Below average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Elkton Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
Dirty Hallway Handrails and Unattended Cup: Staff failed to maintain a clean, tidy, and homelike environment when hallway handrails were observed covered with food wrappers and crumbs, and a Styrofoam cup with liquid was left on a handrail by a room. HK and the Housekeeping Supervisor stated housekeeping was responsible for keeping corridors, handrails, and floors clean, but staffing and task assignment issues contributed to items being missed.
Expired and shattered COVID-19 vaccine syringes were found in the medication refrigerator during survey observation. Facility policy required expired, contaminated, deteriorated, cracked, or unsecured medications to be removed from stock, but the DON did not know why the vaccines remained in the refrigerator and stated pharmacy staff had been at the facility the day before. Staff said nurses were responsible for checking medication carts and refrigerators for expired meds, and the DON identified the issue as an infection control concern.
The facility failed to maintain infection control practices during resident care, including urostomy and wound care, and medication administration. Staff did not change gloves or sanitize hands between clean and dirty processes, and several staff members were not fit tested for N95 masks despite caring for COVID-19 positive residents. These deficiencies could potentially affect all residents in the facility.
Two residents experienced delays in receiving their medications due to the facility's failure to reorder in a timely manner. One resident with atrial fibrillation did not receive their Eliquis, and another with diabetes did not receive their metformin. The facility's process for reordering medications was not followed, leading to a deficiency in pharmaceutical services. Interviews revealed a lack of communication and timely action in reordering medications, despite expectations set by the DON and Administrator.
The facility failed to maintain a medication error rate below 5%, resulting in a rate of 7.41%. Two residents were affected: one with atrial fibrillation did not receive Eliquis, and another with type 2 diabetes did not receive metformin, as both medications were unavailable. The KMA confirmed the absence of the medications, and the DON expected nurses to contact the pharmacy promptly.
A facility failed to conduct a new PASARR for a resident who developed new psychiatric diagnoses after admission. Initially screened in 2013, the resident later received diagnoses of psychosis, anxiety disorder, and major depressive disorder in 2015, but no new PASARR was completed. Staff interviews revealed a lack of awareness and action regarding the PASARR process, affecting the resident's care and regulatory compliance.
A resident with type 2 diabetes did not receive metformin as prescribed due to unavailable 1,000 mg tablets. Staff administered two 500 mg tablets instead, without notifying the physician or pharmacy. The facility's policy requires medications to be given as ordered, and staff acknowledged the error. The pharmacist confirmed this practice was inappropriate.
A resident with a contracted left hand did not receive adequate nail care, as her nails were observed to be long and jagged, despite facility policy requiring routine trimming. Staff interviews revealed confusion about responsibility for nail care, with no clear schedule or documentation. The resident expressed concern about potential injury from her nails, highlighting a deficiency in the facility's provision of ADLs.
A facility failed to act on pharmacy recommendations for a resident's medication regimen, which included adjustments to atenolol, Myrbetriq, and discontinuation of tetrahydrozoline eye drops. Despite receiving the recommendations via email, the attending physician did not address them, and the resident's medication orders remained unchanged. Interviews revealed a lack of follow-up by the DON and communication issues, with the Medical Director noting the recommendations might have been missed during the resident's hospitalization.
A resident with Alzheimer's and anxiety was kicked by another resident in the dining room, witnessed by a third resident. The RN informed of the incident did not report it immediately, as she did not consider it abuse. This led to a delay in notifying the administration and state agency, violating the facility's policy for timely reporting of abuse allegations.
Dirty Hallway Handrails and Unattended Cup
Penalty
Summary
Staff failed to ensure a clean, comfortable, and homelike environment when observations on 07/23/2025, 07/24/2025, and 07/24/2025 revealed the handrails along the hall corridor were filled with food wrappers and crumbs. A Styrofoam cup containing a liquid substance was also observed on the handrail by room [ROOM NUMBER]. The facility policy titled, Resident Rights, stated residents have a right to a safe, clean, comfortable and homelike environment, including receiving treatment and supports for daily living safely. During interview, HK1 stated her responsibilities included maintaining a clean environment for residents and staff, and that housekeeping staff were expected to clean hallway corridors, handrails, and floors. She stated if she saw something needing immediate attention, such as a spill, she would clean it up, and that failure to properly clean could cause cross contamination. The Housekeeping Supervisor stated it was her expectation that staff keep everything neat and tidy, but also stated she did not have the extra housekeeper working that week and had to assign those areas to other housekeepers after room cleaning. She further stated she tried to walk the halls and pick up items left behind, but she also worked as an SRNA and was often pulled from housekeeping duties. The DON and Administrator both stated the facility should be clean and tidy and that it should be a homelike environment.
