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 Owenton Healthcare And Rehabilitation during CMS and state inspections, most recent first.
Two residents with dementia and moderate cognitive impairment and a third resident with severe cognitive impairment were involved in separate resident-to-resident altercations in which one resident swatted another in the chest during a smoke-break line and, in a later hallway dispute, another resident forcefully hit the same resident’s shoulder. Staff witnesses, including an AA and a CNA, described the contacts as physical abuse based on their training, and leadership, including the DON and Administrator, agreed the incidents met the facility’s definition of physical abuse under its abuse policy.
Failure to provide ordered therapeutic diet: A resident at nutritional risk with quadriplegia and a Stage IV sacral pressure ulcer was ordered a regular diet with fortified foods and double portions of protein, but a meal observation showed the resident received only 6 oz of beef stew and peas instead of the ordered double protein and fortified food item. The CDM, RD, DON, and Administrator all confirmed the diet order and expected the resident to receive it as prescribed.
A resident in an LTC facility experienced unnecessary pain and discomfort due to a Monistat 7 applicator being left in her vaginal canal. The resident, who was cognitively intact, began treatment for a yeast infection, but the applicator was not removed after administration, leading to pain that was initially attributed to a UTI. The issue was discovered after a CT scan at a hospital revealed the foreign object. The facility's investigation could not determine which staff member was responsible, and the incident highlighted a failure in medication administration and adherence to professional standards.
The facility failed to implement comprehensive care plans for several residents, resulting in the absence of necessary assistive devices and nutritional supplements during meals. Observations showed that residents with specific dietary needs, such as mechanical soft diets and adaptive utensils, were not provided with these items as outlined in their care plans. Interviews with staff indicated a lack of adherence to care plans and dietary orders.
The facility failed to provide prescribed nutritional supplements and accommodate dietary preferences for five residents, leading to deficiencies in nutritional care. Residents with severe cognitive impairments and specific dietary orders were not served the required supplements or portions, as observed during meal service. Staff interviews revealed communication lapses and shortages of nutritional supplements.
The facility failed to provide necessary adaptive eating equipment and utensils for several residents, as observed in five cases. Residents with conditions such as dysphagia and cognitive impairments did not receive the prescribed adaptive devices during meals, such as sip lid cups, small coated spoons, and plate guards. Staff interviews revealed communication and procedural issues, with new dietary management contributing to the errors.
The facility failed to report alleged abuse and neglect within the required timeframe for three residents. Incidents included a resident being struck by another, an allegation of physical abuse by a CNA, and verbal abuse by a CNA. Delays in reporting were due to technical issues, misunderstandings of reporting requirements, and delayed notification to the Administrator.
A resident alleged that a CNA hit their leg, prompting an investigation. Despite facility policy requiring suspension during investigations, the CNA was only sent home for the day and returned to work on another unit before the investigation concluded. The Administrator believed the CNA did not commit abuse, leading to a premature return to work.
The facility failed to ensure proper hand hygiene and infection control during medication administration for three residents. An RN and an LPN were observed not sanitizing their hands or disinfecting the medication cart, despite available hand sanitizer. Both nurses acknowledged the oversight, and the DON confirmed the expectation of hand hygiene.
Failure to Prevent Resident-to-Resident Physical Abuse Incidents
Penalty
Summary
The facility failed to protect residents from physical abuse during two resident-to-resident altercations involving residents with dementia and moderate to severe cognitive impairment. Facility policy on Abuse, Neglect and Exploitation, last reviewed in 06/2025, defined abuse as the willful infliction of injury, intimidation, or punishment with resulting physical harm, pain, or mental anguish, and specified that physical abuse includes hitting, slapping, punching, biting, and kicking, and can include certain resident-to-resident altercations. Despite this policy, two separate incidents occurred in which residents made physical contact with other residents in a manner that staff and leadership later characterized as physical abuse. In the first incident, on 10/02/2025, a resident with dementia and agitation, and a BIMS score of 9/15 indicating moderate cognitive impairment, was waiting for a smoke break when another resident with Alzheimer’s disease and a BIMS score of 11/15 backed a wheelchair into the first resident. The first resident then reached out with an upper extremity, swatted, and made contact with the other resident’s chest. An Activities Assistant who witnessed the event reported that the resident placed a hand on the other resident’s shoulder as if to signal her to stop backing up, but based on her training and experience, she considered what she witnessed to be physical abuse. The DON, who was not present at the time, later stated she felt the incident rose to the level of physical abuse, and the Administrator stated she expected residents to be free of abuse and kept safe. In the second incident, on 10/27/2025, the same resident with dementia and agitation, who had a care plan problem statement initiated on 10/02/2025 for episodes of increased aggressive behavior toward others, was involved in a verbal disagreement in the center hallway with another resident diagnosed with dementia without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety, and who had a BIMS score of 3/15 indicating severe cognitive impairment. A CNA heard yelling, rounded the corner, and witnessed the second resident forcefully hit the first resident in the left shoulder, after which the first resident yelled, “Don’t you [expletive] hit me.” The CNA stated that, based on her abuse training, she considered the action to be physical abuse. The DON also stated she felt this incident rose to the level of physical abuse, and reiterated her expectation that residents be free from abuse and feel safe in the facility.
