Campbellsville Nursing and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 22, 2024

  Based on observation and interview, the facility failed to ensure kitchen surfaces and equipment were free of an excessive amount of rust, black build up, and dust. These deficient practices had the potential to affect all residents who received food from the kitchen. The findings included: On 08/19/2024 at 8:59 AM, the initial tour of the kitchen, was conducted with the Certified Dietary Manager (CDM). At 9:04 AM, the ceiling vent above the two-door reach-in cooler was observed with an excessive amount of rust and black buildup. At 9:05 AM, a black substance was observed on the gasket inside of the two-door reach-in cooler. At 9:17 AM, a ceiling tile above the exhaust fan for the dish machine was missing, and the area where the ceiling tile was missing had a black buildup. […]

• No harm, potential for more than minimal, patternF880Jan 6, 2026

  Based on observation, interview, record review, and review of facility policy, the facility failed to ensure staff adhered to infection prevention and control practices, including hand hygiene and cleaning and disinfection of resident care equipment, to prevent the transmission of infections. The failure had the potential to affect all residents. The findings include: Review of the facility's policy titled, Infection Control Program Standard of Practice, revised 11/2017, revealed the purpose of the facility's infection control program was to prevent the spread of infection. In addition, review revealed the purpose also included providing appropriate education for staff and residents concerning infection control and to monitor infections and facility areas of infection. […]

• No harm, potential for more than minimal, isolatedF812Jan 6, 2026

  Based on observation, interview, and review of facility policies, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety.The findings include: 1). Review of the facility policy titled, Staff Attire HCSG Policy 024, revised 01/2025, revealed all staff members were to have their hair off their shoulders and confined in a hair net or cap, with facial hair properly restrained. Further review revealed all staff members were to store all personal belongings, including cell phones, in designated areas away from food preparation or food and supply areas. Observation, on 01/04/2026 at 10:35 AM, revealed [NAME] 1 and Dietary Aide (DA) 1 preparing residents' lunches without hair nets in place as per the policy. […]

• No harm, potential for more than minimal, isolatedF656Aug 22, 2024

  Based on interview, record review, and facility policy review, the facility failed to develop a care plan addressing the use of an anticoagulant for 1 (Resident #24) of 6 sampled residents reviewed for unnecessary medications. The facility also failed to develop a care plan addressing hospice services for 1 (Resident #37) of 1 resident reviewed for hospice and end of life. The findings include: Review of the facility's policy titled, Comprehensive Care Plans Standard of Practice, dated 10/2020, specified, An individualized comprehensive care plan that includes measurable objectives and timetables to meet the resident's medical, nursing, mental and psychosocial needs is developed for each resident. The policy further specified, 3. Each resident's comprehensive care plan is designed to: a. […]