Inspection Reports for
Grant Healthcare and Rehabilitation
201 KIMBERLY LANE, WILLIAMSTOWN, KY, 41097
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
Annual Inspection
Deficiencies: 2
Date: Sep 12, 2025
Visit Reason
The inspection was conducted as a routine annual survey to assess compliance with health and safety regulations, including infection control and food safety practices.
Findings
The facility failed to ensure proper hand hygiene among dietary staff, maintain clean ice machines and water fountains, and properly secure a resident's catheter to prevent infection risks. Observations and interviews revealed lapses in infection prevention protocols and equipment maintenance.
Deficiencies (2)
F0812: The facility failed to prepare and serve food in a safe manner, with staff not using proper hand hygiene techniques during lunch tray preparation on 09/09/2025.
F0880: The facility failed to implement an effective infection prevention and control program, including inadequate cleaning of ice machines and water fountains, and failure to properly secure Resident 9's catheter and catheter bag to prevent infection.
Report Facts
Date of inspection: Sep 12, 2025
Date of observations: Sep 9, 2025
Date of observations: Sep 10, 2025
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Oct 25, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding alleged physical abuse of a resident (R341) at Grant Healthcare and Rehabilitation.
Complaint Details
The complaint investigation involved substantiated findings of physical abuse to resident R341 by CNA6 and LPN6. The resident was bruised during care, and the incident was reported to the Ombudsman, state agency, and Adult Protective Services. CNA6 was terminated and LPN6 was placed on a do not return list.
Findings
The facility failed to keep resident R341 free from abuse when CNA6 and LPN6 physically restrained the resident during care, resulting in bruising on both forearms. The investigation included interviews, record reviews, and progress notes documenting the incident and subsequent care.
Deficiencies (1)
F 0600: The facility failed to protect resident R341 from physical abuse when CNA6 and LPN6 restrained the resident during care, causing bruising to both forearms.
Report Facts
Bruise size left arm: 12
Bruise size right arm: 18
Medication dosage: 81
Residents sampled: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA6 | Certified Nursing Assistant | Named in physical abuse finding involving restraint of resident R341 |
| LPN6 | Licensed Practical Nurse | Named in physical abuse finding involving restraint of resident R341 |
| Administrator | Administrator and Abuse Coordinator | Provided statements regarding investigation and actions taken |
| DON | Director of Nursing | Interviewed regarding care concerns and abuse reporting |
| RN3 | Registered Nurse | Interviewed regarding care provided by CNA6 |
| LPN1 | Licensed Practical Nurse | Interviewed regarding bruising discovery and care concerns |
| AD | Activities Director | Interviewed and provided observations of bruising and resident statements |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Oct 25, 2024
Visit Reason
The inspection was conducted following a complaint alleging abuse of a resident (R341) involving physical restraint and bruising during care.
Complaint Details
The complaint investigation substantiated that Resident 341 was physically restrained by staff resulting in bruising. The facility suspended and terminated CNA6 and placed LPN6 on a do not return list. The incident was reported to the Ombudsman, state agency, and Adult Protective Services.
Findings
The facility failed to protect a resident from abuse when staff physically restrained the resident causing bruising. Additionally, the facility failed to properly label and store medications and did not follow infection control procedures for cleaning glucometers.
Deficiencies (3)
F 0600: The facility failed to keep residents free from abuse when CNA6 and LPN6 physically restrained Resident 341 causing bruising to both forearms.
F 0761: The facility failed to label and store drugs properly when an opened, undated multi-use vial of Tuberculin PPD was found in the refrigerator door.
F 0880: The facility failed to follow infection control procedures by not properly cleaning and handling one glucometer between resident uses.
