Inspection Reports for
Rockcastle Regional Hospital and Respiratory Care
145 NEWCOMB AVENUE, MOUNT VERNON, KY, 40456
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
51% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
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
Routine
Deficiencies: 3
Date: Mar 26, 2025
Visit Reason
The inspection was conducted to assess compliance with facility policies and regulatory requirements related to resident privacy during care, nurse staffing information posting, and availability of a working call system in resident bathrooms and bathing areas.
Findings
The facility failed to provide visual privacy during tracheostomy care for two residents, did not post required nurse staffing information for several days, and failed to ensure one resident had access to a functional call system to request staff assistance, potentially compromising resident safety and privacy.
Deficiencies (3)
F 0583: The facility failed to provide visual privacy for two residents during tracheostomy care by suctioning with the door open and without pulling the privacy curtain, violating privacy policies.
F 0732: The facility failed to post required nurse staffing information on multiple units for the dates 03/21/2025 through 03/24/2025, contrary to facility policy.
F 0919: The facility failed to ensure one resident had access to a functional and accessible call system in the bathroom, delaying staff response and compromising resident safety.
Report Facts
Residents sampled: 30
Dates nurse staffing info not posted: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RT 1 | Respiratory Therapist | Named in privacy violation during tracheostomy care |
| Respiratory Director | Interviewed regarding privacy expectations | |
| Chief Nurse Officer | Interviewed regarding staff expectations for privacy and nurse staffing postings | |
| Nursing Administrative Assistant | Responsible for updating nurse staffing postings; admitted failure to post | |
| Unit Secretary 1 | Frequently deactivated resident call lights without follow-up | |
| Licensed Practical Nurse 1 | LPN | Confirmed call light was misplaced and acknowledged staff should check on residents |
| Administrator | Acknowledged call light issues and staffing challenges |
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
| Name | Title | Context |
|---|---|---|
| Respiratory Therapist | Observed suctioning residents during tracheostomy care without providing privacy | |
| Family Member 1 | Interviewed regarding privacy concerns during tracheostomy care | |
| Respiratory Director | Interviewed about privacy expectations during patient care | |
| Chief Nurse Officer | Interviewed about staff expectations for resident privacy and nurse staffing postings | |
| Nursing Administrative Assistant | Responsible for updating nurse staffing postings; admitted to failing to post staffing information on certain dates | |
| Resident R43 | Resident involved in call light system deficiency | |
| Licensed Practical Nurse 1 | LPN | Interviewed about call light system malfunction and resident care |
Inspection Report
Deficiencies: 0
Date: Oct 11, 2019
Visit Reason
The document is a statement of deficiencies and plan of correction for Rockcastle Regional Hospital and Respiratory Care following a survey completed on 2019-10-11.
Findings
No health deficiencies were found during the survey.
Inspection Report
Deficiencies: 1
Date: Aug 30, 2018
Visit Reason
The inspection was conducted to evaluate compliance with PASARR screening requirements for mental disorders or intellectual disabilities in residents.
Findings
The facility failed to ensure one of thirty-three sampled residents received a required Level II PASARR screening despite a Level I screening indicating the need. Interviews revealed lack of policy and failure to make necessary referrals for Level II screening.
Deficiencies (1)
F 0645 PASARR screening for Mental disorders or Intellectual Disabilities. The facility failed to ensure one resident received a required Level II PASARR screening after a Level I screening indicated the need.
Report Facts
Residents sampled: 33
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Service Worker #1 | Interviewed regarding failure to make referral for Level II PASARR screening | |
| Director of Social Services | Interviewed regarding PASARR screening policies and failure to conduct Level II screening | |
| Chief Nursing Officer | Interviewed regarding facility policy on PASARR screening |
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