Inspection Reports for
Jeffersontown Rehabilitation
3500 GOOD SAMARITAN WAY, JEFFERSONTOWN, KY, 40299
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
16
12
8
4
0
Inspection Report
Routine
Deficiencies: 1
Date: Aug 2, 2024
Visit Reason
The inspection was conducted to assess compliance with food storage and labeling policies in nourishment refrigerators at the facility.
Findings
The facility failed to ensure that resident foods in nourishment refrigerators were properly labeled with the resident's name, food item, and date/time or use-by date in three nourishment refrigerators across resident units. Several unlabeled and undated food items were observed and discarded during the inspection.
Deficiencies (1)
F 0812: The facility failed to ensure resident foods in nourishment refrigerators were labeled with the resident's name, food item, and date/time or use-by date as required by policy and professional standards.
Report Facts
Date of observation: Jul 31, 2024
Date of survey completion: Aug 2, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Discarded unlabeled food items and provided statements about labeling expectations |
| Certified Dietary Manager | Certified Dietary Manager | Provided detailed information on dietary staff responsibilities for labeling and dating food items |
| Administrator | Administrator | Provided information on monitoring responsibilities and labeling importance |
Inspection Report
Routine
Deficiencies: 13
Date: May 10, 2019
Visit Reason
Routine inspection of Jeffersontown Rehabilitation to assess compliance with healthcare regulations and standards.
Findings
The facility was found deficient in multiple areas including resident dignity and privacy, assessment and care planning, medication administration, infection control, fall prevention, respiratory care, medication regimen review, and food safety practices.
Deficiencies (13)
F 0550: Staff failed to close privacy curtains and window blinds prior to giving Resident #18 a bed bath, exposing the resident during perineal care.
F 0637: Facility failed to complete a significant change assessment for Resident #58 after decline in three care areas.
F 0656: Facility failed to implement the care plan for Resident #18, resulting in unsupervised wheelchair use and a fall causing fractures; also failed to establish a voiding pattern.
F 0657: Facility failed to update care plans for Residents #18, #58, and #31 after falls and pressure ulcer identification.
F 0684: Staff failed to change Resident #24's PICC line dressing every seven days as required by facility policy.
F 0686: Facility failed to provide appropriate pressure ulcer care for Resident #31, including failure to notify physician and document wound characteristics.
F 0689: Facility failed to provide adequate supervision and assistance devices to prevent falls for Residents #18 and #58, resulting in multiple falls with injuries.
F 0695: Facility failed to ensure respiratory care was provided according to orders; Resident #12's oxygen tubing was not stored properly and Resident #62 received incorrect oxygen flow rates.
F 0756: Pharmacy failed to identify inappropriate diagnosis for psychotropic medication use for Resident #15 receiving Risperidone and Quetiapine.
F 0758: Resident #15 was administered psychotropic medications without an appropriate diagnosis, contrary to facility policy.
F 0761: Facility failed to ensure expired medication (Tubersol) was discarded and not available for use.
F 0812: Facility failed to store food properly with uncovered cabbage in refrigerator and staff failed to wash or sanitize hands during meal service.
F 0880: Licensed staff handled resident medication with bare hands during medication pass, violating infection control procedures.
Report Facts
Residents sampled: 22
Medication dressing days: 16
Fall incidents: 3
Residents receiving meals: 68
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #4 | Licensed Practical Nurse | Named in medication handling deficiency |
| LPN #2 | Licensed Practical Nurse | Named in fall supervision deficiency for Resident #18 |
| LPN #3 | Licensed Practical Nurse | Named in pressure ulcer care deficiency for Resident #31 |
| CNA #4 | Certified Nursing Assistant | Named in privacy violation during Resident #18 bed bath |
| DON | Director of Nursing | Interviewed regarding multiple deficiencies and expectations |
| Pharmacist | Named in medication regimen review deficiency | |
| Dietary Aide #2 | Dietary Aide | Named in food service hand hygiene deficiency |
Inspection Report
Deficiencies: 1
Date: Mar 29, 2018
Visit Reason
The inspection was conducted to evaluate compliance with medication storage requirements, specifically ensuring drugs and biologicals were labeled and stored properly in locked compartments and at correct temperatures.
Findings
The facility failed to maintain the required temperature of the medication refrigerator in Unit A, with temperature logs missing for several days and the refrigerator temperature observed at 52 degrees Fahrenheit, exceeding the acceptable range of 36 to 46 degrees Fahrenheit. Several medications requiring refrigeration were stored improperly, and staff responsible for monitoring the refrigerator temperature did not consistently document or identify these issues.
Deficiencies (1)
F 0761: The facility failed to ensure drugs and biologicals were stored in locked compartments and maintained at proper temperatures. The Unit A medication refrigerator temperature was not monitored for multiple days and was found at 52 degrees Fahrenheit, exceeding the required 36 to 46 degrees Fahrenheit range.
Report Facts
Days without documented refrigerator temperature monitoring: 9
Refrigerator temperature: 52
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #1 | Licensed Practical Nurse | Responsible for monitoring and documenting refrigerator temperatures; last checked refrigerator at 12:00 PM on 03/29/18 |
| Director of Nursing | Director of Nursing | Reviewed temperature logs and confirmed failure to monitor refrigerator temperatures |
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