Inspection Reports for
Wurtland Nursing &Amp; Rehabilitation
100 WURTLAND AVENUE, WURTLAND, KY, 41144
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
70% worse than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Re-Inspection
Census: 109
Deficiencies: 1
Date: Apr 29, 2025
Visit Reason
A recertification and abbreviated survey was conducted from 01/26/2025 through 02/11/2025, followed by a second on-site revisit survey completed on 04/29/2025 to verify correction of previous deficiencies.
Findings
The facility was initially found not in compliance with 42 CFR 483 subpart B at the highest Scope and Severity of 'G'. After an Informal Dispute Resolution, the severity of one deficiency was lowered from 'G' to 'D'. The revisit survey determined the facility had achieved substantial compliance as of 04/11/2025.
Deficiencies (1)
Develop/Implement Comprehensive Care Plan CFR(s): 483.21(b)(1)(3)
Report Facts
Survey Census: 109
Sample size: 32
Supplemental Residents: 38
Inspection Report
Routine
Deficiencies: 12
Date: Feb 11, 2025
Visit Reason
Routine inspection of Wurtland Nursing and Rehabilitation to assess compliance with regulatory requirements including resident care, medication management, staffing, and safety.
Findings
The facility was found deficient in multiple areas including failure to provide reasonable accommodation for call light accessibility, incomplete advance directive documentation, failure to notify residents of transfer reasons, inadequate baseline and comprehensive care plans, insufficient assistance with activities of daily living, improper medication administration and storage, failure to prevent pressure ulcers, inadequate catheter care, insufficient nutrition via feeding tube, delayed pain medication administration, and insufficient staffing levels to meet resident needs.
Deficiencies (12)
F 0558: Facility failed to provide reasonable accommodation of resident needs related to call lights for three residents; call lights were out of reach and inaccessible.
F 0578: Facility failed to inform and provide written information to eight residents concerning the right to accept or refuse medical treatment and to formulate advance directives.
F 0623: Facility failed to notify residents and representatives in writing of specific reasons for transfer to another facility for five residents.
F 0655: Facility failed to develop a baseline care plan within 48 hours that included minimum instructions to provide effective and person-centered care for one resident with pressure ulcers.
F 0656: Facility failed to develop and implement comprehensive person-centered care plans with specific, effective interventions for five residents, including failure to follow care plans for skin, hygiene, and dressing changes.
F 0677: Facility failed to provide necessary services to maintain good personal and oral hygiene and timely incontinence care for six residents, resulting in embarrassment and skin breakdown.
F 0684: Facility failed to ensure residents received treatment and care in accordance with professional standards, including proper application of medicated shampoo, care of prosthetic eye, and timely dressing changes for three residents.
F 0690: Facility failed to provide care to prevent and timely treat urinary tract infections for two residents with indwelling catheters; catheter bags were not secured and were on the floor.
F 0693: Facility failed to ensure appropriate treatment and services to prevent complications of enteral feeding for one resident, resulting in hospitalization for dehydration and hypernatremia.
F 0697: Facility failed to ensure pain management was provided as ordered for one resident; pain medication was not reordered timely and was unavailable per physician orders and care plan.
F 0725: Facility failed to have sufficient, competent nursing staff to meet the assessed needs of residents, resulting in inadequate assistance with ADLs, delayed call light response, and inability to provide care according to care plans.
F 0761: Facility failed to store insulin medications at correct temperatures; two medication refrigerators were found below the recommended temperature range, risking medication efficacy.
Report Facts
Facility census: 109
Residents per SRNA: 27
Medication refrigerator temperature: 26
Medication refrigerator temperature: 30
Fluid intake deficit: 4600
Enteral feeding deficit: 7899
Inspection Report
Routine
Deficiencies: 7
Date: Feb 11, 2025
Visit Reason
Routine state inspection of Wurtland Nursing and Rehabilitation to assess compliance with healthcare regulations including care planning, activities of daily living, infection control, staffing, and medication management.
Findings
The facility failed to develop and implement comprehensive person-centered care plans, provide timely and adequate care for activities of daily living including incontinence and oral care, properly apply treatments, maintain infection control practices, ensure adequate staffing, and timely administer medications including pain management. Several residents experienced harm or potential harm due to these deficiencies.
Deficiencies (7)
F0656: The facility failed to develop and implement complete care plans with measurable actions for five residents, resulting in inadequate interventions for skin conditions, pressure ulcers, and personal hygiene.
F0677: The facility failed to provide timely and adequate assistance with activities of daily living, including incontinence and oral care, for six residents, causing embarrassment and skin issues.
F0684: The facility failed to provide appropriate treatment and care for three residents, including improper application of medicated shampoo, inadequate care of a prosthetic eye, and failure to change a midline dressing as ordered.
F0693: The facility failed to ensure appropriate treatment and services to prevent complications of enteral feeding for one resident, resulting in hospitalization for severe dehydration and hypernatremia.
F0697: The facility failed to provide safe and appropriate pain management for one resident by not timely reordering and administering pain medication as ordered.
F0725: The facility failed to provide enough nursing staff daily to meet residents' needs, resulting in inadequate assistance with care, delayed response to call lights, and increased risk of harm for many residents.
