Inspection Reports for
Stanton Nursing and Rehabilitation Center
31 DERICKSON LANE, STANTON, KY, 40380
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Same as Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jun 12, 2025
Visit Reason
Annual inspection survey of Stanton Nursing and Rehabilitation Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Life Safety
Census: 76
Capacity: 81
Deficiencies: 4
Date: Jun 11, 2025
Visit Reason
An Emergency Preparedness Recertification Survey and a Life Safety Recertification Survey were conducted to assess compliance with federal regulations and life safety code requirements for long term care facilities.
Findings
The facility was found not in compliance with several life safety standards including sprinkler system installation, smoke barrier doors, portable space heaters, and gas equipment for oxygen transilling cylinders. Deficiencies were identified related to sprinkler protection on a combustible wood porch, smoke barrier doors held open by magnetic devices, lack of documentation for a portable space heater, and a non-functioning mechanical fan in the oxygen transilling room.
Deficiencies (4)
Failed to install a complete automatic sprinkler system protecting a combustible wood covered porch area exceeding four feet from the exterior wall.
Failed to maintain smoke barrier doors that were held open by magnetic devices not tied into the fire alarm system.
Failed to provide documentation that a heat producing portable space heater did not exceed 212 degrees Fahrenheit.
Failed to maintain a functioning mechanical fan in the liquid oxygen transilling storage room.
Report Facts
Facility capacity: 81
Census: 76
Deficiencies cited: 4
Inspection Report
Abbreviated Survey
Deficiencies: 2
Date: Apr 25, 2025
Visit Reason
An abbreviated survey investigation was initiated due to multiple complaints against Stanton Nursing and Rehabilitation Center, including KY36932, KY38939, KY40676, KY40958, KY41261, KY41794, KY41857, KY43606, KY43675, KY43777, KY45037, and KY45185.
Complaint Details
The abbreviated survey was complaint-driven, investigating multiple complaints. Most complaints were unsubstantiated except for complaint KY45037, which was substantiated with a scope and severity of 'D'.
Findings
The facility was found to have substantiated abuse involving one resident (Resident #1) where staff verbally and physically abused the resident by yelling and using a back scratcher to pull on the resident's lip. The facility also failed to timely report the abuse allegation to the State Survey Agency and Adult Protective Services as required. Other complaints were unsubstantiated with no deficient practice identified.
Deficiencies (2)
Failure to protect resident from verbal and physical abuse by staff, substantiated for one resident.
Failure to immediately report alleged abuse to the Administrator and State Survey Agency within required timeframes.
Report Facts
Number of complaints investigated: 12
Number of residents sampled: 22
Compliance date: May 9, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA4 | Certified Nursing Assistant | Named in substantiated abuse finding for verbally and physically abusing Resident #1 |
| CNA5 | Certified Nursing Assistant | Involved in abuse incident and investigation |
| LPN3 | Licensed Practical Nurse | Witnessed abuse incident and involved in investigation |
| UM1 | Unit Manager | Received delayed report of abuse incident via text and communicated with former DON |
| Director of Nursing | Director of Nursing | Interviewed Resident #1 post-incident and involved in corrective actions |
| Social Services Director | Social Services Director | Conducted resident interviews and skin assessments as part of corrective actions |
| Education Director | Education Director | Provided staff education on abuse and neglect policy |
| Former Administrator | Administrator | Delayed receipt and reporting of abuse allegation |
| Former Director of Nursing | Director of Nursing | Completed facility investigation of abuse incident |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Apr 25, 2025
Visit Reason
The inspection was conducted to investigate a complaint of verbal and physical abuse by staff against a resident at Stanton Nursing and Rehabilitation Center.
Complaint Details
The complaint was substantiated based on interviews, record reviews, and facility investigation. Abuse was confirmed involving one resident out of 22 reviewed. The facility failed to report the abuse allegation immediately, violating reporting requirements.
Findings
The facility substantiated abuse when a Certified Nursing Assistant (CNA4) hooked a back scratcher on a resident's bottom lip and yelled at him, causing the resident to throw water on the staff. The facility also failed to timely report the abuse allegation to the Administrator, State Survey Agency, and Adult Protective Services as required.
Deficiencies (2)
F 0600: The facility failed to protect a resident from verbal and physical abuse by staff when a CNA hooked a back scratcher on the resident's lip and yelled at him. The resident was startled and threw water on the staff member.
F 0609: The facility failed to timely report suspected abuse to the Administrator, State Survey Agency, and Adult Protective Services, delaying notification by several days after the incident.
