Inspection Reports for
Harrodsburg Health and Rehabilitation Center
853 LEXINGTON ROAD, HARRODSBURG, KY, 40330
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
57% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Nov 8, 2024
Visit Reason
The inspection was conducted to investigate complaints regarding failure to provide necessary oral hygiene care to residents unable to perform activities of daily living and improper storage of medications in the facility.
Complaint Details
The visit was complaint-related, investigating allegations of inadequate oral care for a dependent resident and improper medication storage. The findings substantiated the complaints with identified deficiencies.
Findings
The facility failed to ensure one resident (R28) received adequate oral care as ordered, resulting in dry, cracked lips with peeling skin. Additionally, the facility failed to store all drugs and biologicals under proper temperature control, with two vials of Tuberculin PPD stored improperly in the door of a medication refrigerator.
Deficiencies (2)
F 0677: The facility failed to provide necessary oral hygiene care to a resident unable to perform activities of daily living, resulting in dry, cracked lips with peeling skin. Documentation showed missed personal hygiene care on two days during the inspection period.
F 0761: The facility failed to store all drugs and biologicals under proper temperature control, with two vials of Tuberculin PPD stored in the door of a medication refrigerator, contrary to policy and manufacturer recommendations.
Report Facts
Residents sampled: 24
Medication refrigerators inspected: 2
Vials of Tuberculin PPD improperly stored: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| State Registered Nurse Aide (SRNA) 2 | Provided oral care to resident R28 using lemon-glycerin swabstick | |
| State Registered Nurse Aide (SRNA) 1 | Interviewed regarding oral care provision for resident R28 | |
| State Registered Nurse Aide (SRNA) 3 | Interviewed regarding frequency of oral care for dependent residents | |
| MDS Nurse | Interviewed regarding expectations for oral care provision | |
| Director of Nursing (DON) | Interviewed regarding expectations for ADL and oral care provision | |
| Administrator | Interviewed regarding expectations for staff assistance with ADL care and medication storage | |
| Licensed Practical Nurse (LPN) 8 | Interviewed regarding medication storage issues in refrigerator door |
Inspection Report
Deficiencies: 1
Date: Oct 3, 2019
Visit Reason
The inspection was conducted to assess compliance with medication storage and labeling regulations at Harrodsburg Health & Rehabilitation Center.
Findings
The facility failed to ensure that drugs and biologicals were properly labeled and stored according to accepted professional principles. Observations revealed opened and undated medication vials and an unlabeled, undated plastic container with a white substance stored in medication refrigerators.
Deficiencies (1)
F 0761: The facility failed to ensure drugs and biologicals were labeled and stored properly, including expiration dates. Observations found an opened and undated single dose pneumonia vaccine vial and an unlabeled, undated plastic container with a creamy white substance in medication refrigerators.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #2 | Interviewed regarding medication storage and labeling practices. | |
| Licensed Practical Nurse (LPN) #1 | Interviewed regarding knowledge of substances stored in medication refrigerator. | |
| Assistant Director of Nursing (ADON) #1 | Interviewed about medication storage policy and expectations. | |
| Assistant Director of Nursing (ADON) #2 | Interviewed about nursing staff expectations for medication storage. | |
| Staff Development Coordinator | Interviewed about education and competency testing related to medication storage. | |
| Director of Nursing (DON) | Interviewed about policy enforcement and education on medication storage. | |
| Administrator | Interviewed about staff expectations for medication storage and labeling. |
Inspection Report
Routine
Deficiencies: 3
Date: Jul 19, 2018
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to maintaining a safe, sanitary, and comfortable environment, proper medication labeling and storage, and infection prevention and control in the nursing home.
Findings
The facility was found to have deficiencies in sanitary storage of bed pans, urinals, and plungers, improper labeling and dating of medications including insulin and eye drops, and failure to maintain clean bathrooms and resident environments, posing potential infection control risks.
Deficiencies (3)
F 0584: The facility failed to ensure bed pans, fracture pans, and urinals were stored in a sanitary manner and labeled with resident identification. Plungers were also improperly stored in resident bathrooms.
F 0761: The facility failed to label drugs and biologicals with appropriate accessory instructions and expiration dates, including insulin pens and eye drops, risking medication safety.
F 0880: The facility failed to maintain an effective infection prevention and control program, evidenced by soiled toilet seats and bathroom walls, increasing risk of disease transmission.
Report Facts
Expired antiseptic wipes: 34
Opened insulin Flex Pens: 3
Soiled areas: 3
Residents sharing bathroom: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse and Assistant Director of Nursing | Observed and interviewed regarding medication labeling and expiration date practices |
| LPN #7 | Licensed Practical Nurse | Interviewed about checking medication expiration dates |
| LPN #2 | Licensed Practical Nurse | Interviewed about cleaning responsibilities and infection control |
| Director of Nursing | Director of Nursing | Interviewed about expectations for medication and environmental cleanliness |
| Administrator | Administrator | Interviewed about facility policies on medication storage and environmental cleanliness |
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