Inspection Reports for
Madisonville Health and Rehabilitation, LLC
419 NORTH SEMINARY ST, MADISONVILLE, KY, 42431
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
51% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 1, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on allegations received regarding the facility's compliance with regulatory standards.
Findings
The report details the findings from the complaint investigation, including any deficiencies identified and their severity levels.
Inspection Report
Annual Inspection
Deficiencies: 3
Date: May 1, 2025
Visit Reason
The inspection was conducted as a regulatory annual survey to assess compliance with healthcare standards and regulations at Madisonville Health and Rehabilitation, LLC.
Findings
The facility was found deficient in providing appropriate wound care treatment without proper physician orders, maintaining infection prevention and control practices including hand hygiene, and ensuring safety by having handrails on both sides of hallways. Deficiencies affected a few residents and were determined to cause minimal harm or potential for actual harm.
Deficiencies (3)
F 0684: The facility failed to ensure residents received wound care treatment according to physician orders. Licensed Practical Nurse applied barrier cream without obtaining provider orders as required.
F 0880: The facility failed to implement an effective infection prevention and control program. Staff did not perform proper hand hygiene before and after wound care, and failed to maintain a sanitary environment during dressing changes.
F 0924: The facility failed to ensure corridors were equipped with handrails on both sides as required, posing a potential safety hazard.
Report Facts
Residents sampled for skin assessments: 18
Residents affected: 1
Residents sampled for infection control: 18
Residents affected: 2
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN 2) | Named in wound care and infection control deficiencies for failure to obtain orders and improper hand hygiene | |
| Family Nurse Practitioner | Interviewed regarding expectation for nursing staff to obtain orders prior to treatment | |
| Director of Nursing (DON) | Interviewed regarding expectations for nursing staff to secure orders and follow wound care and hand hygiene policies | |
| Infection Preventionist (IP) | Interviewed regarding hand hygiene monitoring and infection control expectations | |
| Wound Care Nurse | Interviewed regarding wound care orders and hand washing policy | |
| Administrator | Interviewed regarding expectations for staff to follow physician orders and facility policies | |
| Facility Maintenance Director | Interviewed regarding missing handrails in corridors |
Inspection Report
Routine
Deficiencies: 3
Date: Jan 16, 2020
Visit Reason
The inspection was conducted to assess compliance with health and safety regulations related to the facility environment, medication storage, and infection control practices.
Findings
The facility failed to maintain a safe and homelike environment due to damaged baseboard heaters and a broken electrical outlet cover. Controlled drugs were not stored in a permanently affixed locked container in the medication room refrigerator. Infection control practices were not fully followed as a repairman in the kitchen was observed not wearing a hair net during meal service.
Deficiencies (3)
F 0584: The facility failed to provide a safe, comfortable, and homelike environment. Several baseboard heaters had bent, loose, or missing cover panels, and one room had a broken heating and air-conditioning electrical outlet cover exposing wiring.
F 0761: Controlled drugs were not stored in a permanently affixed locked container in one of two medication room refrigerators. The locked narcotic box in the B Hall medication room refrigerator could be easily removed.
F 0812: Infection control practices were not maintained in the kitchen. A contract repairman working on the dishwasher during lunch service was not wearing a hair net as required by facility policy.
Report Facts
Baseboard heaters with missing or damaged covers: 7
Controlled drugs in narcotic box: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Interviewed regarding maintenance rounds and unreported broken outlet cover and heater panels. | |
| Kentucky Medication Aide #1 | Medication Aide | Interviewed about narcotic storage in medication room refrigerator. |
| Director of Nursing | Director of Nursing (DON) | Interviewed about narcotic storage and infection control practices. |
| Dietary Manager | Dietary Manager | Interviewed about infection control practices in the kitchen. |
Inspection Report
Deficiencies: 1
Date: Oct 25, 2018
Visit Reason
The inspection was conducted to assess compliance with care standards related to urinary catheter management and prevention of urinary tract infections in residents.
Findings
The facility failed to ensure that one resident with an indwelling urinary catheter had the catheter properly secured below the level of the bladder, increasing the risk of infection. Observations, interviews, and record reviews confirmed the catheter was positioned incorrectly and staff were aware of the proper procedure but did not follow it.
Deficiencies (1)
F 0690: The facility failed to provide appropriate care for a resident with an indwelling urinary catheter by not securing the catheter below the level of the bladder, risking urinary tract infections.
Report Facts
Residents sampled with indwelling urinary catheter: 22
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide (CNA) #1 | Interviewed regarding catheter positioning | |
| Registered Nurse (RN) #1 | Interviewed regarding catheter care expectations | |
| Director of Nursing (DON) | Interviewed regarding catheter care expectations |
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