Crittenden County Health & Rehabilitation Center
Crittenden County Health & Rehabilitation Center in Marion, KY — inspection on February 7, 2025.
Found 2 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
During an interview with LPN1 on 02/07/2025 at 2:33 PM, he stated he had a bad habit of not washing his hands. LPN1 added that, There are bad outcomes, from not performing hand hygiene as he could pass bad pathogens back and forth between residents. LPN1 also stated he was aware that R37 was on enhanced barriers due to his ostomy and wounds; however, he confirmed that he failed to put on a gown prior to providing care. He also stated he should have tied up the red bagged contaminated dressing and removed it from the resident's room.
During an interview with the Infection Control (IC) Nurse on 02/06/2024 at 3:10 PM, she stated she received her IC certificate in 05/2024.
She stated she had not watched LPN1 do wound care.
The IC Nurse added that she is supposed to do hand hygiene evaluations two times a week.
However, the IC Nurse continued, she could not currently watch all staff for hand hygiene practices as she is working the floor.
She stated she expected LPN1, and all staff, to use good hand hygiene practices, use the required personal protective equipment including gowns, and remove all contaminated trash from the room after care, per infection control policy.
An interview with the Director of Nursing (DON), on 02/07/2025 at 2:58 PM, revealed her expectation was for nursing staff to follow the infection control policy as written, use good hand hygiene, and use the personal protective equipment provided.
During an interview with the Administrator on 02/07/2025 at 3:30 PM, she stated she expected all nursing staff to follow facility policies regarding good infection control practices, which included hand hygiene and removing soiled ostomy bags and dressing.
She stated she expected staff to remove the soiled items from the room and replace a clean bag to the trash can.
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Review of the physician-prescribed treatment orders, dated 02/01/2025, revealed an order for wound care, with a start date of 01/18/2025, which included cleansing the buttock wounds with Dial soap and water, as well as the application of Neosporin ointment (triple antibiotic ointment) 3.5 milligrams, to the wounds.
An observation on 02/06/2025 at 2:40 PM during wound care revealed LPN1 failed to follow the care plan by delivering the prescribed treatment. LPN1 cleansed the resident's wounds with Dakin's solution, instead of with Dial soap and water.
Further observation of the treatment revealed LPN1 failed to apply Neosporin ointment, and instead applied a topical lotion (Dermacil).
During an interview with LPN1 on 02/07/2025 at 2:33 PM, he acknowledged that he had not provided the prescribed treatment in accordance with the care plan. (Refer to