Average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Harrison Healthcare Center during CMS and state inspections, most recent first.
A facility failed to keep urinary catheter drainage bags off the floor for two residents with indwelling catheters. One resident had urinary retention, BPH, obstructive/reflux uropathy, hematuria, and severe cognitive impairment, and staff observed the catheter bag on the floor more than once despite an order to secure the tubing. Another resident with neurogenic bladder and CKD had the catheter bag resting on the floor during observations, a history of catheter dislodgement and UTI treatment, and no documented care plan for the indwelling catheter.
A resident newly enrolled in hospice received morphine from another resident’s supply when his own medication had not yet arrived. RN documentation showed the narcotic was signed out with a note that it was given to the resident, but the record lacked documentation that the family was notified. RN said the family gave permission, while an LPN stated new liquid morphine should be obtained through the EDK if not available, and the DON said the RN gave the medication without contacting leadership. The facility policy prohibited sharing or borrowing medications and required the five rights of medication administration.
A resident with hypertension received metoprolol on multiple occasions when their systolic blood pressure was below the physician-ordered threshold, contrary to medication administration parameters. Staff interviews and record review confirmed that the medication was administered outside of prescribed guidelines, despite facility policy requiring adherence to provider orders.
A resident with an indwelling catheter and a history of acute kidney failure and uropathy did not have catheter care documented during several night shifts, despite a care plan and facility policy requiring such care every shift. Staff interviews confirmed the expectation for regular catheter care, and the deficiency was identified due to missing documentation for the specified period.
A resident receiving nebulizer treatments did not have required respiratory assessments documented before and after treatments, and the nebulizer equipment was not replaced weekly as per facility policy. The nebulizer mouthpiece was observed to be undated and unbagged at the bedside, and staff interviews confirmed these lapses in care.
A resident with pain management needs received Oxycodone IR 5 mg as documented on the controlled drug administration record, but the medication administration record (MAR) did not reflect these administrations. Staff interviews confirmed that both records should be signed when narcotics are given, and facility policy requires medications to be charted when administered. This resulted in incomplete documentation of narcotic administration.
The facility failed to maintain oxygen concentrator filters for five residents, leading to deficiencies in respiratory care. Observations showed filters were covered with a white powdery substance, and records indicated inconsistencies in cleaning schedules. Staff interviews revealed lapses in the cleaning process, contributing to the deficiencies.
The facility failed to maintain resident dignity by not covering a resident's catheter bag, making urine visible from the hallway, and an LPN spoke disrespectfully to a resident during an assessment. The facility's policy on resident rights was not followed, leading to deficiencies in maintaining dignity and respect.
A resident requiring long-term IgG infusions due to poor venous access experienced a significant delay in scheduling a port placement. Despite a physician's order and a referral made in August, the appointment was not secured, leading to the continued use of midlines, one of which showed signs of infection. Interviews revealed confusion over insurance and primary physician details, contributing to the delay. The facility's staff acknowledged the issue, indicating it should not have taken months to address.
A resident with diabetes and other health conditions received insulin despite a physician's order to withhold it if blood sugar was below 150. The facility's records showed multiple instances of insulin administration when the resident's blood sugar was below this threshold. An LPN confirmed that insulin should be administered per physician's parameters, and the facility's policy emphasized adherence to prescribed medication orders.
The facility failed to follow physician's orders for two residents requiring laboratory services. One resident, with multiple diagnoses, did not have several required tests documented over several months. Another resident on Warfarin did not have timely INR monitoring, and the physician was not notified of results as required. The DON confirmed these lapses in following the facility's policies.
The facility failed to maintain a safe and homelike environment, with issues such as mold from air conditioning leaks and unclean filters in several rooms. The Maintenance Director admitted to delays in addressing these issues, and the DON confirmed that air conditioning filters were not cleaned monthly as required by policy.
A facility failed to monitor a resident's chole drain and did not adhere to medication parameters for several residents. A resident with a chole drain had no documented monitoring, and the drain was found missing. Additionally, medications were administered to residents despite blood pressure and pulse readings not meeting prescribed parameters, and documentation of vital signs was lacking before administering medication.
