Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 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 Stonecreek Health And Rehabilitation during CMS and state inspections, most recent first.
The facility failed to follow professional standards for food safety, with improper thawing of meat and expired food in the cooler. Observations showed meat thawed in sinks and at room temperature, against FDA guidelines. Expired items like peaches, pears, and cheese were found in the cooler. Staff interviews revealed a lack of adherence to policies on thawing, labeling, and dating food.
The facility was found deficient for failing to properly store and cover garbage in the kitchen. An uncovered trash receptacle, nearly full, was observed close to the food prep area. Interviews with the Dietary Manager, Regional Director of Operations, and Administrator confirmed that trash bins should be covered and stored away from food prep areas, but this was not adhered to.
The facility failed to develop comprehensive care plans for three residents, omitting safety measures like lock boxes for smoking materials and proper staffing for transfers. Observations revealed residents with smoking paraphernalia outside lock boxes and a resident transferred by one CNA instead of two, contrary to care plans. The Activities Director and MDS Coordinator were unaware of these omissions, and the DON and Administrator stressed the importance of following care plans for safety.
The facility failed to enter wound treatment orders for two residents, leading to deficiencies in care. One resident with a Stage 4 pressure ulcer did not have orders entered for five days, resulting in inconsistent wound care. Another resident had wounds but no treatment orders entered until mid-March, despite daily treatments being performed by an LPN. Interviews revealed a lack of awareness and communication among staff regarding treatment orders.
The facility failed to enforce its smoking policy, as residents were found with unsecured smoking materials and smoking in prohibited areas. Additionally, a CNA transferred a resident alone using a mechanical lift, against the care plan requiring two staff members. The DON and Administrator were unaware of these violations, expecting adherence to policies and care plans.
The facility failed to store drugs and biologicals according to professional standards, with an undated multidose vial of Tubersol and expired wound care products found in a medication room. Interviews with LPNs and the DON highlighted the importance of dating medications and discarding them after expiration to prevent adverse effects.
A facility failed to maintain infection control during wound care for a resident with a chronic Stage 4 sacral wound. An LPN, after using a non-sterile gauze, did not change gloves before reaching into a package of non-sterile 4x4 dressings, compromising their sterility. The LPN was unaware of the breach, and the facility's Staff Development Coordinator noted that staff were educated annually on infection control. The Administrator expected adherence to facility policies.
The facility did not ensure residents could view the State Survey Agency's survey results and Plan of Correction. Observations showed the results were not accessible, and no signage was posted to inform residents and visitors. Interviews revealed residents were unaware of the survey results' location, despite discussions in meetings. The Activity Director and Administrator acknowledged the oversight, citing staff turnover as a contributing factor.
Deficiencies in Food Safety Practices
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, specifically in the areas of thawing, storing, labeling, and dating food. Observations revealed that meat was improperly thawed in sinks and at room temperature, contrary to the FDA Food Code 2022, which requires thawing under refrigeration or under running water. Interviews with staff, including the Dietary Manager and the Administrator, confirmed that the facility's policy was not followed, and there was a lack of awareness about the specific policy details. The Regional Director of Operations stated that staff had been educated on proper thawing procedures, but these were not implemented. Additionally, the facility did not properly label and date food items in the walk-in cooler, leading to the presence of expired and outdated food. Observations noted several expired items, including sliced peaches, pears with a white-green substance, boiled eggs, Parmesan cheese, banana pudding, shredded cheese, and bacon grease. Interviews with the Dietary Manager and other staff indicated that there was an expectation for daily checks of the cooler for expired items, but this was not consistently done. The Administrator and Regional Director of Operations confirmed that staff were expected to label and date items and check for expired food, but these procedures were not followed during the Dietary Manager's absence.
Improper Garbage Storage in Kitchen
Penalty
Summary
The facility failed to ensure proper storage and coverage of garbage in the kitchen, as observed during a survey. A large, uncovered trash receptacle, nearly full of trash, was found approximately four steps away from the food preparation area. The Dietary Manager, during an interview, stated that staff were expected to keep trash bins covered and away from food prep areas. Further interviews with staff, including the Regional Director of Operations and the Administrator, confirmed that the expectation was for trash bins to be covered and stored away from areas where food was being prepared or served. Despite these expectations, the trash receptacle was improperly stored and uncovered, leading to the deficiency noted by the surveyors.
Deficiencies in Comprehensive Care Plans and Safety Protocols
Penalty
Summary
The facility failed to develop comprehensive person-centered care plans for three residents, which included measurable objectives and timeframes to meet their needs. For one resident, the care plan addressed respiratory issues related to nicotine dependence but did not include the use of a lock box for smoking paraphernalia, which was observed in the resident's room. The resident was seen with cigarettes and a lighter outside the lock box, and the Activities Director admitted that the care plans should have included the lock boxes as a safety measure. The MDS Coordinator and the Administrator were unaware of the omission in the care plans. Another resident, who was also an independent smoker, had a care plan that did not reflect the use of a lock box for cigarettes and lighters. Observations showed the resident with smoking materials outside the lock box, and the Activities Director confirmed that the care plans should have included this safety measure. The MDS Coordinator acknowledged her responsibility to ensure smoking was addressed in the care plans, but she was unaware of the lock boxes. A third resident required assistance from two staff members and a mechanical lift for transfers, as per the care plan. However, a CNA was observed transferring the resident alone, citing the unavailability of additional staff. The resident confirmed that transfers were sometimes done by one person, and the CNA admitted to not following the care plan. The DON and Administrator emphasized the importance of adhering to care plans to ensure resident safety, but the deficiency highlighted a lapse in following established protocols.