Failure to Provide Ordered Therapeutic Diet
Penalty
Summary
The facility failed to ensure that one resident at nutritional risk received the physician-ordered therapeutic diet. The resident had diagnoses including quadriplegia and a Stage IV sacral pressure ulcer, and the care plan identified nutritional risk related to diabetes mellitus and altered skin integrity. The resident’s physician ordered a regular diet with fortified foods and double portions of protein, and the care plan directed staff to provide the diet as ordered. During a meal observation, the resident’s lunch tray contained 6 ounces of beef stew, peas, a biscuit, cake, tea, and milk. The Certified Dietary Manager stated that a double portion of protein should have been 8 ounces of beef stew and that the fortified food for that meal should have been fortified mashed potatoes, not peas. The Registered Dietician confirmed the resident was ordered a regular diet with fortified foods and a double portion of protein and expected dietary staff to follow the order for each meal. The DON stated the therapeutic diet was ordered to promote wound healing and decrease weight loss, and the Administrator stated residents were expected to receive their therapeutic diet as ordered.
Failure to Remove Monistat Applicator Causes Resident Discomfort
Penalty
Summary
The facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice, resulting in a foreign object being left in the resident's vaginal canal. The resident, who was cognitively intact and had a history of muscle weakness, polyneuropathy, and urinary tract infection, began treatment with Monistat 7 for a yeast infection. The treatment was initiated as per physician's orders, but the applicator used to administer the medication was not removed, causing the resident unnecessary pain and discomfort. The resident complained of vaginal pain and discomfort after the administration of the Monistat 7, which was initially attributed to a urinary tract infection. Despite the resident's complaints and refusal of further administration of the medication, the facility staff did not identify the presence of the foreign object until the resident was transferred to a hospital. A CT scan at the hospital revealed the presence of the Monistat applicator, which was not intended to remain in the resident and posed a risk for infection and pain. Interviews with facility staff revealed that Monistat 7 was not a commonly used medication at the facility, and there was a lack of familiarity with its administration. The facility's investigation was unable to definitively determine which staff member was responsible for leaving the applicator in the resident. The incident highlights a failure in the administration of medication and adherence to professional standards of care, resulting in significant discomfort and distress for the resident.
Failure to Implement Comprehensive Care Plans
Penalty
Summary
The facility failed to develop and implement comprehensive person-centered care plans for seven residents, which resulted in the residents not receiving the necessary assistive devices and nutritional supplements as prescribed. The facility's policy required the development of care plans to meet the medical, physical, mental, and psychosocial needs of each resident, but this was not adhered to for residents R1, R5, R22, R36, R61, R64, and R76. Observations revealed that these residents were not provided with the assistive devices or nutritional supplements that were documented in their care plans during meal times. Resident R1, who was admitted with diagnoses including COPD, type 2 diabetes, and dysphagia, was observed without the sip lid cup and divided plate that were ordered for their mechanical soft diet. Similarly, resident R5, with severe cognitive impairment and dysphagia, was fed with a regular spoon instead of the small coated spoon specified in their care plan. Resident R22, with severe cognitive impairment and dependent on staff for eating, was not provided with the plate guard and built-up utensils as required. Further deficiencies were noted with residents R36, R61, R64, and R76, who were not served the prescribed dietary supplements or assistive devices. For instance, R76's care plan was not updated to include a divided plate or double portions, and R61 was not provided with the fruit, cottage cheese, or magic cup as requested by the family. Interviews with staff, including CNAs and the Director of Nursing, revealed a lack of adherence to care plans and a failure to ensure that dietary orders were followed, contributing to the deficiencies observed.
Failure to Provide Prescribed Nutritional Supplements and Accommodate Dietary Preferences
Penalty
Summary
The facility failed to accommodate food preferences and dietary orders for five residents, leading to deficiencies in nutritional care. Resident 61, who was admitted with dementia and chronic kidney disease, was ordered a mechanical soft diet with specific supplements and finger foods. However, during observation, the resident's meal tray lacked the prescribed finger foods, fruit, cottage cheese, and a magic cup, which were not documented on the tray card. Resident 36, diagnosed with dysphagia and COPD, was ordered a pureed diet with honey-thick liquids and a magic cup. The resident was not served the magic cup or any other supplement as ordered. Similarly, Resident 22, with schizophrenia and Parkinson's disease, was supposed to receive double meat portions and a magic cup, but these were not provided, nor were they documented on the tray card. Residents 76 and 64 also experienced similar issues. Resident 76, with severe protein-calorie malnutrition, was not served double portions or a magic cup as ordered. Resident 64, with dysphagia and hemiplegia, was supposed to receive a house shake and a scoop plate, but these were missing from the meal tray. Interviews with staff revealed communication lapses and shortages of nutritional supplements, contributing to the deficiencies.
