Below average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Jordan Rehabilitation And Healthcare Center during CMS and state inspections, most recent first.
Failure to Follow Transfer Care Plan: Staff failed to follow a resident’s care plan requiring a mechanical lift for transfers. The resident had dementia, stroke, reduced mobility, and severe cognitive impairment. CNA8 and CNA9 transferred the resident back to bed without the lift, while an LPN reported the resident was resisting and hitting staff. The DON and Administrator stated staff were expected to follow the care plan.
The facility did not consistently provide substantial bedtime snacks to residents who required assistance, resulting in a period exceeding 14 hours between supper and breakfast. Observations and interviews revealed that snacks were not always available or distributed after supper, and nourishment refrigerators were not adequately stocked, despite staff expectations that all residents would be offered snacks.
Surveyors found that food items in storage were not labeled or dated, and staff failed to follow proper procedures for food thermometer use and food cart sanitation. Food thermometers were inserted through plastic wrap, risking cross contamination, and food trays were placed on wet utility carts. These actions did not comply with facility policies or professional standards for safe food handling.
Residents did not receive mail on Saturdays because there were no staff available to deliver it, and mail was held at the post office until Monday. Interviews with two residents confirmed the lack of Saturday mail delivery, and staff acknowledged that activities staff, who deliver mail, do not work weekends. The Social Services Director reported that this practice has been in place since 2021 to prevent residents from accessing undelivered mail, and the Administrator was unaware of the ongoing issue.
A resident with a history of service-related PTSD did not have this diagnosis or related triggers documented in their care plan, despite staff interviews and assessments indicating its presence. The care plan only addressed preferences for individual activities and pharmacological treatment for depression and anxiety, omitting PTSD-specific needs. Key staff were unaware of the PTSD diagnosis, and the trauma questionnaire was incomplete, resulting in the resident's care plan not reflecting all identified needs.
A resident was observed vaping while receiving oxygen via nasal cannula in her room, exposing her roommate to secondhand aerosol. Facility policies and educational materials did not address the risks of vaping around oxygen or the storage of nicotine liquid, and staff were unaware of the dangers. Both residents involved were cognitively intact, and the care plan did not specifically address the risk of vaping while on oxygen.
A resident's tube feeding and CBI tubing were left uncovered and open to air after being disconnected, contrary to facility policy and manufacturer instructions. Staff interviews confirmed that the required protective caps were not used, and the nurse responsible was unaware of the specific covers, resulting in a failure to maintain proper infection control practices.
A resident was observed using a vape while receiving oxygen via nasal cannula in the presence of another resident, and the facility's policy did not address vaping with oxygen, secondhand exposure, or storage of nicotine liquid. Staff and residents reported not receiving education on these risks, and leadership acknowledged gaps in the policy and understanding of vaping safety.
Failure to Follow Transfer Care Plan
Penalty
Summary
The facility failed to follow the care plan for one sampled resident, R4, who was identified as requiring a mechanical lift for transfers. R4 was admitted with diagnoses including dementia, stroke, and reduced mobility, and had a BIMS score of 5 out of 15, indicating severe cognitive impairment. Her care plan, initiated on 12/04/2025, stated she was totally dependent on two staff for transfers with use of a mechanical lift. On 05/08/2026, CNA8 and CNA9 transferred R4 back to bed without using the mechanical lift. During interview, LPN1 stated she was called to the room while the CNAs were attempting to get R4 back to bed and that R4 was swinging her arms and hitting the CNAs. LPN1 stated she did not know R4 required a mechanical lift for transfers. The DON stated the mechanical lift was not used for the transfer and that staff were expected to follow the care plan for resident transfers. The Administrator also stated he expected staff to follow the care plan for all residents concerning transfers.
Failure to Provide Substantial Bedtime Snacks to Residents Needing Assistance
Penalty
Summary
The facility failed to provide substantial snacks to residents who required assistance at meals, as evidenced by the time between supper and breakfast exceeding 14 hours. Observations revealed that total assist residents received supper at 4:30 PM and breakfast at 7:00 AM, with no substantial snacks available in the nourishment refrigerator on the unit. Resident Council members reported that snacks were not offered after supper, and although snacks were said to be available at the nurses' station, they were not distributed. Review of the facility's snack lists showed limited and inconsistent offerings, with some days lacking substantial options. Interviews with dietary and nursing staff indicated that not all residents received labeled snacks at bedtime, and extra snacks were not always available for those who were hungry later at night. The nourishment refrigerators were inconsistently stocked, and some staff assumed that snacks were being offered without direct verification. The Director of Nursing and Administrator both stated that snacks were sent out and should be offered to all residents, but evidence from observations and interviews contradicted this expectation, highlighting a gap in the actual provision of snacks to residents, particularly those needing assistance.
Deficient Food Storage and Unsafe Food Handling Practices
Penalty
Summary
Surveyors identified multiple failures in food storage and service practices within the facility's kitchen. During an initial tour, foods in the walk-in refrigerator, freezer, and dry storage were found not labeled or dated, including heads of lettuce, mixed peppers, and a case of whole tomatoes left open on the bottom shelf. Various frozen and dry food items were also observed out of their cases and not dated. These practices were not in accordance with the facility's own policy, which requires all foods to be labeled, dated, and rotated using the first-in, first-out (FIFO) method to ensure freshness and prevent bacterial growth. Further observations during the supper meal tray line revealed improper use of food thermometers, as the Dietary Manager was seen pushing thermometers through plastic wrap covering the food on the steam table, which caused the plastic to melt and posed a risk of cross contamination. Additionally, a Dietary Aide was observed using utility carts with wet top shelves to transport food trays, placing trays directly onto the wet surfaces. Interviews with staff, including the Dietary Manager and DON, confirmed that these actions were not in line with best practices or facility policy, and that proper procedures were not followed to ensure safe food handling and service.