Report Facts
Residents sampled: 25
Bruise size left arm: 12
Bruise size right arm: 18
Medication dose: 81
Date of observation: Oct 22, 2024
Date of interviews: Oct 24, 2024
Date of administrator interview: Oct 25, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA6 | Certified Nursing Assistant | Named in abuse finding involving physical restraint of Resident 341 |
| LPN6 | Licensed Practical Nurse | Named in abuse finding involving physical restraint of Resident 341 |
| DON | Director of Nursing | Interviewed regarding abuse expectations and medication storage |
| Administrator | Administrator and Abuse Coordinator | Interviewed regarding abuse incident and facility expectations |
| LPN7 | Licensed Practical Nurse | Interviewed regarding medication storage and dating practices |
| LPN5 | Licensed Practical Nurse | Interviewed regarding medication storage and glucometer cleaning |
| RN3 | Registered Nurse | Interviewed regarding medication storage and abuse concerns |
| RN1 | Registered Nurse | Observed and interviewed regarding glucometer cleaning practices |
Inspection Report
Complaint Investigation
Deficiencies: 8
Date: Aug 1, 2019
Visit Reason
The inspection was conducted due to a complaint investigation regarding failure to implement abuse policies and procedures, failure to notify and investigate abuse allegations, failure to provide timely notification of transfers and bed hold policies, failure to develop and implement comprehensive care plans, failure to ensure adequate supervision to prevent falls, and failure to maintain food safety standards.
Complaint Details
The complaint investigation focused on allegations of failure to implement abuse policies, failure to report and investigate abuse, failure to notify residents and representatives of transfers and bed hold policies, failure to develop care plans addressing fall prevention, failure to provide adequate supervision and least restrictive devices, and failure to maintain food safety standards.
Findings
The facility failed to implement abuse policies related to reporting and investigating allegations, failed to notify residents or representatives in writing of transfers and bed hold policies, failed to develop care plans addressing fall prevention interventions and reassessment, failed to ensure adequate supervision and least restrictive devices for fall prevention, and failed to maintain proper food temperatures and cover food during service.
Deficiencies (8)
F 0607: The facility failed to implement written policies for reporting and investigating abuse allegations involving Resident #81 threatening Resident #31 with a butter knife on 04/22/19, including timely reporting to State Agencies and conducting thorough investigations.
F 0609: The facility failed to timely report suspected abuse involving Resident #81 threatening Resident #31 to the Administrator and State Agencies within two hours as required by policy.
F 0610: The facility failed to thoroughly investigate alleged abuse involving Resident #81 and Resident #31, lacking documented evidence of staff and resident interviews or follow-up assessments.
F 0623: The facility failed to provide written notification of transfer/discharge and reasons for transfer to Resident #36 and Resident #39 or their representatives for unplanned hospital transfers.
F 0625: The facility failed to provide written information regarding the Bed Hold Policy to Resident #39 or the Resident Representative at the time of transfer to hospital on 05/18/19.
F 0656: The facility failed to develop and implement a comprehensive care plan for Resident #63 that included ongoing reassessment of the tab alarm effectiveness and communication with dialysis to modify fluid volume exchange after falls on 06/19/19 and 06/27/19.
F 0689: The facility failed to ensure adequate supervision and appropriate use of assistive devices for Resident #63, including lack of assessment for least restrictive device prior to tab alarm implementation and failure to implement communication with dialysis to prevent falls.
F 0812: The facility failed to store, prepare, distribute, and serve food in accordance with professional standards, including uncovered food on steam tables for 20-27 minutes and cold foods on test trays held at unsafe temperatures.
Report Facts
Residents sampled: 18
Residents affected by abuse findings: 2
Minutes food uncovered: 27
Minutes food uncovered: 20
Milk temperature: 52
Tuna fish temperature: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #2/UM | Licensed Practical Nurse / Unit Manager | Reported abuse allegations and described incident involving Resident #81 |
| Administrator | Responsible for reporting abuse allegations and overseeing investigations | |
| Director of Nursing | DON | Interviewed regarding abuse reporting, investigation, and care plan expectations |
| Assistant Director of Nursing | ADON / Nurse Practice Educator | Oversaw staff abuse training and education |
| State Registered Nurse Aide #2 | SRNA | Witnessed abuse incident involving Resident #81 |
| Physical Therapy Aide / SRNA #3 | Removed knife from Resident #81 during abuse incident | |
| Director of Social Services | Responsible for providing bed hold notices | |
| Business Office Manager | Received bed hold notices and managed follow-up | |
| Director of Dining Services | Interviewed regarding food safety and temperature issues |
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