The facility failed to maintain a sanitary environment in two hallways. On the 300 Hallway, issues included towels and a bath blanket on the floor, a commode with a strong stool odor, and an out-of-order bathroom. Debris and a shop vac were also noted. On the 200 Hallway, bed linens were on the floor, and a commode was not properly emptied. A CNA confirmed improper handling of soiled linens and commode checks.
The facility failed to bag respiratory equipment for three residents, including a resident with a tracheostomy and two residents using nebulizers, despite physician orders and infection control protocols. An LPN confirmed the need for bagging to prevent germs.
Urinary catheter drainage bags left on the floor
Penalty
Summary
The facility failed to ensure proper management of urinary catheter drainage systems for two residents with indwelling catheters by allowing the drainage bags to rest on the floor. Resident 71 had diagnoses including urinary retention, BPH with lower urinary tract symptoms, obstructive and reflux uropathy, and hematuria, and was assessed as severely cognitively impaired. During observations, the resident’s catheter bag was seen on the floor beside the recliner twice. The record showed the resident had an indwelling catheter related to obstructive and reflux uropathy, BPH, urinary retention, and hematuria, and the care plan noted the resident moved the catheter bag at times due to being fidgety, but it lacked interventions addressing that behavior. The physician’s order directed staff to secure the catheter tubing with an anchoring device to prevent movement and urethral traction. Resident 86 had diagnoses including neuromuscular dysfunction of the bladder and chronic kidney disease. During observations, the bottom of the urinary catheter bag was seen resting on the floor and later attached to the bed rail with the bottom still on the floor. The record included prior nursing notes showing the catheter had been found lying beside the resident in bed and had come out on another occasion, requiring replacement. The resident was also treated at a local hospital for a UTI. The physician’s order directed staff to ensure a privacy bag and catheter leg strap were in place at all times and to secure the catheter tubing to prevent movement and urethral traction, but the clinical record lacked documentation of a care plan for the indwelling urinary catheter.
Narcotic Medication Shared Between Residents Without Following Policy
Penalty
Summary
The facility failed to ensure staff followed policy and procedure when administering a narcotic for one resident. Resident B had diagnoses including rheumatoid arthritis with rheumatoid factor, spinal stenosis, and primary osteoarthritis, and was newly enrolled in hospice on 10/17/25. The resident had a physician order for Morphine Sulfate (Concentrate) Oral Solution 100 mg/5 mL, 0.25 mL by mouth every hour as needed, but the record showed the morphine was signed out on the controlled substance administration record with handwritten notes stating it was given to Resident B from Resident E’s supply. The record lacked documentation that the family was notified that Resident B was given Resident E’s morphine until his own medication supply arrived. RN 8 stated that Resident B’s family member was called and gave permission to use Resident E’s medication because Resident B needed pain medication and his medication had not yet arrived, and RN 8 also notified the DON. LPN 9 stated that a new liquid morphine order should be obtained through the Emergency Drug Kit if it had not arrived at the facility, and the DON stated that the RN gave the medication without contacting leadership. The facility policy stated to observe the five rights in medication administration and not to share or borrow medications from others.
Failure to Follow Blood Pressure Medication Parameters
Penalty
Summary
The facility failed to follow physician-ordered medication administration parameters for a resident diagnosed with hypertension. The physician's order specified that metoprolol 25 mg should be administered twice daily but held if the resident's systolic blood pressure (SBP) was less than 120. Despite this order, medication administration records showed that metoprolol was given on multiple occasions when the resident's SBP was below the prescribed threshold, with recorded SBP values ranging from 94 to 119 at the time of administration. Interviews confirmed that staff were aware that medications should not be administered if a resident's blood pressure was outside of ordered parameters. The facility's policy on medication administration also required medications to be given only as prescribed by the provider. The failure to adhere to these parameters was identified through record review and staff interviews, and the deficiency was cited in relation to a specific complaint.
Failure to Provide and Document Catheter Care Every Shift
Penalty
Summary
A resident with diagnoses including acute kidney failure and obstructive and reflux uropathy had an indwelling catheter and a care plan directing staff to provide catheter care every shift. Review of the resident's clinical record showed a lack of documentation for indwelling catheter care during the night shift from June 11 through June 13, 2025. Interviews with staff confirmed that catheter care was expected to be provided every shift, and the facility's policy required catheter care at least twice daily for residents with indwelling catheters. The deficiency was identified due to the absence of documented catheter care for the specified period.