Failure to Provide Saturday Mail Delivery to Residents
Penalty
Summary
The facility failed to ensure that residents had reasonable access to and privacy in their use of communication methods, specifically regarding the delivery of mail, letters, and packages. According to interviews with Resident Council members, residents did not receive mail on Saturdays. The facility's policy affirms residents' rights to exercise their rights as citizens, which includes receiving mail. The Postal Service Reform Act of 2022 mandates six-day mail delivery, but the facility did not provide for mail delivery on Saturdays. Interviews with staff revealed that activities staff were responsible for delivering mail, but no activities staff worked on weekends. As a result, mail delivered on Saturdays was not distributed to residents until Monday. The Social Services Director stated that mail was held at the post office on weekends to prevent residents from accessing undelivered mail, a practice in place since 2021. The Administrator was unaware that residents were not receiving mail on Saturdays and believed that mail delivery interruptions had ended after the pandemic. This practice had the potential to affect all 92 residents in the facility.
Failure to Develop and Implement Comprehensive Care Plan for Resident with PTSD
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan for a resident with a history of service-related PTSD, as required by policy. Although the resident's care plan noted a preference for individual activities and included pharmacological interventions for depression and anxiety, it did not document the resident's PTSD diagnosis, potential triggers, or specific interventions to address these needs. The resident's trauma questionnaire was incomplete and did not address emotional responses or physical injuries related to traumatic events. The diagnosis of PTSD was not included in the resident's MDS or the facility's matrix provided to surveyors. Interviews with staff revealed a lack of awareness regarding the resident's PTSD diagnosis and associated triggers. The Activities Team Leader was unaware of the PTSD diagnosis and did not participate in interdisciplinary meetings, relying solely on the care plan for information. The MDS Nurse acknowledged the omission of PTSD from the MDS assessment, and the DON was unaware of the diagnosis and its absence from the care plan. As a result, staff were not informed of the resident's specific needs related to PTSD, and the care plan was not updated to reflect all identified needs from the comprehensive assessment.
Failure to Prevent Accident Hazards Related to Vaping and Oxygen Use
Penalty
Summary
The facility failed to ensure the resident environment was free from accident hazards by allowing a resident to use a vape (e-cigarette) while receiving oxygen via nasal cannula in her room. Observation confirmed that the resident was using a vape while on four liters of oxygen, with her roommate present and exposed to secondhand vaping aerosol. The facility's policy on electronic cigarettes did not address the risks associated with oxygen use, storage of nicotine liquid, or the exposure risk of others to secondhand smoke. Additionally, educational materials provided to residents and families did not mention the dangers of vaping while using oxygen. Record review showed that the resident using the vape had diagnoses including COPD, chronic kidney disease, and type 2 diabetes mellitus, and was assessed as cognitively intact. The care plan and smoking assessment noted daily vaping and the need to monitor for safety concerns, but did not specifically address the risk of vaping while on oxygen. Interviews with staff, including a KMA and the DON, revealed a lack of awareness regarding the dangers of vaping around oxygen, with both initially believing it was safe. The roommate had not been educated on the risks of secondhand exposure from vaping.
Uncovered Medical Tubing Leads to Infection Control Deficiency
Penalty
Summary
A deficiency occurred when a resident's tube feeding tubing and continuous bladder irrigation (CBI) tubing were left uncovered and open to air after being disconnected from the resident. Observation revealed that the tubing remained connected to the source, but the ends intended for the resident were not protected with appropriate coverings, as required by both the manufacturer's directions for use and the facility's infection control policies. The facility's policies specified that protective caps or tip protectors should be used when tubing is not in use to prevent contamination. Interviews with staff, including the nurse responsible for the resident, the Infection Preventionist, and the Director of Nursing, confirmed that the expected practice was not followed. The nurse was unaware of the specific covers for the tubing and acknowledged that leaving the ends open could expose the resident to germs. The Infection Preventionist and DON both stated that staff were expected to adhere to infection control policies, and that failure to cover the tubing increased the risk of infection.
Failure to Address Vaping Safety with Oxygen and Secondhand Exposure
Penalty
Summary
The facility failed to develop and implement effective policies to ensure smoking safety for residents using electronic cigarettes (e-cigarettes or vapes). Specifically, the facility's policy did not address the use of vapes while on oxygen therapy, the storage of nicotine liquid (e-juice), or the exposure risk of others to secondhand vaping aerosol. Observations revealed that one resident used a vape while wearing a nasal cannula delivering four liters of oxygen, with another resident present in the same room. Both residents reported not receiving education on the dangers of vaping with oxygen or the risks of secondhand exposure. The facility's staff, including the DON and RN, acknowledged a lack of education and policy guidance regarding vaping in the presence of oxygen and secondhand exposure. Interviews with facility leadership and staff indicated that the dangers of vaping while on oxygen and the risks to bystanders were not considered during policy development. The DON and Medical Director expressed misconceptions about the safety of vaping with oxygen and did not address the risks of secondhand exposure or proper storage of nicotine liquids. The facility's current policy was found to be incomplete, lacking provisions for oxygen use, secondhand exposure, and safe storage of vaping materials, resulting in a failure to protect residents and staff from potential harm.
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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 Louisa
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wayne Healthcare Center | 13.6 mi | ★★★★★ | 4 | 0 |
| Martin County Health Care Facility | 16.5 mi | ★★★★★ | 3 | 0 |
| Boyd Nursing And Rehabilitation | 21.2 mi | ★★★★★ | 7 | 0 |
| Mountain Manor Of Paintsville | 21.6 mi | ★★★★★ | 0 | 0 |
| Riverview Post Acute | 21.7 mi | ★★★★★ | 5 | 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.