Average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Chautauqua Health And Rehabilitation during CMS and state inspections, most recent first.
Food storage and handling safety lapses were observed in the kitchen. Uncovered and undated dessert cups were found in the freezer, dented canned goods and an unsealed soup base were stored for use, an ADM wore a hairnet that left hair exposed, and the ADM used the same thermometer on hamburger patties and pureed corn without cleaning it first, then served the corn after removing only the touched area.
Failure to report an alleged sexual abuse incident to the State Agency involved a resident with intact cognition and multiple wound-related diagnoses. Staff interviews and facility records described an LPN allegedly inserting fingers into the resident’s vagina during peri-care and making sexually inappropriate comments, while the resident said she felt uncomfortable and concerned for other residents. Although the facility investigated internally and interviewed some residents, leadership stated the matter was viewed as resident care and was not reported to the SSA as required by policy.
Failure to perform hand hygiene occurred during a medication pass when a CMA did not wash hands before giving meds to one resident or between giving meds to two residents. The CMA also handled medication and water cups on the cart, then used contaminated gloves while opening a gabapentin capsule. The ADON observed the event and addressed the CMA at the time.
A Medication Tech was observed with pre-pulled medication cups labeled for three residents on the Dementia unit, in violation of facility policy and professional standards. The staff member and facility leadership acknowledged this unsafe practice, which involved preparing and storing medications in advance rather than administering them directly as ordered.
Staff failed to follow infection control protocols during care for two residents, including improper handling of soiled linens, lack of hand hygiene and glove changes, and failure to clean and disinfect a soiled air mattress and an enteral feeding infusion stand. These lapses occurred despite facility policies and staff awareness of required infection prevention measures.
Food Storage and Food Handling Safety Lapses
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional food service safety standards. During kitchen observation, a dessert cart with 20 cups of chocolate trifle was found uncovered and undated in the freezer. In dry pantry storage, one large 6.61-pound canned peaches, two large 6.61-pound canned mandarin oranges, and three large 6.38-pound stewed tomatoes were dented but still stored in active rotation for resident meals. Chicken soup base was also stored in its original 1.25-pound container with the lid lying on top, unsealed, and had an open date of 12/30/2025 with no use-by date. The Assistant Dietary Manager was observed with her hairnet improperly worn, leaving approximately 2.5 inches of hair exposed on the right side, 1.5 inches on the left side, and 1 to 2 inches above the hairline on the forehead. She stated she did not realize her hair was exposed and acknowledged the hairnet had slipped off at times. During another kitchen observation, she used a thermometer to check hamburger patties and then used the same thermometer on pureed corn without cleaning it first; she then removed the touched area with an ice cream scoop but did not discard the pureed corn. She stated she realized her mistake and that the corn should have been discarded because it had been contaminated after the thermometer was used on the hamburger patties without being sanitized.
Failure to Report Alleged Sexual Abuse
Penalty
Summary
The facility failed to report an alleged sexual abuse incident involving a resident to the State Agency and other required authorities. The resident involved, R61, was admitted with diagnoses including a stage four pressure ulcer of the sacral region, a non-pressure chronic ulcer with necrosis of muscle, and anxiety disorder. Her annual MDS assessment showed a BIMS score of 14 out of 15, indicating intact cognition, and no behaviors were identified. The grievance log reviewed for the relevant period contained no grievance filed by or on behalf of R61. Facility investigation records and staff interviews described an incident in which an LPN was alleged to have inserted fingers into R61’s vagina during peri-care and wound care and made sexually inappropriate comments, including remarks about the resident being “tight” and like a “born-again virgin.” A CNA who was present stated she observed the conduct and heard the comments, and another CNA reported hearing the resident later describe the same interaction and express discomfort. R61 herself stated that the LPN had touched her inappropriately and that she was concerned for other residents who could not speak up for themselves. The facility’s investigation documentation also reflected that staff interviewed other residents and completed skin assessments on residents with lower BIMS scores. Despite these allegations, the Administrator and ADON stated they did not believe the matter needed to be reported to the SSA because they viewed it as related to resident care. The Administrator stated she did not feel it was necessary to interview R61 or the nurse involved as part of the investigation, and the ADON stated she had only understood that R61 did not want the LPN to care for her because the treatment took too long. The facility policy required reporting all alleged violations of abuse to the Administrator, State Agency, Adult Protective Services, and other required agencies within specified timeframes, and for abuse allegations or serious bodily injury, reporting immediately but no later than two hours after the allegation was made.