Failure to Complete Respiratory Assessments and Replace Nebulizer Equipment Weekly
Penalty
Summary
The facility failed to ensure that respiratory assessments were completed for a resident receiving nebulizer treatments and did not replace respiratory equipment on a weekly basis as required. Observation revealed that a nebulizer machine at the resident's bedside had a handheld mouthpiece that was neither bagged nor dated. Record review showed that the resident, who had diagnoses including anxiety and cough, was receiving Duoneb Solution via nebulizer twice daily per physician order. However, there was no documentation in the clinical record of respiratory assessments being performed before and after the treatments, nor was there evidence of weekly replacement of the nebulizer tubing, chamber, and mouthpiece. Interviews with staff confirmed that the nebulizer tubing should be dated and bagged when not in use and that equipment was to be replaced weekly. The DON acknowledged that respiratory assessments were expected to be completed before and after treatments to assess effectiveness, but confirmed that such assessments were not in place for this resident. Facility policy required collection of respiratory data pre- and post-treatment, but this was not documented in the resident's record.
Failure to Accurately Document Narcotic Administration on MAR
Penalty
Summary
The facility failed to ensure that a resident's medication administration record (MAR) accurately reflected the administration of narcotic pain medication. Specifically, for a resident with diagnoses including right upper arm pain and low back pain, the July and August medication administration records did not document the administration of Oxycodone IR 5 mg, despite the controlled drug administration record indicating that the medication was given on multiple occasions. The MAR lacked documentation for the administration of the resident's medication from July through early August, even though the controlled drug record showed the medication was dispensed at those times. Interviews with staff confirmed that both the controlled drug administration record and the MAR should be signed by the nurse when administering routine or as-needed narcotic pain medication. The facility's policy, as provided by the Director of Nursing, states that medications will be charted when given and narcotics will be signed out when administered. The failure to document the administration of narcotic medication on the MAR was identified during a review of the clinical record and confirmed through staff interviews.
Deficient Maintenance of Oxygen Concentrator Filters
Penalty
Summary
The facility failed to ensure proper maintenance of oxygen concentrator filters for five residents, leading to deficiencies in respiratory care. Observations revealed that the filters of these residents' oxygen concentrators were either heavily or moderately covered with a white powdery substance. This issue was noted during multiple observations, including one where a resident's filter was 100% covered and pushed against the outer wall of the room. The facility's Director of Nursing confirmed the condition of the filters during an observation. The records of the affected residents showed that they had various respiratory and cardiac conditions, such as COPD, emphysema, heart failure, and anxiety disorders, which necessitated the use of oxygen therapy. Physician orders indicated that the filters should be cleaned weekly and as needed, but documentation in the Treatment Administration Records (TAR) showed inconsistencies in the cleaning schedule. For instance, one resident's filter was last cleaned several days before the observation, and another resident's TAR lacked documentation for filter cleaning altogether. Interviews with facility staff revealed lapses in the cleaning process. The Patient Resident Scheduler responsible for cleaning the filters admitted to being behind schedule and missing the cleaning of one resident's filter. She also acknowledged that the buildup of the white powdery substance could occur quickly, especially if the filters were wet when replaced. The facility's policy on oxygen concentrator maintenance was not consistently followed, contributing to the observed deficiencies in respiratory care.
Failure to Maintain Resident Dignity and Respect
Penalty
Summary
The facility failed to respect the dignity of residents by not ensuring that the urine side of an indwelling catheter bag was not visible to those passing by a resident's room. Resident 283's catheter bag was observed multiple times over several days hanging off the side of the bed without a dignity cover, making the urine visible from the hallway. Despite a physician's order and care plan indicating the need for a privacy bag, staff interviews revealed that the catheter bag was not covered, and staff were aware of the requirement to use dignity covers but failed to implement it. Additionally, the facility did not ensure that staff spoke to residents in a dignified manner. An incident involving Resident 34 occurred when an LPN, responding to a reported change in condition, entered the resident's room and startled her. The resident became combative, and the LPN responded by yelling at her to "shut up," which was confirmed by multiple staff members. The resident's care plan included interventions for behavior management, but the LPN's response was inappropriate and disrespectful. The facility's policy on resident rights emphasizes treating residents with dignity and respect, including speaking respectfully and providing privacy. However, the observations and interviews indicate that these policies were not followed, leading to deficiencies in maintaining the dignity and respect of the residents involved.
