Inspection Reports for
Springfield Nursing and Rehabilitation
420 EAST GRUNDY AVENUE, SPRINGFIELD, KY, 40069
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
1.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
64% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Nov 1, 2024
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at Springfield Nursing and Rehabilitation Center.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Oct 17, 2019
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to Minimum Data Set (MDS) assessments, accuracy of resident assessments, comprehensive care plan development and revision, and respiratory care practices at Springfield Nursing and Rehabilitation Center.
Findings
The facility failed to complete and submit MDS assessments within required timeframes, ensure accuracy of MDS assessments for residents, revise comprehensive care plans after fall events, and properly date and change respiratory equipment to prevent infection risks.
Deficiencies (4)
F0640: The facility failed to complete and submit Minimum Data Set (MDS) Assessments within the required timeframe, with multiple late completions and submissions identified between March and October 2019.
F0641: The facility failed to ensure the MDS Assessment accurately reflected the resident's status for one resident, including incorrect coding of anticoagulant and antipsychotic medication use.
F0657: The facility failed to revise the Comprehensive Care Plan (CCP) after fall events for two residents, missing documented evidence of care plan updates to prevent falls of the same nature.
F0695: The facility failed to ensure respiratory care equipment such as oxygen tubing, nasal cannulas, and humidified sterile water bottles were dated and changed weekly, posing a potential infection control risk for residents.
Report Facts
MDS Assessments completed late: 17
MDS records submitted late: 23
Residents sampled: 16
Residents affected by deficiencies: 1
Residents affected by deficiencies: 2
Residents affected by deficiencies: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Coordinator/Licensed Practical Nurse (LPN) | Interviewed regarding MDS assessment completion and submission issues | |
| Regional President of Reimbursement | Provided oversight and support for MDS process and care plan revisions | |
| Director of Nursing (DON) | Interviewed regarding expectations for MDS assessments and care plan accuracy | |
| Administrator | Interviewed regarding facility use of RAI Manual and care plan revisions | |
| Registered Nurse (RN) #1 | Registered Nurse | Interviewed regarding respiratory equipment dating and changing practices |
| Staff Development Coordinator | Interviewed regarding in-services on respiratory equipment maintenance |
Inspection Report
Deficiencies: 1
Date: Aug 23, 2018
Visit Reason
The inspection was conducted to evaluate compliance with discharge planning and communication requirements for residents being transferred or discharged from the facility.
Findings
The facility failed to ensure that a discharged resident's summary included all necessary information such as diagnoses, treatment course, medication reconciliation, and post-discharge care plans. Documentation and communication to the receiving facility were incomplete, and discharge instructions were not fully completed or properly signed.
Deficiencies (1)
F 0661: The facility failed to ensure a discharged resident's Discharge Summary included all necessary information and that discharge instructions were fully completed and communicated to the receiving facility and resident's representative.
Report Facts
Residents sampled: 16
Discharged residents sampled: 3
Residents affected: 1
Brief Interview for Mental Status (BIMS) score: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #1 | Assigned nurse at time of discharge who failed to complete discharge instructions accurately | |
| Social Worker #1 | Responsible for sending information to receiving facility but did not document what was sent | |
| Director of Nursing (DON) | Provided expectations for discharge documentation and acknowledged deficiencies | |
| Administrator | Stated expectations for nursing and social worker communication and acknowledged deficiencies |
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