Deficiency Records for Landmark of Bardstown Rehabilitation and Nursing
Updated as of March 01, 2024
A list of the most recent deficiencies for Landmark of Bardstown Rehabilitation and Nursing. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-01 | 2021-05-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-05-01 | 2021-05-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-01 | 2021-05-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-01 | 2021-05-28 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-05-01 | 2021-05-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-05-01 | 2021-05-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-01 | 2021-05-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-01 | 2021-05-28 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-05-01 | 2021-05-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-01 | 2021-05-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-05-01 | 2021-05-28 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-05-01 | 2021-05-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-05-01 | 2021-05-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-01 | 2021-05-28 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-04-27 | 2021-05-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-27 | 2021-05-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-27 | 2021-05-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-27 | 2021-05-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-27 | 2021-05-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-21 | 2019-08-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-06-21 | 2019-08-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-06-21 | 2019-08-21 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-06-21 | 2019-08-21 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-06-21 | 2019-08-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-21 | 2019-08-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-21 | 2019-08-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-18 | 2018-05-31 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-04-19 | 2018-05-23 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-04-19 | 2018-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-19 | 2018-05-23 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-04-19 | 2018-05-23 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-04-19 | 2018-05-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-19 | 2018-05-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-19 | 2018-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-19 | 2018-05-23 | N |