Delay in Scheduling Port Placement for Resident Requiring IV Therapy
Penalty
Summary
The facility failed to ensure a timely appointment was scheduled for the placement of a port for a resident requiring intravenous therapy. The resident, who was cognitively intact and diagnosed with conditions such as immobility syndrome and chronic inflammatory demyelinating polyneuritis, required long-term IgG infusions due to poor venous access. Despite a physician's order dated 10/30/24 for a referral to a surgeon for port placement, the appointment was not scheduled promptly. The resident had a midline placed in the right arm, which later showed signs of infection, necessitating its removal. The resident expressed concern over the delay in port placement, which was initially referred by her family physician in August, but the referral may have been ignored. Interviews with facility staff revealed confusion and delays related to the resident's insurance and primary physician, contributing to the scheduling issue. The facility's scheduler and business office manager were involved in the process, but the appointment for port placement was not secured. The Director of Nursing and the Regional Director of Clinical Operations acknowledged the delay, with the latter indicating that it should not have taken months to schedule the appointment. The deficiency highlights a lapse in the facility's process for managing referrals and scheduling necessary medical procedures for residents.
Failure to Follow Insulin Administration Parameters
Penalty
Summary
The facility failed to adhere to a physician's order regarding insulin administration for a resident with diabetes, hypertension, congestive heart failure, and cognitive communication deficit. The physician's order specified that insulin should be withheld if the resident's blood sugar was below 150. However, the resident received insulin on multiple occasions when their blood sugar was below this threshold, as documented in the Electronic Administration Record/Electronic Treatment Administration Record (EMAR/ETAR) for October, November, and December 2024. This included instances where the blood sugar levels were as low as 101, 106, and 132, among others. During an interview, an LPN confirmed that insulin administration should follow the physician's parameters and that any deviations should be reported to a medical provider. The facility's policy on medication administration, which was provided by the Administrator in Training, emphasized administering medication only as prescribed and observing the five rights of medication administration. Despite these guidelines, the facility did not comply with the physician's order, leading to the administration of insulin outside the specified parameters.
Failure to Follow Physician's Orders for Laboratory Services
Penalty
Summary
The facility failed to follow physician's orders for obtaining laboratory services for two residents. Resident 25, who was moderately cognitively impaired and had multiple diagnoses including seizures and hypertension, had a physician's order for several laboratory tests to be conducted every three months starting in July 2024. However, the resident's record lacked documentation of several required tests in July and October 2024, and an Oxcarbazepine level in November 2024. The LPN indicated that the nurse was responsible for inputting lab orders into the lab courier system, but the Director of Nursing confirmed that the labs were not completed as ordered. Resident 14, who was cognitively intact and had diagnoses including atrial fibrillation and heart failure, was on Warfarin and required regular INR monitoring. A new order for daily Warfarin was made on November 8, 2024, with a recheck of INR scheduled for November 15, 2024. However, the INR was not drawn until November 22, 2024, and there was no indication that the physician was notified of the result or that a new INR order was placed until December 13, 2024. The facility's policy required communication between the facility and the physician for INR monitoring, but this was not followed, as confirmed by the DON.
Deficiencies in Room Maintenance and Air Conditioning Filter Cleaning
Penalty
Summary
The facility failed to maintain a safe and homelike environment for residents, as evidenced by issues with air conditioning units and room conditions in several observed rooms. In one instance, wallpaper was buckled and peeling due to a water leak from an air conditioning unit, which had caused mold growth on the wall. The Maintenance Director acknowledged the mold issue, stating that the wall had been cut out and replaced after a leak from the air conditioner. However, the leak had persisted for months, requiring staff to use blankets and a bath pan to manage the water. The dark black substance observed on the wall was identified as mold, which the Maintenance Director planned to clean with bleach. Additionally, the facility did not adhere to its policy of cleaning air conditioning filters monthly. Observations revealed that several air conditioning filters were either missing or covered in dust, with the Maintenance Director admitting that the filters on one hallway had not been cleaned since July. The Director of Nursing confirmed that the filters were supposed to be cleaned monthly, as per facility policy. This failure to maintain clean air conditioning filters and address water leaks promptly compromised the safety and comfort of the residents' living environment.