Failure to Enter Wound Treatment Orders
Penalty
Summary
The facility failed to enter wound treatment orders upon receipt for two residents, leading to deficiencies in care. Resident 237 was admitted with a Stage 4 pressure ulcer and other serious health conditions. Despite having wound care instructions from the acute hospital, including the use of a wound vac, these orders were not entered into the facility's electronic medical record (EMR) until five days after admission. Interviews with nursing staff revealed a lack of awareness and communication regarding the treatment orders, resulting in inconsistent wound care and documentation. Resident 99 was admitted with wounds on the coccyx and foot, but no treatment orders were entered until mid-March, despite the resident being seen by the Wound Care APRN in February. The former Unit Manager/LPN personally completed the treatments daily, relying on memory rather than documented orders. This lack of formal documentation and entry of orders into the EMR contributed to the deficiency in care for Resident 99. Interviews with facility staff, including the Director of Nursing and the Administrator, highlighted expectations that orders should be entered on the same day they are received. However, the failure to adhere to this protocol resulted in a lack of proper wound care management for both residents, as evidenced by the absence of documented treatment orders and inconsistent application of prescribed wound care procedures.
Deficiencies in Smoking Policy Enforcement and Resident Transfer Procedures
Penalty
Summary
The facility failed to ensure residents' safety and adequate supervision to prevent accidents related to smoking in prohibited areas and unsecured smoking paraphernalia. Three residents were observed with smoking materials lying on their beds and bedside tables instead of being secured in the provided lockboxes. Despite being aware of the policy, residents admitted to not securing their smoking materials, and staff interviews revealed a lack of enforcement of the smoking policy. Additionally, the facility did not adhere to its policy for safe handling and transfers, as evidenced by a CNA transferring a resident alone using a mechanical lift, contrary to the care plan that required two staff members for such transfers. The resident, who was cognitively intact, confirmed that transfers were sometimes conducted by one staff member instead of two. The CNA admitted to not following the care plan due to a lack of available staff assistance. Interviews with the DON and Administrator highlighted that they were unaware of the smoking policy violations and expected staff to follow care plans and facility policies. The failure to secure smoking materials and ensure proper transfer procedures indicates a lack of adherence to established safety protocols, potentially compromising resident safety.
Improper Storage and Labeling of Medications and Biologicals
Penalty
Summary
The facility failed to ensure that drugs and biologicals were stored according to the manufacturer's specifications and accepted professional nursing principles. During an observation of the medication room servicing the 100 and 200 halls, it was found that there was an open and undated multidose vial of Tubersol, an injectable solution used for tuberculosis testing, in the refrigerator. Additionally, there were sixty-two wound care products, including calcium alginate dressings and Promogran collagen matrix, that were beyond their expiration dates and still available for use. Interviews with LPNs and the Director of Nursing (DON) revealed that it is important to date all medications when opened and not use them beyond their expiration date to prevent potential inaccurate results, loss of potency, or adverse reactions. The DON stated that multidose vials should be dated when opened and discarded after 30 days. The facility's policy on medication administration requires that medications be administered by licensed nurses or authorized staff in accordance with professional standards to prevent contamination or infection, and expired medications should be reported to the nurse manager.
Infection Control Breach During Wound Care
Penalty
Summary
The facility failed to maintain safe and sanitary infection control precautions during wound care for a resident with a chronic Stage 4 wound to the sacrum. The resident was admitted with specific physician's orders for wound care, which included the use of Dakin's solution and a wet to dry dressing. During an observation of wound care, an LPN was seen cleaning the overbed table, laying a clean barrier, and placing wound care supplies on it. The supplies included non-sterile 4x4 dressings, wound cleanser spray, Dakin's solution, a bordered gauze dressing, and a non-sterile cup. The LPN washed her hands, donned a gown and gloves, and proceeded with the wound care procedure. However, after using a non-sterile gauze to pat the wound, the LPN discarded it but did not change gloves before reaching into the package of non-sterile 4x4 dressings, which compromised the sterility of the remaining dressings. Interviews conducted with the LPN and the Staff Development Coordinator (SDC) revealed that the LPN was unaware of the breach in infection control protocol. The SDC stated that staff were educated annually on infection control and wound care through a competency skills fair, which involved observation of staff performing tasks on a mannequin. The Administrator expressed the expectation that staff follow the facility's policies. The incident highlighted a lapse in adherence to infection control procedures during wound care, as outlined in the facility's policies.
Failure to Provide Access to Survey Results
Penalty
Summary
The facility failed to ensure that residents could exercise their right to view the results of the State Survey Agency's (SSA) survey and the facility's Plan of Correction. Observations from late July to early August 2024 revealed that the survey results were not readily accessible to residents, family members, and legal representatives. There was no signage posted to inform residents and visitors where the survey results could be viewed. The SSA Surveyor was unable to locate the survey results until they were specifically requested, at which point the receptionist retrieved them from a drawer at the front desk. Interviews with residents indicated a lack of awareness regarding the location of the survey results. Despite discussions about the survey results in resident council meetings, several residents with intact cognition scores were unaware of where the survey results were located. The Activity Director confirmed that the survey results binder should have been in the lobby area but was unsure why it was not there. The Administrator acknowledged the requirement for survey results to be available and visible but was unaware that signage was necessary. The facility had experienced significant staff turnover, contributing to the oversight.
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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 Paducah
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Parkview Nursing & Rehabilitation Center | 1 mi | — | 5 | 0 |
| River Haven Nursing And Rehabilitation Center | 2 mi | — | 1 | 0 |
| Providence Pointe Healthcare | 3.8 mi | — | 0 | 0 |
| Southgate Health Care Center | 7.3 mi | — | 7 | 1 |
| Metropolis Rehab & Hcc | 8.6 mi | — | 35 | 1 |
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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.