Radcliff Veterans Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF656Nov 18, 2023

  Based on observation, interview, record review, video camera footage review, and facility policy review, it was determined the facility failed to have an effective system to ensure care plans were implemented to provide proper care and supervision to residents to prevent elopement for one (1) of three (3) sampled residents (Resident 1). The facility assessed Resident 1 (R1) to be at risk for elopement after his/her admission on 12/13/2022. The facility developed a care plan component on 01/25/2023 to address the resident's risk for elopement. […]

• Immediate jeopardy, isolatedF689Nov 18, 2023

  Based on observation, interview, record review, review of the facility's policies, and review of video camera footage, it was determined the facility failed to have an effective system in place to ensure residents at risk for elopement received the necessary supervision to maintain their safety and prevent elopement for one (1) of three (3) sampled residents, (Resident 1). The facility assessed Resident (R) 1 to be at low risk for elopement on [DATE]. Registered Nurse (RN) 8 noted that R1 was exit seeking on [DATE]. Continued record review revealed on [DATE], Licensed Practical Nurse (LPN) 1 noted R1 was exit seeking. However, LPN1 did not report the resident's behavior. On [DATE], at approximately 4:05 PM, R1 exited the facility to the outdoor fenced courtyard. […]

• No harm, potential for more than minimal, isolatedF761Apr 10, 2026

  Based on observation, interview, and record review, the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles. One of two medication rooms reviewed contained one box of a Covid-19 vaccine which was not labeled with the Beyond Use Date (BUD) or the thaw date.The findings include:The findings include:On [DATE], the survey team requested any policies regarding storage and labeling of drugs and biological requiring a thaw date. The facility did not provide these policies prior to exit on [DATE].Observation of the medication storage room in the 500 Neighborhood, on [DATE] at 2:26 PM, revealed one box of a thawed Covid-19 vaccine in the medication refrigerator. […]

• No harm, potential for more than minimal, isolatedF609Mar 19, 2026

  Based on interview, record review, and facility document and policy review, the facility failed to report an allegation of physical abuse to the State Survey Agency (SSA) within the required timeframe for one (Resident (R) 1) of three sampled residents reviewed for abuse. Staff witnessed an allegation of abuse at approximately 10:00 AM on 07/22/2025; however, the facility did not immediately (in no more than two hours, per regulation) notify the SSA.The findings include:Review of the facility's policy titled, Reporting Abuse to State Agencies, effective 09/11/2023, revealed all alleged violations involving abuse, neglect, exploitation, mistreatment, injuries of unknown source, and misappropriation of resident property were to be reported immediately, but not later than 2 hours after the… […]

• No harm, potential for more than minimal, isolatedF919Nov 18, 2023

  Based on observation, interview, record review, and review of the facility's policies, it was determined the facility failed to maintain an effective call system to allow residents to call for staff assistance. On 09/19/2023, the Director of Nursing (DON) became aware that the facility's wireless system was not properly operating on three (3) of the facility's six (6) residential units. The DON created a work order on 09/19/2023 at 9:24 AM to initiate repair of the wireless call system. The findings include: Review of the facility's policy, Call Light Failure, dated 06/19/2022, revealed staff would immediately notify the Charge Nurse (CN) if the call system was not working properly. […]