Failure to Monitor Chole Drain and Adhere to Medication Parameters
Penalty
Summary
The facility failed to ensure proper monitoring and care for a resident with a chole drain. Resident B, who was admitted with a chole drain due to acute cholecystitis and sepsis, had no documented monitoring of the drain from the time of admission until it was discovered missing by a nurse practitioner. The Director of Nursing acknowledged that staff should have been monitoring the resident's drain. Additionally, the facility did not adhere to medication administration parameters for several residents. Resident B received Metoprolol Succinate ER despite having a systolic blood pressure below the prescribed threshold. Similarly, Resident C was administered Midodrine HCl even when their systolic blood pressure exceeded the limit set by the physician's order. Resident D received Hydralazine and Metoprolol Tartrate despite having blood pressure and pulse readings below the specified parameters. Resident E's medication administration records lacked documentation of blood pressure readings prior to administering Carvedilol on multiple occasions. The facility's policy requires recording pertinent information, such as blood pressure and apical pulse, before medication administration, which was not followed in these instances.
Sanitation Deficiencies in Facility Hallways
Penalty
Summary
The facility failed to maintain a sanitary environment in two of the three hallways observed, specifically the 200 and 300 Hallways. On the 300 Hallway, multiple issues were noted, including towels and a bath blanket on the floor under the heating and air unit in one room, and a bedside commode with a dried, speckled brown substance that emitted a strong odor of stool. Additionally, the bathroom in this room was out of order. Another room on the same hallway had towels on the floor, a strong urine odor, a puddle of water, and a brown substance on the toilet seat and floor. The piping from the toilet was removed and lying on the floor, and the trash can was out of reach and without a trash bag. Debris such as an empty chocolate milk container and snack wrappers were also observed on the floor. A shop vac was left in the hallway, and a can of air freshener, considered a chemical, was improperly left in a resident's room. On the 200 Hallway, bed linens were found on the floor at the end of a bed, and a bedside commode was observed with urine and toilet paper, a quarter full. A CNA indicated that soiled linens should not be on the floor and should be bagged and placed in the dirty linen container, and that bedside commodes should be checked and emptied every two hours. The facility's policy on infection control practices for laundry/linen was provided, indicating that resident safety is a primary consideration. These observations were related to a complaint investigation.
Failure to Bag Respiratory Equipment
Penalty
Summary
The facility failed to ensure that respiratory equipment was properly bagged when not in use for three residents who required respiratory care. Resident C, who had a tracheostomy, was observed with a yankauer suctioning tool lying directly on the nightstand without being bagged. This was despite a physician's order indicating the need for regular suctioning. An LPN confirmed that respiratory equipment should be bagged to prevent germs and infection. Similarly, Resident D, diagnosed with congestive heart failure and asthma, had a nebulizer machine with tubing attached to a handheld nebulizer lying on a recliner without being bagged. Resident E, with chronic obstructive pulmonary disease and chronic respiratory failure, also had a nebulizer machine with tubing attached to a handheld nebulizer in bed, not in use or bagged. Both residents had physician's orders for nebulizer treatments, yet the equipment was not stored according to infection control protocols.
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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 Corydon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Indian Creek Healthcare Center | 0.2 mi | ★★★★★ | 5 | 0 |
| Harrison Springs Health Campus | 2.8 mi | ★★★★★ | 6 | 0 |
| Waters Of Georgetown, The | 10.9 mi | ★★★★★ | 9 | 0 |
| Todd-dickey Nursing And Rehabilitation | 12.8 mi | ★★★★★ | 0 | 0 |
| Brandenburg Nursing And Rehabilitation Center | 14.5 mi | ★★★★★ | 0 | 0 |
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