Average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Tradewater Pointe during CMS and state inspections, most recent first.
A resident with COPD, Alzheimer’s disease, and dysphagia had orders for a soft and bite size diet with nectar thick liquids and adaptive eating equipment, including built-up utensils. During a meal observation, the resident was served without the ordered utensils and stated he could not grip the regular utensils easily. A CNA acknowledged the tray should have been checked against the meal card, and the resident later stated the built-up utensils helped his grip and were often forgotten.
The facility failed to complete MDS Discharge Assessments for three residents with various medical conditions upon their discharge, as required by CMS guidelines. The current MDS Coordinator, who started in November 2024, acknowledged the oversight, which occurred during a period when MDS tasks were outsourced to a third-party service provider. The DON and Administrator expected compliance with regulatory guidelines for MDS Assessments.
The facility failed to properly store and label medications, including insulin pens and a Tubersol solution vial. Insulin pens for several residents were not labeled or stored according to manufacturer's recommendations, posing a risk of disease transmission. The DON and Administrator acknowledged the need for proper labeling and storage, but practices were not followed.
The facility failed to maintain an effective infection prevention and control program, as PPE was not available or used for residents on contact precautions. Observations showed staff entering rooms without PPE, and a CMT did not sanitize hands or disinfect equipment between resident interactions. The DON admitted to a lack of training and an expired Infection Preventionist certification, contributing to the deficiency.
The facility failed to report an alleged abuse incident involving two residents in a timely manner, as required by regulations. An LPN and RN reported the incident to the Administrator in mid-December, but the facility's report stated it occurred later. The Administrator instructed staff not to document or notify families, claiming she would handle it. The initial investigation was inadequate, and a second investigation revealed discrepancies and failure to interview staff present during the incident.
The facility failed to implement comprehensive care plans for two residents. One resident, with dementia, was missing a nameplate and picture outside her room, which were intended to help with disorientation. Staff were unclear on who was responsible for maintaining these signs. Another resident, with a history of falls, did not have the required bed and chair alarms in place, and staff were confused about the status of these alarms. The MDS Coordinator and DON expected care plan interventions to be followed, but they were not implemented as required.
Failure to Provide Ordered Adaptive Eating Utensils
Penalty
Summary
The facility failed to provide special eating equipment and utensils for a resident who had orders for a regular soft and bite size diet with nectar mildly thick liquids and specific assistive devices, including a divided plate, nosey cup, weighted utensils, and suction bowls. The resident’s care plan also identified nutritional risk related to a mechanically altered diet and dysphagia, with interventions to provide a divided plate and spouted lid with meals. The resident was documented as cognitively intact with a BIMS score of 13 out of 15 and had diagnoses including COPD, Alzheimer’s disease, and dysphagia. During lunch observation, the resident was served a tray without the built-up utensils that were ordered and needed for self-feeding. The resident stated he was not able to grip the utensils easily because the ones provided were not what he was used to. A CNA observed dropping off the tray stated the kitchen places the utensils on the tray and acknowledged she should have double checked the meal card before delivering it. She then went to the kitchen to retrieve the utensils and return them to the resident. After the utensils were provided, the resident was observed using the built-up utensils and stated they were better for him, especially because he was accustomed to handling them. He stated the facility forgets his built-up utensils often and that they help with his grip instead of the regular utensils rolling off his fingers. Interviews with dietary and nursing staff and with the DON and Administrator reflected that staff were expected to verify meal cards, correct tray items, and ensure residents received the assistive devices they needed, but the resident was not provided the ordered utensils at the time the tray was initially delivered.
Failure to Complete MDS Discharge Assessments for Residents
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) Discharge Assessments were completed for three residents upon their discharge, as required by the Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) 3.0 User's Manual. Specifically, residents with diagnoses including Unspecified Dementia, Anxiety, Stage 3 Chronic Kidney Disease, Vascular Dementia, Hemiplegia and Hemiparesis post cerebral infarction, Chronic Obstructive Pulmonary Disease (COPD), Cerebral Infarction, Type 2 Diabetes Mellitus with Diabetic Neuropathy, and Gastroparesis were discharged without the necessary MDS Discharge Assessments being documented. This oversight was identified during a review of the residents' closed records. Interviews with facility staff revealed that the MDS Coordinator, who had only been in the position since November 2024, acknowledged the requirement for MDS Discharge Assessments to be completed within a 14-day window following a resident's discharge. Prior to the current MDS Coordinator's tenure, the facility had outsourced MDS tasks to a third-party service provider, which may have contributed to the oversight. The Director of Nursing and the Administrator both expressed expectations that MDS Assessments, including Discharge Assessments, be completed accurately and in accordance with regulatory guidelines. An attempt to interview the Third Party MDS Coordinator was unsuccessful, as no return call was received.
