Inspection Reports for
Henderson Nursing and Rehabilitation Center
2500 NORTH ELM ST., HENDERSON, KY, 42420
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
21% worse than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
81% occupied
Based on a August 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Abbreviated Survey
Census: 73
Deficiencies: 0
Date: Aug 7, 2025
Visit Reason
An Abbreviated Survey was conducted to investigate KY2579309 from 08/05/2025 to 08/07/2025.
Findings
There were no deficiencies issued related to KY2579309 during this abbreviated survey.
Report Facts
Sample Size: 5
Supplemental Residents: 0
Inspection Report
Complaint Investigation
Census: 54
Deficiencies: 1
Date: May 16, 2025
Visit Reason
A Standard Recertification and Abbreviated Survey was conducted to investigate multiple facility IDs, concluding on 05/16/2025. The facility was found not to be in substantial compliance with 42 CFR 483 subpart B, with regulatory violations cited at Scope and Severity of "D."
Complaint Details
The investigation was complaint-related, focusing on infection prevention and control practices. The facility was found not in substantial compliance, with deficiencies substantiated at Scope and Severity D.
Findings
The facility failed to establish and maintain an infection prevention and control program as required, specifically failing to ensure proper hand hygiene during wound care for one of 23 residents sampled. Observations revealed improper hand washing and glove use by staff during wound care, leading to potential infection risks.
Deficiencies (1)
Failure to establish and maintain an infection prevention and control program, including proper hand hygiene and wound care procedures for residents.
Report Facts
Survey Census: 54
Sample Size: 23
Supplemental Residents: 1
Brief Interview for Mental Status (BIMS) score: 15
Date of wound care observation: May 15, 2025
Date of interview with Wound Care Nurse: May 16, 2025
Date of compliance: Jun 14, 2025
Inspection Report
Routine
Deficiencies: 1
Date: May 16, 2025
Visit Reason
The inspection was conducted to evaluate the facility's infection prevention and control program and compliance with hand hygiene and wound care policies.
Findings
The facility failed to maintain an effective infection prevention and control program, specifically in wound care procedures where staff did not perform proper hand hygiene. Observations and interviews confirmed staff failed to wash hands appropriately before and after glove use and wound dressing changes.
Deficiencies (1)
F 0880: The facility failed to establish and maintain an infection prevention and control program. Staff providing wound care did not perform proper hand washing before and after glove use and wound dressing changes, risking transmission of infections.
Report Facts
Residents sampled for wound care: 5
Total residents sampled: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wound Care Nurse | Observed failing to wash hands after removing soiled dressing and before donning new gloves | |
| Registered Nurse/MDS Nurse | Assisted with wound care and interviewed regarding procedure | |
| Administrator | Interviewed regarding expectations for staff hand hygiene compliance | |
| Director of Nursing | Interviewed regarding expectations for staff hand hygiene and wound care policies |
Inspection Report
Annual Inspection
Deficiencies: 4
Date: May 16, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, restorative programs, dietary supervision, and infection control at Henderson Nursing and Rehabilitation Center.
Findings
The facility failed to implement comprehensive person-centered care plans for two residents, ensure appropriate restorative care and splint use for one resident, supervise dietary restrictions for another resident, and maintain proper infection control practices during wound care for one resident.
Deficiencies (4)
F 0656: The facility failed to implement a comprehensive person-centered care plan for 2 of 23 sampled residents, including failure to apply prescribed hand and knee splints and supervise dietary restrictions.
F 0688: The facility failed to provide appropriate care to maintain or improve range of motion for 1 of 23 sampled residents by not ensuring prescribed wrist and knee splints were applied as per care plan.
F 0808: The facility failed to ensure residents received and consumed foods in the appropriate form or nutritive content as prescribed for 1 of 23 sampled residents, who was observed eating prohibited potato chips unsupervised.
F 0880: The facility failed to establish and maintain an infection prevention and control program, as staff did not perform proper hand hygiene during wound care for 1 of 5 residents sampled.
Report Facts
Residents sampled: 23
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents sampled for wound care: 5
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Restorative Aide 8 | Restorative Aide | Named in relation to restorative program and splint application for Resident 50 |
| Kentucky Medication Aide 4 | Medication Aide | Mentioned regarding care and splint application for Resident 50 |
| Unit Manager/Restorative Nurse | Unit Manager/Restorative Nurse | Oversees restorative programs and care plan updates |
| Physical Therapist | Physical Therapist | Provided therapy and training on splint application for Resident 50 |
| Director of Rehab | Director of Rehabilitation | Responsible for therapy services and restorative program communication |
| Unit Manager of units 1 and 2 | Unit Manager | Commented on dietary supervision and resident behavior for Resident 42 |
| Licensed Practical Nurse 4 | Licensed Practical Nurse | Discussed dietary orders and resident behavior for Resident 42 |
| Director of Nursing | Director of Nursing | Provided expectations for care plan implementation and infection control |
| Wound Care Nurse | Wound Care Nurse | Observed failing to perform proper hand hygiene during wound care for Resident 21 |
| Registered Nurse/MDS Nurse | Registered Nurse/MDS Nurse | Assisted in wound care and interviewed regarding infection control practices |
| Administrator | Administrator | Provided facility expectations for care plan adherence and infection control |
Inspection Report
Routine
Deficiencies: 5
Date: Apr 30, 2021
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, medication management, dietary services, infection control, and food service safety at Henderson Nursing and Rehabilitation Center.
