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Complaint Investigation

Danville Centre For Health & Rehabilitation

January 24, 2025 · Danville, KY · 642 North Third Street
Citations 1
CMS Rating 2/5
Beds 106
Provider ID 185127
Healthcare Facility
Danville Centre For Health & Rehabilitation
Danville, KY  ·  View full profile →
Inspection Summary

Danville Centre for Health & Rehabilitation in Danville, KY — inspection on January 24, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF689
Immediate investigation determined that R2 exited the facility during an annual inspection of the sprinkler system when Few affected

During an interview on [DATE], at 3:02 PM, Registered Nurse (RN) 1 stated there was supposed to be two staff members monitoring and supervising in the hallways to watch and make sure the residents could not get to the doors since the alarm system was not working. RN1 stated the elopement could have been prevented if staff had monitored R2 closer.

Interview with MDS1 on [DATE] at 10:53 AM, revealed that R2's behaviors included walking up and down the halls of the locked-down unit, going room-to-room with signs of confusion/forgetfulness and statements of wanting to go home. MDS1 stated that it was crucial to ensure care plans were implemented for the wellbeing of the residents and their overall safety. MDS1 added that direct care staff needed to know the resident-specific interventions for each of the residents in the locked dementia unit where R2 resided, due to the challenges of their behaviors.

In an interview on [DATE] at 12:00 PM, the current Director of Nursing (DON) and Administrator stated they both would expect staff to implement the care plan interventions as per policy and stated the facility has not encountered any resident elopements since R2's in 2023.

The facility provided an acceptable plan for the removal of the IJ on [DATE].

This plan alleged the IJ was removed, and the deficient practice was corrected on [DATE], prior to the initiation of the investigation.

The plan provided by the facility alleged the following:

185127

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 185127 B.

Wing 01/24/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Danville Centre for Health & Rehabilitation 642 North Third Street Danville, KY 40422

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Danville, KY, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Danville Centre for Health & Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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