Inspection Reports for Rockcastle Regional Hospital and Respiratory Care

145 NEWCOMB AVENUE, MOUNT VERNON, KY, 40456

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Inspection Report Summary

The most recent inspection on March 28, 2025, found no deficiencies and determined that complaints were unsubstantiated. The prior inspection on March 26, 2025, identified deficiencies related to visual privacy during tracheostomy care, posting of nurse staffing information, and ensuring a functional resident call system. Complaint investigations were consistently unsubstantiated, and no enforcement actions such as fines or license suspensions were listed in the available reports. Earlier inspections noted issues mainly around resident privacy and communication systems. The facility showed improvement by resolving deficiencies found in the March 26 inspection by the time of the March 28 follow-up.

Deficiencies (last 1 years)

Deficiencies (over 1 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

4 3 2 1 0
2025

Inspection Report

Abbreviated Survey
Deficiencies: 0 Date: Mar 28, 2025

Visit Reason
An abbreviated survey was initiated and concluded on 3/28/2025 by representatives of the Office of the Inspector General to investigate complaints.

Complaint Details
Complaints were investigated and found to be unsubstantiated.
Findings
The complaints were unsubstantiated and no deficient practice was identified during the survey.

Inspection Report

Complaint Investigation
Census: 118 Deficiencies: 3 Date: Mar 26, 2025

Visit Reason
A Standard Recertification and Abbreviated Complaint survey investigating complaints KY#34195, KY#35905, KY#35907, KY#44123, and KY#42895 was initiated on 03/23/2025 and concluded on 03/26/2025 by the Department of Health & Family Services with the Office of Inspector General.

Complaint Details
Complaints KY#34195, KY#35905, KY#35907, KY#44123, and KY#42895 were investigated and found to be in compliance with no deficient practice cited related to the complaints. The deficiencies identified were during the recertification survey and unrelated to the complaints.
Findings
The facility was found to be in compliance with the complaints investigated, with no deficient practice cited for those complaints. However, deficient practice was identified during the recertification survey at the highest scope and severity of a 'D'. Deficiencies included failure to provide visual privacy during tracheostomy care, failure to post nurse staffing information as required, and failure to ensure a functional resident call system for one resident.

Deficiencies (3)
Failure to provide visual privacy for two residents during tracheostomy care, with doors open and privacy curtains not pulled.
Failure to post required nurse staffing information daily on all units for multiple dates.
Failure to ensure one resident had access to a functional and accessible communication system to request staff assistance, resulting in delayed staff response.
Report Facts
Census: 118 Sample Size: 30 Survey Dates: 03/23/2025 - 03/26/2025 Deficiency Severity: 3

Employees mentioned
NameTitleContext
Respiratory TherapistObserved suctioning residents during tracheostomy care without providing privacy
Family Member 1Interviewed regarding privacy concerns during tracheostomy care
Respiratory DirectorInterviewed about privacy expectations during patient care
Chief Nurse OfficerInterviewed about staff expectations for resident privacy and nurse staffing postings
Nursing Administrative AssistantResponsible for updating nurse staffing postings; admitted to failing to post staffing information on certain dates
Resident R43Resident involved in call light system deficiency
Licensed Practical Nurse 1LPNInterviewed about call light system malfunction and resident care

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