Westminster Village Kentuckiana

In the surveyor’s words

From the most serious findings on record at Westminster Village Kentuckiana, in the surveyor’s own words.

• Actual harm, isolatedF686Oct 22, 2021

  Based on interview and record review, the facility failed to ensure appropriate interventions were implemented, in a timely manner, for a resident (Resident B) who was at a moderate risk for pressure ulcers, which resulted in a stage 2 pressure ulcer (partial thickness skin loss of the epidermis, dermis, or both) of the right heel that progressed to an unstageable pressure ulcer (localized area of tissue necrosis which develops when soft tissue is compressed for extended periods of time), an unstageable pressure ulcer of the left outer ankle, a deep tissue injury (injury to the soft tissue under the skin due to pressure) of the right lateral foot, a stage 2 pressure ulcer to the right buttock, and an unstageable pressure ulcer of the coccyx for 1 of 3 residents reviewed for pressure… […]

• No harm, potential for more than minimal, widespreadF921Jun 23, 2026

  Based on observation, interview and record review, the facility failed to ensure the kitchen was maintained in a sanitary manner related to the drywall hanging down and gaps in construction for 1 of 1 kitchen observations. This deficient practice had the potential to affect 64 of 65 residents residing in the facility. Findings include:On 6/23/26, between 8:30 a.m. and 9:15 a.m., the following was observed in the kitchen: -The ceiling to the left of the food prep table had a taped area that was dislodged with a 4-inch gap. The drywall was hanging down from the area,-A piece of board that had been nailed to the ceiling, measuring 3 feet by 3 feet, was observed bowing on two different sides with a 2-inch gap which was located over a food prep table. […]

• No harm, potential for more than minimal, patternF925Jun 23, 2026

  Based on interview and record review, the facility failed to ensure pest control services were timely and effective. This deficient practice had the potential to affect 65 of 65 residents residing in the facility. Findings include: On 6/23/26 at 11:00 a.m., the pest activity logs were reviewed and indicated the following pest concerns:- rooms [ROOM NUMBERS], staff reported weird looking bugs on 3/7/26- Admissions office, staff reported ants on 3/9/26A- room [ROOM NUMBER], family reported ants on 3/23/26- room [ROOM NUMBER], staff reported ants on 4/28/26- room [ROOM NUMBER], staff reported ants on 5/15/26- room [ROOM NUMBER], staff reported ants on 5/18/26- room [ROOM NUMBER], roaches were reported on 5/19/26- room [ROOM NUMBER], staff reported bugs on 6/8/28- room [ROOM NUMBER], staff… […]

• No harm, potential for more than minimal, patternF812Jan 20, 2026

  Based on observation, record review and interview, the facility to ensure the kitchen equipment, floors, and meal carts were clean and sanitary. This deficient practice affected 64 of 64 residents who currently received meals from the kitchen.Findings Include:1.During the initial kitchen tour, on 1/13/26 at 9:00 a.m., the following areas of concern were observed: -The dish machine had three areas of long white lime streaks going down the front of the dish washer.-The steam table machine had a heavy soil of yellow, brown and black material inside the two doors at the bottom. […]

• No harm, potential for more than minimal, patternF880Jan 20, 2026

  Based on observation, record review, and interview, the facility failed to ensure glucometers were cleaned per guidelines for infection control when obtaining blood sugar readings for 4 of 4 residents observed for glucometer use. (Residents 71, 45, 33, and 7)Findings include:1. During an observation, on 1/14/26 at 10:59 a.m., Licensed Practical Nurse (LPN) 4 indicated that each resident had their own glucometer. The LPN entered Resident 71's room and completed the accu-check (blood sugar monitoring). The resident's blood sugar reading indicated 296 milligrams per deciliter (mg/dL). The LPN administered the required dosage of Lispro insulin. The LPN had placed the glucometer back into the resident's glucometer holder in the top drawer of the medication cart, without cleaning it. […]