Bardstown Health & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Bardstown Health & Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF761Jul 18, 2025

  Based on observation, interview, and review of facility policies and medication guidelines, the facility failed to store, label and dispose of medications in accordance with accepted professional standards for 1 of 2 medication rooms and 2 of 2 medication carts. Observation of the East Medication Room refrigerator on 07/14/2025, revealed an opened ampule of Tubersol without an expiration date or opened date. Observation of the Medication Cart 2 Narcotics bin on 07/16/2025, revealed an unidentified tablet secured with tape into a blister pack containing one milligram Lorazepam tablets. Observation of Medication Cart 1, on 07/17/2025, revealed 14 unidentified loose pills, tablets and capsules in the cart drawer with the medication blister packs. […]

• No harm, potential for more than minimal, patternF600May 1, 2021

  Based on observation, interview, record review, and facility policy review, it was determined the facility failed to protect four (4) of thirty-one (31) residents from resident to resident abuse. The facility failed to protect Resident #10 from abuse resulting in a skin tear to the hand. The facility failed to protect Resident #35, #366 and #313 from verbal abuse. The findings include: Review of the facility policy titled, Abuse Prevention Program, updated [DATE], revealed it is the policy of the facility to prevent resident abuse, neglect, mistreatment and misappropriation of resident property. The policy also stated each resident receives care and services in a person-centered environment in which all individuals are treated as human beings. […]

• No harm, potential for more than minimal, patternF812May 1, 2021

  Based on observation, interview, record review and review of facility policy, the facility failed to ensure the temperature of each cooked food item was checked before served per facility policy for 57 meals between 04/01/2021 and 04/25/2021. The findings include: Review of the facility's policies Monitoring food temperatures for Meal Service undated revealed the temperature for each food item shall be recorded in the Temperature Log Book. Observation on 04/26/2021 at 4:39 PM revealed the Dietary Manager took temperatures of each cooked food item on the steam table for the resident's dinner meal. The Dietary Manager then documented the food temperatures in a log book. […]

• No harm, potential for more than minimal, isolatedF657Jul 18, 2025

  Based on interview, record review, and review of facility policy, it was determined the facility failed to revise the Comprehensive Care Plan for 1 of 15 sampled residents, Resident (R)42. Specifically, the facility failed to revise R42's Care Plan with interventions to address weight loss after the resident sustained a 32.6 pound (18.09%) severe weight loss in less than one month.The finding Include: Review of the facility's Care Planning-Interdisciplinary Team policy, undated, revealed .2. The care plan is based on the resident's comprehensive assessment and is developed by a Care Planning/Interdisciplinary Team which may include, but is not necessarily limited to the following personnel: a. the resident's Attending Physician; b. […]

• No harm, potential for more than minimal, isolatedF692Jul 18, 2025

  Based on interview, record review, and review of facility policy, the facility failed to ensure that a resident receives and maintains acceptable parameters of nutritional status, such as body weight, unless the resident's clinical condition demonstrates that this is not possible for 1 of 2 sampled residents reviewed for nutrition, Resident (R)42. Specifically, the facility failed to identify and respond to R42's 32.6 pound (18.09%) severe weight loss in less than one month.The finding include: Review of the facility's Weight Assessment and Intervention policy revealed. 4. Any weight change of 5% or more [unless otherwise specified in the resident's care plan or Physician's order] since the last weight will be retaken for confirmation. […]