Inspection Reports for
Providence Pointe Healthcare
100 MARSHALL COURT, PADUCAH, KY, 42001
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
30% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
94% occupied
Based on a June 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Dec 18, 2025
Visit Reason
Annual inspection survey of Providence Pointe Healthcare to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Abbreviated Survey
Census: 102
Deficiencies: 1
Date: Jun 12, 2025
Visit Reason
An Abbreviated Survey was conducted from 06/10/2025 to 06/12/2025 to investigate compliance with 42 CFR 483.25 related to accident hazards, supervision, and devices.
Findings
The facility was found not to be in substantial compliance with 42 CFR 483.25 due to failure to ensure a resident environment free of accident hazards and adequate supervision and assistance devices. A deficiency was identified related to resident R9's safety and fall prevention measures.
Deficiencies (1)
Failure to ensure the resident environment remains free of accident hazards and to provide adequate supervision and assistance devices to prevent accidents, as evidenced by multiple falls and incidents involving resident R9.
Report Facts
Survey Census: 102
Sample Size: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Conducted audit on June 18, 2025, to review residents with falls and interventions |
| Staff Development Coordinator | Staff Development Coordinator (SDC) | Began educating licensed nurses and certified nurse's assistants on care for residents with traumatic brain injury |
| Physical Therapy Assistant | Physical Therapy Assistant (PTA) | Interviewed regarding resident R9's therapy and participation |
| Nurse Practitioner | Medical Nurse Practitioner (NP) | Interviewed regarding resident R9's condition and communication |
| Certified Nursing Assistant | Certified Nursing Assistant (CNA) | Interviewed about typical fall prevention interventions and resident R9 |
| Unit Manager | 300-hall Unit Manager (UM) | Interviewed about resident R9's frequent falls and family communication |
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Interviewed about 1:1 care services and sitter availability for resident R9 |
| Administrator | Facility Administrator | Interviewed about staff training and responsibility for resident safety |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jun 12, 2025
Visit Reason
The inspection was conducted to investigate complaints regarding the facility's failure to provide adequate supervision and assistive devices to ensure the safety of residents, specifically focusing on Resident 9 who had multiple falls and safety incidents.
Complaint Details
The investigation focused on Resident 9's repeated falls and unsafe behaviors. The resident was found on the floor multiple times, pulled out his PEG tube, and exhibited confusion. The facility had updated care plans and implemented interventions such as fall mats, perimeter defining mattresses, and 1:1 supervision after hospitalization. The family was unable to provide a sitter, and the facility was recommended to provide 24/7 supervision. The resident's nurse practitioner and facility staff expressed concerns about his safety and the need for increased supervision.
Findings
The facility failed to provide adequate supervision and fall prevention interventions for Resident 9, who experienced multiple falls, pulled out his PEG tube several times, and exhibited confusion and risky behaviors. Despite various interventions and care plan updates, including 1:1 supervision initiated after hospitalization, the resident continued to fall and sustain injuries.
Deficiencies (1)
F 0689: The facility failed to ensure the nursing home area was free from accident hazards and did not provide adequate supervision to prevent accidents for Resident 9, who had multiple falls and safety incidents.
Report Facts
Falls: 6
1:1 supervision start date: Started on 06/11/2025 at 3:30 PM after hospital return
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Provided interview about Resident 9's behavior and fall prevention efforts |
| Medical Nurse Practitioner | Nurse Practitioner | Discussed Resident 9's cognitive status, medication adjustments, and care concerns |
| Certified Nursing Assistant 6 | Certified Nursing Assistant | Described typical fall prevention interventions used at the facility |
| Physical Therapy Assistant 1 | Physical Therapy Assistant | Provided information on therapy sessions with Resident 9 |
| Physical Therapy Assistant 2 | Physical Therapy Assistant | Reported on Resident 9's physical strength and confusion |
| 300-hall Unit Manager | Unit Manager | Discussed Resident 9's falls, family involvement, and supervision needs |
| Assistant Director of Nursing | Assistant Director of Nursing | Discussed facility's approach to 1:1 supervision and Resident 9's care |
| Facility Administrator | Administrator | Provided statements on supervision policies and expectations for Resident 9 |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Aug 16, 2024
Visit Reason
The investigation was conducted due to concerns about the facility's failure to provide necessary behavioral health care and services to Resident 84 (R84), who subsequently died by suicide.
Complaint Details
The complaint investigation substantiated that the facility failed to provide required psychiatric services to Resident 84, who was found deceased by suicide. The investigation included interviews with staff, former social services directors, the medical director, and the administrator, revealing systemic failures in communication, monitoring, and care coordination.
