Inspection Reports for
Life Care Center of Morehead
933 NORTH TOLLIVER ROAD, MOREHEAD, KY, 40351
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
12
9
6
3
0
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Jul 22, 2025
Visit Reason
A revisit survey was conducted to determine if the facility had achieved substantial compliance following a previous inspection.
Findings
The facility was found to have achieved substantial compliance as of 06/24/2025, with no deficiencies cited during the revisit survey conducted on 07/21/2025 and concluded on 07/22/2025.
Report Facts
Survey completion date: Jul 22, 2025
Plan of correction completion date: Jul 28, 2025
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: May 23, 2025
Visit Reason
The inspection was conducted to investigate complaints related to pain management and pharmaceutical services at the facility, focusing on the care of specific residents who experienced issues with medication availability and administration.
Complaint Details
The investigation was complaint-related, focusing on pain management and pharmaceutical service deficiencies for residents R5, R50, and R59. The complaints were substantiated based on findings of medication delays, missed doses, and inadequate pain control.
Findings
The facility failed to provide effective pain management for two residents due to delays and failures in medication administration and refill processes. Additionally, the facility did not adequately provide pharmaceutical services, including timely acquisition and administration of medications, resulting in missed doses and resident pain.
Deficiencies (2)
F 0697: The facility failed to provide safe, appropriate pain management for two residents, including delays in administering prescribed pain medications and inability to access emergency medication due to code restrictions.
F 0755: The facility failed to provide pharmaceutical services to meet residents' needs, including missed doses of medications due to refill delays, insurance prior authorization issues, and communication problems with the pharmacy.
Report Facts
Missed doses of gabapentin: 14
Medication doses missed: 3
Medication order date: 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN 5 | Registered Nurse | Documented requests for medication refills and noted missed doses for Resident R5. |
| LPN 6 | Licensed Practical Nurse | Documented pain complaints and medication delays for Resident R59 and communicated with pharmacy and Director of Nursing. |
| LPN 1 | Licensed Practical Nurse | Managed medication refill requests and communications with pharmacy for Resident R50. |
| Director of Nursing | Director of Nursing | Provided information on medication access procedures and pharmacy communication issues. |
| Executive Director | Executive Director | Provided expectations regarding medication availability and communication with pharmacy. |
| Pharmacist | Contracted Pharmacist | Provided information on medication availability, prior authorization processes, and communication with the facility. |
Inspection Report
Routine
Deficiencies: 7
Date: May 23, 2025
Visit Reason
Routine inspection of Life Care Center of Morehead to assess compliance with healthcare regulations including infection control, medication management, resident care, and food safety.
Findings
The facility was found deficient in multiple areas including failure to provide adequate personal hygiene assistance, improper tube feeding care, ineffective pain management, lack of dialysis communication documentation, medication management issues including delays and missing doses, unsafe food storage practices, and significant infection control failures related to glucometer disinfection and use of personal protective equipment.
Deficiencies (7)
F0677: The facility failed to provide adequate bathing assistance to maintain personal hygiene for 1 of 27 sampled residents, resulting in partial baths and resident embarrassment.
F0693: The facility failed to prevent complications of enteral feeding for 1 of 2 residents by not discarding tube feeding solutions and tubing every 24 hours as ordered.
F0697: The facility failed to provide effective pain management for 2 of 5 residents, including delayed medication delivery and missed doses of gabapentin.
F0698: The facility failed to provide pre- and post-dialysis communication documentation for 1 of 6 dialysis residents, compromising monitoring of dialysis effects.
F0755: The facility failed to ensure timely and continuous availability of prescribed medications for 2 residents, resulting in missed doses and delayed treatments.
F0812: The facility failed to store, label, and handle food safely, including thawing frozen meats at room temperature and storing unlabeled food and staff items in nourishment refrigerators.
F0880: The facility failed to implement an effective infection prevention and control program, including improper cleaning and disinfection of shared glucometers, failure to use appropriate PPE during high-contact care, and inadequate cleaning of equipment, resulting in immediate jeopardy to resident health.
Report Facts
Residents receiving fingerstick blood glucose testing: 34
Residents affected by food safety issues: 87
Residents affected by infection control deficiencies: 34
Residents on Enhanced Barrier Precautions: 24
Missed doses of gabapentin for Resident 5: 14
Licensed nurses educated on glucometer cleaning: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN1 | Registered Nurse | Observed improperly disinfecting glucometer and not sanitizing hands |
| LPN3 | Licensed Practical Nurse | Observed improper glucometer cleaning and PPE use during fingerstick |
| LPN1 | Licensed Practical Nurse | Observed improper glucometer cleaning and PPE use |
| CNA2 | Certified Nurse Aide | Observed hugging resident in Enhanced Barrier Precautions without PPE |
| CNA5 | Certified Nurse Aide | Observed entering resident room without PPE in Enhanced Barrier Precautions |
| LPN7 | Licensed Practical Nurse | Observed not wearing gown during dressing change for resident in Enhanced Barrier Precautions |
| Director of Nursing | Director of Nursing | Implemented corrective actions including replacing disinfectant wipes and providing education |
| Executive Director | Executive Director | Provided oversight and expectations for medication availability and infection control |
Inspection Report
Routine
Deficiencies: 4
Date: Mar 19, 2021
Visit Reason
The inspection was a routine survey to assess compliance with regulatory requirements related to resident care, medication management, food safety, and infection control at Life Care Center of Morehead.
