Inspection Reports for
River’s Bend Retirement Community
300 BEECH STREET, KUTTAWA, KY, 42055
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
57% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Routine
Deficiencies: 2
Date: Nov 17, 2025
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory requirements related to nurse staffing postings and medication storage and labeling.
Findings
The facility failed to post daily nurse staffing information as required for 3 survey dates and failed to ensure drugs and biologicals were current and properly labeled on medication carts for 6 of 13 sampled residents.
Deficiencies (2)
F 0732: The facility failed to post daily nurse staffing information for 3 survey dates, with staffing sheets not updated since 09/13/2025 despite policy requiring daily posting.
F 0761: The facility failed to ensure drugs and biologicals were current and labeled according to professional principles, with expired medications found on 2 of 3 medication carts affecting 6 residents.
Report Facts
Residents affected: 6
Medication carts reviewed: 3
Survey dates with missing staffing postings: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse 2 | Registered Nurse | Interviewed regarding nurse staffing posting responsibility |
| Director of Nursing | Director of Nursing | Interviewed regarding staffing posting expectations and medication cart maintenance |
| Kentucky Medication Aide 1 | Medication Aide | Interviewed about checking medication carts for expired medications |
| Assistant Director | Assistant Director of Contract Pharmacy | Interviewed about consultant pharmacist medication reviews |
| Administrator | Facility Administrator | Interviewed about staffing posting and medication cart policy adherence |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Nov 1, 2023
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at River's Bend Retirement Community.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Sep 8, 2023
Visit Reason
The inspection was conducted to investigate a complaint regarding inadequate supervision that led to a resident elopement from the facility.
Complaint Details
The complaint investigation found that Resident #18 eloped from the facility on 07/07/2023 at approximately 1:30 PM. The resident was found outside unattended and escorted back inside. The facility had not used the Wanderguard system for several years. Staff were re-educated and elopement drills initiated. The resident was placed on 15-minute checks for 48 hours following the incident.
Findings
The facility failed to ensure adequate supervision for one resident who exited the facility unsupervised. The resident was found outside the building but returned without injury, and the facility implemented increased supervision and staff re-education on elopement prevention.
Deficiencies (1)
F 0689: The facility failed to ensure one of six sampled residents received adequate supervision to prevent elopement. Resident #18 exited the facility unsupervised and was found outside but unharmed.
Report Facts
Residents sampled: 6
Resident wandering risk score: 6
Resident wandering risk score on admission: 0
Supervision check interval: 15
Supervision duration hours: 48
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Sep 8, 2023
Visit Reason
The inspection was conducted as a routine annual survey to assess compliance with regulatory requirements related to care planning and infection prevention and control.
Findings
The facility failed to develop and implement a comprehensive care plan for catheter care for Resident #25. Additionally, the facility did not maintain an effective infection prevention and control program, as catheter drainage bags for Residents #7 and #25 were observed touching the floor, posing infection risks.
Deficiencies (2)
F 0656: The facility failed to develop and implement a comprehensive care plan for one resident with an indwelling urinary catheter, lacking documented catheter care.
F 0880: The facility failed to establish and maintain an infection prevention and control program, as catheter drainage bags for two residents were not properly secured and were touching the floor.
Report Facts
Residents sampled: 6
Residents affected: 1
Residents affected: 2
BIMS score: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) #9 | Interviewed regarding catheter care knowledge | |
| Minimum Data Set (MDS) Coordinator | Interviewed about care plan responsibilities and updates | |
| Director of Nursing (DON) | Interviewed about care plan and catheter care expectations | |
| Administrator | Interviewed about care plan oversight and policy enforcement | |
| Certified Nurse Aide (CNA) #4 | Interviewed about catheter bag handling and infection control | |
| Licensed Practical Nurse (LPN) #4 | Interviewed about nursing staff responsibilities for catheter care |
Inspection Report
Routine
Deficiencies: 1
Date: Dec 8, 2021
Visit Reason
The inspection was conducted to assess the facility's compliance with infection prevention and control guidelines, specifically related to COVID-19 protocols.
Findings
The facility failed to maintain its infection prevention and control program in accordance with CDC guidelines for COVID-19, particularly regarding staff use of eye protection during resident care. Observations revealed multiple staff members did not wear goggles or face shields while interacting with residents despite the facility being in a high COVID-19 transmission county.
Deficiencies (1)
F 0880: The facility failed to ensure staff wore appropriate eye protection such as goggles or face shields during all resident care encounters as required by CDC guidelines for counties with high COVID-19 transmission rates.
Report Facts
Staff observed without eye protection: 6
Observation dates: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | LPN | Observed administering medications without goggles or face shield. |
| Physical Therapy Assistant | PTA | Observed providing therapy without goggles or face shield. |
| Certified Nursing Assistant #5 | CNA | Observed interacting with residents without goggles or face shield. |
| Registered Nurse #1 | RN | Observed assisting residents without goggles or face shield; stated facility policy only requires eye protection if resident diagnosed with COVID-19. |
| Director of Nursing | DON | Interviewed regarding facility policy on eye protection during high COVID-19 transmission. |
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