Average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Radcliff Veterans Center during CMS and state inspections, most recent first.
Thawed COVID-19 vaccine was found in the med refrigerator without a thaw date or BUD on the box. Surveyors noted the box had a serial number, lot number, manufacturer expiration date, and pharmacy label, but no visible thaw date or BUD. An LPN said he did not know the vaccine expired 90 days after thawing, an RN could not recall the requirement, and the IP and DON stated staff had been going by the manufacturer expiration date.
The facility failed to report an allegation of physical abuse to the State Survey Agency within the required 2-hour timeframe. A severely cognitively impaired resident with Alzheimer’s disease and other comorbidities was allegedly subjected to rough handling during a shower when a NASR pulled on the resident’s arm, which was later observed by an LPN to have marks consistent with grabbing. The witnessing NASR delayed reporting the incident to the LPN, and the allegation was not elevated to management or reported externally until several hours after it occurred. Facility policies required immediate internal reporting and external reporting within 2 hours for all abuse-related events, but the incident was initially documented with an incorrect time that suggested timely reporting. Subsequent documentation and staff interviews confirmed the earlier occurrence time and established that the report to the state agency was made more than 4 hours after the event, in violation of regulatory and facility requirements.
Thawed COVID-19 Vaccine Stored Without Required Labeling
Penalty
Summary
The facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles. During observation of the medication storage room in the 500 Neighborhood, surveyors found one box of a thawed Covid-19 vaccine in the medication refrigerator that was labeled with a serial number, lot number, manufacturer’s expiration date, and a pharmacy prescription date, but it did not have a visible thaw date or beyond use date (BUD) on the box. The facility did not provide policies regarding storage and labeling of drugs and biologicals requiring a thaw date before exit. Review of the manufacturer package insert showed the vaccine could be stored refrigerated after thawing for up to 90 days or until the expiration date printed on the carton, whichever came first. During interviews, an LPN stated he was unaware the vaccine expired 90 days after thawing and did not know a thaw date or BUD needed to be labeled on the box. An RN stated she might have known at one time that a thaw date was required but could not recall. The IP stated the facility had been going by the manufacturer’s expiration date and that the boxes were not received with thaw date or BUD stickers. The DON stated staff placed the vaccines in the refrigerator and went by the manufacturer’s expiration date.
Failure to Timely Report Alleged Physical Abuse to State Agency
Penalty
Summary
The deficiency involves the facility’s failure to report an allegation of physical abuse to the State Survey Agency (SSA) within the required two-hour timeframe. Facility policy titled “Reporting Abuse to State Agencies” required all alleged violations involving abuse, neglect, exploitation, mistreatment, injuries of unknown source, and misappropriation of resident property to be reported immediately, but not later than two hours after the allegation was made, when the events involved abuse or resulted in serious bodily injury. A related policy, “Reporting Abuse to Facility Management,” required employees to immediately report any observed or suspected abuse to the on-duty supervisor, who was then to immediately notify the Administrator or Assistant Administrator. These policies reflected the regulatory requirement that all allegations involving abuse be reported within two hours. The resident involved, R1, was admitted with diagnoses including Alzheimer’s disease with late onset, cognitive communication deficit, chronic kidney disease, and hypertension, and was assessed as severely cognitively impaired on the MDS. On 07/22/2025 at approximately 10:00 AM, Nurse Aide State Registered (NASR) 2 observed NASR1 in the bathroom with R1 and allegedly inappropriately pulling on R1’s arm while providing a shower, with R1 trying to pull away. NASR2 did not report the incident immediately; instead, she later told LPN1 around lunchtime that NASR1 had been rough with R1. LPN1 assessed R1 and observed marks on the arm consistent with grabbing, then reported the incident up the chain of command. Interviews and an investigation timeline confirmed that NASR2 delayed reporting because she was nervous and unsure it was abuse, and she was aware of others feeling retaliated against after reporting concerns. The facility’s Initial Report, dated 07/22/2025, documented the incident time as 12:35 PM and showed that the allegation was reported to the Department for Community Based Services, the ombudsman, and the Office of Inspector General (OIG/SSA) at 2:32 PM. However, the Final Report/5 Day Follow-Up, dated 07/25/2025, clarified that the alleged abuse actually occurred at 10:00 AM, meaning more than four hours elapsed before the allegation was reported to the SSA. An internal investigation timeline showed that NASR1 remained in direct resident care until 12:32 PM, the Administrator was notified at 12:33 PM, the investigation was initiated at 12:50 PM, and the allegation was reported to OIG/SSA at 2:32 PM. The ADON and DON both acknowledged that they understood the incident had occurred around 10:00 AM and that abuse allegations were to be reported within two hours. The Administrator stated she believed the report was timely because she thought the two-hour requirement applied only when bodily injury was present, and did not recognize that the regulation and facility policy required all abuse allegations to be reported within two hours when the event involved abuse, resulting in the late reporting deficiency.
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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 Radcliff
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Signature Healthcare At North Hardin Rehab & Welln | 3.9 mi | ★★★★★ | 0 | 0 |
| Baptist Health Hardin | 6.7 mi | ★★★★★ | 4 | 0 |
| Signature Healthcare Of Elizabethtown | 9.9 mi | ★★★★★ | 3 | 1 |
| Elizabethtown Nursing And Rehabilitation Center | 11.9 mi | ★★★★★ | 3 | 0 |
| Helmwood Healthcare | 12.3 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 October 2026) and official state health department websites.