Madisonville Health and Rehabilitation, LLC

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812May 22, 2026

  Based on observation, interview, and review of facility policy, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. This failure had the potential to affect all residents who consumed meals from the kitchen.Observation of the kitchen, on 05/20/2026, revealed multiple food items uncovered in the freezer and dry storage pantry; and a box of uncovered oatmeal cookie dough in the freezer stored underneath an ice-covered condenser. Additionally, there were several large bins which contained salt, sugar, and breadcrumbs, which were soiled on the outside.Further, observation on 05/21/2026, revealed the [NAME] was not wearing a beard net properly, in order to cover all facial hair. […]

• No harm, potential for more than minimal, widespreadF880May 22, 2026

  Based on observation, interview 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.During observation of the laundry room on 05/22/2026, the two staff members present were asked to verbalize the process on handling soiled linen. They both stated they only wore gloves when handling soiled linen instead of the standard precaution of donning gloves and a gown. […]

• No harm, potential for more than minimal, isolatedF806May 22, 2026

  Based on observation, interview, record review, and review of facility policy, the facility failed to provide food that accommodated resident preferences for 1 of 26 residents in the dining room during meal service on 05/20/2026, Resident (R) 69. Observation of lunch meal service on 05/20/2026, revealed R69 was given ice cream as a substitute item for dessert, without asking if he wanted the scheduled strawberry shortcake dessert.The findings include: Review of the facility policy, titled Resident Rights, reviewed 04/2026, revealed the resident has the right to and the facility must have promoted and facilitated resident self-determination through the support of resident choice. The resident has the right to make choices about aspects of his life in the facility. […]

• No harm, potential for more than minimal, isolatedF921Apr 23, 2026

  Based on observation, interview, and review of the facility's policy, the facility failed to ensure residents had a right to a safe, clean, sanitary, and comfortable environment. Observations in the facility's laundry room on 04/17/2026 revealed the floor around and behind the washing machines covered in dirt and the concrete floor in disrepair.The findings include:Review of the facility's policy titled Safe and Homelike Environment, revised 06/01/2025, revealed it was the facility's policy to ensure that the resident can receive care and services safely and that the physical layout of the facility does not pose a safety risk. […]

• No harm, potential for more than minimal, isolatedF684May 1, 2025

  Based on observation, interview, record review, and review of facility policy, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice regarding wound care for 1 of 2 residents sampled for skin assessments out of the total 18 sampled residents, (Resident (R)21). The findings include: Review of the facility policy, Wound Treatment Management, revised on 03/24/2025, revealed the facility's policy was to promote wound healing of various types. Per review, it was the policy of the facility to provide evidence-based treatments in accordance with current standards of practice and physician's orders. […]