Lexington Premier Nursing & Rehab

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.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

42.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 79 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 45.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 42 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.30 therapist hours per resident per day in 2026Q1 — more than 48% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 120 beds and averages 115.8 residents a day — about 96% occupied, or roughly 4 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 3.54 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.21 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.22 is below 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 3.36 hrs/resident/day on weekends vs 3.61 on weekdays — 7% thinner on weekends. RN hours go from 0.24 to 0.16 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 53% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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.

42 citations, most serious first. The 17 most serious are shown; the remaining 25 are one tap away and print in full.

• Immediate jeopardy · Jcited before2023-09-05 · 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 have an effective system to develop and implement care plans with individualized person-centered interventions, to include adequate supervision and monitoring for residents at risk for elopement; and for residents with a history of falls, for seven (7) of thirty-three (33) sampled residents (Residents #1, #3, #18, #22, #24, #25, and #26). 1. Resident #1 eloped from the facility on 07/27/2023 without staffs' knowledge. The resident disabled a window alarm in his/her room and climbed out the window. Resident #1 was found at a nearby convenience store approximately forty-five (45) minutes later. Resident #1 had to cross two (2) busy roads with heavy traffic to get to the convenience store. 2. In addition, the facility failed to have an effective system to develop and implement comprehensive care plans with individualized person-centered interventions to evaluate falls and perform root cause…

  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 · Jcited before2023-09-05 · 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 observation, interview, record review, and review of the facility's policies, it was determined the facility failed to have an effective system in place to ensure adequate supervision and monitoring to prevent elopements for one (1), Resident #1; and falls for six (6), Residents #3, #18, #22, #24, #25 and #26, of thirty-three (33) sampled residents. The facility failed to have an effective system to ensure adequate supervision and monitoring; and failed to develop and follow care plan interventions to prevent elopement for Resident #1. The facility was notified of the IJ at 42 CFR 483.25, Quality of Care, F689, Supervision to Prevent Accidents and 42 CFR 483.21, Comprehensive Care Plans, F656, Develop and Implement on 08/11/2023, which was determined to exist on 07/27/2023. 1. On 04/20/2023, Resident #1 attempted to exit the building by walking out of the front door of the facility. At that time, the facility failed to assess the resident's cognition. However, as a measure to prevent elopement, the…

  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
• Immediate jeopardy · Jcited before2023-01-28 · 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 2. Review of Resident #23's EMR revealed the facility admitted the resident on 05/11/2021, with diagnoses including Alzheimer's Disease, Adult Failure to Thrive, and Age-Related Debility. Review of Resident #23's Quarterly Minimum Data Set (MDS) Assessment, dated 11/06/2022, revealed the facility assessed the resident to have a BIMS' score of two (2) out of fifteen (15), which indicated severe cognitive impairment. Further review revealed the facility also assessed Resident #23 as requiring limited assistance for transferring between surfaces, walking in his/her room, and toileting; and needed substantial assistance to put on footwear. Review of Resident #23's Comprehensive Care Plan, dated 11/13/2022, revealed the facility identified the resident was at risk for falls and care planned him/her for the fall risk. Per review of the Care Plan, the interventions included: for staff to be sure the call light was within Resident #23's reach; place a bedside commode at his/her bedside; place nonskid strips in the…

  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 · Jcited before2023-01-28 · 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 observation, interview, record review, and review of the facility's policies and investigations, it was determined the facility failed to have an effective system in place to ensure residents who exhibited wandering behaviors or were assessed at risk for elopement received adequate supervision and monitoring for one (1) of sixty-four (64) sampled residents (Resident #1). The facility admitted Resident #1 on 11/12/2022 with diagnoses of Dementia with Agitation and assessed not to be an elopement risk on admission. The facility assessed the resident to have wandering behaviors on one (1) to three (3) days during the seven (7) day look back period. Resident #1 was documented to have been wandering the hallways and attempting to go into other residents' rooms on 11/18/2022; however, there was no documented evidence the facility reassessed the resident for elopement risk. Interview revealed Licensed Practical Nurse (LPN) #3 was administering medication on 11/22/2022 at approximately 10:00 AM, when an alarm…