Expired and Shattered COVID-19 Vaccine Syringes Found in Medication Refrigerator
Penalty
Summary
Drugs and biologicals were not stored in a manner to preserve integrity when surveyors observed the medication room refrigerator containing two expired COVID-19 vaccine syringes, one of which was shattered. The observation was made in the medication storage room refrigerator, where the expired vaccine syringes were found in a plastic bag with an expiration date of 04/24/2025. The facility policy titled Medication Storage, reviewed 03/2025, stated that expired, contaminated, deteriorated medications, and medications in containers that are cracked, soiled, or without secure closures are to be immediately removed from stock and disposed of according to medication destruction procedures. During interview, a KMA stated nurses were responsible for checking medication carts and refrigerators for expired medications, and that pharmacy representatives usually came once per month to check for expired medications and vaccines. The DON stated she did not know why the expired COVID-19 vaccine syringes were still in the medication refrigerator and said pharmacy staff had been at the facility the day before and should have removed them. The DON later stated that expired medications, including vaccinations, could cause a resident reaction if administered and that having expired vaccinations in the refrigerator was an infection control issue. The Administrator stated he expected staff to properly store medications and ensure all medications were not expired.
Infection Control Deficiencies in Resident Care and PPE Use
Penalty
Summary
The facility failed to maintain proper infection control practices during the care of several residents, which could potentially affect all residents in the facility. During urostomy care for a resident with quadriplegia and a urostomy, a registered nurse did not change gloves or sanitize hands between clean and dirty processes. The nurse dropped a soiled urostomy bag on the floor, handled it with the same gloves used for clean procedures, and did not wash hands after removing personal protective equipment. In another instance, a licensed practical nurse did not follow proper infection control techniques during wound care for a resident with venous or arterial ulcers. The nurse opened wound care supplies in the hallway, placed soiled dressings on the resident's bed linens, and did not sanitize hands between glove changes. Clean supplies were placed on a bedside table without a barrier, and the nurse contaminated clean items with dirty ones during the wound care process. Additionally, during medication administration, a medication aide used gloves to touch multiple surfaces and poured medications into her gloved hand before administering them to a resident. Furthermore, several staff members, including nurse aides and nurses, were not fit tested for N95 masks despite caring for residents with COVID-19. The facility did not have a policy related to fit testing, and the Director of Nursing confirmed that fit testing had not been completed.
Medication Reordering Delays for Two Residents
Penalty
Summary
The facility failed to ensure medications were obtained from the pharmacy in a timely manner for two residents, leading to a deficiency in pharmaceutical services. Resident R32, who has a diagnosis of atrial fibrillation and severe cognitive impairment, had a physician's order for Eliquis, an anticoagulant medication. During a medication pass, the medication aide was unable to locate R32's Eliquis tablet in the medication cart or room. Similarly, Resident R8, diagnosed with type 2 diabetes mellitus and moderate cognitive impairment, had a physician's order for metformin, a diabetic medication. During a medication pass, the medication aide could not find R8's metformin tablet in the medication cart or room. Further investigation revealed that the facility's process for reordering medications involved pulling a sticker from the medication box and faxing it to the pharmacy. However, the Licensed Practical Nurse (LPN) was unable to find the necessary stickers for reordering R32's Eliquis and R8's metformin. The LPN found a refill reorder form for R8's metformin, indicating it was faxed to the pharmacy, but no such form was found for R32's Eliquis. The pharmacist confirmed that both medications were sent to the facility but noted that the supply was insufficient to last until the next delivery, indicating a delay in reordering. Interviews with the pharmacy staff and facility personnel highlighted a lack of communication and timely action in reordering medications. The pharmacist mentioned that both medications were available in the facility's emergency kit, but there was no record of them being used. The Director of Nursing and the Administrator expressed expectations for staff to notify the pharmacy promptly when medications were out of stock and to ensure timely reordering, which was not adhered to in these cases.
Medication Error Rate Exceeds 5% Due to Unavailable Medications
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, resulting in a rate of 7.41% during an observation of medication administration. This deficiency affected two residents, one with a diagnosis of atrial fibrillation and another with type 2 diabetes mellitus. The first resident was prescribed Eliquis, an anticoagulant, which was not administered because the medication was not found in the medication cart or the medication room. Similarly, the second resident was prescribed metformin for diabetes management, but the medication was also unavailable in the cart and the medication room, leading to a missed dose. Interviews with the Kentucky Medication Aide (KMA) and the Director of Nursing (DON) revealed that the medications were not administered due to their unavailability. The KMA confirmed the absence of the medications in the cart and the medication room, while the DON stated that the expectation was for nurses to contact the pharmacy to obtain the medications promptly. The Administrator also expressed the expectation that medications should be administered as ordered and that a process should be in place to ensure the facility receives the ordered medications.
Failure to Update PASARR for Resident with New Psychiatric Diagnoses
Penalty
Summary
The facility failed to initiate a new Level I Preadmission Screening and Resident Review (PASARR) for a resident who received new psychiatric diagnoses after admission. The resident, identified as R14, was initially screened before admission in 2013 and was found not to have a major mental disorder. However, after admission, the resident developed new psychiatric conditions, including psychosis, anxiety disorder, and major depressive disorder, which were documented in 2015. Despite these new diagnoses, the facility did not conduct a new PASARR assessment or make a referral to the state-designated authority for further evaluation. Interviews with facility staff revealed a lack of awareness and action regarding the PASARR process. The Medical Records Director acknowledged that she should have updated the resident's diagnoses in the electronic system to trigger a new Level I screening. The Director of Nursing admitted to having no knowledge of the PASARR process, and the Administrator expressed an expectation that PASARR assessments should be completed appropriately. The oversight affected the resident's care and compliance with regulatory requirements.
