Hazard Health and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF755Feb 27, 2026

  Based on observation, interview, and facility policy review, the facility failed to maintain and ensure recording of the reconciliation of controlled medication was occurring as required for 8 of 8 medication carts.The findings include: Review of the facility policy titled, Controlled Medication Storage effective date June 2024, revealed, at shift change, a physical inventory of all controlled medications was to be conducted by two licensed nurses or a licensed nurse and a medication aide. Further review revealed the inventory was to be documented on the (facility's) controlled medication accountability record. […]

• No harm, potential for more than minimal, widespreadF880Feb 27, 2026

  Based on observation, interview, record review, and review of the facility's policies, the facility failed to maintain an effective infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 5 of 41 sampled residents (Resident (R)4, R77, R28, R42 and R50).The findings include: Review of the facility's policy titled, Enhanced Barrier Precautions (EBP), dated 03/08/2024, revealed the EBP policy was implemented to reduce the transmission of multidrug-resistant organisms (MDROs) within the facility. […]

• No harm, potential for more than minimal, widespreadF812Oct 31, 2024

  Based on observation, interview, record review, document review and policy review, the facility failed to ensure the kitchen was maintained in a sanitary condition to minimize the risk of food borne illness to all 151 residents residing in the facility and who received meals from the kitchen. Specifically, the water temperature in three out of four handwashing sinks in the kitchen was not hot; sanitizer solutions were too strong; microwave ovens were soiled; individual cartons of shakes were not labeled with expiration dates, and the refrigerator/freezers on the units were not monitored and/or were not functioning properly. […]

• No harm, potential for more than minimal, widespreadF880Oct 31, 2024

  Based on observation, record review, interview and facility document review, the facility was to follow Enhanced Barrier Precautions (EBP) when performing direct care to one of 36 residents (Resident (R)108) and failed to update infection control policies annually. This failure has the potential to spread infection to residents, staff are administering direct care to. Findings included: 1. Review of R108's Electronic Medical Record (EMR) undated Face Sheet located under the Profile tab, indicated R108 was admitted to the facility on [DATE] with diagnoses of Alzheimer's Disease, dysphagia, and adult failure to thrive. […]

• No harm, potential for more than minimal, widespreadF924Oct 31, 2024

  Based on observation and interview, the facility failed to ensure that two corridors were equipped with firmly secure handrails on each side of the hallway which has the potential to affect all ambulatory residents in the facility. Failure to have handrails could affect residents' ability to safely ambulate down the hallways. Findings include: Observation on 10/29/24 at 4:20 PM revealed no handrail on the north front corridor wall in a 12 foot section. The wall was across the hall from the outpatient physical therapy room. Observation on 10/29/24 at 4:20 PM revealed no handrail on the south front corridor wall near the outpatient therapy room measuring six feet. […]