Inspection Reports for
Irvine Nursing and Rehabilitation Center
411 BERTHA WALLACE DRIVE, IRVINE, KY, 40336
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
15% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Mar 21, 2025
Visit Reason
An abbreviated survey was conducted to investigate complaints KY00045420 and KY00045473.
Complaint Details
The survey was complaint-related, investigating complaints KY00045420 and KY00045473, with no deficiencies found.
Findings
No deficient practice was identified during the investigation.
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Feb 10, 2025
Visit Reason
A Standard Recertification and Abbreviated Survey was initiated to investigate multiple complaints identified by their codes KY34651, KY35885, KY36133, KY38473, KY39986, KY40443, KY40780, KY44991, and KY45067. The survey was conducted from 02/10/2025 to 02/13/2025.
Complaint Details
The investigation was complaint-driven, covering multiple complaint IDs. The Division of Healthcare found all complaints unsubstantiated but identified deficient practices at the highest severity level 'E'.
Findings
The Division of Healthcare determined all complaints were unsubstantiated; however, deficient practices were identified and cited at the highest scope and severity level 'E'. Deficiencies included breaches in personal privacy/confidentiality of records, failure to maintain food at safe and appetizing temperatures, and failure to maintain an effective infection prevention and control program. Multiple interviews, observations, and policy reviews supported these findings.
Deficiencies (4)
Failure to ensure security and confidentiality of medical records for one of twenty-nine sampled residents, including unauthorized disclosure of medical information.
Failure to provide food served at safe and appetizing temperatures, with hot foods below 135°F and cold foods above 41°F.
Failure to maintain an infection prevention and control program that provides a safe, sanitary, and comfortable environment, including improper hand hygiene and glove use by staff.
Failure to maintain an adequate resident call system, with call lights not accessible or functioning properly for multiple residents.
Report Facts
Sampled residents: 29
Residents expressing food concerns: 5
Residents attending group meeting: 17
Residents with call light issues: 4
Residents with call light verification: 3
Compliance date: Mar 8, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Physician 1 | Named in relation to breach of confidentiality and communication with resident's family | |
| Registered Nurse 1 | RN | Observed breaching confidentiality and improper infection control practices |
| Director of Nursing | DON | Provided statements on notification policies and hand hygiene expectations |
| Dietary Manager | DM | Observed food temperature issues and provided education on food safety |
| District Dietary Manager | DDM | Verified food temperatures and discussed food safety concerns |
| Administrator | Acknowledged food complaints and facility policies | |
| Education Training Director | Provided education on privacy, infection control, and call light system |
Report
Feb 13, 2025
Report
Dec 19, 2024
Report
Oct 8, 2020
Report
Apr 4, 2019
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