Breckinridge Memorial Nursing Facility

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 18 beds and averages 17.9 residents a day — about 99% occupied, or roughly 0 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.07 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.76 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.29 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.37 hrs/resident/day on weekends vs 5.36 on weekdays — 18% thinner on weekends. RN hours go from 1.95 to 1.30 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 43% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

• Immediate jeopardy · J2025-01-03 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to develop and/or implement a Comprehensive Care Plan (CCP) to ensure it met the residents' medical, nursing, mental, and psychosocial needs as identified on his/her comprehensive assessment and other assessments for one (1) of eighteen (18) sampled residents (Resident (R)1). On 04/27/2024, R1 exhibited exit seeking behaviors, however, staff failed to care plan the resident for these behaviors. On 04/28/2024, R1 eloped from the skilled nursing facility (SNF) unit, located in a hospital, via the elevator without staff's knowledge and was found in the lobby trying to exit through the doors. The facility's failure to have an effective system in place to ensure residents' care plans were developed to address the residents' exit-seeking behaviors is likely to cause serious injury, impairment, or death, if immediate action is not taken. Immediate Jeopardy (IJ) was identified on 12/20/2024 and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-01-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and review of the facility's investigation documentation and policies, the facility failed to have an effective system in place to ensure resident safety for 1 of 18 sampled residents, (Resident (R)1). On 04/27/2024, R1 exhibited exit-seeking behaviors, however, the facility failed to ensure the resident was provided increased supervision. On 04/28/2024, R1 eloped from the facility (a skilled nursing facility [SNF] unit) without staff knowledge and was found on the first-floor lobby (of the acute care hospital the facility was located in) trying to exit the building [facility]. The facility's failure to have an effective system in place to ensure residents' safety is likely to cause serious injury, impairment, or death, if immediate action is not taken. Immediate Jeopardy (IJ) was identified on 12/20/2024 and determined to exist on 04/28/2024 in the area of 42 CFR 483.25 Quality of Care, F689, and Substandard Quality of Care (SQC) at 42 CFR 483.25. The facility provided an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-03-05 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and policy review, the facility failed to prepare and serve food under sanitary conditions to prevent the potential for contamination during meal service. These failures had the potential to affect 18 of 18 residents who received meals from the dietary department.Review of the facility policy, Nutritional Services Infection Prevention and Control, revised 08/29/2022, revealed food handlers were required to perform hand hygiene prior to contact with or preparation of food items and beverages. Further review revealed employees were required to have hair covered with a hair net and beards and mustaches were to be kept close-cropped; however, the policy did not specify the use of beard guards/beard restraints.Review of the facility policy titled, Hand Hygiene, revealed the policy identified examples of when to perform hand hygiene, including before donning (putting on) personal protective equipment (PPE), after doffing (removing) PPE, and after touching a contaminated area and before moving to a clean area.Review of the facility policy titled, Food…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-01-03 · tag F0576 — widespread
  Ensure residents have reasonable access to and privacy in their use of communication methods.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and review of the facility's policies and procedures, it was determined the facility failed to protect and facilitate the residents' right to communicate with individuals and entities within and external to the facility, including the ability to send and receive mail, packages and other materials delivered to the facility for 3 of 18 sampled residents (Resident (R) 6, R8, and R14). The facility did not pick up, sort, and deliver mail to residents on weekend, more specifically on Saturday, to R6, R8, and R14, with the potential to affect 18 of 18 residents residing in the facility. The findings include: Review of the facility's policy titled, Resident Rights and Responsibilities last revised on 08/01/2001, on page 4, number 24 revealed, A resident shall be permitted to send and receive mail without hindrance, unless clinically contraindicated. In interview on 12/19/2024 at 9:50 AM with the Director of Nursing (DON); with the Administrator at 10:05 AM; and with the Assistant Director of Nursing (ADON) at 2:41 PM, they all stated the facility currently had no policy…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-03 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and review of facility policies, the facility failed to ensure residents were free from abuse for one of 18 sampled residents (Resident (R)13). On 10/10/2024, staff witnessed R1 strike R13 three times on the leg with a rolled-up newspaper. The findings include: Review of the facility's policy titled, Abuse, Neglect, and Misappropriation in the Nursing Facility, effective date of 09/01/2011, and revised on 06/25/2013, revealed residents had the right to be free from mental, physical, sexual, and verbal abuse, neglect, and misappropriation of property. Per review, it was the policy of the facility to protect residents from real or perceived abuse, neglect, or misappropriation of property from anyone. Further review of the policy revealed it outlined the procedure for the management of suspected abuse/neglect and discussed the requirement for staff education. Review of the facility's policy titled, Resident Rights and Responsibilities, with an effective date of 01/01/2000, revealed the resident had the right to a safe and secure environment…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-03 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, review of the facility's policy, the facility failed to have an effective system to label and store resident specific medications for 2 of 10 sampled Residents (Resident (R)10 and R12). On 12/17/2024 at 12:06 PM eight (8) vials of antibiotic were observed sitting in a plastic tub without a resident label and sixty (60) cups of valproic acid were observed in six (6) packs, also not labeled with a resident label. Both were stored in the medication room on the counter. The findings include: Review of the facility's policy titled, Medication Storage,reviewed 12/07/2022, revealed medications labeled for individual patients (residents) were stored separately from floor stock medications when not in the medication cart. Review of a written statement provided by the Pharmacy Director (PD) on 12/18/2024 at 1:25 PM, revealed he acknowledged medications brought to the Skilled Nursing Facility (SNF) should have been labeled and the medications found in the medication room on 12/17/2024 had been unlabeled, which was unacceptable. The PD noted the unlabeled…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-03-30 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and review of facility policy, it was determined the facility failed to ensure advance directives were completed, reviewed, or updated periodically for one (1) of eight (8) sampled residents (Resident #19). Closed record review revealed Resident #19's advanced directive information was not updated when the resident's code status changed from a full code to a Do Not Resuscitate (DNR) in 2018. The findings include: Review of the facility's policy, Advanced Directives, dated [DATE], revealed the nursing facility would inform a resident (and/or their designated representative), upon admission, of their right to formulate an Advanced Directive. An advanced directive expresses the wishes of the resident concerning their care in the event that the resident was not cognitive or cannot speak for their self upon admission. Follow-up for residents who were non-cognitive or unable to speak for themselves upon admission; if the resident was not cognitive or unable to speak for themselves…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

Fines & penalties

$10,364 in federal fines across 2 penalties.

• $5,182 — penalty dated 2025-01-03
• $5,182 — penalty dated 2025-01-03

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 18 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted.

What families pay in KY