Inspection Reports for
South Shore Nursing &Amp; Rehabilitation
405 S.M. ROBERTSON DR, SOUTH SHORE, KY, 41175
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
15% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Deficiencies: 2
Date: Jul 31, 2025
Visit Reason
The inspection was conducted to assess compliance with regulations regarding the safety, cleanliness, and homelike environment of the facility, as well as the provision of transportation services to residents.
Findings
The facility failed to maintain a safe, clean, and homelike environment in a shared resident room, which was malodorous and infested with flies and gnats. Additionally, the facility failed to provide transportation services for a resident's scheduled outpatient appointment, resulting in cancellation.
Deficiencies (2)
F 0584: The facility failed to provide a safe, clean, comfortable, and homelike environment for two residents sharing a room that was malodorous with urine smell, flies, gnats, and clutter including old food and unrinsed soda cans.
F 0774: The facility failed to provide transportation services to one resident for a scheduled CT scan appointment, resulting in cancellation due to no available transportation.
Report Facts
Residents affected: 2
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Housekeeping Aide 1 | Housekeeping Aide | Interviewed regarding cleaning challenges in resident room |
| Director of Nursing | Director of Nursing | Interviewed regarding room conditions and transportation responsibilities |
| Executive Director | Executive Director | Interviewed regarding room conditions, transportation, and staffing |
| Maintenance Director | Maintenance Director | Interviewed regarding transportation duties and absence on appointment day |
| Registered Nurse 2 | Registered Nurse | Interviewed regarding transportation policies and resident eligibility |
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Nov 10, 2021
Visit Reason
The inspection was conducted due to complaints and allegations regarding failure to report abuse, inaccurate resident assessments, improper medication storage, failure to provide needed dental services, and inadequate infection prevention and control practices.
Complaint Details
The investigation was complaint-driven, focusing on allegations of abuse, inadequate assessments, medication storage issues, failure to provide dental care, and infection control breaches. The abuse allegation was substantiated as the facility failed to report the incident properly.
Findings
The facility failed to timely report alleged abuse, conduct accurate resident assessments, properly store medications and vaccines, ensure residents received needed dental surgery, and maintain effective infection prevention and control practices including proper use of PPE for residents in quarantine.
Deficiencies (5)
F 0609: The facility failed to report allegations of abuse to proper authorities, family, and physician for one resident after an aide used inappropriate language and the incident was not reported timely.
F 0641: The facility failed to conduct a comprehensive and accurate assessment of a resident's functional capacity using the Resident Assessment Instrument, with unqualified staff completing assessments and missing key cognitive and behavioral sections.
F 0761: The facility failed to ensure drugs and biologicals were labeled, stored properly, and maintained at appropriate temperatures, including over-packed vaccine refrigerators and expired medications stored improperly.
F 0791: The facility failed to ensure a resident obtained needed oral surgery following a dental appointment, with delays in scheduling and follow-up care.
F 0880: The facility failed to maintain an effective infection prevention and control program, including failure of staff to don and doff appropriate PPE when administering medications to residents in quarantine.
Report Facts
Residents sampled: 18
Residents affected: 1
Residents affected: 1
Residents affected: 2
Teeth planned for removal: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| SRNA #1 | State Registered Nurse Aide | Named in abuse allegation for using inappropriate language toward Resident #5 |
| Director of Nursing | Interviewed regarding abuse allegation and assessment processes | |
| Social Worker | Interviewed regarding abuse allegation reporting | |
| Administrator | Interviewed regarding abuse reporting and dental care follow-up | |
| Business Office Manager | Performed unqualified resident assessments in absence of MDS Coordinator | |
| Licensed Practical Nurse #2 | LPN | Interviewed regarding medication storage and vaccine handling |
| Assistant Director of Nursing/Infection Preventionist | ADON/IP | Interviewed regarding infection control practices and PPE use |
| SRNA/KMA #2 | State Registered Nursing Assistant/Kentucky Medication Aide | Observed failing to don and doff proper PPE during medication administration |
Inspection Report
Routine
Deficiencies: 5
Date: Feb 21, 2019
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, activities, medication administration, and food service at South Shore Nursing and Rehabilitation.
Findings
The facility was found deficient in multiple areas including failure to provide written bed-hold notices at transfer, failure to implement individualized activities care plans, failure to ensure timely and accurate insulin administration documentation, and failure to maintain food at safe and appetizing temperatures during meal service.
Deficiencies (5)
F 0625: The facility failed to provide written information regarding the Bed-hold policy to Resident #35 or their representative at the time of transfer to a hospital on 11/26/18.
F 0656: The facility failed to implement Resident #13's Activities Care Plan by not providing weekly one-on-one activities as specified, and documentation of activities was incomplete.
F 0658: The facility failed to ensure professional standards of quality in medication administration for Residents #32, #39, #43, and #47 by documenting insulin administration late or after the fact.
F 0679: The facility failed to provide an ongoing program of resident-centered activities for Resident #13, with inadequate documentation and failure to meet the resident's physical, mental, and psychosocial needs.
F 0804: The facility failed to provide food at a safe and appetizing temperature for Residents #18 and #32, serving hot foods below the minimum temperature of 120°F and delaying feeding assistance by 30 minutes.
Report Facts
Residents sampled: 20
Residents affected: 1
Residents affected: 1
Residents affected: 4
Residents affected: 2
Bed-hold duration: 2
Insulin administration delays: 3
Insulin administration delays: 4
Food temperature: 117
Food temperature: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #1 | Registered Nurse | Named in insulin administration documentation deficiency for Residents #32, #39, and #43 |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Named in insulin administration documentation deficiency for Resident #43 |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Named in insulin administration documentation deficiency for Residents #39 and #43 |
| Activity Director | Named in deficiencies related to failure to implement and document activities care plan for Resident #13 | |
| Director of Nursing | Interviewed regarding bed-hold notice process and medication administration standards | |
| Administrator | Interviewed regarding bed-hold notice process, activities care plan expectations, and food service standards | |
| Dietary Manager | Interviewed regarding food temperature and meal service staffing | |
| Medical Doctor | Interviewed regarding insulin administration documentation concerns |
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