Cave City Nursing Home Inc

In the surveyor’s words

From the most serious findings on record at Cave City Nursing Home Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Oct 8, 2021

  Based on observation, record review, and interview, the facility failed to ensure food items were dated when received and when opened; the ice machine was maintained in clean condition; dented cans were removed from stock; dietary staff washed their hands between dirty and clean tasks; hot foods were maintained at or above a temperature of 135 degrees Fahrenheit (F.) while awaiting service; and kitchen appliances were maintained in sanitary condition to decrease the potential for food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 65 residents who received meals from the kitchen, as documented on a list provided by the Assistant Director of Nursing on 10/08/21. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF814Oct 8, 2021

  Based on observation and interview, the facility failed to ensure trash was properly contained within 1 of 3 dumpsters and failed to ensure the lids were closed on 3 of 3 dumpsters to minimize the presence of foul odors and decrease the potential for pest infestation. This failed practice had the potential to affect all 66 residents who resided in the facility, as documented on the Daily Census provided by the Administrator on 10/04/21. The findings are: 1. On 10/04/21 at 10:49 A.M., the lids were open on 3 of 3 dumpsters. There was a blue cloth hanging over the front of dumpster #2. There were liquids, paper, and plastic gloves on the ground in front of the dumpsters. The Dietary Manager (DM) was asked to describe what she saw. […]

• No harm, potential for more than minimal, patternF684Jul 2, 2025

  Based on record review, interview, and facility policy review, the facility failed to ensure medications were administered according to physician's orders for one (Resident #40) of five residents reviewed. The findings include: A review of Resident #40’s quarterly Minimum Data Set with an Assessment Reference Date of 06/26/2025, indicated the resident had a Brief Interview for Mental Status score of 14, which indicated Resident #40 was cognitively intact. A review of Resident #40's active Physician's Orders, as of 07/01/2025, revealed the resident had diagnoses which included post-traumatic stress disorder, osteoarthritis, and generalized anxiety disorder. […]

• No harm, potential for more than minimal, patternF578Apr 4, 2024

  Based on interview and record review, the facility failed to ensure written information regarding the right to formulate an advanced directive was provided to the residents or their responsible parties, to enable them to make informed decisions regarding which measures would be provided or withheld at the end of life for 2 (Residents #8 and #45) of 3 residents reviewed for Advance Directive. The findings include: 1. Resident #45 was admitted on [DATE] with a diagnosis of Dementia. a. On 04/01/2024 at 02:31 PM, during a review of Resident #45's chart, no advance directive was located. b. On 04/02/2024 at 12:04 PM, the Facility provided a Do Not Resuscitate (DNR) order, and an order appointing guardian of the person and estate and an order for disbursement of funds. c. […]

• No harm, potential for more than minimal, patternF677Apr 4, 2024

  Based on observation, interview and record review, the facility failed to ensure resident fingernails were kept clean for 3 (Residents #8, #53, and #66) of 3 sampled residents, oral hygiene was being completed for 1 (Resident #66) of 1 sampled resident, and male residents were shaved to promote good personal hygiene for 2 (Resident #53, and #66) of 2 sampled residents. The findings are: A facility policy titled, 'Activities of Daily Living (ADLs)' dated 10/04/2022 documented, .Care and services will be provided for the following activities of daily living: 1. Bathing, dressing, grooming and oral care . A resident who is unable to carry out activities of daily living will receive the necessary services to maintain good nutrition, grooming, and personal and oral hygiene . 1. […]