Above 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 Gallatin Nursing And Rehab during CMS and state inspections, most recent first.
The facility failed to adequately monitor and manage the behaviors of two residents with documented behavioral and cognitive issues, leading to a resident-to-resident altercation. One resident with complex behavioral symptoms and unawareness of social norms repeatedly questioned another resident with dementia and behavioral disturbances about staff presence in the kitchen, became upset when ignored, and used an expletive. In response, the second resident admitted to slapping the first resident in the face with an open hand. No staff directly witnessed the interaction or intervened before the slap, despite existing care plans noting behavioral concerns and the need for redirection and reporting of behaviors.
An LPN failed to follow infection control procedures by using bare hands to transfer medications to a cup for a resident, without sanitizing hands after leaving and returning to the medication cart. The LPN acknowledged the error, and the facility's DON and Administrator confirmed the expectation for proper hand hygiene and medication handling to prevent infection.
Failure to Monitor and Manage Resident Behaviors Resulting in Resident-to-Resident Slap
Penalty
Summary
The deficiency involves the facility’s failure to sufficiently monitor and manage resident behaviors that could provoke or result in resident-to-resident altercations, specifically cursing and physical slapping, for two residents. One resident, R118, had a medical history including Parkinson’s disease, schizoaffective disorder bipolar type, anxiety disorder, and borderline intellectual functioning, and was assessed with intact cognition and no documented behaviors on a recent MDS. However, the care plan identified significantly complex behavioral symptoms and noted that staff should firmly redirect the resident when demanding or aggressive behaviors occurred and redirect behaviors due to unawareness of social norms. Another resident, R78, had diagnoses including unspecified dementia with behavioral disturbances, unspecified mood disorder, and depression, and was assessed with moderate cognitive impairment. R78’s care plan noted the resident could be unpleasant and flat related to placement, with interventions for staff to report declines and behaviors to social services. The incident occurred in the dining room when R118 approached R78 to ask if anyone was in the kitchen because she wanted a drink. According to the residents’ statements, R78 did not respond to repeated questions, which upset R118, who then called R78 an expletive. Both residents reported that, in response, R78 slapped R118 in the face with an open hand. There were no staff witnesses to the interaction leading up to the slap, and the activities assistant present in the dining room only heard R118 yell out and then learned from both residents that a slap had occurred. The social services director and LPN staff later obtained consistent statements from both residents that the slap followed the verbal insult. Interviews with staff, including the LPN who led the investigation, the activities assistant, the social services director, the DON, and the administrator, confirmed that staff were not aware of any prior provocation history between the two residents and that no staff member directly observed the altercation. The facility’s own documentation and interviews established that R118 had known behavioral issues requiring redirection and unawareness of social norms, and that R78 had dementia with behavioral disturbances and could be unpleasant, yet the interaction between them in the dining room was not monitored closely enough to prevent or promptly intervene in the escalating exchange. The lack of staff presence and direct supervision at the time of the verbal and physical interaction, despite both residents’ identified behavioral risks, led to a resident-to-resident physical contact incident that constituted the abuse-related deficiency.
Infection Control Breach During Medication Administration
Penalty
Summary
The facility failed to adhere to proper infection control procedures during medication administration for one resident. During an observation, an LPN was seen walking away from the medication cart to obtain keys and returning without sanitizing or washing her hands. The LPN then used her bare hands to transfer pills from the medication card to the medication administration cup for a resident. This action was repeated for three medications before the surveyor intervened. The LPN acknowledged that handling medications with bare hands was not a good infection control practice and attributed her actions to nervousness. She then disposed of the contaminated medications, sanitized her hands, and correctly transferred the medications from the card to the cup without using her hands. Interviews with the LPN, the DON, and the Administrator confirmed that the facility's policy required hand hygiene to be performed at the start of medication pass, if the pass was interrupted, or if hands were contaminated. The DON stated that medications should not be touched with bare hands due to the risk of contamination or infection. The Administrator also expressed that it was her expectation for staff to follow infection prevention practices to prevent the transmission of infection.
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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 Warsaw
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Swiss Villa Nursing And Rehabilitation | 10.3 mi | ★★★★★ | 6 | 0 |
| Waters Of Rising Sun, The | 11.4 mi | ★★★★★ | 20 | 0 |
| Boonespring Transitional Care Center, Llc | 13.9 mi | ★★★★★ | 0 | 0 |
| Signature Healthcare Of Carrollton Rehab & Wellnes | 16.7 mi | ★★★★★ | 0 | 0 |
| Owenton Healthcare And Rehabilitation | 17.9 mi | ★★★★★ | 4 | 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.