Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
3D
0E
1F
Potential for minimal harm
0A
0B
0C
March 20, 2026Standard inspection · 1 citation
- D
Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview, record review, facility policy review and review of the Resident Assessment Instrument (RAI) Manual guidelines, the facility failed to ensure the accuracy of the Minimum Data Set (MDS) for two of 41 sampled residents (R) R1 and R5).
February 7, 2025Standard inspection · 6 citations
- G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview, record review and review of the facility's policy, the facility failed to ensure each resident remained free from abuse for 1 of 19 sampled residents, (Resident (R)2). R2 alleged Certified Nursing Assistant (CNA)2 was rough while providing care on 12/24/2024. R2 further alleged CNA2 told her, if you report me, I will beat your ass. R2 was crying and told RN1 that she was afraid of CNA2. (Refer to F609, and 610 )
- G
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview, record review, and review of the facility's policy, the facility failed to report an allegation of abuse to the State Agencies and local law enforcement for 1 of 19 sampled residents, (Resident (R)2). The facility failed to report an allegation of abuse after R2, while crying, alleged on 12/24/2024, to CNA6 that Certified Nursing Assistant (CNA}2 was rough while providing care and told R2, if you report me, I will beat your ass. R2 then informed RN1 that she was afraid of CNA2. Registered Nurse1 (RN1) Refer to F600 and F610.
- G
Respond appropriately to all alleged violations.
Inspectors wroteBased on interview, record review and review of the facility's policy, the facility failed to conduct a thorough investigation in response to an alleged violation of abuse, for 1 of 19 sampled residents (Resident (R)2). R2 reported Certified Nursing Assistant (CNA)2 was rough while providing care on 12/24/2024. R2 reported CNA2 told her, if you report me, I will beat your ass. However, the facility failed to conduct a thorough investigation related to the allegation of abuse. CNA2 was allowed to continue working on 12/24/2024 unsupervised, allowing for the potential of further abuse. (Refer to F600, and F609)
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and review of the facility's policies, the facility failed to store, prepare, distribute, and serve food in a sanitary manner. Dietary staff failed to check six (6) of 12 food temperatures on the steam table during the dinner meal on 02/02/2025. Additionally, dietary staff failed to discard eight (8) expired food items.
- D
Ensure residents have reasonable access to and privacy in their use of communication methods.
Inspectors wroteBased on interview, record review, and review of the facility's policy, the Map 14 form, the facility failed to protect the resident's rights to privacy in communications, including the right to receive mail unopened for 1 of 13 residents who attended the Group Interview (Resident (R) 40). R40 received an opened letter addressed to him from the Kentucky Public Pensions Authority.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and review of the facility's policies, the facility failed to maintain an effective infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for three (3) of 19 sampled residents (Resident (R)7, R28, and R50). 1. Observation on 02/02/2025 at 6:00 PM, revealed Certified Nursing Assistant (CNA)7 failed to don (put on) Personal Protective Equipment (PPE) prior to providing care for R7 who was on Enhanced Barrier Precautions (EBP). Additionally, CNA7 failed to wash or sanitize hands upon exiting R7's room after providing care. 2. Observations on 02/02/2025; 02/03/2025; 02/05/2025; and 02/06/2025, revealed R28's urinal was not labeled with the resident's name, nor was it dated or covered. [...]
August 29, 2019Standard inspection · 0 citations
Fire safety inspections
17 fire safety citations on file: 4 on March 20, 2026, 8 on February 7, 2025, 5 on August 29, 2019.
Every fire safety citation17 citations
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · March 20, 2026 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · March 20, 2026 · Corrected (the home has a date of correction)
- D
Install corridor and hallway doors that block smoke.
K 363 · March 20, 2026 · Corrected (the home has a date of correction)
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · March 20, 2026 · Corrected (the home has a date of correction)
- F
Ensure that testing and maintenance of electrical equipment is performed.
K 921 · February 7, 2025 · Corrected (the home has a date of correction)
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · February 7, 2025 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · February 7, 2025 · Corrected (the home has a date of correction)
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K 222 · February 7, 2025 · Corrected (the home has a date of correction)
- D
Provide properly protected cooking facilities.
K 324 · February 7, 2025 · Corrected (the home has a date of correction)
- D
Install an approved automatic sprinkler system.
K 351 · February 7, 2025 · Corrected (the home has a date of correction)
- D
Have restrictions on the use of portable space heaters.
K 781 · February 7, 2025 · Corrected (the home has a date of correction)
- D
Have proper medical gas storage and administration areas.
K 923 · February 7, 2025 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · August 29, 2019 · Corrected (the home has a date of correction)
- E
Install corridor and hallway doors that block smoke.
K 363 · August 29, 2019 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · August 29, 2019 · Corrected (the home has a date of correction)
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · August 29, 2019 · Corrected (the home has a date of correction)
- D
Meet other general requirements that are deficient.
K 500 · August 29, 2019 · Corrected (the home has a date of correction)