Pikeville Nursing and Rehab Center, LLC

In the surveyor’s words

From the most serious findings on record at Pikeville Nursing and Rehab Center, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 8, 2026

  Based on observation, interview, and facility policy review, the facility failed to ensure that staff maintained the oven in a clean and sanitary condition and failed to allow serviceware to air dry before stacking for storage and/or use. This failure had the potential to affect all residents who received meals from the dietary department.Findings included: An undated facility policy titled, Manual Warewashing, indicated, All serviceware and cookware will be air dried prior to storage. A facility policy titled, Equipment, revised 09/2017, revealed, All foodservice equipment will be clean, sanitary, and in proper working order. The policy also revealed, 3. All food contact equipment will be cleaned and sanitized after every use. […]

• No harm, potential for more than minimal, widespreadF880Jan 8, 2026

  Based on observation, interview, and facility policy and document review, the facility failed to fit test all staff annually for N95 respirators which had the potential to affect all residents residing in the facility. Additionally, the facility failed to ensure 2 (Certified Medication Aide [CMA] #5 and Registered Nurse [RN] #6) of 2 staff observed during medication administration followed infection control procedures when preparing medications.Findings included: 1. During an observation on 01/07/2026 at 8:41 AM, CMA #5 was observed preparing 45 milliliters (ml) of lactulose in two separate cups, one with 30 ml and the other with 15 ml then combining them into a six-ounce plastic cup. […]

• No harm, potential for more than minimal, patternF921Oct 30, 2024

  Based on observation, interview, review of the facility's job descriptions, review of the facility's policies, and food establishment inspection reports, it was determined the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. Observations from 10/27/2024 through 10/30/2024, revealed blunt, metal plumbing protruding from the wall above the toilet in two bathrooms shared by four resident rooms, flooring was uneven in hallways, and resident bathrooms; lighting issues in resident bathrooms and the kitchen, odors permeating from the floor in resident bathrooms, leaking pipes from equipment in the kitchen, chipped and peeling paint/drywall in resident rooms as well as the kitchen, peeling paint on the floor in the kitchen,… […]

• No harm, potential for more than minimal, isolatedF550Jan 8, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure a resident was not pulled backwards in a geriatric chair to protect their dignity for 1 (Resident #65) of 1 resident reviewed for dignity.Findings included:A facility policy titled, Resident Rights 483.10, revised 01/2024, indicated, The resident has the right to be treated with respect and dignity.An admission Record revealed the facility admitted Resident #65 on 08/23/2000. According to the admission Record, the resident had a medical history that included diagnoses of cerebral palsy, unspecified intellectual disabilities, and cognitive communication deficit. […]

• No harm, potential for more than minimal, isolatedF600Jan 8, 2026

  Based on interview, record review, and facility document and policy review, the facility failed to protect the resident's right to be free from physical abuse by another resident for 1 (Resident #100) of 2 residents reviewed for abuse. Specifically, on 07/01/2025, staff heard Resident #99 yell at Resident #100 and saw Resident #100 holding their right shoulder/arm. Resident #99 reported that they hit Resident #100 on the arm.Findings included: An undated facility policy titled, Abuse Protection, indicated, 1. Each resident has the right to be free from abuse, corporal punishment, involuntary seclusion, neglect, and misappropriation of property. […]