Inspection Reports for
Lake Barkley Health & Rehabilitation
1253 LAKE BARKLEY DRIVE, KUTTAWA, KY, 42055
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
6.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
34% worse than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 4
Date: Apr 24, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including resident rights, staffing adequacy, medication storage, infection control, and overall facility operations.
Findings
The facility failed to ensure survey results were posted in an accessible location, had insufficient nursing staff leading to delayed call light responses, stored expired and unlabeled medications and COVID test kits, and failed to maintain proper infection control practices including hand hygiene.
Deficiencies (4)
F 0577: The facility failed to post survey results in a readily accessible place, affecting residents' ability to review survey history.
F 0725: The facility failed to provide sufficient nursing staff to meet resident needs, resulting in call light response times of 15-20 minutes or longer for some residents.
F 0761: The facility failed to ensure drugs and biologicals were current and properly labeled, including expired tuberculin vials and COVID-19 test kits.
F 0880: The facility failed to implement infection prevention and control, as a nurse did not perform hand hygiene after blowing her nose before administering medications.
Report Facts
Residents affected: 8
Sampled residents with delayed call light response: 3
Tuberculin vials expired: 2
COVID-19 test kits expired: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN 5 | Licensed Practical Nurse | Failed to perform hand hygiene after blowing nose before administering medications |
| RN 1 | Registered Nurse | Agency nurse who reported expired medications and unlabeled tuberculin vials |
| Director of Nursing | Director of Nursing | New DON responsible for checking medication expiration and addressing staffing and infection control issues |
| Administrator | Facility Administrator | Acknowledged issues with survey binder placement, call light response times, and medication expiration monitoring |
Inspection Report
Routine
Deficiencies: 8
Date: Feb 14, 2020
Visit Reason
Routine inspection of Lake Barkley Health & Rehabilitation to assess compliance with regulatory standards related to resident care, safety, medication management, staffing, infection control, and dietary services.
Findings
The facility was found deficient in multiple areas including failure to maintain a homelike environment, improper respiratory care, incomplete nurse staffing postings, improper medication storage and labeling, failure to honor resident food preferences, inadequate infection control practices in the kitchen, inaccurate resident record documentation, and failure to maintain an effective infection prevention and control program.
Deficiencies (8)
F 0584: Facility failed to ensure a homelike environment for one resident due to a torn chair with exposed padding in the resident's room.
F 0695: Facility failed to provide respiratory care consistent with professional standards for one resident by setting oxygen concentrator at 3 LPM instead of ordered 2 LPM and using outdated oxygen tubing.
F 0732: Facility failed to post daily nurse staffing information including required elements such as daily census and hours worked.
F 0761: Facility failed to ensure proper storage and labeling of medications; two insulin pens were opened and undated on medication carts.
F 0800: Facility failed to honor food preferences for one resident who disliked eggs and requested orange juice but continued to receive eggs and no orange juice.
F 0812: Facility failed to maintain infection control in the kitchen; staff plated food without changing gloves and returned plated food to steam table pans.
F 0842: Facility failed to ensure accurate documentation for one resident; splints were documented as applied but were not, and hold order was not transcribed to MAR.
F 0880: Facility failed to maintain an infection control program; staff was observed touching resident food with bare hands without gloves.
Report Facts
Residents sampled: 18
Oxygen concentrator setting: 3
Oxygen concentrator ordered setting: 2
BIMS score: 9
BIMS score: 3
Splint application documented dates: 6
Daily staffing posting start date: 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #1 | Registered Nurse | Observed and corrected oxygen concentrator setting for Resident #27 |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Opened insulin pen without dating it |
| Director of Nursing | Director of Nursing | Provided interviews regarding homelike environment, oxygen therapy, medication labeling, staffing postings, infection control, and documentation issues |
| Dietary Manager | Dietary Manager | Interviewed regarding food preferences, meal ticket errors, and kitchen infection control practices |
| State Registered Nurse Aide #5 | State Registered Nurse Aide | Observed touching resident food with bare hands, acknowledged infection control breach |
| State Registered Nurse Aide #2 | State Registered Nurse Aide | Interviewed regarding infection control and feeding practices |
| State Registered Nurse Aide #1 | State Registered Nurse Aide | Interviewed regarding infection control and feeding practices |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Admitted not applying splints as documented and signing MAR incorrectly |
Inspection Report
Annual Inspection
Deficiencies: 7
Date: Jan 30, 2019
Visit Reason
The inspection was conducted as an annual survey to assess compliance with professional standards of quality, medication administration, pressure ulcer care, staffing adequacy, dementia care, medication errors, drug labeling, and infection control.
Findings
The facility failed to administer medications timely and completely for multiple residents, failed to provide and document wound care for a resident with a pressure ulcer, lacked sufficient staffing for safe resident transfers, did not develop comprehensive dementia care plans, had medication errors for two residents, failed to label multi-dose vials properly, and did not maintain proper infection control practices related to bedside table cleanliness during care.
Deficiencies (7)
F0658: The facility failed to ensure medications were administered within the prescribed timeframes and treatments were documented for multiple residents, resulting in delayed or missed medications and undocumented wound care.
F0686: The facility failed to provide appropriate pressure ulcer care and prevent new ulcers for a resident, including failure to reposition every two hours and document wound care.
F0725: The facility failed to provide sufficient nursing staff to safely transfer residents requiring mechanical lifts, resulting in staff lifting residents alone contrary to policy.
F0744: The facility failed to develop comprehensive dementia care plans for three residents, resulting in lack of guidance for staff to manage dementia-related behaviors and activity needs.
F0760: The facility failed to ensure two residents were free from significant medication errors, including missed doses and improper documentation.
F0761: The facility failed to label multi-dose vials of medication with the date opened as required by policy.
F0880: The facility failed to maintain infection prevention and control by not cleaning bedside tables before and after wound, catheter, and tracheostomy care, and improperly disposing of soiled equipment.
Report Facts
Medications administered late: 58
Medications not administered: 3
Days wound care not documented: 7
BIMS scores: 7
BIMS scores: 15
Braden Scale score: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| KMA #1 | Kentucky Medication Aide | Named in findings related to late and missed medication administration. |
| LPN #1 | Licensed Practical Nurse | Named in wound care observation and failure to document treatment. |
| DON | Director of Nursing | Interviewed regarding medication administration, staffing, and infection control expectations. |
| RN #1 | Registered Nurse | Interviewed regarding medication administration and wound care. |
| CNA #7 | Certified Nurse Aide | Named in infection control deficiencies related to bedside table cleaning. |
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