Kingsbrook Lifecare Center

In the surveyor’s words

From the most serious findings on record at Kingsbrook Lifecare Center, in the surveyor’s own words.

• Actual harm, isolatedF656Jun 28, 2024

  Based on interview, record review, review of the Kentucky Medicaid Nurse Aide Testing Procedures Manual and Study Guide, and review of the facility's policy, the facility failed to ensure residents received care planning to meet the resident's physical, mental, and psychosocial needs for 1 of 26 residents reviewed for care planning (Resident (R) 99). The facility failed to develop care plan interventions to address care of R99's uncircumcised penis, resulting in worsening of an infection of the resident's penis that required surgical intervention. […]

• Actual harm, isolatedF684Jun 28, 2024

  Based on interview, record review, review of the Kentucky Medicaid Nurse Aide Testing Procedures Manual and Study Guide, and review of Mosby's Textbook for Nursing Assistants, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice to meet the resident's physical, mental, and psychosocial needs for 1 of 3 residents assessed for skin care (Resident (R) 99). Staff failed to re-assess identified redness under R99's penile foreskin, even though the resident was complaining of pain during urination, which resulted in worsening of an infection that required surgical intervention. […]

• No harm, potential for more than minimal, patternF550Jun 5, 2025

  4. Review of R130's closed admission Record revealed the facility admitted the resident on 03/19/2025 with diagnoses including orthopedic aftercare following surgical amputation, insomnia, depression, and anxiety disorder. Review of R130's MDS, with an ARD of 03/25/2025, revealed the facility assessed the resident with a BIMS score of 15 out of 15, indicating the resident was cognitively intact. Further review revealed R130 denied depression symptoms such as feeling hopeless. Continued review revealed the facility assessed the resident as being free from delusions, hallucinations, and behaviors during the look back period. […]

• No harm, potential for more than minimal, patternF880Jun 5, 2025

  Based on observation, interview, record review, review of the Centers for Disease Control and Prevention (CDC) guidelines, and review of the facility's policies, the facility failed to establish and maintain an 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 affecting 4 of 26 sampled residents, Residents (R) 57, R60, R87, and R132. […]

• No harm, potential for more than minimal, patternF761Jun 28, 2024

  Based on observation, interview, record review, review of the website www.drugs.com, and review of the facility's policy, the facility failed to ensure drugs and biologicals were stored according to professional standards for 1 of 3 medication room refrigerators and 3 of 4 medication carts. Proper temperature control for the medication room refrigerator on the Forest Heights Unit was not maintained, and staff failed to notify the Maintenance Director of the equipment failure. Staff failed to write the expiration date on three insulin pens (two in the medication cart on the Forest Heights Unit and one in the medication cart on the Garden View Unit) based on the date they were removed from refrigeration. […]