F0880: The facility failed to implement an effective infection prevention and control program, including lack of PPE availability, failure to maintain droplet precaution doors closed, improper cleaning of shared equipment, and improper handling and storage of food items during medication administration.
Report Facts
Residents affected: 5
Residents affected: 6
Residents affected: 3
Residents affected: 1
Residents affected: 1
Residents affected: 109
SRNA to resident ratio: 27
Hydration Risk Assessment score: 11
Sodium level: 164
Fluid deficit: 4600
Fluid deficit: 7899
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN1 | Licensed Practical Nurse | Named in findings related to scalp care, eye care, and infection control deficiencies |
| LPN3 | Licensed Practical Nurse | Named in findings related to midline dressing care and medication administration |
| LPN4 | Licensed Practical Nurse | Named in findings related to midline dressing care and call light response |
| LPN8 | Licensed Practical Nurse | Named in infection control findings related to contaminated cup handling |
| LPN9 | Licensed Practical Nurse | Named in infection control findings related to glucometer cleaning |
| LPN11 | Licensed Practical Nurse | Named in infection control findings related to bandage scissors cleaning |
| SRNA3 | State Registered Nurse Aide | Named in multiple findings related to ADL care, call light response, and staffing |
| SRNA5 | State Registered Nurse Aide | Named in findings related to incontinence care and staffing |
| SRNA10 | State Registered Nurse Aide | Named in findings related to staffing and resident care |
| SRNA11 | State Registered Nurse Aide | Named in findings related to scalp care and staffing |
| SRNA12 | State Registered Nurse Aide | Named in findings related to scalp care and staffing |
| SRNA13 | State Registered Nurse Aide | Named in findings related to scalp care and staffing |
| SRNA22 | State Registered Nurse Aide | Named in medication ordering and staffing findings |
| F52 | Family member providing complaint and observations about resident care | |
| NP | Nurse Practitioner | Named in findings related to care orders and expectations |
| DNS | Director of Nursing Services | Named in multiple findings related to care expectations and staffing |
| ADNS | Assistant Director of Nursing Services | Named in multiple findings related to care expectations and staffing |
| ED | Executive Director | Named in findings related to complaint investigations and care expectations |
| ED1 | Executive Director | Named in findings related to complaint investigations and care expectations |
| ED2 | Executive Director | Named in infection control findings related to door repair and policy |
| IP/SDC | Infection Preventionist/Staff Development Coordinator | Named in infection control findings |
| SCH | Scheduler | Named in staffing findings |
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Oct 24, 2019
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to care planning, medication regimen reviews, and medication storage in a nursing home facility.
Findings
The facility failed to develop and implement a comprehensive care plan for a resident's behavioral needs, did not ensure monthly medication regimen reviews were completed for a resident, and failed to properly label and store medications, including expired and undated multi-dose vials of PPD and influenza vaccines.
Deficiencies (3)
F 0656: The facility failed to develop and implement a complete care plan with measurable objectives and timeframes for Resident #20's behavioral needs related to Alzheimer's disease.
F 0756: The facility failed to ensure a monthly Medication Regimen Review was completed for Resident #20 for September 2019.
F 0761: The facility failed to ensure drugs and biologicals were labeled according to professional principles and stored properly, including expired and undated multi-dose vials of PPD and influenza vaccines.
Report Facts
Residents sampled: 24
Medication dosage: 500
Medication expiration date: 2019
Medication opened date: 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Clinical Consultant Pharmacy Director | Interviewed regarding medication regimen reviews and pharmacy consultant role | |
| Advanced Practice Registered Nurse (APRN) | Interviewed regarding Resident #20's behaviors and medication use | |
| Director of Nursing (DON) | Interviewed regarding care plan expectations and medication regimen review monitoring | |
| Administrator | Interviewed regarding care plan development and medication storage policies | |
| Licensed Practical Nurse (LPN) #5 | LPN | Interviewed regarding medication storage and expired PPD vial |
| Licensed Practical Nurse (LPN) #4 | LPN | Interviewed regarding undated PPD and influenza vaccine vials |
| Registered Nurse (RN) #1 | RN | Interviewed regarding medication vial dating and expiration |
| Nurse Practitioner (NP) | Interviewed regarding effects of expired PPD and influenza vaccines | |
| RN Clinical Nurse Educator/Infection Control Nurse | Interviewed regarding medication vial dating and expiration policies | |
| Pharmacist | Interviewed regarding storage and expiration of influenza vaccine and PPD |
Inspection Report
Routine
Deficiencies: 1
Date: Sep 6, 2018
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to the provision of activities designed to meet the interests and well-being of residents, specifically focusing on individualized meaningful activities for residents who do not participate in group activities.
Findings
The facility failed to provide individualized meaningful activities to meet the needs of two sampled residents who did not participate in group activities. Residents lacked formal or structured exercise programs, and one resident did not have a television to watch. The facility also lacked a policy related to activities.
Deficiencies (1)
F 0679: The facility failed to provide an ongoing program of activities designed to meet the interests and physical, mental, and psychosocial well-being of each resident, specifically for two residents who did not participate in group activities. Individualized one-on-one activities were not adequately provided or documented.
Report Facts
Residents Affected: 2
One-on-one activity visits: 2
BIMS score: 5
Goal activities per week: 2
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