Report Facts
Residents reviewed for abuse: 22
Residents affected: 1
Days delayed in reporting: 3
Hours delayed in notifying Office of Inspector General: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA4 | Certified Nursing Assistant | Named in abuse finding for hooking back scratcher on resident's lip and yelling |
| CNA5 | Certified Nursing Assistant | Witness and involved in incident; reported event to Unit Manager |
| LPN3 | Licensed Practical Nurse | Present during incident and investigation; confirmed details of event |
| UM1 | Unit Manager | Received text report of incident from CNA5 and communicated with former DON |
| Former Administrator | Administrator | Interviewed regarding delay in reporting abuse and facility response |
| Former Director of Nursing | Director of Nursing | Completed facility investigation of abuse incident |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Apr 22, 2021
Visit Reason
The inspection was conducted due to a complaint alleging failure to timely report suspected abuse and failure to develop and implement appropriate care plans and respiratory care for residents.
Complaint Details
The complaint involved an allegation by Resident #31 that a staff member jumped on them and spoke harshly. The facility failed to immediately report the allegation to the administrator and state agencies. The investigation found no confirmation of the incident and the resident reported feeling safe and unharmed. The grievance was resolved without confirmation of abuse.
Findings
The facility failed to immediately report an allegation of abuse for one resident and did not report it to appropriate state agencies. Additionally, the facility failed to develop a comprehensive care plan for a resident's use of a BIPAP machine and failed to ensure the resident received respiratory care consistent with physician orders, as the resident was using a CPAP machine instead of the ordered BIPAP machine.
Deficiencies (3)
F 0609: The facility failed to timely report suspected abuse and failed to report the allegation to appropriate state agencies for one resident. The allegation involved verbal mistreatment and was not immediately reported to the administrator or state agencies.
F 0656: The facility failed to develop and implement a complete care plan addressing the use of a BIPAP machine for one resident, despite physician orders for its use during sleep and naps.
F 0695: The facility failed to provide respiratory care consistent with professional standards and physician orders for one resident, who was using a CPAP machine instead of the ordered BIPAP machine.
Report Facts
Sampled residents: 18
Resident #31 BIMS score: 14
Resident #5 BIMS score: 10
BIPAP settings IPAP: 16
BIPAP settings EPAP: 8
BIPAP settings respiratory rate: 24
BIPAP settings FIO2: 24
CPAP machine pressure setting: 6.7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Received abuse allegation from Resident #31 and failed to immediately report it |
| RN #1 | Registered Nurse and Unit Manager | Investigated abuse allegation and reported incident to Director of Nursing |
| Director of Nursing | Director of Nursing (DON) | Oversaw investigation and stated expectation for immediate reporting of abuse |
| Social Services Director | Social Services Director (SSD) | Spoke with Resident #31 and reported grievance resolution |
| Administrator | Facility Administrator and Abuse Coordinator | Responsible for investigating and reporting abuse allegations; did not report incident to state agencies |
| LPN #3 | Licensed Practical Nurse | Checked respiratory machines and acknowledged Resident #5 was using CPAP instead of BIPAP |
| Education Manager | Education Manager | Responsible for developing care plans; unaware of respiratory care plan omission for Resident #5 |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Acknowledged Resident #5 was using CPAP machine despite physician order for BIPAP |
| Respiratory Therapist | Respiratory Therapist | Set up CPAP machine for Resident #5 and performed monthly checks |
| Regional Director of Operation | Regional Director of Operation | Reported facility's use of respiratory company without contract |
| Resident #5's Physician | Physician | Ordered BIPAP machine for Resident #5 with specific settings |
Inspection Report
Routine
Deficiencies: 3
Date: Feb 14, 2019
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident hydration preferences, kitchen sanitation, and infection prevention and control practices at Stanton Nursing and Rehabilitation Center.
Findings
The facility failed to provide residents with coffee choices consistent with their preferences, maintained kitchen equipment with excessive food debris and oil buildup, and did not consistently enforce infection control protocols including proper use of personal protective equipment (PPE) for residents on contact precautions.
Deficiencies (3)
F 0807: The facility failed to provide drinks consistent with resident preferences related to coffee choices for five of thirty-eight sampled residents; only decaffeinated coffee was routinely served without informing residents of the option to request caffeinated coffee.
F 0812: The facility failed to maintain kitchen equipment in a clean and sanitary condition; observations revealed excessive buildup of dried and burned food debris and approximately two gallons of oil in drip pans under the range top and grill.
F 0880: The facility failed to implement an infection prevention and control program effectively; staff were observed entering the room of a resident on contact precautions without donning PPE and removing isolation gowns improperly in the hallway.
Report Facts
Residents sampled: 38
Residents affected: 5
Residents affected: 1
Gallons of oil: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | LPN | Observed not wearing PPE when entering and leaving Resident #1's room on contact precautions |
| Registered Nurse #1 | RN | Observed not wearing PPE during wound care for Resident #1 on contact precautions |
| State Registered Nurse Aide #6 | SRNA | Delivered meal tray to Resident #1 without donning PPE and unaware of contact precautions |
| Dietary Manager | DM | Interviewed regarding coffee service practices |
| Director of Nursing/Infection Control Nurse | DON/Infection Control Nurse | Interviewed regarding infection control education and PPE policies |
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