Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hardinsburg Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment alleged sexual abuse, which was reported by a family member to facility staff. Although the LPN promptly notified the Administrator and DON, the initial report to the SSA was delayed by about four hours due to confusion over reporting requirements and the need for corporate review, resulting in failure to meet the mandated two-hour reporting timeframe.
A resident with a history of low back pain and recent surgery was found to have Tylenol and bacitracin ointment at the bedside, which the resident self-administered daily without staff monitoring or a physician's order for bedside medication. Facility staff and leadership confirmed that such medications should not be left at the bedside without proper assessment and orders, but the medications remained accessible, resulting in a failure to prevent accident hazards and ensure adequate supervision.
A resident with multiple chronic conditions was observed receiving supplemental oxygen at a higher flow rate than ordered by the physician. Nursing staff confirmed the oxygen was set incorrectly and could not provide a reason for the discrepancy. The facility lacked a policy for oxygen administration, though staff were expected to verify and document the correct flow rate each shift.
The facility's kitchen was found to have significant sanitation and food storage deficiencies, including dirty handwashing and prep areas, improperly stored and expired food, and inadequately trained staff. Observations revealed dirty equipment and surfaces, unlabeled and expired food items, and a lack of consistent cleaning and training practices. The Dietary Manager and aides were unable to demonstrate adherence to proper sanitation and food storage protocols, posing a risk to all residents consuming food from the kitchen.
The facility failed to label and store medications according to professional standards, affecting at least seven residents. Observations revealed issues such as expired medications not being removed and medications lacking open dates or resident labels. Interviews with staff, including LPNs and the DON, confirmed these deficiencies and highlighted a lack of adherence to facility policies.
Failure to Timely Report Alleged Sexual Abuse to State Survey Agency
Penalty
Summary
The facility failed to report an allegation of sexual abuse involving a resident with severe vascular dementia and significant cognitive impairment within the required two-hour timeframe to the State Survey Agency (SSA). The resident, who had a BIMS score of three out of 15, disclosed to a family member that two males entered the room during the night and touched her breast. The family member reported this allegation to a Certified Nursing Assistant, who then informed a Kentucky Medication Aide, and subsequently a Licensed Practical Nurse. The LPN immediately notified the Administrator and Director of Nursing (DON) of the allegation. Despite being notified of the incident at 9:00 AM, the facility did not send the initial report to the SSA until approximately four hours later, at 1:01 PM. Interviews revealed confusion among staff regarding the required reporting timeframe, with the DON believing there was a 24-hour window if no injury was involved, while the Administrator understood the requirement to be two hours. The delay was further attributed to the need for corporate office review before submission. The facility's policy required timely reporting of alleged violations, but this was not followed in this instance.
Failure to Prevent Accident Hazards Due to Unmonitored Bedside Medications
Penalty
Summary
The facility failed to ensure the environment was free of accident hazards for a resident who had a history of low back pain and a recent surgery with an incision. The resident was admitted with a prescription for acetaminophen (Tylenol) to be administered as needed, with a maximum daily dosage specified, but there was no documented order allowing the medication to be kept at the bedside. Observations over several days revealed that both Tylenol and bacitracin zinc ointment were present on the resident's bedside table. The resident reported self-administering both medications daily without staff monitoring and stated that staff had not discussed self-administration or the need for nurse oversight. Interviews with nursing staff and facility leadership confirmed that medications should not be left at a resident's bedside without a physician's order and an assessment to determine safety. Staff also indicated that Tylenol usage should be monitored for side effects and dosage limits, and that any medications found at the bedside should be reported to nursing staff. Despite these expectations, the medications remained accessible to the resident without appropriate assessment or monitoring, constituting a failure to prevent accident hazards and ensure adequate supervision.