Failure to Perform Hand Hygiene During Medication Pass
Penalty
Summary
Standard precautions were not followed during medication administration when hand hygiene was not performed for 2 of 5 residents observed during the medication pass, including R46 and R75. The facility policy required staff to wash hands before and after administering medications, and the infection prevention and control policy stated all residents were to be treated as potentially infected or colonized with organisms that could be transmitted during care. During observation on the 500-Hall, CMA 1 did not perform hand hygiene before giving medications to R46 or between administering medications to R46 and R75. During the same observation, a stack of medication cups and a stack of water cups were kept upside down on top of the medication cart, and CMA 1 was observed touching the rims of the water cups and medication cups, as well as the inside of the medication cups, while obtaining medications from the medication cards and carrying water to the resident. After donning a glove and obtaining another glove from the PPE holder on R75's door, CMA 1 sorted through the medication cart contents and then opened a gabapentin capsule to empty its contents into a medication cup without changing gloves or performing hand hygiene. The ADON witnessed the capsule being emptied while the contaminated gloves were still on and addressed and educated CMA 1 at that time.
Pre-pulled Medications Found on Dementia Unit
Penalty
Summary
Facility staff failed to provide treatment and care in accordance with professional standards of practice, as evidenced by the pre-pulling of medications for three residents on the Dementia unit. During an observation, a Medication Tech was found with three medication cups, each containing medications that had been prepared in advance and labeled with the residents' names. These cups were stored in the top drawer of the medication cart, contrary to the facility's Medication Administration policy, which requires medications to be administered by licensed or authorized staff as ordered and in accordance with professional standards. The Medication Tech acknowledged during an interview that she was aware pre-pulling medications was not permitted and recognized the associated risks, especially given the vulnerability of residents on the Dementia unit. Both the DON and the Administrator confirmed that this practice was not in line with facility policy and described it as a significant safety risk due to the potential for medication errors. The facility's policies on medication administration and residents' rights were reviewed and found to require adherence to professional standards and proper care for residents.
Failure to Maintain Infection Control Practices During Resident Care and Environmental Cleaning
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program for two residents, resulting in multiple breaches of standard precautions and environmental cleaning protocols. For one resident with severe cognitive impairment and multiple diagnoses, two CNAs were observed removing urine-soaked sheets from the resident's air mattress, using the soiled sheets to wipe the mattress, and then discarding them on the floor while wearing gloves. The CNAs did not perform hand hygiene or change gloves before proceeding to provide incontinence care and dress the resident in clean clothes. Additionally, the air mattress was not cleaned or disinfected after becoming soiled, contrary to facility policy and staff expectations. In another instance, a resident with cerebral palsy, diabetes, and malnutrition, who was on enteral feeding and Enhanced Barrier Precautions, was found to have an infusion stand soiled with an unidentified brownish substance on multiple occasions. The nursing staff, responsible for changing enteral tube-feed bags and maintaining a clean environment, failed to clean or disinfect the infusion stand as required. Interviews with staff confirmed that the expectation was for the stand to be cleaned with appropriate disinfectant wipes, especially for residents on Enhanced Barrier Precautions. Facility policies reviewed indicated clear requirements for hand hygiene, glove use, and environmental cleaning, with all staff responsible for maintaining cleanliness and reporting issues. Despite these policies and staff awareness of the correct procedures, the observed actions did not align with established infection control practices, resulting in a failure to prevent the potential development and transmission of communicable diseases and infections.
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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 Owensboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Carmel Home | 1 mi | ★★★★★ | 11 | 0 |
| Wellington Parc Of Owensboro | 1.3 mi | ★★★★★ | 7 | 0 |
| The Transitional Care Center Of Owensboro | 1.4 mi | ★★★★★ | 0 | 0 |
| Signature Healthcare At Hillcrest | 1.9 mi | ★★★★★ | 1 | 0 |
| Hermitage Care And Rehabilitation Center | 2.1 mi | ★★★★★ | 3 | 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 October 2026) and official state health department websites.