Inspection Reports for
Shady Lawn Nursing and Rehabilitation Center
2582 CERULEAN ROAD, CADIZ, KY, 42211
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
2.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
47% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
80% occupied
Based on a March 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jul 25, 2025
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at Shady Lawn Nursing and Rehabilitation Center.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Abbreviated Survey
Census: 40
Deficiencies: 0
Date: Mar 19, 2025
Visit Reason
An abbreviated survey was conducted to investigate multiple complaints identified by their codes KY00041460, KY00041439, KY00039822, KY00039504, KY00038953, KY00037541, KY00042781, KY00042749, KY00041221, and KY00041092.
Complaint Details
Complaints KY00041460, KY00041439, KY00039822, KY00039504, KY00038953, KY00037541, KY00042781, KY00042749, KY00041221, and KY00041092 were investigated and found to have no deficiencies.
Findings
The facility was found to be in substantial compliance with 42 CFR 483 subpart B. No deficiencies were issued related to the complaints investigated.
Report Facts
Sample Size: 14
Supplemental Residents: 26
Inspection Report
Complaint Investigation
Census: 65
Deficiencies: 2
Date: Dec 19, 2024
Visit Reason
A Relicensure and Complaint Survey investigating complaints KY00042022Z, KY00042122, KY00043814, and KY00044415 was conducted on 12/19/2024. The facility was found not to be in substantial compliance with 902 KAR 20:036.
Complaint Details
Complaints KY00042022Z, KY00042122, KY00043814, and KY00044415 were substantiated with deficient practice identified. The facility was not in substantial compliance with 902 KAR 20:036.
Findings
The facility failed to maintain a clean and safe environment, with multiple observations of unclean areas, staining, and lack of soap dispensers. Additionally, the facility premises were not kept in good repair, including blocked fire escapes, crumbling concrete, missing railings, and broken fixtures, affecting all 65 residents.
Deficiencies (2)
Facility failed to maintain a clean and safe facility free of unpleasant odors and ensure thorough cleaning of commodes, urinals, bedpans, and other sources, affecting all 65 residents.
Facility failed to ensure premises were kept in good repair, including blocked fire escape, crumbling concrete, missing railings, and multiple interior walls with holes, affecting all 65 residents.
Report Facts
Residents affected: 65
Observation dates: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Aide A3 | Aide | Observed mopping marble flooring on 12/19/2024 |
| Aide A4 | Aide | Observed mopping marble flooring on 12/19/2024 and interviewed about cleaning supplies |
| MT4 | Interviewed on 12/18/2024 about cleaning practices | |
| Manager | Interviewed on 12/19/2024 about building condition and cleaning | |
| MT3 | Interviewed on 12/18/2024 about maintenance work | |
| Maintenance Director | Maintenance Director | Interviewed on 12/18/2024 about maintenance and repairs |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Nov 17, 2021
Visit Reason
The inspection was conducted due to a complaint or concern regarding the facility's infection prevention and control practices, specifically the proper use of personal protective equipment (PPE) by staff when entering isolation rooms.
Complaint Details
The investigation was triggered by concerns about improper PPE use by staff caring for a newly admitted resident on COVID-19 isolation precautions. The complaint was substantiated as staff were observed and admitted to not following PPE protocols.
Findings
The facility failed to ensure staff properly utilized PPE, including donning and doffing, when entering isolation rooms for a resident on COVID-19 related isolation precautions. Several staff members were observed and interviewed, revealing inconsistent PPE use and lack of full adherence to isolation protocols.
Deficiencies (1)
F 0880: The facility failed to provide and implement an infection prevention and control program ensuring proper use of PPE. Staff did not consistently wear gowns, gloves, masks, or face shields as required when entering isolation rooms for a resident on COVID-19 precautions.
Report Facts
Residents affected: 1
Date survey completed: Nov 17, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #2 | Registered Nurse | Observed entering isolation room wearing only a mask and interviewed about PPE use |
| RN #3 | Registered Nurse | Interviewed about PPE use when administering medications to Resident #1 |
| CNA #1 | Certified Nursing Assistant | Interviewed about PPE use when providing care to Resident #1 |
| CNA #3 | Certified Nursing Assistant | Observed entering isolation room without PPE and interviewed about PPE requirements |
| Interim Director of Nursing | Interim Director of Nursing | Interviewed regarding staff training and PPE policies |
Inspection Report
Complaint Investigation
Deficiencies: 7
Date: Jan 17, 2019
Visit Reason
The inspection was conducted to investigate complaints related to care plan implementation, discharge planning, fall prevention, dialysis care, medication labeling, and food safety at Shady Lawn Nursing and Rehabilitation Center.
Complaint Details
The visit was complaint-related, investigating multiple issues including care plan deficiencies, discharge planning failures, fall prevention inadequacies, dialysis care lapses, medication labeling errors, and food safety violations.
Findings
The facility failed to implement comprehensive and updated care plans for residents, ensure proper documentation of dialysis site assessments, complete discharge summaries, prevent falls with appropriate interventions, label medications correctly, and maintain proper food storage and hygiene practices.
Deficiencies (7)
F 0656: The facility failed to implement a comprehensive person-centered care plan for Resident #22 related to dialysis services, with assessments of the dialysis access site not conducted or documented each shift as required.
F 0657: The facility failed to review and revise the care plan for Resident #27 after a fall, resulting in a duplicate intervention rather than a problem-oriented approach.
F 0661: The facility failed to complete a discharge summary and recapitulation of stay for Resident #36 as required by facility policy.
F 0689: The facility failed to provide adequate supervision and revise fall interventions appropriately for Resident #27, who fell due to dizziness after toileting.
F 0698: The facility failed to ensure dialysis care was provided consistent with professional standards for Resident #22, including failure to check the arterio-venous graft for thrill and signs of infection each shift.
F 0761: The facility failed to ensure drugs were labeled in accordance with professional principles, with medication not dated when opened on medication carts.
F 0812: The facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards, including failure to date food items and improper glove use by dietary staff.
Report Facts
Residents sampled: 14
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Named in relation to dialysis site assessment documentation failure |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Named in relation to dialysis site assessment documentation failure |
| Director of Nursing | Director of Nursing | Named in relation to expectations for dialysis care and care plan updates |
| Registered Nurse #1 | Registered Nurse | Named in relation to fall risk assessment and fall incident |
| Assistant Director of Nursing | Assistant Director of Nursing | Named in relation to fall incident and care plan update |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Named in relation to medication expiration and labeling |
| Dietary Aide #1 | Dietary Aide | Named in relation to glove use and hand hygiene during meal service |
| Dietary Manager | Dietary Manager | Named in relation to food storage and glove use expectations |
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