Bradford Heights Nursing & Rehabilitation
Bradford Heights Nursing & Rehabilitation in Hopkinsville, KY — inspection on May 29, 2026.
Found 3 citations. 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.
Inspection Findings
stated that the stained ceiling tiles were replaced. He reported that maintenance issues were always
of her room did not make her feel like she was at home.
She further stated that she didn't like the
crumbling paint in her room bothered her because paint dust was getting onto her belongings.During an interview with R11 on 05/29/2026 at 9:35 AM, she stated that the hole in her wall had been there since she had lived in room [ROOM NUMBER].
She further stated that it made her feel very unsafe and that she didn't like to look at it.
During an interview with R19 on 05/29/2026 at 10:30 AM, she stated she wished the hole in her wall wasn't there and further stated that she tried not to look at them.
During an interview with the Administrator on 05/29/2026 at 4:15 PM, she stated the residents were very comfortable with the Maintenance Director and would usually let him know if they wanted something repaired.
She further stated that if the Maintenance Director knew about an issue, he would take care of it promptly.
185076 05/29/2026
Bradford Heights Nursing & Rehabilitation 950 Highpoint Drive Hopkinsville, KY 42240
facility attempted to find coverage, but they were not always able to do so.
During an interview with
hour on residents who were care planned for that, otherwise every two hours.
During an interview with
residents to check for soiled briefs, and as needed.
Additionally, she stated that the charge nurse monitored to make sure that rounding is done.
She reported her expectation was for a resident's soiled brief to be changed within 10 minutes, and no longer than 15 minutes after an episode of incontinence.
During an interview with the Administrator on 05/29/2026 at 4:15 PM, she stated, CNAs rounded every two hours on residents, which was an expectation, but that rounding was not necessarily monitored.
Additionally, she stated, her expectation was for call lights to be answered within 15 minutes.
She further stated that residents wouldn't want to have to sit in a soiled brief for a long time because it would make them feel yucky and gross.
185076 05/29/2026
Bradford Heights Nursing & Rehabilitation 950 Highpoint Drive Hopkinsville, KY 42240
Review of the Medication Monitoring
assessment and reevaluation of R8's pain before and after administering the medication.Review of
Hydrocodone-Acetaminophen 7.5-325 milligram tablets.
Review of the Medication Monitoring / Control Record for this medication revealed seven (7) tablets were removed for R8 from 05/01/2026 - 05/31/2026.
Documentation of seven (7) PRN doses were missing from the MAR, including a pain assessment and reevaluation of R8's pain before and after administering the medication.During an interview with Licensed Practical Nurse (LPN)1 on 05/28/2026 at 4:10 PM, she stated that she was aware that medications, including PRNs, are supposed to be documented.
Additionally, she stated she realized she needed to be more diligent about her documentation and that she became lazy about it over time.
She further stated that it would be possible to double down on someone's medication if it is not documented properly.
During an interview with Certified Medication Technician (CMT)4 on 05/28/2026 at 11:10 AM, she stated if a PRN pain medication is needed, she notified the nurse to do an assessment and once they did their part, she took out the medication and documented it in the MAR.
She further stated that the documentation of administration is not complete unless it was on the MAR.
Additionally, she stated, if a narcotic is given but not documented in the MAR, it could lead to a potential overdose, medication reaction, or death if the same medication is unknowingly administered too soon.
During an interview with LPN3 on 05/29/2026 at 11:20 AM, she stated, if an administered narcotic is not documented in the MAR it could lead to drug overdoses because the MAR prevented someone from giving the medication too soon.
During an interview with the DON on 05/29/2026 at 3:40 PM, she stated that she did not perform audits of PRN medications specifically, only scheduled medications, and was unaware if the consulting pharmacy performed narcotic audits.
She stated that due to the concerns brought forward by the State Survey Agency, she started the process of making sure every narcotic signed out was then documented on the MAR.
She further stated that she would be responsible for doing those audits on an ongoing basis because it was her expectation for all medication administrations, including PRNs, to be documented accurately in the MAR.During an interview with the Administrator on 05/29/2026 at 4:15 PM, she stated there will be audits moving forward on PRN narcotic documentation to compare the Controlled Substance Records to the MARs.
Additionally, she stated that the facility would provide education about ensuring that staff documented all medications in the MAR.
She stated, her expectation was for all medication administrations to be documented in the MAR, including PRN pain medications.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.