Rockcastle Regional Hospital and Respiratory Care

In the surveyor’s words

From the most serious findings on record at Rockcastle Regional Hospital and Respiratory Care, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF583Mar 26, 2025

  Based on observation, interview, and record review, the facility failed to provide visual privacy for two residents (Resident (R) 114 and R24) of thirty sampled residents during tracheostomy care. On 3/23/25 at 2:47 PM and again at 2:53 PM, a respiratory therapist suctioned the resident's tracheostomy with the door open and without pulling the privacy curtain. Visitors, staff, and other residents in the hallway could see into the room during the procedure. The findings include: A review of the facility's Routine Trach Care policy, revised in June 2021, instructs staff to provide privacy as part of the procedure. The LTC Resident's Rights to Privacy policy, revised in May 2017, states, The resident is granted the privacy of his/her body during provision of personal care and services. […]

• No harm, potential for more than minimal, isolatedF732Mar 26, 2025

  Based on observations and staff interviews, the facility failed to post the required Nurse Staffing Information (i.e., total number and actual hours worked by the licensed and unlicensed nursing staff directly responsible for resident care) on the North, South, East, and [NAME] units for the following dates: 03/21/2025, 03/22/2025, 03/23/2025, and 03/24/2025. The findings include: A review of the facility ' s policy titled, Nurse Staffing Information, with a revision date of March 2021, revealed that the facility must post the total number, and the actual hours worked by the licensed and unlicensed nursing staff directly responsible for resident care daily at each station by the beginning of each shift. […]

• No harm, potential for more than minimal, isolatedF919Mar 26, 2025

  Based on observation, interview, record review, and review of facility policy, the facility failed to ensure one (Resident (R )43) of 30 sampled residents had access to a functional and accessible communication system to request staff assistance. On 03/23/2025, Resident (R) 43 was not equipped with a functional and accessible communication system to request staff assistance compromising R43's safety and well-being. On 03/23/2025, R43 activated the call light system but did not receive assistance, as the call was manually deactivated at the central staff station. On 03/24/2025, the call light was positioned on the resident's ventilator machine, out of the resident ' s reach, preventing the resident from alerting staff when suctioning was needed. […]