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Complaint Investigation

River Haven Nursing And Rehabilitation Center

August 26, 2025 · Paducah, KY · 867 Mcguire Avenue
Citations 3
CMS Rating 1/5
Beds 103
Provider ID 185272
Healthcare Facility
River Haven Nursing And Rehabilitation Center
Paducah, KY  ·  View full profile →
Inspection Summary

River Haven Nursing And Rehabilitation Center in Paducah, KY — inspection on August 26, 2025.

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.

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Inspection Findings

FF0584
Resident Rights Deficiencies
Potential for More Than Minimal Harm

During interview with the Director of Nursing (DON) on 08/26/2025 at 11:30 AM, she stated she was unaware of mold being in the shower rooms.

She further stated mold could cause respiratory problems and skin rashes for residents or staff.

During interview with the Administrator on 08/26/2025 at 11:45 AM, she stated maintenance was responsible for checking for (water) leaks.

She stated she expected mold issues in shower rooms to be identified and treated.

The Administrator reported she expected staff to follow facility policy as well as state and federal guidelines.

She further stated going forward, shower rooms would be inspected periodically to identify issues before they became problems.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/26/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

River Haven Nursing and Rehabilitation Center

867 McGuire Avenue Paducah, KY 42001

SUMMARY STATEMENT OF DEFICIENCIES

During additional interview with the facility's Administrator on 08/26/2025 at 11:45 AM, she stated she expected staff to follow the facility's policy, and state and federal guidelines regarding reporting abuse.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/26/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

River Haven Nursing and Rehabilitation Center

867 McGuire Avenue Paducah, KY 42001

SUMMARY STATEMENT OF DEFICIENCIES

Review of soft file documentation (requested after the interview with the former Administrator), provided by the facility's current Administrator, revealed it contained no documented evidence of information related to the alleged incident that happened around 03/10/2025, involving R8. In interview on 08/21/2025 at 8:19 AM, CNA 6 stated that he remembered the incident with R8, and had gone into the resident's room on the incident to check on him. He said R8 had a suitcase on his bed and all of the resident's clothes were pulled out of the suitcase leaving no room on the bed. CNA 6 explained he moved the suitcase to make room on R8's bed and got the resident some ice water. He reported after doing that, he leaned down and asked R8 if he needed anything else and then assisted the resident's girlfriend, who was another resident, into his room.

The CNA stated R8 had said anything to him at that time about any allegations, and had only heard about it from his coworkers about five days after the incident. He said the Director of Nursing (DON) and Administrator came up with a solution of not allowing any male caregivers in R8's room. CNA 6 further stated the Administrator never questioned him about the incident, and the only person who had questioned or interviewed him was an APS worker. In interview on 08/21/2025 at 8:55 AM, the Social Services Director (SSD) stated the only incident she recalled was concerning R8 was when the resident reported a male staff member touching him on his shoulder.

The SSD said R8 told them he did not want fags in his room.

She stated she did not report that incident to anyone because the Administrator knew about it and had told her about it.

The SSD reported when a resident made an allegation of sexual abuse, staff should tell the Administrator about it so they could take it from there. In interview on 08/26/2025 at 11:30 AM, the DON stated if an abuse allegation was brought to her, she would begin to investigate it and report it to OIG (Office of Inspector General) within two hours and then continue her investigation.

She further stated even if a resident, with a history of making false accusations, was the person making an allegation, the allegation still needed to be investigated as abuse; reported; and have a 5-day follow up performed. In interview on 08/26/2025 at 11:45 AM, the facility's current Administrator stated she was the person responsible for investigating abuse allegations now; however, had not been Administrator at the time of the incident involving R8.

She further stated investigations should be conducted as per facility policy.

Facility ID:

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 Paducah, 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 River Haven Nursing And Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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