Failure to Provide Adaptive Eating Equipment
Penalty
Summary
The facility failed to provide special adaptive equipment and utensils for residents who needed them during meals and snacks. This deficiency was observed in five out of 15 sampled residents. The facility's policy encouraged the use of adaptive self-help feeding devices when beneficial to the resident, with the dietary department responsible for sanitizing and placing these devices on meal trays. However, observations revealed that residents did not receive the necessary adaptive equipment as ordered by their physicians. For instance, one resident with chronic obstructive pulmonary disease, type 2 diabetes, and dysphagia was supposed to have a sip lid cup with meals, but this was missing from their meal tray. Another resident with cerebral palsy and dysphagia, who was assessed as severely cognitively impaired, was fed with a regular spoon instead of the prescribed small coated spoon. Similarly, a resident with Parkinson's Disease and dementia was not provided with the required plate guard and built-up utensils during meals. Interviews with staff revealed communication and procedural issues contributing to these deficiencies. Certified Nursing Assistants (CNAs) and Dietary Aides (DAs) reported inconsistencies in the availability and use of adaptive devices, with some items missing from trays or not being used as prescribed. The Dietary Manager, who was new to the role, acknowledged being in training and learning the facility's processes, which may have contributed to the errors. The Director of Nursing and the Administrator were aware of the issues, with the Administrator noting that the facility had experienced turnover in the dietary manager position, which may have impacted the consistency of care.
Failure to Timely Report Alleged Abuse and Neglect
Penalty
Summary
The facility failed to report alleged violations involving abuse, neglect, exploitation, or mistreatment within the required timeframe for three residents. The facility's policy mandates that all alleged violations involving abuse must be reported to the State Agency immediately, but not later than two hours after the allegation is made. However, the facility did not adhere to this policy in several instances. For Resident 48, an incident occurred where another resident struck them on the head, but the initial report was not sent to the State Survey Agency (SSA) until nearly two days later. The Administrator claimed technical difficulties in sending the report and was unaware of alternative reporting methods. In another case, Resident 86 alleged physical abuse by a Certified Nursing Assistant (CNA), but the report was delayed by several hours. The Administrator believed that since there was no serious bodily injury, the report could be delayed up to 24 hours, although this was contrary to the facility's policy. The Administrator could not recall who provided this incorrect information. This misunderstanding led to a failure in timely reporting as required by the facility's abuse prohibition plan. For Resident 2, an incident of verbal abuse by a CNA was not reported to the Administrator until the following day, and the report to the SSA was further delayed. The Administrator stated that the incident was reported within two hours of her being informed, but this was not in compliance with the policy that requires immediate reporting of abuse allegations. The delay in reporting was attributed to the incident occurring during an evening shift and the Administrator not being notified until the next morning.
Failure to Suspend CNA During Abuse Investigation
Penalty
Summary
The facility failed to prevent further potential abuse, neglect, exploitation, or mistreatment while an investigation was in progress for a resident who alleged that a Certified Nursing Assistant (CNA) hit their leg. The facility's policy required that all residents be protected during an investigation of abuse allegations. However, after the incident was reported, the CNA was only sent home for the remainder of the day and was allowed to return to work on a different unit the following days, even though the investigation was not completed until three days later. This action was contrary to the facility's policy, which typically involved suspending the staff member during the investigation to prevent further potential abuse or retaliation. Interviews with the facility's Administrator and Director of Nursing (DON) revealed that the usual protocol for handling abuse allegations involved removing the staff member from the floor immediately and suspending them during the investigation. Despite this, the Administrator allowed the CNA to return to work on another unit before the investigation was concluded, based on her belief that the CNA did not abuse the resident. This decision was made without the completion of the investigation, which was intended to gather more evidence and determine the occurrence of abuse.
Inadequate Hand Hygiene During Medication Administration
Penalty
Summary
The facility failed to ensure proper hand sanitation and infection control measures during medication administration for three residents. Observations revealed that a Registered Nurse (RN) did not wash or sanitize her hands between administering medications to two residents and placed medications in her bare hands before transferring them to a medication cup. Additionally, the RN did not disinfect the medication cart's surface or use a barrier while preparing medications, despite the availability of hand sanitizer dispensers in the hallway. Similarly, a Licensed Practical Nurse (LPN) was observed failing to sanitize her hands before handling medications for two residents. The LPN dropped medications onto the medication cart, which lacked a barrier, and proceeded to administer them without disinfecting the cart. Interviews with the LPN and RN confirmed their awareness of the importance of hand hygiene, but they admitted to overlooking these steps during the medication administration process. The Director of Nursing (DON) stated that hand sanitizer was readily available and expected to be used by the nursing staff.
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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 Owenton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bradford Square Nursing And Rehabilitation Center | 12.7 mi | ★★★★★ | 4 | 0 |
| Grant Healthcare And Rehabilitation | 16.1 mi | ★★★★★ | 8 | 0 |
| Gallatin Nursing And Rehab | 17.9 mi | ★★★★★ | 3 | 0 |
| New Castle Nursing & Rehab | 19.5 mi | ★★★★★ | 0 | 0 |
| Swiss Villa Nursing And Rehabilitation | 19.8 mi | ★★★★★ | 6 | 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.