Deficiencies (last 3 years)
Deficiencies (over 3 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
6% worse than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
80 residents
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Sep 25, 2025
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction for Oakview Nursing & Rehabilitation Center following a survey completed on 09/25/2025.
Findings
No health deficiencies were found during the survey.
Inspection Report
Renewal
Census: 80
Deficiencies: 0
Date: Sep 25, 2025
Visit Reason
The inspection was a Standard Recertification and Abbreviated Survey conducted to assess the facility's compliance with regulatory requirements.
Findings
The facility was found to be in substantial compliance with 42 CFR 483 subpart B, and no deficiencies were issued during this survey.
Report Facts
Sample Size: 20
Supplemental Residents: 0
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jun 13, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to develop and implement a comprehensive care plan and provide appropriate wound care for Resident #66 (R66) following surgery.
Complaint Details
The complaint investigation revealed that Resident #66 was admitted post-surgery without a comprehensive care plan for wound care and that wound care orders were not implemented timely. The resident developed cellulitis and sepsis requiring hospitalization. The facility was notified of Immediate Jeopardy on 06/06/2024 and submitted an acceptable removal plan on 06/08/2024.
Findings
The facility failed to develop and implement a comprehensive person-centered care plan for R66's surgical wound care from the date of surgery on 04/26/2024 until 05/07/2024, and failed to provide wound care as ordered, resulting in infection, hospitalization, and sepsis. Immediate Jeopardy was identified and later removed after the facility submitted an acceptable removal plan.
Deficiencies (2)
Failure to develop and implement a complete care plan that meets all the resident's needs, with measurable timetables and actions for Resident #66.
Failure to provide appropriate treatment and care according to physician orders, resident’s preferences, and goals for Resident #66.
Report Facts
Resident sample size: 5
Resident affected: 1
Immediate Jeopardy identification date: May 30, 2024
Immediate Jeopardy removal date: Jun 8, 2024
Surgical procedure date: Apr 26, 2024
Care plan development date: May 7, 2024
Hospital discharge date: Jun 4, 2024
Physician order scanning date: May 16, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Responsible for wound care but not certified; stated she did not implement care plan for R66 |
| Director of Nursing | Director of Nursing (DON) | Responsible for care plan implementation oversight; stated MDS Coordinator responsible for care plans |
| Administrator | Administrator | Expected all residents to have comprehensive care plans and staff to follow policies |
| Licensed Practical Nurse #8 | Licensed Practical Nurse (LPN8) | Assessed R66's wound on 05/14/2024; notified wound care nurse and surgeon's office |
| Registered Nurse #1 | Registered Nurse (RN1) | Agency nurse; described care plan responsibilities and wound care protocols |
| Podiatric Surgeon | Podiatric Surgeon | Provided wound care orders on 05/03/2024; saw R66 on 05/15/2024 and admitted her to hospital |
| Signature Care Consultant | Signature Care Consultant | Stated wound care nurse had no formal wound care certification |
| Licensed Practical Nurse #3 | Licensed Practical Nurse (LPN3) | Night shift nurse; admitted to charting wound care without assessment |
| Minimum Data Set Coordinator | MDS Coordinator | Responsible for care plan development; developed enhanced barrier precaution care plan on 05/07/2024 |
| Medical Director | Medical Director | Expected staff to follow orders and clarify deviations |
Inspection Report
Annual Inspection
Census: 76
Deficiencies: 3
Date: Jun 13, 2024
Visit Reason
The inspection was conducted to assess compliance with professional standards related to food storage, infection prevention and control, and pest control programs at Oakview Nursing & Rehabilitation Center.
Findings
The facility was found to have multiple deficiencies including improper food storage with unlabeled and expired containers affecting all residents, failure to implement an effective infection prevention and control program due to storing clean supplies with biohazard waste, and an ineffective pest control program evidenced by rodent and bird droppings in the emergency food storage area.
Deficiencies (3)
Failed to store food in accordance with professional standards; containers filled with dark liquid were opened, not dated, and/or labeled, potentially affecting 76 residents.
Failed to develop and implement an ongoing infection prevention and control program related to clean supplies stored with biohazard waste in an outside storage building.
Failed to have an effective pest control program; rodent and bird droppings were observed in the emergency food storage supply room, potentially affecting all 76 residents.
Report Facts
Residents affected: 76
Residents affected: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Worker #1 | Stated containers should always have a label and date and should have been discarded. | |
| Dietary Manager | Expected all food to be labeled and dated and staff should not use food or liquids after discard date. | |
| Administrator | Stated dietary department responsible for food control; expected food to be dated, labeled, covered, and not used past discard date; expected staff to follow policies regarding biohazard materials and pest control. | |
| Special Projects Director of Nursing | Observed Resident #74's wound care and biohazard storage. | |
| DON | Director of Nursing | Stated clean supplies and biohazard materials should never be stored together. |
| Regional DON | Stated clean supplies and biohazard materials should never be stored together. |
Inspection Report
Routine
Deficiencies: 10
Date: Aug 13, 2021
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident dignity, notification of changes in condition, care planning, activities, oral hygiene, nail and foot care, catheter care, medication administration, infection prevention and control, and vaccination policies.
Findings
The facility was found deficient in multiple areas including failure to maintain resident dignity, failure to notify physicians of changes in condition, incomplete care plans, inadequate activities per resident preferences, insufficient oral hygiene supervision, inadequate nail and foot care, lack of physician orders and proper securing of indwelling urinary catheters, medication errors involving crushing of delayed release and enteric-coated medications, failure to ensure hand hygiene and proper food handling, improper laundry and linen handling, improper disposal of PPE in isolation rooms, and failure to provide pneumococcal vaccinations as ordered.
Deficiencies (10)
Failed to treat a resident with dignity by failing to close the privacy curtain during care and calling the resident a feeder.
Failed to notify the physician of a change in condition for a resident with worsening pressure ulcers and refusal of wound care.
Failed to develop a care plan for activities for a resident.
Failed to ensure scheduled care conferences with resident representative involvement.
Failed to provide supervision and verbal cueing for oral hygiene for a resident with cognitive impairment.
Failed to provide adequate nail and foot care for two residents.
Failed to obtain orders for an indwelling urinary catheter, failed to obtain orders for catheter care, and failed to secure the catheter for a resident.
Failed to maintain medication error rate below 5%, with errors involving crushing delayed release and enteric-coated medications.
Failed to ensure residents washed hands before meals and staff avoided touching ready-to-eat foods with bare hands; failed to maintain proper clean to dirty techniques in laundry; failed to ensure proper dirty linen placement; and failed to properly dispose of PPE in isolation rooms.
Failed to provide pneumococcal vaccines for two residents despite signed consents and orders not sent to pharmacy.
Report Facts
Medication error rate: 8
Medication errors: 2
Medication opportunities: 25
Residents reviewed for care plans: 24
Residents reviewed for pneumococcal vaccination: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #6 | CNA | Observed failing to pull privacy curtain and called resident a feeder |
| Director of Nursing | DON | Interviewed regarding privacy, care conferences, catheter care, and infection control |
| Licensed Practical Nurse #2 | LPN | Facility wound nurse who did not notify physician of wound worsening |
| Certified Nursing Assistant #4 | CNA | Acknowledged resident required cueing for oral care |
| Registered Nurse #3 | RN | Crushed delayed release medication for resident |
| Registered Nurse #7 | RN | Crushed enteric-coated medication for resident |
| Laundry Attendant | LA | Observed improper gown use in laundry |
| Certified Nursing Assistant #1 | CNA | Observed not encouraging handwashing before meals |
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