Kindred Hospital - Louisville

In the surveyor’s words

From the most serious findings on record at Kindred Hospital - Louisville, in the surveyor’s own words.

• Immediate jeopardy, isolatedF656Dec 4, 2023

  Based on observation, interview, record review, review of facility policy, and review of the Centers for Medicare and Medicaid Services (CMS), Resident Assessment Instrument (RAI) Manual 3.0, it was determined the facility failed to develop and implement a Comprehensive Care Plan (CCP) for each resident to meet a resident's medical, nursing, mental and psychosocial needs for one (1) of forty (40) sampled residents (Resident #44). Resident #44's Comprehensive Care Plan, dated [DATE], revealed the resident was at risk for injury related to mobility; however, the CCP was not developed with interventions for a Hoyer lift (mechanical lift) for transfers. […]

• Immediate jeopardy, isolatedF689Dec 4, 2023

  Based on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents. Additionally, the facility failed to ensure staff were properly trained and knowledgeable of how to safely use the Hoyer lift (mechanical lift) for resident transfers. This affected two (2) of forty (40) sampled residents (Residents #10 and #44). On [DATE], Certified Nursing Assistant (CNA) #1 (orientee) and CNA #3 assisted Resident #44 to the bed from his/her wheelchair with the use of a Hoyer lift. The resident slid from the sling and landed on the floor. Resident #44 experienced a change in his/her level of consciousness (LOC). […]

• Actual harm, isolatedF656Mar 11, 2022

  Based on interview, record review, and review of the facility's policies, it was determined the facility failed to develop a Comprehensive Care Plan, to accurately reflect the Comprehensive Initial Minimum Data Set Quarterly Minimum Data Set assessments for one (1) of twenty-two (22) sampled residents (Resident #189). Closed record review revealed the facility assessed Resident #189 to require the extensive assistance of two-plus (2+) persons, physical assist for bed mobility. However, review of the initial and ongoing care plans did not reflect the assessed need for extensive two-plus (2+) persons physical assist for bed mobility. Certified Nursing Assistant (CNA) #6 provided one (1) person physical assist with bed mobility. […]

• Actual harm, isolatedF689Mar 11, 2022

  Based on interview, record review, and review of facility policies, it was determined the facility failed to ensure the resident's environment remained as free of accident hazards as was possible, and each resident received adequate supervision and assistance to prevent accidents for one (1) of twenty-two (22) sampled residents (Resident #189). Resident #189 sustained a fall with injuries from his/her bed, during a bed bath with only one staff assisting. However, according to the facility's Comprehensive Assessment, two (2) or more staff members were required to assist Resident #189 while moving in bed. […]

• No harm, potential for more than minimal, widespreadF812Jan 30, 2025

  Based on observation, interview, and facility document and policy review, the facility failed to ensure it followed proper food handling practices had the potential to affect all residents who received food from the kitchen. Male dietary staff were observed to not have beard restraints in place while they were in the kitchen. Additionally, review of documentation revealed dietary staff failed to note food temperatures as directed by the policy. The findings include: 1. Review of the facility policy titled, Personal Hygiene, dated 12/05/2022, revealed, 4. Hair Restraints/False Eyelashes: a. Hair restraints are required for any person entering the foodservice areas (kitchen, behind the line cafe, food/supply storage areas) .c. […]