Findings
The facility was found deficient in revising resident care plans timely, ensuring proper cleaning and sanitization of reusable resident care equipment, removing expired medications from medication storage areas, implementing physician-ordered therapeutic diets promptly, and maintaining kitchen floor cleanliness.
Deficiencies (5)
F 0657: The facility failed to revise Resident #3's Comprehensive Care Plan to include bladder cycling intervention until 16 days after the Physician's Order was received.
F 0686: The facility failed to ensure reusable resident care equipment was cleaned and sanitized before and after use during wound care for Resident #33.
F 0761: The facility failed to remove expired medications from medication administration areas, including medication carts and refrigerator.
F 0808: The facility failed to implement a physician-ordered therapeutic diet change immediately for Resident #56, resulting in no fortified oatmeal, mashed potatoes, or double protein on meal trays as ordered.
F 0812: The facility failed to maintain kitchen floor cleanliness, with dirt, debris, and dirty paper towels observed on the floor during inspection.
Report Facts
Residents sampled: 24
Residents affected: 1
Residents affected: 1
Residents affected: 1
Expired medications observed: 26
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #3 | LPN | Interviewed regarding Resident #3's bladder cycling care plan and catheter management |
| Minimum Data Set Coordinator | Responsible for updating Resident #3's care plan and interviewed about care plan revision process | |
| Unit Manager #1 | UM | Participated in care plan oversight and interviewed about care plan revision and dietary changes |
| Director of Nursing | DON | Interviewed regarding care plan revision expectations and dietary change implementation |
| Registered Nurse #1 | RN | Observed and interviewed regarding failure to clean and sanitize scissors during wound care for Resident #33 |
| Registered Nurse #4 | RN | Interviewed about removal of expired medications from medication storage |
| Kentucky Medication Aide #11 | KMA | Interviewed about expired medication removal |
| Kentucky Medication Aide #12 | KMA | Interviewed about expired medication removal |
| Kentucky Medication Aide #13 | KMA | Interviewed about expired medication removal |
| Licensed Practical Nurse #1 | LPN | Interviewed about medication cart checks and expired medication removal |
| Licensed Practical Nurse #2 | LPN | Unit Manager interviewed about medication cart checks and expired medication policy awareness |
| District Culinary Manager | DCM | Interviewed about dietary change process and kitchen cleanliness |
| Assistant Dietary Manager | ADM | Interviewed about dietary change implementation for Resident #56 |
| Certified Nursing Assistant #14 | CNA | Observed assisting Resident #56 with meals and interviewed about dietary implementation |
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Oct 31, 2019
Visit Reason
The inspection was conducted as a comprehensive annual survey to assess compliance with regulatory requirements and evaluate the quality of care provided at Henderson Nursing and Rehabilitation Center.
Findings
The facility was found deficient in multiple areas including failure to treat residents with dignity and respect, incomplete and non-person-centered care plans, inadequate assistance with activities of daily living, improper handling and labeling of feeding tubes and medications, and failure to follow infection control procedures.
Deficiencies (6)
F 0550: The facility failed to treat two residents with respect and dignity, including failure to maintain privacy during care and failure to remove facial hair as requested.
F 0656: The facility failed to develop or implement comprehensive person-centered care plans for two residents, including omission of facial hair removal and improper transfer assistance.
F 0677: The facility failed to provide necessary grooming services, resulting in one resident having unwanted facial hair despite requests for removal.
F 0693: The facility failed to ensure enteral feeding bottles and water bags were properly labeled with resident information, date, and time.
F 0761: The facility failed to label a multi-dose insulin pen with the date it was opened as required by policy.
F 0880: The facility failed to ensure proper hand hygiene and cleaning of the wheelchair during incontinent care for one resident.
Report Facts
Sampled residents: 21
Residents affected: 2
Residents affected: 2
Residents affected: 1
Residents affected: 1
Medication carts inspected: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide #3 | CNA | Named in failure to maintain resident privacy and dignity |
| Certified Nurse Aide #5 | CNA | Named in grooming and transfer assistance deficiencies |
| Director of Nursing | DON | Interviewed regarding expectations for privacy, care plans, grooming, and infection control |
| Staff Development Coordinator | SDC | Interviewed regarding staff education on privacy, care plans, feeding tube labeling, and infection control |
| Licensed Practical Nurse #1 | LPN | Interviewed regarding feeding tube labeling |
| Licensed Practical Nurse #3 | LPN | Interviewed regarding medication labeling |
| Unit Manager | Interviewed regarding grooming and transfer assistance | |
| Regional Nurse | Interviewed regarding grooming and care plan expectations |
Viewing
Loading inspection reports...
