Below average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Henderson Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
Two residents did not receive care as outlined in their person-centered care plans. One resident, with a persistent vegetative state and contractures, was not provided with prescribed hand and knee splints as required, while another resident with dysphagia and intellectual disabilities was observed eating chips unsupervised despite dietary restrictions. Staff interviews revealed confusion and lack of consistent implementation of care plan interventions.
A resident with a persistent vegetative state and contractures did not receive prescribed hand and knee splinting or passive ROM interventions as outlined in the care plan. Observations showed splints were not applied, and the resident's knees were drawn up while in bed. Staff interviews revealed a lapse in restorative services and a breakdown in communication between therapy, restorative nursing, and direct care staff, resulting in the resident not receiving necessary interventions.
A resident with dysphagia and intellectual disabilities, who was on a physician-ordered dysphagia diet requiring supervision and restricting certain foods, was observed eating potato chips unsupervised. Staff interviews confirmed ongoing challenges in preventing the resident from accessing restricted items and acknowledged that dietary orders and supervision requirements were not consistently followed.
During wound care for a resident with a pressure wound and multiple diagnoses, staff failed to perform required hand hygiene after removing soiled dressings and before donning new gloves. Additionally, a cleansed foot was placed back onto a soiled pad and the wound was not re-cleansed before applying a new dressing. Both the Wound Care Nurse and RN/MDS Nurse acknowledged the lapses in protocol, and facility leadership confirmed expectations for proper infection control practices.
Failure to Implement Comprehensive Person-Centered Care Plans
Penalty
Summary
The facility failed to implement comprehensive, person-centered care plans for two residents, resulting in deficiencies related to the delivery of prescribed care. For one resident with a persistent vegetative state and contractures, the care plan required the use of left and right hand splints and knee splints daily for six days a week, with specific timeframes for application. However, multiple observations over several days revealed that the resident was not wearing the prescribed splints; instead, the splints were found on the bedside table or in the closet, and the resident was observed lying in bed without the splints in place. Interviews with staff indicated confusion regarding responsibility for applying the splints, with some staff believing therapy was responsible and others unaware of the restorative program requirements. The restorative program had not been properly communicated or implemented, resulting in the care plan not being followed. Another resident, with diagnoses including idiopathic epilepsy, dysphagia, and profound intellectual disabilities, had a care plan specifying no chips and supervision with all oral intake. Despite this, the resident was observed self-propelling throughout the facility while eating a bag of potato chips unsupervised on two occasions. Staff interviews revealed an expectation that care plans were reviewed in meetings and that interventions were included in the Resident Care Profile for nursing assistants, but the care plan interventions were not consistently implemented in practice. The facility's policy required individualized, comprehensive care plans with measurable objectives and timetables, to be reviewed and updated as needed. Despite these requirements, the care plans for both residents were not effectively implemented, as evidenced by direct observations and staff interviews. This failure resulted in the residents not receiving care as outlined in their respective care plans.
Failure to Provide Prescribed Splinting and ROM Interventions for Resident with Limited Mobility
Penalty
Summary
A deficiency was identified when a resident with a persistent vegetative state and contractures in both wrists did not receive appropriate treatment and services to maintain or improve range of motion (ROM) as care planned. The resident was supposed to have left and right wrist and knee splints applied daily for six hours, along with passive ROM exercises. However, multiple observations over several days revealed that the resident's hand splints were found on the bedside table or in the closet, and the resident was not wearing the knee splints while in bed, with her knees drawn up to her chest. Record review showed that the resident's care plan and restorative monthly summaries documented the need for bilateral knee and hand splints, as well as daily passive ROM. Despite this, interviews with staff revealed a lapse in the implementation of the restorative program. The Restorative Aide stated that restorative services, including splinting, had not been provided recently and were scheduled to resume the following week. The Physical Therapist and Director of Rehab confirmed that after the resident was discharged from therapy, responsibility for splinting was to be transferred to restorative staff, but this transition did not occur as expected. Further interviews indicated a breakdown in communication and process between therapy, restorative nursing, and direct care staff. The Unit Manager/Restorative Nurse reported that restorative programs would not begin until all necessary information was placed in the restorative binder, and there was confusion regarding the receipt of communication forms for the resident's splinting needs. The DON acknowledged that restorative programs should be initiated promptly but was unclear on how this was communicated to staff. As a result, the resident did not receive the prescribed splinting and ROM interventions, contrary to the facility's policy and care plan.
Failure to Prevent Resident Access to Restricted Foods and Ensure Supervision
Penalty
Summary
A deficiency occurred when a resident with diagnoses including dysphagia, idiopathic epilepsy, and profound intellectual disabilities was observed consuming potato chips unsupervised, despite a physician-ordered diet restricting such foods and requiring supervision with all oral intake. The resident's diet order specifically prohibited chips, bread, whole potatoes, and caffeinated beverages, and required supervision during meals. Observations on two occasions showed the resident self-propelling in a wheelchair throughout the facility while eating a bag of potato chips without staff supervision. Interviews with staff revealed that the resident had a history of taking restricted items from snack carts and other areas, and staff often struggled to retrieve these items from her. The facility did not have a policy related to this practice, and staff acknowledged the difficulty in preventing the resident from accessing restricted foods. The resident's care plan and dietary orders were not consistently followed, resulting in the resident consuming a restricted food item without the required supervision.
Failure to Follow Hand Hygiene and Wound Care Protocols During Resident Wound Care
Penalty
Summary
Staff failed to follow proper infection prevention and control procedures during wound care for one resident with a pressure wound to the right heel, who also had diagnoses including asymptomatic HIV infection, acute kidney failure, and anxiety disorder. During an observed wound care procedure, the Wound Care Nurse did not perform hand hygiene after removing the soiled dressing and before donning new gloves. The soiled dressing was rolled up in the right hand glove, disposed of, and a new glove was put on without handwashing. The nurse then proceeded to cleanse the wound. Additionally, the Registered Nurse/MDS Nurse assisting with the procedure placed the resident's cleansed foot back onto a soiled absorbent pad before picking it up again at the Wound Care Nurse's request. The clean wound dressing was then applied without re-cleansing the wound. Both nurses acknowledged during interviews that proper hand hygiene and wound care protocols were not followed, and facility leadership confirmed their expectations for adherence to these policies.
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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 Henderson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Redbanks | 1.6 mi | ★★★★★ | 0 | 0 |
| Brickyard Healthcare - Brentwood Care Center | 6.5 mi | ★★★★★ | 2 | 0 |
| Aperion Care Lincoln | 6.9 mi | ★★★★★ | 13 | 0 |
| Evansville Protestant Home | 7.2 mi | ★★★★★ | 0 | 0 |
| Columbia Healthcare Center | 7.8 mi | ★★★★★ | 9 | 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.