  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
• Actual harm · H2023-09-05 · tag F0835 — failed to run the facility competently — pattern
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, review of the facility's Plan of Correction (POC) from the 01/28/2023 Recertification Survey, and review of the facility's Administrator's Job Description, it was determined the facility failed to be administered in a manner which enabled effective use of its resources to attain and maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Review of the 01/28/2023 Recertification Survey's Plan of Correction (POC), revealed the facility was previously cited at actual harm and Immediate Jeopardy (IJ). The 09/05/2023 survey had repeat deficiencies that had been cited on the 01/28/2023 survey. Review of the falls' list, dated 04/11/2023 through 08/15/2023 revealed the residents had a total of fifty-seven (57) falls, four (4) of which resulted in major injury. The facility's administration failed to have an effective system to investigate the root cause of the residents' falls; failed to develop and implement an action plan after each fall; and, failed to accurately assess the resident and/or residents' 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Actual harm · H2023-09-05 · tag F0867 — failed to act on quality-improvement findings — pattern
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, review of the facility's policy, and review of the facility's Plan of Correction (PoC) for the survey completed on 01/28/2023, with a compliance date of 04/11/2023, it was determined the facility failed to have an effective system to address systemic failures through the Quality Assurance Performance Improvement (QAPI) process. The facility failed to ensure standards for quality of care regarding performance improvement measures were achieved and sustained. The facility failed to effectively track adverse resident events, analyze their causes, and implement preventative action(s). The facility failed to ensure there was an effective system to regularly review and analyze and audit data, including data collected under the QAPI program; and, failed to act on available data to make improvements and maintain substantial compliance. The facility reported the number of falls with injuries between 02/14/2023 and 07/29/2023 was thirteen (13). However, there was no evidence the facility discussed the falls, reviewed previous falls, or analyzed the time of…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-01-28 · tag F0805 — failed to prepare food in a form residents can eat — isolated
  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  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 policy, it was determined the facility failed to provide food prepared in a form designated to meet individual needs for one (1) out of sixty-four (64) sampled residents (Resident #255). Resident #255's was admitted to the facility on [DATE] from an acute care hospital where the resident had been treated for Pneumonitis due to Inhalation of Food and Vomit. During the resident's stay in the facility, staff provided the resident with thin liquids when the prescribed diet was for honey thickened liquids. The resident was sent back to the hospital, after a two (2) day stay in the facility, with a diagnosis of Aspiration Pneumonia. The findings include: Review of the facility's policy titled, Thickened Liquids, not dated, revealed the facility was expected to ensure residents with Dysphagia (swallowing difficulty) received appropriately thickened liquids to minimize aspiration (liquid going into the lungs which could cause pneumonia) risk. Further review…

  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 · E2025-08-08 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and review of the facility's policies, the facility failed to provide the residents or family group with a private space to have a monthly scheduled Resident Council meeting. Observation and resident interviews on 08/05/2025, during the Resident Council meeting, revealed the meeting's designated space to be a non-private area of the dining room accessed by nursing staff to communicate with kitchen staff.The findings include:Review of the facility's policy titled, Resident Rights, undated, revealed the resident had a right to personal privacy which included meetings with family and the resident group.Review of the facility's policy titled, Facility Responsibilities, undated, revealed the facility must ensure that the resident could exercise his or her rights without interference, coercion, discrimination, or reprisal from the facility. Per the policy, the facility must provide a resident or family group, if one existed, with private space, and take reasonable steps, with the approval group, to make residents or family members aware of the upcoming…

