May 6, 2022
Visit Reason
The inspection was conducted as a comprehensive annual survey to assess compliance with regulatory requirements and evaluate the facility's care and services.
Findings
The facility failed to develop and implement comprehensive, person-centered care plans with measurable objectives for multiple residents, failed to provide adequate supervision to prevent falls resulting in multiple incidents and injuries, failed to ensure proper use and documentation of restorative devices, and failed to maintain proper calibration and documentation for glucometer quality control. Additionally, the facility did not label an opened vial of PPD serum with an open date as required.
Deficiencies (6)
F 0656: The facility failed to develop and implement a complete care plan with measurable objectives for three residents, resulting in multiple falls and failure to follow care plan interventions.
F 0657: The facility failed to revise comprehensive care plans within 7 days of assessment or after falls for two residents, missing interventions for multiple falls and alarms.
F 0684: The facility failed to provide needed care and services to ensure a resident's highest practical physical, mental, and psychosocial needs were met, including failure to apply restorative devices as ordered.
F 0689: The facility failed to provide adequate supervision to prevent accidents for one resident with 26 falls over a year, including falls resulting in injury and failure to follow care plan interventions.
F 0755: The facility failed to ensure glucometer quality control testing was performed and documented weekly as per manufacturer guidelines, risking inaccurate blood glucose readings and insulin dosing.
F 0761: The facility failed to label an opened vial of Tuberculin Purified Protein Derivative serum with an open date, risking ineffective tuberculosis screening for residents and staff.
Report Facts
Falls: 26
Falls: 18
BIMS score: 7
BIMS score: 6
BIMS score: 6
BIMS score: 3
Fall risk score: 19
Fall risk score: 21
PPD serum expiration: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Described Resident #5 as very independent and stated resident often removed chair and bed alarms |
| RN #1 | Registered Nurse | Unaware of treatment for Resident #41's contractures |
| CNA #6 | Certified Nursing Assistant | Aware of Thera Carrots but never placed them in Resident #41's hands due to fear of hurting resident |
| DON | Director of Nursing | Explained expectations for care plan updates and fall interventions |
| Administrator | Facility Administrator | Discussed expectations for care plans, fall prevention, and facility policies |
| SDC | Staff Development Coordinator | Discussed staff training and expectations for restorative nursing and glucometer QC |
| RN #2 | Registered Nurse | Noted missing glucometer QC documentation and explained risks of inaccurate glucose readings |
| LPN #3 | Licensed Practical Nurse | Phone number provided was no longer in service |
| CMA | Certified Medication Aide | Reported following care plans and shift reports for Resident #5 and #21 |
| MDSC | Minimum Data Set Coordinator | Described IDT meetings and care plan updates after falls |
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