Inspection Reports for
Owsley County Health Care Center, Inc

20 COUNTY BARN ROAD, BOONEVILLE, KY, 41314

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

36% better than Kentucky average
Kentucky average: 4.7 deficiencies/year

Deficiencies per year

8 6 4 2 0
2019
2022
2025

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Jul 9, 2025

Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at Owsley County Health Care Center, Inc.

Findings
No health deficiencies were found during the inspection.

Inspection Report

Deficiencies: 3 Date: Jan 7, 2022

Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident notifications, bed hold policies, and pre-admission screening and resident review (PASARR) processes.

Findings
The facility failed to provide required Notice of Medicare Non-Coverage (NOMNC) to a resident prior to discharge, did not notify residents or representatives in writing about bed hold policies at the time of hospital transfer, and failed to complete Level II PASARR assessments for residents with new psychiatric diagnoses.

Deficiencies (3)
F 0582: The facility failed to issue a Notice of Medicare Non-Coverage (NOMNC) form to a resident or responsible party two days before the last day of Medicare coverage for one of three sampled residents.
F 0625: The facility failed to provide written notice to residents or representatives about the duration of the bed hold policy at the time of hospital transfer for two of five sampled residents.
F 0644: The facility failed to complete Level II PASARR assessments for two of three sampled residents following new diagnoses of Major Depressive Disorder.
Report Facts
Residents sampled for NOMNC: 3 Residents sampled for bed hold notification: 5 Residents sampled for PASARR assessment: 3

Employees mentioned
NameTitleContext
Minimum Data Set (MDS) NurseInterviewed regarding failure to provide NOMNC form
BookkeeperInterviewed regarding responsibility for bed hold notification
Director of Nursing (DON)Interviewed regarding awareness of bed hold and PASARR requirements
AdministratorInterviewed regarding awareness of bed hold and PASARR requirements
Admissions CoordinatorInterviewed regarding responsibility for PASARR assessments

Inspection Report

Routine
Deficiencies: 6 Date: Apr 4, 2019

Visit Reason
Routine inspection of Owsley County Health Care Center to assess compliance with regulatory requirements including resident assessments, care planning, medication management, infection control, and activities programming.

Findings
The facility failed to ensure accurate resident assessments, specifically coding of pressure ulcers. The care plans and activities did not meet residents' needs, with inadequate individualized and group activities provided. Medication storage and labeling practices were deficient, including expired and improperly stored medications. The infection prevention and control program lacked annual policy reviews and an effective antibiotic stewardship program.

Deficiencies (6)
F0641: The facility failed to ensure the accuracy of Section M of the Minimum Data Set (MDS) Assessment for one resident, incorrectly coding a pressure ulcer as present on admission when it was facility acquired.
F0657: The facility failed to ensure the Comprehensive Care Plan was reviewed and revised by an interdisciplinary team and failed to provide individualized activities for two residents confined to their rooms.
F0679: The facility failed to provide activities to meet all residents' needs, with inadequate individualized and group activities for two residents, and poor documentation of activity attendance.
F0761: The facility failed to store and label medications properly, including an opened undated insulin pen, expired eye drops, and medications stored outside pharmacy packaging in a medication cart.
F0880: The facility failed to establish an Infection Prevention and Control Program that included annual review of infection control policies.
F0881: The facility failed to implement an Antibiotic Stewardship Program with antibiotic use protocols and monitoring system.
Report Facts
Residents sampled: 22 Residents affected: 1 Residents affected: 2 Residents affected: 2 Medications found loose: 10 Days expired eye drops opened: 70

Employees mentioned
NameTitleContext
SRNA #3State Registered Nursing AssistantProvided information about Resident #37's lack of TV watching and activity participation
LPN #1Licensed Practical NurseReported Resident #37's activity and isolation status
DONDirector of NursingProvided oversight information on MDS accuracy, activities, medication, and infection control
AdministratorProvided expectations for activities, infection control, and medication management
Activity CoordinatorResponsible for activity care plans and assessments; lacked documentation for individualized activities
Infection Control PreventionistNew to role; acknowledged lack of annual infection control policy reviews and incomplete antibiotic stewardship program
LPN #2Licensed Practical NurseAdmitted to removing medications from original packaging and placing them loose in medication cart
Wellness CoachPart-time activity assistantNew to position; did not provide group or 1:1 activities; working on documentation form

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