Inspection Reports for
Martin County Health Care Facility
62 MAUDE ROAD, INEZ, KY, 41224
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 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
8
6
4
2
0
Inspection Report
Abbreviated Survey
Census: 54
Deficiencies: 0
Date: May 1, 2025
Visit Reason
An abbreviated survey was conducted from 04/29/2025 to 05/01/2025 to investigate multiple complaints and assess facility compliance.
Complaint Details
The following complaints were investigated: KY#00045865, KY#00045608, KY#00043911, and KY#00041421; all were found to be in compliance.
Findings
The facility was found to have no deficient practices and was in compliance with all investigated complaints.
Report Facts
Sample Resident Size: 14
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Jan 6, 2023
Visit Reason
The inspection was conducted following a complaint investigation regarding resident-to-resident abuse, failure to complete criminal background checks prior to employment, improper sanitization of nebulizer equipment, and incomplete COVID-19 vaccination among staff.
Complaint Details
The complaint investigation substantiated a resident-to-resident altercation where Resident #49 struck Resident #32 with a grabber. The facility also failed to complete a criminal background check for one employee, failed to sanitize nebulizer equipment properly, and failed to ensure two staff members completed their COVID-19 vaccination series.
Findings
The facility failed to protect residents from physical abuse by another resident, failed to ensure criminal background checks were completed prior to employment for one employee, failed to properly sanitize nebulizer equipment after use, and failed to ensure two staff members received the second dose of their COVID-19 vaccination series.
Deficiencies (4)
F 0600: The facility failed to protect residents from physical abuse by another resident, resulting in a resident being struck with a grabber causing a red, dime-sized area on the arm.
F 0606: The facility failed to ensure a criminal background check was completed prior to employment for one of five sampled employees, State Registered Nurse Aide #11.
F 0880: The facility failed to ensure nebulizer equipment was sanitized after each use to prevent possible infection spread for one resident.
F 0888: The facility failed to ensure staff members received a COVID-19 vaccination or exemption for two employees who did not receive the second dose of their two-dose series.
Report Facts
Residents affected: 1
Employees sampled for background checks: 5
Employees partially vaccinated: 2
BIMS score: 4
BIMS score: 15
BIMS score: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| State Registered Nurse Aide #11 | Nurse Aide | Failed to have criminal background check completed prior to employment |
| Resident #49 | Resident who struck another resident with a grabber | |
| Resident #32 | Resident who was struck by another resident | |
| Registered Nurse #1 | Registered Nurse | Observed failing to sanitize nebulizer equipment after use |
| Dietary Aide #20 | Dietary Aide | Partially vaccinated staff missing second COVID-19 vaccine dose |
| Maintenance Assistant #21 | Maintenance Assistant | Partially vaccinated staff missing second COVID-19 vaccine dose |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: May 23, 2019
Visit Reason
Annual inspection survey of Martin County Health Care Facility to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Mar 16, 2018
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to accurately assess and care plan for a resident at risk of wandering and elopement, resulting in the resident leaving the facility unattended.
Complaint Details
The investigation was triggered by a complaint regarding Resident #37's elopement from the facility on 01/25/18, when the resident exited the building unnoticed and was found outside by a passing motorist. The complaint included concerns about inadequate assessment, care planning, supervision, and infection control practices.
Findings
The facility failed to ensure accurate Minimum Data Set (MDS) assessments and comprehensive care plans for Resident #37, who wandered daily and eloped from the facility unnoticed. The facility also failed to provide adequate supervision to prevent accidents and failed to maintain proper infection control during catheter care for Resident #26. Immediate Jeopardy was identified and later removed after corrective actions.
Deficiencies (5)
F641: The facility failed to ensure the MDS assessment accurately reflected Resident #37's wandering status, despite documented daily wandering and elopement.
F656: The facility failed to develop a comprehensive person-centered care plan for Resident #37 that minimized elopement risk and included measurable interventions.
F689: The facility failed to provide adequate supervision to prevent accidents, allowing Resident #37 to exit the facility unattended and sustain injury.
F690: The facility failed to provide appropriate catheter care for Resident #26, including proper hand hygiene and cleaning technique, risking urinary tract infection.
F880: The facility failed to implement an effective infection prevention and control program, as evidenced by improper hand hygiene and handling of soiled materials during catheter care for Resident #26.
Report Facts
Residents sampled: 17
Residents at risk for elopement: 11
Elopement attempts by Resident #37: 20
Staff interviews post in-service: 50
Staff monthly interview target: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse | Named in relation to failure to supervise Resident #37 during exit-seeking behavior |
| SRNA #1 | State Registered Nurse Aide | Named in relation to improper catheter care and hand hygiene for Resident #26 |
| Director of Nursing | Director of Nursing | Oversaw corrective actions, staff education, and competency interviews |
| Maintenance Supervisor | Maintenance Supervisor | Responsible for changing door exit codes monthly and maintaining logs |
| MDS Nurse | MDS Nurse | Responsible for elopement risk assessments, care plan reviews, and elopement notebook maintenance |
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