Improper Storage and Labeling of Medications
Penalty
Summary
The facility failed to store drugs in accordance with accepted professional practices, as observed in one of two medication carts and the medication room. Specifically, 12 insulin pens were not properly labeled for eight residents, and a vial of Tubersol solution was not properly stored in the medication refrigerator. The facility's policy on medication storage, revised in 2017, requires medications to be stored safely and properly, with opened medications dated as appropriate. However, the Tubersol solution was found undated and available for use beyond the manufacturer's recommended 30-day period after opening. Further observations revealed that insulin pens for eight residents were not properly labeled or stored. Some insulin pens were unlabeled, lacked resident name labels, or were available for use past the manufacturer's recommended 28-day period after opening. For instance, a Lantus vial was available for use beyond the 28-day storage period, and several insulin pens were either unlabeled or not dated correctly. Interviews with the LPN and the pharmacist confirmed that sharing insulin pens between residents poses a risk of disease transmission, and insulin pens should be labeled with residents' names to prevent cross-contamination. The Director of Nursing (DON) acknowledged that insulin pens should be labeled and dated once opened, with a disposal date 28 days after opening. However, it was not the pharmacy's practice to label each insulin pen with the resident's names. The Administrator also stated that medications should be stored according to the manufacturer's recommendations and labeled accordingly. The failure to adhere to these practices resulted in the deficiency noted in the report.
Inadequate Infection Control Practices in LTC Facility
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by the lack of Personal Protective Equipment (PPE) available and used for residents on contact precautions. Observations revealed that carts located by the nurse's stations on the 100 and 200 halls did not contain PPE gowns. Specific residents, including those with indwelling catheters and wounds, did not have PPE available outside their rooms, and staff were observed entering these rooms without wearing the necessary protective equipment. Interviews with residents and staff confirmed the absence of PPE usage during care, despite signage indicating the need for enhanced barrier precautions or contact precautions. The facility's policies on infection control and medication administration were not adhered to, as demonstrated by the actions of a Certified Medication Technician (CMT) who failed to sanitize hands and disinfect equipment between resident interactions. This CMT was observed leaving the medication cart to obtain a blood pressure cuff and returning without hand sanitizing, subsequently using the cuff on a resident without disinfection. Interviews with staff, including a Licensed Practical Nurse (LPN), highlighted a lack of awareness and adherence to infection control protocols, further contributing to the deficiency. The Director of Nursing (DON) admitted to the absence of a certified Infection Preventionist (IP) and acknowledged the lack of training provided to staff on infection control measures, including enhanced barrier precautions and contact precautions. The DON's certification had expired, and there was no clear plan for onboarding or annual training for new staff. The facility's administrator was unaware of the DON's expired certification and the incorrect signage used for infection control, indicating a systemic issue in maintaining an effective infection prevention and control program.
Failure to Timely Report Alleged Abuse Incident
Penalty
Summary
The facility failed to report an allegation of suspected abuse in accordance with S42 CFR 483.12 (c)(1) for one of the sampled residents. The incident involved two residents, where one allegedly performed a sexual act on the other. The incident was initially reported by a Licensed Practical Nurse (LPN) and a Registered Nurse (RN) to the facility leadership in mid-December 2024. However, the facility's report indicated the incident occurred on December 31, 2024, which was approximately 17 days after the nurses reported the allegation. The facility's policy required all alleged violations to be reported to the appropriate authorities within two hours, and a written report of the investigation to be completed within five working days. Despite this, the initial investigation by the former Administrator was inadequate, as it failed to verify the incident and did not interview the staff present during the alleged event. The second investigation revealed discrepancies in the initial report, including the incorrect identification of which resident entered the other's room. Interviews with the LPN and RN indicated that they were instructed by the Administrator not to document the incident or notify the residents' families, as the Administrator claimed she would handle it. The LPN, however, documented the incident and notified the Medical Director, who ordered the resident to be sent to the hospital. The former Administrator claimed she was unaware of the incident until December 31, 2024, and reported it upon learning from a third-party source. The investigation was not conducted within the mandated timeframe, and the incident was not reported promptly as required by the facility's policy.
Failure to Implement Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to implement comprehensive care plans for two residents, leading to deficiencies in their care. One resident, admitted with vascular dementia and other conditions, was care planned to have a nameplate with a picture of her favorite animal outside her room to help with disorientation. However, observations revealed that the nameplate and picture were missing, and staff interviews indicated a lack of clarity on responsibility for maintaining these signs. The Director of Nursing noted that the resident frequently removed the signs, and there was no access to create replacements when the Activities Director was unavailable. Another resident, with a history of falls and other medical conditions, was care planned to have bed and chair alarms as a safety measure. Observations showed that these alarms were not in place, and staff interviews revealed confusion about the status of the alarms, as they were not documented in the Treatment Administration Record. The MDS Coordinator and the Director of Nursing both expressed expectations that care plan interventions should be implemented, but the alarms were not in use as required by the care plan.
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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 Dawson Springs
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Dawson Springs Health And Rehabilitation Center | 0.2 mi | ★★★★★ | 0 | 0 |
| Princeton Nursing & Rehabilitation | 11.9 mi | ★★★★★ | 0 | 0 |
| Madisonville Health And Rehabilitation, Llc | 15.6 mi | ★★★★★ | 1 | 0 |
| Brighton Cornerstone Group, Llc | 15.9 mi | ★★★★★ | 9 | 0 |
| Park Grove Nursing And Rehabilitation Center | 16.2 mi | ★★★★★ | 0 | 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.