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Louisville, KY – (Part 3) The Ongoing History of Poor Care at Brownsboro Hills




On January 22, 2014, the Kentucky Office of Inspector General concluded an investigation at Brownsboro Hills Health and Rehabilitation Center and issued numerous serious deficiencies, including 11 Immediate Jeopardy citations. The Kentucky Office of Inspector General discovered unreported sexual abuse, physical abuse, verbal abuse and neglect and issued a lengthy deficiency report. Due to the length of the report and the amount of deficient practices noted therein, NHAA will post this material in 4 parts. PARTS 1 & 2 CAN BE FOUND HERE & HERE.



The following highlighted quoted text from the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES is only a portion of the full report/survey. The full report/survey can be found here.

High Turnover – 7 Executive Directors and 6 Directors of Nursing in 7 1/2 Months – One with Criminal History of Theft

Review of facility’s administrative staffing changes provided by the Corporate Human Resources Director, on 01/19/14, revealed between 05/29/13 to 01/22/14 the facility had six (6) different Directors of Clinical Services (DCS’s) and from 01/19/13 to 01/22/14 seven (7) different Executive Directors.

Failure by Administration to Correct Deficiencies Cited 5 Months Earlier on 8/1/13

The facility’s Administration failed to ensure the facility maintained substantial compliance per the facility’s Plan of Correction as evidenced by repeat deficiencies from the standard survey conducted on 08/01/13.

A copy of the 08/01/13 survey can be found here.

Continuing: Interview with the Vice President of Clinical Operations, on 01/14/14 at 5:20 PM, revealed the facility was unable to attest that the Plan of Correction was completed. The Vice President of Clinical Operations revealed they were unable to find any evidence to verify any of the reviews, audits, or meetings were done as directed in the POC.

Continuing: Interview with the the Regional Vice President of Operations(RVPO), on 01/19/14 at 12:32 PM, revealed he did not do any follow up related to the POC from the previous survey cited with multiple tags at a S/S of a G. The RVPO revealed he did not follow up from any QA meetings.

Continuing: Interview with the DCS, on 01/09/13 at 11:07 AM, revealed she was not aware of what the previous deficiencies were or what was written as the facility’s POC. The DCS revealed she had not even looked for the survey book, but did request for someone to find it for her.

Continuing: Interview with the Interim Executive Director (ED), on 01/09/14 at 12:29 PM, revealed he did look through the facility’s POC and noted an audit in the compliance book, but did not use this tool as he preferred to use his own worksheet for the AM meetings. No worksheets were ever provided as evidence of audit in the morning QA meetings. Continued interview with the ED, on 01/16/14 at 3:11 PM, revealed the facility continued to purge these notes although the state surveyors requested evidence of the forms.

Personal Note from NHAA Advocates: NHAA shares with all the families of loved ones who are confined to nursing homes the pain and anguish of putting them in the care of someone else. We expect our loved ones to be treated with dignity and honor in the homes we place them. We cannot emphasize enough to family members of nursing home residents; frequent visits are essential to our loved ones’ well-being and safety. This nursing home and many others across the country are cited for abuse and neglect.

You can make a difference. If you have a loved one living in this nursing home or any other nursing home where you suspect any form of abuse or neglect, contact us immediately. We can help you file a state complaint, hire a specialized nursing home attorney or help you find a more suitable location for your loved one.

Share your story with us, spread the word and HELP STOP THE ABUSE AND NEGLECT!

Contact us through our CONTACT FORM located on our website here or call our toll free hot line number: 1-800-645-5262

You can make a difference even if your loved one has already passed away

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