  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 · E2025-08-08 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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 and interview, the facility failed to ensure residents had a right to a safe, clean, comfortable and homelike environment. Observations on 08/04/2025 and 08/07/2025 of three areas of the facility revealed stained and unraveled carpet. The findings include:The State Survey Agency (SSA) Surveyor requested an environmental policy from the Director of Nursing (DON) on 08/08/2025 at 8:46 AM; however, the only documents provided were blank cleaning logs.Observation upon the initial entry to the facility on [DATE] at 3:00 PM revealed the carpet in the front lobby was overall dirty, visibly stained in multiple areas, and unraveling near the front reception desk.Observation on 08/04/2025 at 3:19 PM revealed the carpet on the North Hall was visibly stained in multiple areas throughout the unit. Observation on 08/07/2025 at 3:57 PM revealed the carpet on the South Hall was visibly stained in multiple areas throughout the unit. During an interview with Registered Nurse (RN) 4 on 08/08/2025 at 9:59 AM,…

  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 · E2025-08-08 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and review of the facility's policy, the facility failed to provide food and drink that was palatable and at a safe and appetizing temperature. Observation on 08/06/2025 at 8:15 AM of the breakfast test tray on the South 200 Unit revealed the food at point of service was at unappetizing temperatures. The findings include:Review of the facility's policy titled, In-Room Dining, dated 2020, revealed hot foods served on room trays were preferred to be at 120 degrees Fahrenheit (F) or greater to promote palatability for the resident. Review of the facility's Food Temperature Chart, dated 08/06/2025, revealed cooked cereal had a temperature of 184 degrees (F) initially and continued to a temperature of 180 degrees (F) at the conclusion of the tray line. Further review revealed eggs had a temperature of 179 degrees F and continued to a temperature of 176 degrees F at the conclusion of the tray line. Further review revealed sausage had a temperature of 179 degrees F initially and continued to a temperature of 177 degrees at the conclusion of…

  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 · E2025-08-08 · tag F0887 — pattern
  Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, review of the Centers for Medicare & Medicaid Services (CMS) Center for Clinical Standards and Quality/Quality, Safety & Oversight Group's QSO-21-19-NH Memo, and review of the facility's policy, the facility failed to maintain documentation of screening, education, offering, and current Coronavirus Disease 2019 (COVID-19) vaccination status for 5 of 5 sampled staff, Registered Nurse (RN) 2, Licensed Practical Nurse (LPN) 2, State Registered Nurse Aide (SRNA) 10, SRNA11, and SRNA12.The findings include:Review of the CMS Center for Clinical Standards and Quality/Quality, Safety & Oversight Group's QSO-21-19-NH Memo, dated 05/01/2021, revealed Long-term Care (LTC) facilities must offer staff vaccination against COVID-19 when vaccine supplies were available to the facility. LTC facilities must screen staff prior to offering the vaccination for prior immunization, medical precautions, and contraindications to determine whether they were appropriate candidates for vaccination. Per the guidance, the vaccine might be offered and provided directly by the…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-08 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and review of the facility's policies, the facility failed to ensure each resident had the right to reside and receive services in the facility with reasonable accommodation of resident needs for 1 of 4 sampled residents, Resident (R) 54. The findings include: Review of the facility's policy titled, Call Lights: Accessibility and Timely Response-Physical Environment, dated 01/2024, revealed with each interaction in the resident's room or bathroom, staff would ensure the call light was within reach of the resident and secured, as needed. Review of the facility's policy titled, Facility Responsibilities, dated 01/2024, revealed the resident had a right to a dignified existence, self-determination, and communication and access to persons and services inside and outside the facility. Review of R54's admission Record revealed the facility admitted the resident on 02/20/2024 with diagnoses including acute and chronic respiratory failure with hypoxia, chronic obstructive pulmonary disease (COPD), and age-related cognitive decline. Review of…

