Louisville Healthcare LLC

Inspectors wroteBased on observation, resident and staff interview, record review, and facility policy review, the facility failed to implement a person-centered comprehensive care plan for a resident with chronic pain (Resident #39) and a resident dependent on staff for nail care (Resident # 22) for two (2) of 16 care plans reviewed. Resident #22 and #39 Findings Include: Review of the facility policy titled Care Plans-Comprehensive revealed under, Policy Statement: An individual (person centered) comprehensive care plan that includes measurable objectives and timetables to meet the resident's medical, nursing, mental and psychological needs is developed for each resident. [...]

Inspectors wroteBased on observation, interview, facility policy review, and record review, the facility failed to ensure effective pain management for one (1) of sixteen (16) sampled residents (Resident #39), when staff failed to provide continued access to prescribed pain medication (Lyrica) and failed to implement appropriate interventions. This resulted in the resident experiencing uncontrolled neuropathic pain, impaired mobility, disruption in therapy services, and a decline in quality of life. Findings Include: Review of the facility policy titled Pain Assessment/Management with a revision date of 9/10 revealed, It is the policy of this facility to provide guidelines in the identification and treatment of residents at risk for acute and chronic pain. [...]

Inspectors wroteBased on observation, resident and staff interviews, record review, and facility policy review, the facility failed to ensure that resident call lights were within reach, which limited residents' ability to request assistance as needed for two (2) of 54 residents observed.

Inspectors wroteBased on observation, staff interview, and facility policy review, the facility failed to provide a clean homelike environment for residents in four (4) of forty-eight rooms observed during the survey. Rooms 209, 210, 212, and 216.

Inspectors wroteBased on observation, interview, record review and facility policy review, the facility failed to provide nail care for one (1) of sixteen sampled residents reviewed. Resident #22. Findings Include: Record review of the facility policy, ADL (Activities of Daily Living) Care Policy revealed It is the policy of this facility to provide appropriate treatment and services in relation to ADL care to residents to ensure all ADL needs are met on a daily basis . On 4/14/25 at 2:43 PM an observation revealed Resident #22 sitting up in his wheelchair in the room and his fingernails on both hands were long and approximately one-half to three-fourths inch past his fingertips. There was a brown substance underneath each of them. An observation and interview on 4/15/25 at 9:14 AM with Certified Nursing Assistant (CNA) #1, revealed that Resident #22 had long fingernails with brown substance underneath. [...]

Inspectors wroteBased on observations, staff interviews, record review and facility policy review the facility failed to prevent the possibility of the spread of infection as evidence by not removing a mask after exiting a COVID-19 isolation room (Resident #2) and failed to clean a wound during wound care (Resident # 28) for two (2) of seven (7) resident care observations. Resident #2 and Resident #28 Findings Include Review of the facility policy titled Standard Precautions Infection Control with no revision date revealed under, Policy Explanation and Compliance Guidelines: #2. Using Personal Protective Equipment (PPE) .c. Before leaving the patient's room or cubicle, remove and discard PPE into the appropriate receptable. [...]

Inspectors wroteBased on staff interviews, record review, and facility policy review, the facility failed to obtain a Level II Preadmission Screening and Resident Review (PASARR) for a resident with a new mental health diagnosis for one (1) of four (4) PASARRs reviewed. Resident #23. Findings Include: A review of the facility policy title, PASARR (Pre-admission Screening and Resident Review) dated 6/27/2023 revealed, .Procedure (2) The nursing facility must submit a Change in Status Request whenever a Significant Change in Condition occurs for an individual with a PASARR identified condition (i.e. Serious Mental Illness (SMI), Intellectual and/or Developmental Disability (ID/DD) and/or Related Condition (RC) This includes residents previously identified by PASARR to have a mental illness, intellectual disability or a condition related to an intellectual disability who: [...]

Inspectors wroteBased on observations, resident and staff interviews, record review and facility policy review the facility failed to implement a comprehensive care plan related to nail care (Resident 8) and wound care (Resident 28) for 2 (two) of 13 care plans reviewed.

Inspectors wroteBased on observation, resident and staff interview, record review and facility policy review, the facility failed to provide nail care to a resident for 1 (one) of 48 residents reviewed for activities of daily living (ADL) care.

Inspectors wroteBased on observations, staff interviews, record review and facility policy review, the facility failed to clean a residents wound as prescribed by the physician for one (1) of four (4) residents observed for wound care.

Inspectors wroteBased on observation, staff interview, record review and facility policy review the facility failed to prevent the possible spread of infection as evidenced by staff not performing hand hygiene in between residents when passing meal trays and when assisting residents with a meal for two (2) of three (3) halls observed. Findings Include: Review of the facility policy titled, Infection Prevention and Control Program with a revision date of 8/2017 revealed Policy: It is a policy of this facility to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections . Policy Explanation and Compliance Guidelines: .4. Hand Hygiene Protocol: a. [...]

Inspectors wroteBased on staff interview and record review the facility failed to obtain a Level ll Preadmission Screening and Resident Review (PASRR) for a resident with a new mental health diagnosis for one (1) of four (4) PASRRs reviewed. Resident #33.

Inspectors wroteBased on staff and pharmacy consultant interviews, record review and facility policy review the facility failed to have stop dates on psychotropic and anti-psychotic as needed (PRN) medications for two (2) of five (5) residents medications reviewed. Resident #23 and #33.