Inspection Reports for
New Castle Nursing & Rehab

50 ADAMS STREET, NEW CASTLE, KY, 40050

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

15% better than Kentucky average
Kentucky average: 4.7 deficiencies/year

Deficiencies per year

8 6 4 2 0
2018
2020
2025

Inspection Report

Re-Inspection
Census: 57 Capacity: 60 Deficiencies: 7 Date: Jul 9, 2025

Visit Reason
The inspection was a Life Safety Recertification Survey and Emergency Preparedness Recertification Survey conducted to determine compliance with federal regulations and requirements for long term care facilities.

Findings
The facility was found to be in substantial compliance with Emergency Preparedness and Life Safety Code requirements after corrective actions were taken. Several deficiencies related to fire suppression systems, electrical receptacles, fire drills, generator testing, power strips, gas equipment ventilation, and emergency preparedness testing were identified and corrected with systemic changes and education.

Deficiencies (7)
Cooking equipment was not maintained in accordance with NFPA 96 standards; fire suppression nozzles were pushed back from approved design location.
Electrical receptacles were missing cover plates, not maintained per NFPA standards.
Fire drills were not conducted quarterly for each shift as required by NFPA standards.
Emergency generator testing and maintenance logs were incomplete; no system to check battery specific gravity or monthly transfer times.
Power strips and extension cords were used improperly as substitutes for permanent wiring in resident rooms and offices.
Oxygen storage room lacked required ventilation per NFPA standards.
Emergency preparedness testing requirements were not met; facility failed to conduct required community-based exercises and annual testing.
Report Facts
Survey Census: 57 Total Capacity: 60 Fire drills missed: 6 Power strips removed: 9 Residents potentially affected: 16 Residents potentially affected: 5 Residents potentially affected: 4

Employees mentioned
NameTitleContext
Maintenance DirectorNamed in multiple findings related to fire suppression system, electrical receptacles, fire drills, generator testing, power strips, gas equipment ventilation, and emergency preparedness testing
AdministratorInvolved in verification of findings and exit conferences
Dietary ManagerEducated on hood suppression cleaning procedure
Facility AdministratorReceived education related to fire drills and emergency preparedness

Inspection Report

Abbreviated Survey
Census: 57 Deficiencies: 0 Date: Jul 9, 2025

Visit Reason
A recertification and abbreviated survey were conducted to assess compliance with 42 CFR 483 Subpart B.

Findings
The facility was found to be in substantial compliance with no deficiencies issued related to the cited regulatory tags.

Report Facts
Sample Size: 15 Supplemental Resident: 22

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Jul 9, 2025

Visit Reason
Annual inspection of New Castle Nursing & Rehab to assess compliance with health and safety regulations.

Findings
No health deficiencies were found during the inspection.

Inspection Report

Routine
Deficiencies: 1 Date: Jan 24, 2020

Visit Reason
The inspection was conducted to assess the facility's pest control program and ensure the environment was free of pests such as flying insects and gnats.

Findings
The facility failed to maintain an effective pest control program, resulting in numerous flying insects and gnats observed throughout resident rooms, corridors, kitchen, and other areas. Multiple residents and staff reported ongoing issues with gnats, and observations confirmed the presence of food debris and breeding environments contributing to the infestation.

Deficiencies (1)
F 0925: The facility failed to maintain an effective pest control program to prevent and deal with mice, insects, or other pests. Observations revealed flying insects throughout multiple resident rooms, corridors, and kitchen areas, with food debris identified as a breeding environment for fruit flies.
Report Facts
Date of survey completion: Jan 24, 2020 Number of resident rooms with flying insects observed: 13 Number of dining room light fixtures with dead insects: 6 Number of insects observed flying from waste container: 4

Employees mentioned
NameTitleContext
Certified Nursing Assistant (CNA) #3Reported gnats frequently found in resident bathroom and urine odor issue
Registered Nurse (RN) #1Reported gnats usually in sink areas and use of resident-friendly spray
Housekeeper (HSKP) #1Reported facility had an issue with gnats and spraying procedures
Housekeeping SupervisorReported spraying for gnats throughout the facility when residents were not present
Housekeeper (HSKP) #2Reported seeing gnats in resident rooms and use of product on flying insects
Licensed Practical Nurse (LPN) #6Reported bathroom odors and gnats in resident room, no spraying on night shift
AdministratorAcknowledged pest control contract and ongoing gnat problem, especially during holiday season

Inspection Report

Deficiencies: 4 Date: Dec 6, 2018

Visit Reason
The inspection was conducted to assess compliance with federal regulations regarding resident assessments, care planning, accident prevention, medication administration, oxygen use signage, and infection control.

Findings
The facility failed to submit timely Minimum Data Set (MDS) assessments for multiple residents, failed to implement care plans adequately to prevent falls for Resident #1, did not ensure adequate supervision to prevent accidents, left medication accessible to residents, failed to post required oxygen use signage, and did not maintain effective infection control practices during wound care for Resident #45.

Deficiencies (4)
F 0640: The facility failed to submit Minimum Data Set (MDS) assessments to CMS within the required timeframe for 12 of 35 residents, resulting in late submissions and warning error messages.
F 0656: The facility failed to implement a complete care plan for Resident #1 related to falls, including inadequate monitoring and supervision despite documented fall risks and interventions.
F 0689: The facility failed to prevent accidents and hazards for Residents #1, #7, #24, and #153 by inadequate supervision, leaving medication accessible in Resident #1's bathroom, and failing to post No Smoking/Oxygen in Use signs on rooms of residents receiving oxygen therapy.
F 0880: The facility failed to maintain an effective infection control program related to hand hygiene during wound care for Resident #45, as staff did not perform hand hygiene or change gloves appropriately, contaminating the resident's open wound and medication cream.
Report Facts
Residents with late MDS submissions: 12 Sampled residents for care plan deficiency: 21 Falls for Resident #1: 3 Oxygen liter flow: 2 BIMS score: 5

Employees mentioned
NameTitleContext
LPN #5Licensed Practical NurseNamed in medication administration finding for leaving medication cup in Resident #1's bathroom
LPN #1Licensed Practical NurseNamed in infection control finding for improper hand hygiene during wound care for Resident #45

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