Failure to Follow Physician's Order for Supplemental Oxygen Administration
Penalty
Summary
The facility failed to follow a physician's order for the administration of supplemental oxygen for one resident with a history of heart failure, pulmonary hypertension, chronic obstructive pulmonary disease, diabetes, and generalized weakness. The resident was admitted with an order for supplemental oxygen at 2 liters per minute (LPM) via nasal cannula every shift. However, during observation, the oxygen concentrator was set at 3 LPM. Interviews with nursing staff confirmed that the oxygen was not set according to the physician's order, and staff were unable to explain why the flow rate was incorrect. The resident reported not adjusting the oxygen flow rate and was unaware of how to do so. Further interviews revealed that the facility did not have a policy for oxygen administration, although the staff development coordinator stated that oxygen administration and flow rate adjustment were included in nurse competencies. The DON and medical director both stated that nurses were expected to check and document the oxygen flow rate every shift and follow physician orders, with any changes requiring a new order. The administrator confirmed that nurses were expected to follow physician orders for oxygen administration and had not received reports of the resident adjusting the flow rate.
Sanitation and Food Storage Deficiencies in Kitchen
Penalty
Summary
The facility failed to maintain sanitary conditions in its food service areas, as observed during a survey. The sanitation handwashing area, prep sink area, and flooring were found to be dirty and in need of cleaning. Additionally, dry spices and food stored in the refrigerator and freezer were open, unsealed, unlabeled, undated, and some were past their expiration date. Scoops used for serving food were dirty with old food particles. Staff were not adequately trained or aware of food storage requirements, which had the potential to affect all residents consuming food prepared in the kitchen. During the initial kitchen tour, surveyors observed several deficiencies. The sanitation handwashing area was dirty with stains, hair particles, and noticeable dirt around the faucet and handles. The prep sink station and surrounding counter surfaces were also dirty with spatter stains, debris buildup, dust, and food particles. The gas stove, flat top grill, and toaster were full of dried crumbs and food particles, and the robot coupe had thick oil and grease buildup. A block of used, unrefrigerated melted butter was found on the countertop without a label or date, and a dirty knife was placed on top of the butter case. The tile flooring around the cooking stations had thick greasy soil buildup and debris. Interviews with the Dietary Manager and dietary aides revealed a lack of consistent training and adherence to cleaning schedules. The Dietary Manager was unable to convey a clear cleaning schedule for the handwashing area and admitted that it had not been cleaned according to the facility's schedule. Dietary aides reported receiving minimal training, with some training occurring only after the survey had been initiated. The Regional Dietician and Administrator expressed expectations for staff to follow facility policies and procedures, but the lack of training and oversight led to the observed deficiencies.
Medication Labeling and Storage Deficiencies
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were labeled in accordance with professional standards, including open/use by/expiration dates and resident names. During an audit of three of the facility's four medication carts, it was observed that medications for at least seven residents were not properly labeled. Specific issues included an inhaler that exceeded its recommended discard date, a medication without a resident label, and several medications without documented open dates. These deficiencies were identified through observations and interviews with staff, including Licensed Practical Nurses (LPNs) and the Director of Nursing (DON). Interviews with staff revealed a lack of adherence to the facility's policies regarding medication labeling and disposal. LPNs and a Kentucky Medication Aide confirmed that medications should be labeled and dated when opened, and expired medications should be removed from the cart. The DON acknowledged that medication cart audits were supposed to be conducted but was uncertain about their frequency. The Administrator also expressed the expectation that medications be labeled and removed if expired to prevent potential negative effects.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Hardinsburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Breckinridge Memorial Nursing Facility | 1.2 mi | — | 3 | 0 |
| Fordsville Nursing And Rehabilitation Center | 17.9 mi | — | 0 | 0 |
| Brickyard Healthcare - Lincoln Hills Care Center | 21 mi | — | 12 | 0 |
| Oakwood Health Campus | 21.2 mi | — | 0 | 0 |
| Brandenburg Nursing And Rehabilitation Center | 21.7 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.