Medication Administration Deficiency
Penalty
Summary
The facility failed to ensure that services provided met professional standards of quality for a resident during medication administration. The resident, who had a diagnosis of type 2 diabetes mellitus, had a physician's order for metformin hydrochloride 1,000 mg to be administered every morning. However, the medication was unavailable, and staff had been administering two 500 mg tablets instead without notifying the physician or following up with the pharmacy. This practice was not in accordance with the facility's policy, which requires medications to be administered as prescribed by the attending physician. The deficiency was observed during a medication pass when a Kentucky Medication Aide was unable to locate the 1,000 mg tablets for the resident. Interviews with staff revealed that the medication had been reordered but not delivered, and staff had been using the 500 mg tablets to make up the 1,000 mg dose. The Director of Nursing and other staff members acknowledged that this was not the appropriate procedure and that the physician should have been notified about the medication shortage. Further interviews with the Social Services Director, who also administered medications, and a Licensed Practical Nurse confirmed that the resident had been out of the 1,000 mg tablets for some time. Despite this, the staff continued to administer two 500 mg tablets without proper authorization. The facility's pharmacist also stated that using two 500 mg tablets was inappropriate as it could lead to running out of the 500 mg tablets prematurely. The Director of Nursing and the Administrator both emphasized that medications should be administered as ordered and that any shortages should be promptly addressed with the pharmacy and physician.
Failure to Provide Adequate Nail Care for Resident with Contracted Hand
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living (ADLs) for a resident with a contracture of the left hand, specifically in the area of nail care. The facility's policy required routine cleaning, inspection, trimming, and filing of nails during ADL care, with a regular schedule and as needed. However, the resident's nails were observed to be long and jagged, and the resident expressed concern that her nails could cause a wound on her contracted hand. Despite the resident's intact cognition and compliance with care, the facility did not ensure her nails were trimmed, as directed by her care plan. Interviews with staff revealed confusion and inconsistency regarding responsibility for nail care. State Registered Nurse Aides (SRNAs) and Licensed Practical Nurses (LPNs) provided conflicting information about who was responsible for trimming nails and when it should be done. The Director of Nursing (DON) and the Administrator both expressed expectations for routine nail care, but there was no clear schedule or documentation for nail care. The facility lacked a treatment nurse, which contributed to the inconsistency in nail care provision.
Failure to Act on Pharmacy Recommendations for Resident's Medication
Penalty
Summary
The facility failed to ensure timely action on pharmacy recommendations for a resident, identified as R10, who was reviewed for unnecessary medications. The resident, who had a medical history of hypertension and chronic combined systolic and diastolic heart failure, was admitted and readmitted to the facility earlier in the year. On June 18, 2024, a consultant pharmacist made several recommendations regarding the resident's medication regimen, including adjusting the dose of atenolol, reducing the dose of Myrbetriq, and discontinuing tetrahydrozoline eye drops. However, these recommendations were not signed or addressed by the attending physician, and the resident's medication orders remained unchanged in the following months. Interviews with facility staff revealed a breakdown in communication and follow-up procedures. The Director of Nursing (DON) confirmed that the recommendations were emailed to her and the Administrator, but the physician had not responded to them. The pharmacist, who conducted monthly reviews, stated that she expected the facility staff to follow up on her recommendations by her next visit. The Medical Director emphasized the importance of timely communication of pharmacist recommendations to the physician, but acknowledged that the recommendations might have been overlooked when the resident was hospitalized. The Administrator indicated that it was the DON's responsibility to ensure follow-up on the recommendations, which was not done in this case.
Failure to Timely Report Resident-to-Resident Abuse
Penalty
Summary
The facility failed to report an allegation of abuse within the required two-hour timeframe for a resident with Alzheimer's disease and anxiety. The incident involved another resident kicking the affected resident's foot in the dining room, witnessed by a third resident. The staff member who was informed of the incident did not report it immediately to the administration, as she did not consider the action to be abuse. This delay resulted in the administration being unaware of the incident until two days later, at which point an investigation was initiated. The facility's policy mandates immediate reporting of abuse allegations to the administrator and relevant authorities. However, the Registered Nurse who received the report from the witnessing resident failed to notify the administrator promptly. Consequently, the initial report to the state agency was submitted two days after the incident, violating the facility's policy and state regulations for timely reporting of abuse allegations.
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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 Elkton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Christian Heights Nursing And Rehabilitation Cente | 11.4 mi | ★★★★★ | 7 | 0 |
| Creekwood Nursing & Rehabilitation | 14.8 mi | ★★★★★ | 4 | 0 |
| Park Meadows Post Acute | 16.7 mi | ★★★★★ | 0 | 0 |
| Western State Nursing Facility | 17.3 mi | ★★★★★ | 3 | 0 |
| Christian Health Center | 20.1 mi | ★★★★★ | 7 | 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 July 2026) and official state health department websites.