Findings
The facility failed to ensure R84 received required monthly psychiatric services despite a Level 2 PASRR indicating such need. R84 was found deceased with oxygen tubing wrapped around her neck, and the death was ruled a suicide. Multiple interviews and record reviews revealed gaps in communication, monitoring, and coordination of mental health care, including failure to follow up on missed psychiatric appointments and inadequate response to R84's behavioral and emotional needs.
Deficiencies (2)
F 0740: The facility failed to provide necessary behavioral health care and services to Resident 84, who required monthly psychiatric services but did not receive them, resulting in her death by suicide.
F 0841: The Medical Director failed to ensure implementation of resident care policies and coordination of medical care related to behavioral health for Resident 84, who died by suicide after not receiving recommended psychiatric services.
Report Facts
Number of times oxygen tubing wrapped around neck: 4
Time of death: 2.43
BIMS score: 15
PHQ 9 score: Resident 84 scored high on the Patient Health Questionnaire (PHQ) 9 for depression, exact score not stated.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN 2 | Registered Nurse | Witnessed Resident 84 lying with oxygen tubing around her neck and initiated CPR. |
| CNA 5 | Certified Nursing Assistant | Reported mood changes in Resident 84 after phone calls with spouse and provided emotional support. |
| Medical Director | Medical Director | Failed to ensure psychiatric services were provided and coordinate medical care for Resident 84. |
| Former Social Services Director 1 | Social Services Director | Referred Resident 84 to psych services but was unaware of refusal and did not follow up with alternative providers. |
| Former Social Services Director 2 | Social Services Director | Unaware of PASRR results and mental health services for Resident 84. |
| Administrator | Facility Administrator | Unaware of Resident 84's mental health history until after death and described facility procedures for self-harm risk. |
Inspection Report
Routine
Census: 86
Deficiencies: 2
Date: Aug 16, 2024
Visit Reason
The inspection was conducted to evaluate compliance with food safety standards and infection prevention and control protocols at Providence Pointe Healthcare.
Findings
The facility failed to properly label and date opened food items, potentially affecting 85 of 86 residents. Additionally, infection prevention protocols were not consistently followed for two residents, including failure to use enhanced barrier precautions and PPE as required for COVID-19 droplet isolation.
Deficiencies (2)
F0812: The facility failed to store, prepare, distribute, and serve food in accordance with professional standards. Multiple food items in the walk-in coolers were opened, unlabeled, and undated, risking food safety for 85 residents.
F0880: The facility failed to implement an effective infection prevention and control program. Two residents were affected due to staff not following enhanced barrier precautions and PPE requirements, including entering a COVID-positive resident's room without an N95 mask.
Report Facts
Residents affected: 85
Residents affected: 86
Residents affected: 2
Sampled residents: 22
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA 15 | Certified Nursing Assistant | Named in failure to follow enhanced barrier precautions for resident R87 |
| CNA 4 | Certified Nursing Assistant | Named for entering COVID-positive resident R45's room without N95 mask |
| Assistant Director of Nursing | Infection Preventionist | Provided information on infection prevention program and staff education |
| Dietary Manager | Dietary Manager | Interviewed regarding food labeling and storage practices |
| Registered Dietitian | Former Registered Dietitian | Interviewed regarding food labeling expectations |
| Administrator | Administrator | Interviewed regarding expectations for dietary staff compliance |
| LPN/UM 2 | Licensed Practical Nurse/Utilization Manager | Validated PPE noncompliance for COVID-positive resident care |
| DON | Director of Nursing | Stated expectations for PPE use to prevent COVID spread |
Inspection Report
Annual Inspection
Census: 83
Deficiencies: 4
Date: Aug 16, 2019
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements and ensure resident safety and care quality at Providence Pointe Healthcare.
Findings
The facility was found to have multiple deficiencies including failure to maintain resident privacy, inaccurate resident assessments, improper food storage practices, and inadequate infection control during medication administration.
Deficiencies (4)
F 0583: The facility failed to ensure resident privacy and confidentiality when a nurse discussed a resident's health information in the presence of another resident.
F 0641: The facility failed to ensure an accurate assessment for one resident by incorrectly coding the resident's transfer status on the MDS.
F 0812: The facility failed to store food in accordance with professional standards when a sanitizing bucket was observed on the kitchen floor.
F 0880: The facility failed to follow proper infection control procedures when a nurse handled medications with bare hands during administration.
Report Facts
Residents receiving meals from kitchen: 83
Sampled residents: 19
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse | Named in privacy violation and infection control findings |
| Director of Nursing | Director of Nursing | Interviewed regarding expectations for privacy, assessment accuracy, and infection control |
| MDS Coordinator | MDS Coordinator | Interviewed regarding inaccurate coding of resident assessment |
| CNA #1 | Certified Nurse Aid | Interviewed regarding resident transfer practices |
| Dietary Manager | Dietary Manager | Interviewed regarding food storage practices |
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