Findings
The facility was found deficient in multiple areas including improper labeling and care of feeding tubes, expired and improperly stored medications, unsanitary food preparation and storage practices, and failure to follow infection prevention and control protocols, particularly related to PPE use and hand hygiene during a COVID-19 outbreak.
Deficiencies (4)
F 0693: The facility failed to ensure feeding tubes were labeled with required identifiers and cared for according to policy, as observed with Resident #21's unlabeled tube feeding system.
F 0761: The facility failed to ensure medications and biologicals were properly labeled, stored, and not expired, with multiple instances of expired or unlabeled medications found on medication carts.
F 0812: The facility failed to prepare, store, and serve food under sanitary conditions, including unlabeled food items, incomplete dish machine temperature logs, and improper sanitizer use for cleaning cloths.
F 0880: The facility failed to implement an effective infection prevention and control program, with staff observed not properly doffing PPE or performing hand hygiene during a COVID-19 outbreak.
Report Facts
Sampled residents: 18
Medication carts observed: 6
Medication carts with deficiencies: 3
Dish machine temperature log missing dates: 3
Medication expiration dates: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #3 | Licensed Practical Nurse | Named in medication labeling and storage deficiencies and feeding tube labeling issues |
| LPN #1 | Licensed Practical Nurse | Interviewed regarding feeding tube labeling requirements |
| RN #2 | Registered Nurse | Interviewed regarding feeding tube labeling and medication cart stocking |
| Director of Nursing | Director of Nursing | Provided expectations on feeding tube labeling, medication storage, and infection control |
| Administrator | Facility Administrator | Provided expectations on feeding tube labeling, medication storage, food safety, and infection control |
| SRNA #1 | State Registered Nurse Aide | Observed failing to properly doff PPE and perform hand hygiene |
| SRNA #2 | State Registered Nurse Aide | Observed failing to properly doff PPE and perform hand hygiene |
| LPN #2 | Licensed Practical Nurse | Monitored staff infection control practices and provided education |
| Infection Preventionist | Registered Nurse | Provided infection control training and audits |
| Diet Aide/Cook #1 | Diet Aide/Cook | Interviewed regarding food labeling and sanitation practices |
| Dietary Aide #2 | Dietary Aide | Interviewed regarding food labeling and sanitation practices |
| Dietary Manager | Dietary Manager | Interviewed regarding food safety and sanitation expectations |
Inspection Report
Routine
Deficiencies: 4
Date: Jun 20, 2019
Visit Reason
Routine inspection of Life Care Center of Morehead to assess compliance with regulatory requirements related to resident care, medication storage, infection control, and nutrition management.
Findings
The facility failed to revise comprehensive care plans and implement dietary recommendations for residents with significant weight loss. There was improper storage of expired medications and supplies, including expired Tuberculin PPD and germicidal wipes. The facility also failed to document annual PPD skin test results for some residents and maintain proper infection control practices.
Deficiencies (4)
F 0657: The facility failed to revise the comprehensive care plans and implement dietary recommendations for two residents with significant weight loss, resulting in continued weight decline.
F 0692: The facility failed to provide enough food/fluids to maintain residents' health by not acting on dietary recommendations for residents with severe weight loss.
F 0761: The facility failed to ensure proper storage of drugs and biologicals by having an expired vial of Tuberculin PPD accessible for use.
F 0880: The facility failed to maintain an infection prevention and control program by not documenting annual PPD skin test results for residents and having expired germicidal wipes accessible for use.
Report Facts
Weight loss percentage: 17.6
Weight loss percentage: 5.9
Weight loss percentage: 14
Weight loss in pounds: 4
Kilocalories: 1238
Protein grams: 53
Expiration date: 30
Expiration dates: 12
Expiration dates: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Interviewed regarding expired Tuberculin PPD vial and expired germicidal wipes. |
| Director of Nursing | Director of Nursing | Interviewed regarding medication storage, dietary recommendation process, and PPD skin test documentation. |
| Registered Dietitian | Registered Dietitian | Made dietary recommendations for residents with weight loss on 06/10/19. |
| Dietary Manager | Dietary Manager | Received and distributed dietary recommendations forms from RD. |
| Health Information Manager | Health Information Manager | Responsible for obtaining physician signatures on dietary recommendations. |
| Staff Development Coordinator/Infection Control Nurse | Staff Development Coordinator/Infection Control Nurse | Interviewed regarding PPD skin test policies and documentation. |
| Executive Director | Executive Director | Interviewed regarding medication storage and infection control expectations. |
| Physician | Physician | Interviewed regarding approval of dietary recommendations and weight loss concerns. |
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