Breathitt Health & Rehabilitation

In the surveyor’s words

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

• Actual harm, isolatedF600Feb 7, 2025

  Based on interview, record review and review of the facility's policy, the facility failed to ensure each resident remained free from abuse for 1 of 19 sampled residents, (Resident (R)2). R2 alleged Certified Nursing Assistant (CNA)2 was rough while providing care on 12/24/2024. R2 further alleged CNA2 told her, if you report me, I will beat your ass. R2 was crying and told RN1 that she was afraid of CNA2. (Refer to F609, and 610 ) The findings include: Review of the facility's policy, titled Abuse Prevention Program, undated, revealed the facility would prevent resident abuse, neglect, mistreatment and misappropriation of resident property. […]

• Actual harm, isolatedF609Feb 7, 2025

  Based on interview, record review, and review of the facility's policy, the facility failed to report an allegation of abuse to the State Agencies and local law enforcement for 1 of 19 sampled residents, (Resident (R)2). The facility failed to report an allegation of abuse after R2, while crying, alleged on 12/24/2024, to CNA6 that Certified Nursing Assistant (CNA}2 was rough while providing care and told R2, if you report me, I will beat your ass. R2 then informed RN1 that she was afraid of CNA2. Registered Nurse1 (RN1) Refer to F600 and F610. […]

• Actual harm, isolatedF610Feb 7, 2025

  Based on interview, record review and review of the facility's policy, the facility failed to conduct a thorough investigation in response to an alleged violation of abuse, for 1 of 19 sampled residents (Resident (R)2). R2 reported Certified Nursing Assistant (CNA)2 was rough while providing care on 12/24/2024. R2 reported CNA2 told her, if you report me, I will beat your ass. However, the facility failed to conduct a thorough investigation related to the allegation of abuse. CNA2 was allowed to continue working on 12/24/2024 unsupervised, allowing for the potential of further abuse. […]

• No harm, potential for more than minimal, widespreadF812Feb 7, 2025

  Based on observation, interview, and review of the facility's policies, the facility failed to store, prepare, distribute, and serve food in a sanitary manner. Dietary staff failed to check six (6) of 12 food temperatures on the steam table during the dinner meal on [DATE]. Additionally, dietary staff failed to discard eight (8) expired food items. The findings include: 1. Review of the facility's policy titled, Food & Beverage Temperature Control, undated, revealed food and beverage temperatures were checked and recorded prior to meal service. Further review revealed all staff would ensure residents received safe food served at acceptable temperatures. […]

• No harm, potential for more than minimal, isolatedF641Mar 20, 2026

  Based on interview, record review, facility policy review and review of the Resident Assessment Instrument (RAI) Manual guidelines, the facility failed to ensure the accuracy of the Minimum Data Set (MDS) for two of 41 sampled residents (R) R1 and R5).Findings included: A facility policy titled Certifying Accuracy of the Resident Assessment, dated 01/05/2025, indicated, Any person completing a portion of the Minimum Data Set/MDS (Resident Assessment Instrument) must sign and certify the accuracy of that portion of the assessment. The policy further indicated 3. The information captured on the assessment reflects the status of the resident during the observation ( look-back) period for that assessment. […]