Metcalfe Nursing and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Aug 12, 2021

  Based on observation, interview, record review, review of the facility's investigation, and review of the facility's policy, it was determined the facility failed to ensure two (2) of three (3) residents (Residents #1 and #2) were free from abuse. On 06/25/2021 State Registered Nurse Aide (SRNA) #6 observed SRNA #3 push Resident #1 onto the bed, causing the resident's right hip to strike the bed's enable bar. When Resident #1 told SRNA #3 that he/she wished he would leave, SRNA #3 told Resident #1, I wish you would die. On 07/12/2021, at approximately 1:10 AM Resident #1 reported to SRNA #6 that on the evening of 07/11/2021 SRNA #3 had sprayed water in his/her face, and told him/her that the water was poisoned and he/she would be dead by morning. […]

• Immediate jeopardy, isolatedF609Aug 12, 2021

  Based on interview, record review, review of a facility investigation, and review of the facility's abuse policy, it was determined the facility failed to ensure four (4) allegations of abuse were reported timely for one (1) of three (3) sampled residents (Residents #1). On 06/25/2021, State Registered Nurse Aide (SRNA) #6 witnessed SRNA #3 abuse Resident #1. There was no documented evidence SRNA #6 immediately reported the allegation to the facility. SRNA #3 continued to provide resident care at the facility. The SRNA failed to report the abuse allegation until the facility interviewed him on 07/14/2021, (19 days later) regarding other allegations of abuse involving Resident #1. […]

• Immediate jeopardy, isolatedF610Aug 12, 2021

  Based on interview, record review, review of facility investigations, and review of the facility's policy, it was determined the facility failed to ensure allegations of abuse were thoroughly investigated for two (2) of three (3) residents (Residents #1 and #2), and failed to prevent further potential abuse, while the investigation was in progress. On 07/13/2021, Adult Protective Services (APS) notified the facility that State Registered Nurse Aide (SRNA) #3 allegedly abused Resident #1. The facility initiated an investigation regarding SRNA #3 intentionally spraying water in Resident #1's face during a bath, giving the resident a cup of water and telling the resident it contained poison, pushing the resident in bed, and turning a fan toward the resident's face to make him/her cold. […]

• No harm, potential for more than minimal, widespreadF576Oct 22, 2022

  Based on interview and review of the facility's Mail Distribution policy, it was determined the facility failed to ensure residents had the right to send and receive mail. In addition, the facility failed to ensure residents were able to receive letters, packages and other materials delivered to the facility for residents on Saturdays and Sundays. The total census was sixty-two (62). The findings include: Review of the facility's policy titled, Mail Distribution, undated, revealed it was the intent of the policy that the facility developed a system of resident mail transport, which involved the Activities Department and the person who received the mail, i.e., the Receptionist. […]

• No harm, potential for more than minimal, widespreadF880Oct 22, 2022

  Based on observation, interview, record review, and review of the facility's policies, it was determined the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment; to help prevent and control the development and transmission of communicable diseases; and, to implement interventions per the Centers for Medicare and Medicaid Services (CMS), the Centers for Disease Control and Prevention (CDC), and the Kentucky Department for Public Health (Health Department) state guidelines for COVID-19. […]