Lake Barkley Health & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Lake Barkley Health & Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF725Apr 24, 2025

  Based on observation, interview, and review of the facility's Certified Nursing Assistant (CNA) job description and policy, the facility failed to have sufficient nursing staff to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Observation and interview revealed an average call light response time of 15 - 20 minutes for three of 50 sampled residents, (Resident (R)15, R42, and R196). The findings include: Review of the facility policy titled, Activities of Daily Living (ADLs), undated, revealed the facility was to provide care, treatment, and services to residents as appropriate to maintain or improve their ability to carry out activities of daily living (ADLs). […]

• No harm, potential for more than minimal, isolatedF761Apr 24, 2025

  Based on observation, interview, facility policy review, and review of manufacturer's instructions, the facility failed to ensure drugs and/or biologicals used in the facility were current for use and/or labeled with currently accepted professional principles, including the expiration date when applicable. Observation of a medication storage room revealed two Tuberculin vials stored in the refrigerator were opened but not labeled with a date as to calculate its discard date. Observation also revealed two vials of Tuberculin dated with a date that was beyond the 30 day manufacturer's required discard date. […]

• No harm, potential for more than minimal, isolatedF880Apr 24, 2025

  Based on observation, interview, record review and review of facility policy, 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 for 1 of 13 sampled residents, (Resident (R)10). During observation on 04/24/2025 at 3:33 PM, Licensed Practical Nurse (LPN) 5 was observed to blow her nose; however, failed to perform hand hygiene after doing that. The LPN was then observed to touch R10's packaged medications and administer them to the resident. […]

• No harm, potential for minimal, widespreadF577Apr 24, 2025

  Based on observation, interview, and review of the facility's policy, the facility failed to ensure survey results were posted in a place readily accessible, where individuals wishing to examine the survey results did not have to ask to see them. The facility's failure affected 8 residents who attended the resident council meeting (Resident (R)4, R11, R12, R24, R31, R32, R36, and R38) and had the potential to affect all residents residing in the facility, as well as family/representatives, and visitors of the facility who had the right to review the facility's survey history. Observation revealed the facility's survey binder was not located in a readily accessible place and interview revealed the binder had been stored in the Administrator's office. […]