Inspection Reports for
Woodcrest Nursing and Rehabilitation Center
3876 TURKEYFOOT ROAD, ELSMERE, KY, 41018
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
79% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Routine
Census: 110
Deficiencies: 2
Date: May 22, 2025
Visit Reason
The inspection was conducted to assess compliance with medication administration standards and infection prevention and control program requirements at Woodcrest Nursing and Rehabilitation Center.
Findings
The facility failed to maintain a medication error rate below 5%, with two errors out of 33 opportunities resulting in a 6.06% error rate. Additionally, the facility failed to establish and maintain an effective infection prevention and control program, as evidenced by unsanitary conditions in the laundry area and improper handling of linens by housekeeping staff.
Deficiencies (2)
F 0759: The facility failed to ensure medication error rates were less than 5%, with two errors out of 33 opportunities resulting in a 6.06% error rate. Licensed Practical Nurse administered medications at incorrect times contrary to physician orders.
F 0880: The facility failed to provide and implement an infection prevention and control program, resulting in unsanitary laundry conditions and improper linen handling that could lead to cross-contamination. Observations included dirty utility rooms, contaminated linen carried against staff bodies, and cluttered laundry areas.
Report Facts
Medication error rate: 6.06
Resident census: 110
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN3 | Licensed Practical Nurse | Named in medication error finding for administering medications at incorrect times |
| Director of Nursing | Director of Nursing | Stated expectation that medications be administered according to physician orders and adherence to infection control policies |
| Administrator | Administrator | Stated expectation that physician orders and facility policies be followed and oversight of housekeeping and laundry services |
| Pharmacist | Contracted Pharmacist | Provided expert opinion on potential effects of medication errors |
| HSK1 | Housekeeper | Observed carrying contaminated linen against her person |
| HSK2 | Housekeeper | Observed transporting clean linen against her person through dirty utility room |
| EVS AM1 | Assistant Manager of Environmental Services | Expressed concern about laundry cleanliness and adherence to infection control |
| EVS AM2 | Assistant Manager of Environmental Services | Stated education of housekeeping staff on proper linen transport to avoid contamination |
| AM | Housekeeping Account Manager | Responsible for overseeing housekeeping and laundry departments; acknowledged poor laundry area conditions |
| Infection Preventionist | Infection Preventionist | Stated facility adherence to CDC guidelines and expectations for staff compliance with infection control policies |
Inspection Report
Deficiencies: 0
Date: Feb 20, 2020
Visit Reason
The document is a statement of deficiencies and plan of correction for Woodcrest Nursing and Rehabilitation Center following a survey completed on February 20, 2020.
Findings
No health deficiencies were found during the survey.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Sep 13, 2019
Visit Reason
The inspection was conducted due to a complaint regarding the facility's failure to treat residents with respect and dignity during meal service, specifically concerning the use of degrading language and ignoring resident requests for assistance.
Complaint Details
The complaint investigation found substantiated issues of disrespect and neglect during meal service, including use of degrading language ('feeder table'), ignoring resident requests for assistance, and staff laughing at residents with cognitive impairments.
Findings
The facility failed to treat residents with respect and dignity, using degrading terms such as 'feeder table' and laughing at residents unable to sing during meal service. Staff ignored resident requests for assistance with meals, violating residents' rights and dignity.
Deficiencies (1)
F 0550: The facility failed to honor residents' rights to a dignified existence and self-determination by using degrading language and ignoring requests for assistance during meal service. Staff laughed at residents unable to sing and did not assist residents as needed, violating resident dignity.
Report Facts
Residents sampled: 42
Residents affected: 2
BIMS score Resident #11: 0
BIMS score Resident #55: 4
Staff assistance required Resident #11: 2
Staff assistance required Resident #55: 2
Viewing
Loading inspection reports...
