Hartland Park: Behavioral Care Deficiency - KY
The resident, identified in inspection records only as R1, was on a strict pureed diet. His esophagus had been dilated multiple times over the years, with his most recent stent placement on May 22, 2024. None of those foods were allowed. The administrator told inspectors the failures sent him to the hospital.
A registered nurse found a granola bar in his room and took it away. The popcorn incident happened during an activities session, and the activity director had to instruct residents not to share food with others. R1 would wheel himself to the dining room, sit with his male friends, and take food off their trays when they offered it or when he had the chance.
The Director of Nursing acknowledged that staff had been told R1 needed to sit at a supervised table during meals. They hadn't consistently followed through. The administrator said the care plan should have required staff to pick up trays before R1 could reach them and to sit with him throughout meals. It also should have barred popcorn from his activity sessions entirely.
R1's daughter, when she visited, would take him over to sit with his friends. She told the speech therapist there were no swallowing concerns. The speech therapist had conducted a reevaluation on October 2, 2025, and found none either. But the diet order from his hospital discharge summary required pureed food only, and the foods he was getting were far from it.
The administrator told inspectors she had been informed about the choking events. The interventions she described during the interview were the ones that should have been in place already.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Hartland Park Health & Rehabilitation from 2025-11-24 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 5, 2026 · Our methodology
Hartland Park Health & Rehabilitation in Lexington, KY was cited for violations during a health inspection on November 24, 2025.
The resident, identified in inspection records only as R1, was on a strict pureed diet.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.