Westminster Village Kentuckiana

Inspectors wroteBased 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.

Inspectors wroteBased 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.

Inspectors wroteBased 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. The same soil was observed along the sliding edge of the two doors and along the edge below the five control knobs.-Inside the two closed food carts, there were multiple brown and white spills on the bottom of the carts. [...]

Inspectors wroteBased 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)

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents' choices for likes, dislikes and requests for special food items on their food trays cards were honored at every meal. This deficient practice affected 19 of 64 residents reviewed for tray cards. (Residents 7, 8, 9, 10, 13, 17, 20, 34, 38, 40, 51, 55, 57, 58, 62, 63 , 64, 65, and 66)

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was incontinent of urine received the necessary care and services of brief changes before the brief and bed padding underneath the resident was not overly saturated with urine for 1 of 4 residents reviewed for Activities of Daily Living. (Resident 13)

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident with a history of Urinary Tract Infections (UTIs) was provided proper management of the urinary catheter drainage system by maintaining the drainage system off the floor for 1 of 4 residents reviewed for bowel and bladder. (Resident 33)

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents were provided with the adaptive equipment necessary to maintain independence while eating or drinking for 1 of 1 resident who utilized adaptive feeding equipment reviewed. (Resident 9)

Inspectors wroteBased on interview and record review, the facility failed to ensure misappropriation of resident property did not occur for 1 of 3 residents reviewed for misappropriation. (Resident B)

Inspectors wroteBased on interview and record review, the facility failed to ensure an assessment was completed by a licensed nurse and authorization given to administer an as needed narcotic pain medication by a qualified medication aide for 1 of 3 residents reviewed for quality of care. (Resident C)

Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's (Resident C) medication administration record accurately reflected the administration of narcotic pain medication for 1 of 3 residents reviewed for documentation.

Inspectors wroteBased on observation, interview and record review, the facility failed to provide a clean and sanitary kitchen. This had the potential to affect 59 of 59 residents that received food from the kitchen.

Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's (Resident B) medications were available, in a timely manner, for 1 of 3 residents reviewed for discharges.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents' drawers were free of rodent droppings for 2 of 3 residents reviewed for sanitary environment. (Resident F and Resident G)

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow guidelines related to dishwasher temperatures for 2 of 2 kitchen observations, infection control during dining for 1of 3 dining observations, and to maintain a resident snack refrigerator in a sanitary manner for 1 of 2 resident snack refrigerators observed. This deficient practice had the potential to affect 55 of 55 residents who received food from the kitchen.

Inspectors wroteBased on observation and interview, the facility failed to ensure the equipment in resident rooms were kept clean for 6 of 26 rooms reviewed for environment. (Rooms 105, 107, 111, 114, 115, and 120)

Inspectors wroteBased on record review and interview, the facility failed to complete discharge Minimum Data Set (MDS) assessments for 2 of 19 MDS's reviewed. (Residents 14 and 25)

Inspectors wroteBased on observation, interview, and record review, the facility failed to prevent a skin impairment for 1 of 17 residents reviewed for quality of care. (Resident 3)

Inspectors wroteBased on observation, record review and interview, the facility failed to ensure the proper dose was administered related to priming the needel for the insulin kwikpens and following the physician's order for 2 of 2 resident's observed for pharmacy services. (Residents 160 and 56)

Inspectors wroteBased on interview and record review, the facility failed to ensure residents meal consumptions were documented, per the plan of care, for 2 or 3 residents reviewed for medical records. (Resident B and Resident C)

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents (Resident B and Resident C) were served meals on appropriate dinner ware for 2 of 3 residents reviewed for resident rights.

Inspectors wroteBased on interview and record review, the facility failed to ensure quarterly smoking assessments were completed for 2 of 3 residents reviewed for quality of care. (Residents B and C)

Inspectors wroteBased on observation and interview, the facility failed to ensure the kitchen was maintained in a sanitary manner for 3 of 3 observations. This deficient practice had the potential to affect all 57 residents currently residing at the facility.

Inspectors wroteBased on record review and interview, the facility failed to ensure residents were offered pneumococcal vaccinations as recommended by the CDC (Centers for Disease Control) for 4 of 5 residents reviewed for pneumococcal immunizations. (Residents 31, 32, 41, and 50)

Inspectors wroteBased on observation and interview, the facility failed to ensure adequate maintenance of essential kitchen equipment for 3 of 3 observations. This deficient practice had the potential to affect all 57 residents currently residing at the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure notification to the representative of a resident's change in condition for 1 of 22 residents reviewed for notification of changes. (Resident 54)

Inspectors wroteBased on record review and interview the facility failed to ensure a resident's treatment was timely for 1 of 5 residents reviewed for Quality of Care. (Resident 31) The record for Resident 31 was reviewed on 10/26/23 at 9:07 a.m. The diagnoses included, but were not limited to, type 2 diabetes mellitus with diabetic chronic kidney disease, other skin changes, and obesity. The fax sheet cover, dated 6/17/23, indicated the facility sent a fax for Resident 31 of a urinalysis and culture results to the physician. The staff inquired if the physician wanted to continue antibiotics and informed the physician the resident was having symptoms of a yeast infection. On 6/19/23, the physician responded with a fax. The fax was dated as received on 6/19/23 at 4:51 p.m. and indicated to continue the antibiotics and to start Diflucan (antifungal) 150 mg (milligram), one time. [...]

Inspectors wroteBased on interview and record review, the facility failed to ensure accurate documentation of the MDS (Minimum Data Set) assessment for Section N for antiplatelet therapy for 9 of 24 residents whose MDS records were reviewed for accuracy. (Residents 58, 31, 57, 51, 53, 28, 38, 20, and 10)