Inspection Reports for
Vanceburg Hills
58 EASTHAM STREET, VANCEBURG, KY, 41179
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
6% worse than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jun 12, 2025
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at the nursing home.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Routine
Deficiencies: 10
Date: Aug 22, 2024
Visit Reason
Routine state inspection of Vanceburg Hills nursing home to assess compliance with regulatory requirements including resident care, medication management, PASARR referrals, transfer notifications, infection control, and activities.
Findings
The facility failed to notify a resident's physician about a delay in pain medication resulting in actual harm, did not provide timely transfer notifications to residents and representatives, failed to complete PASARR Level II referrals timely and accurately, did not develop or implement comprehensive care plans for pain, activities, and weight loss, failed to provide activities matching resident preferences, did not assess causes of significant weight loss, failed to verify gastrostomy tube placement before administration, did not manage pain effectively for a hospice resident, and failed to use appropriate PPE during wound care.
Deficiencies (10)
F580: The facility failed to notify the physician of a 40-hour delay in a resident's narcotic pain medication, causing actual harm due to severe pain.
F623: The facility failed to provide written transfer/discharge notices including appeal rights to residents and representatives for hospitalizations.
F644: The facility failed to timely and accurately complete PASARR Level II referrals for residents with new serious mental illness diagnoses.
F645: The facility failed to ensure PASARR Level I screenings accurately reflected residents' mental illness diagnoses.
F656: The facility failed to develop and implement comprehensive care plans for pain management, activities, and significant weight loss for three residents.
F679: The facility failed to provide activities matching a resident's preferences, resulting in risk of isolation.
F692: The facility failed to assess causes of significant weight loss and perform root cause analysis for a resident losing 9% body weight over five months.
F693: The facility failed to verify gastrostomy tube placement and residual before administering fluids or medications for two residents, risking aspiration pneumonia.
F697: The facility failed to provide effective pain management for a hospice resident who went 40 hours without ordered narcotic medication, resulting in actual harm.
F880: The facility failed to use appropriate PPE, including gowns, when performing wound care on a resident on Enhanced Barrier Precautions, risking infection transmission.
Report Facts
Residents sampled: 28
Residents affected: 1
Residents affected: 2
Residents affected: 6
Residents affected: 3
Residents affected: 3
Residents affected: 1
Weight loss: 9
Residents with G-tubes: 3
Residents affected: 2
Medication delay: 40
Dilaudid tablets received: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN2 | Licensed Practical Nurse | Named in failure to notify physician of pain medication delay and pain assessment |
| NP1 | Nurse Practitioner | Named in pain management failure and hospice collaboration |
| CNA5 | Certified Nurse Aide | Named in observation of resident pain and reporting to nursing |
| LPN4 | Licensed Practical Nurse | Named in failure to verify gastrostomy tube placement |
| RN3 | Registered Nurse | Named in failure to use PPE during wound care |
| LPN1 | Licensed Practical Nurse | Named in failure to use PPE during wound care |
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Jul 12, 2019
Visit Reason
The inspection was conducted to investigate complaints related to failure to notify the State Ombudsman of resident discharge, improper tracheostomy care, medication administration errors, infection control deficiencies, missed tuberculosis testing, and glucometer quality control failures.
Complaint Details
The complaint investigation substantiated multiple deficiencies including failure to notify the State Ombudsman of a resident discharge, improper tracheostomy care, medication administration errors, infection control lapses, missed tuberculosis testing, and glucometer quality control failures.
Findings
The facility failed to notify the State Ombudsman of a resident discharge, did not follow proper tracheostomy care procedures including hand hygiene and use of normal saline, improperly administered medications by borrowing from another resident, failed to maintain infection control practices including hand hygiene and tuberculosis testing, and did not perform required quality control checks on glucometers.
Deficiencies (5)
F 0623: The facility failed to notify the State Long Term Ombudsman of a resident transfer/discharge for one of three sampled residents reviewed for discharge requirements.
F 0695: The facility failed to provide tracheostomy care in accordance with policy and professional standards, including improper hand hygiene and use of hydrogen peroxide instead of normal saline for stoma care.
F 0755: The facility failed to implement procedures for acquiring, receiving, dispensing, and administering medications, including borrowing medication from another resident without using the emergency kit.
F 0880: The facility failed to maintain an infection prevention and control program, including improper hand hygiene during medication administration and care procedures, and missed annual tuberculosis skin testing for a resident.
F 0908: The facility failed to ensure daily quality control checks were run on glucometers for eleven dates on two glucometers affecting fifteen residents.
Report Facts
Residents sampled for discharge requirements: 24
Residents sampled for tracheostomy care: 24
Residents sampled for medication review: 24
Dates missing glucometer quality control checks: 11
Residents affected by glucometer control failures: 15
Glucometers with missing control checks: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse | Named in findings related to improper tracheostomy care and medication administration |
| LPN #2 | Licensed Practical Nurse | Interviewed regarding tuberculosis testing and glucometer quality control |
| LPN #3 | Licensed Practical Nurse | Interviewed regarding tuberculosis testing procedures |
| ADON | Assistant Director of Nursing | Interviewed regarding infection control, medication borrowing, and glucometer controls |
| DON | Director of Nursing | Interviewed regarding infection control, tuberculosis testing, medication policies, and glucometer controls |
| Administrator | Facility Administrator | Interviewed regarding expectations for compliance with policies and procedures |
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