  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 · D2025-08-08 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and review of the facility's policy, the facility failed to provide documentation they notified the resident and/or the resident's representative in writing of the reason for the transfer/discharge to the hospital or of the facility's bed hold policy, including reserve bed payment. Additionally, the facility failed to notify or send a copy of the notice to the ombudsman for 3 of 4 sampled residents, Resident (R) 9, R37 and R54. The findings include:Review of the facility's policy titled, Transfer and Discharge from the Facility, dated 01/2024, revealed the resident and representative would receive timely notification, adequate preparation, orientation, and information about the transfer as orderly and safely as possible, and the notice contained information about the transfer and information about the resident's right to appeal. Further review revealed the facility forwarded a copy of all discharge notices to the Office of the State Long-Term Care Ombudsman and required state agencies. Additional review revealed the facility must notify the…

  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 · Dcited before2025-08-08 · 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

  Based on observation, interview, record review, and facility policy review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 of 24 sampled residents, Resident (R) 76.R76 was prescribed scheduled narcotics for pain but did not have a care plan developed for effective pain management. The facility failed to create a care plan to address the resident's chronic pain with assessment-based goals and interventions.The findings include:Review of the facility's policy titled, Care Plan Process, revised 09/2019, revealed the facility was to develop and implement a comprehensive person-centered care plan for each resident to meet the needs as identified in the comprehensive assessment to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being.Review of R76's admission Record,…

  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
• Potential for harm · D2025-08-08 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, review of the facility's job description, and review of the facility's policy, the facility failed to ensure nursing staff followed the standard of care for medication administration for 1 of 4 sampled residents, Resident (R) 57. Observation on 08/07/2025 revealed the North Unit Nurse Manager prepared medications for R57. She then transferred the cup of pills to Licensed Practical Nurse (LPN) 2, who administered the medications to the resident. The findings include: Review of the facility's policy titled, Medication Administration by Route or Dosage Form, undated, revealed no specific guidelines for more than one nurse administering medications to a single resident. Review of the facility's job description Licensed Practical Nurse (LPN), undated, revealed LPNs were expected to only administer medications personally prepared and did not leave medications at the bedside without an order to do so.Observation of medication administration with the North Unit Manager (UM) on 08/06/2025 at 8:30 AM revealed she prepared 14 medications for R57. R57's assigned…

  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
• Potential for harm · Dcited before2025-08-08 · 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 Food and Drug Administration's document, review of the facility's job descriptions, and review of the facility's policy, the facility failed to correctly label opened medications and dispose of expired medications and supplies to prevent resident use for 1 of 3 medication rooms and 3 of 8 medication and treatment carts.Observation of the Rehab Unit Medication Room and Treatment Cart on 08/06/2025 revealed expired medications and supplies available for resident use.Observation of North Unit Medication Cart 3 on 08/07/2025 revealed a vial of insulin with no opened date on the box or the vial and available for resident use.Observation of South Unit Medication Cart 3 on 08/07/2025 revealed an expired inhaler was on the cart and available for resident use.The findings include:The State Survey Agency (SSA) Surveyor made a written request to the Director of Nursing, on 08/06/2025 and 08/07/2025, for the facility's policy on medication storage. A written response was received that medication storage was included as part of the Medication…

  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 · D2025-08-08 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  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, review of bleach germicidal wipe instructions, review of the facility's job descriptions, review of the facility's policies, and review of the Centers for Disease Control and Prevention (CDC) document and signage related to enhanced-barrier precautions (EBP) and transmission-based precautions (TBP), the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent and control the development and transmission of communicable diseases for 3 out of 24 sampled residents, Resident (R) 16, R28, and R32. 1. Observation on 08/04/2025 revealed Licensed Practical Nurse (LPN) 2 performed a blood sugar fingerstick for R28, then went to perform a fingerstick on R32. LPN2 failed to follow infection control practices while performing the procedure and failed to put on the appropriate personal protective equipment (PPE) for the resident under EBPs. Further observation…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$240,331 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $240,331 — penalty dated 2023-09-05
• Medicare payment denial — starting 2023-09-08 for 25 days

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 34 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

12 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 79% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.5M paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in KY