Barren County Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Barren County Nursing and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 8, 2025

  Based on observation, interview, and review of the facility's policy, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, which had the potential to affect 89 of the facility's 89 residents who consumed food from the kitchen. Observation of the kitchen area revealed food items were exposed to the air and/or potential contamination. Both the refrigerator and dishwasher area had strong odors, and several areas of the kitchen were soiled. One of the facility's ice machines, which was used to serve ice to the residents, was not clean. […]

• No harm, potential for more than minimal, patternF585Mar 9, 2023

  Based on interviews, record review, facility document review, and facility policy review, it was determined the facility failed to ensure a consistent process was in place for addressing resident grievances and maintaining evidence of efforts to resolve grievances for one (1) of one (1) sampled residents reviewed for grievance concerns (Resident #42) of a total sample of twenty-nine (29) residents. Interview with Resident #42 on 03/06/2023 at 10:46 AM, revealed the resident had expressed concerns about his/her roommate, and missing items. Further interviews revealed the facility failed to complete a grievance and make efforts to resolve the grievance. […]

• No harm, potential for more than minimal, patternF812Mar 9, 2023

  Based on observations, interviews, and facility policy review, it was determined the facility failed to ensure food was covered during transport to two (2) (Gold and [NAME] Hall) of five (5) resident hallways to prevent potential contamination of residents' food. This deficient practice had the potential to affect forty-six (46) residents who resided on the Gold and [NAME] Halls. Observations on 03/07/2023 and 03/08/2023, revealed staff parked a covered meal tray cart between Room nine (9) and Room ten (10) on the Gold Hall. Continued observation revealed staff carried residents' meal trays to Rooms #1 (one), #10 (10), and #12 (twelve). The meal trays contained sugar cookies, salads, and beverages that were uncovered and exposed to air. […]

• No harm, potential for more than minimal, isolatedF656Aug 8, 2025

  Based on observation, interview, record review, and policy review, the facility failed to develop and implement a comprehensive person-centered care plan for one (Resident (R) 60) of 19 sampled residents. The resident was assessed with skin tears on admission and through the Minimum Data Set (MDS) assessment process. However, the facility failed to care plan this specific, active care need. In addition, staff failed to implement care plan interventions by providing care as ordered for R60. […]

• No harm, potential for more than minimal, isolatedF684Aug 8, 2025

  Based on observation, interview, record review, and review of facility policy it was determined the facility failed to ensure that one (Resident (R) 60) of 19 sampled residents received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan. Staff failed to provide treatment in accordance with the care plan and physician orders for R60, who had non-pressure related skin impairment. The findings include:Review of the facility policy titled Skin Integrity - Skin Tears, dated 01/02/2020 and revised on 03/24/2022, revealed it was the policy of the facility to provide proper treatment and care to maintain skin integrity. This policy pertains to the prevention and management of skin tears. […]