Seneca Place

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.

49.2% 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 88 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.11 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 24% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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 130 beds and averages 110.2 residents a day — about 85% occupied, or roughly 20 beds typically open. It usually has some room. 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 3.38 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 1.50 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.68 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 2.96 hrs/resident/day on weekends vs 3.55 on weekdays — 17% thinner on weekends. RN hours go from 1.63 to 1.16 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% 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.

34 citations, most serious first. The 22 most serious are shown; the remaining 12 are one tap away and print in full.

• Immediate jeopardy · L2021-04-03 · tag F0726 — failed to have competent, trained nursing staff — widespread
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review and facility policy review it was determined the facility failed to ensure those with a provisional license were provided with direct supervision while providing resident care. The facility failed to ensure, per the Kentucky Board of Nursing regulatory requirements, that six (6) Registered Nurse Applicants (RNA) were provided direct supervision by a Registered Nurse (RN) during the provision of resident care. In addition, the facility failed to ensure one (1) Licensed Practical Nurse Applicant (LPNA) was provided direct supervision by a RN or Licensed Practical Nurse (LPN) during the provision of resident care, and licensed staff were at all times physically present in the facility and immediately available to applicants while the applicants held a provisional license. The facility utilized the RNAs and LPNAs independently, on six (6) out of seven (7) halls (A/B, C/D, and E/F), across all three (3) shifts, and across all seven (7) days of the week, for a total sample of sixty-nine (69) residents. In addition, the facility did not obtain…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · L2021-04-03 · tag F0835 — failed to run the facility competently — widespread
  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, and review of the facility's policy, it was determined the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. The failure to identify potential or actual system failure or deficient practice, which could or has led to potential or actual harm. (Refer to F656, F689, F692, F693, F726, F755, F835, F837, and F865). In addition, the facility failed to maintain standard levels of care and services to the residents. Total census 90. (Refer to F584, F606, F656, F689 and F759. The facility's failure to provide an effective administration to ensure care and services related to state and federal regulations guideline for the care and services to the residents has caused or is likely to cause serious injury, harm, impairment or death to residents. An abbreviated survey was initiated 03/03/2021 to investigate KY 30063, KY 30682, KY 31187, KY 31312, KY 32775, KY 32862, KY 33110, KY 33209, KY…

  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
• Immediate jeopardy · L2021-04-03 · tag F0837 — widespread
  Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
  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 policy related to Quality Assurance Performance Improvement (QAPI) and review of the Executive Director's Job description, it was determined the facility failed to ensure the Governing Body who was responsible for the establishment and implementation of policies managed the operation of the facility. Interviews revealed not all listed participants were aware of their GB role and/or responsibility. The facility's GB failed to hold responsible the Executive Director (ED) in regards to the establishment and implementation of policies/procedures to ensure the provision of quality care and services. Interviews revealed the ED did not report QAPI/GB findings to the Owner/CEO and the Owner/CEO did not attend QAPI/GB meetings, nor was not listed on the GB committee. The facility failed to be governed in a manner to ensure residents were free from accidents and hazards, provided nutrition/hydration to prevent weight loss or dehydration, weights were monitored, care plan interventions implemented, along with ensuring…

  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
• Immediate jeopardy · L2021-04-03 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespread
  Have a plan that describes the process for conducting QAPI and QAA activities.
  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 it was determined the facility failed to have an effective system to maintain a Quality Assurance Performance Improvement (QAPI) program which developed and implemented plans of action to correct system failures in a manner to maintain compliance. The facility failed to ensure residents were free from accidents/hazards, and provided nutrition and hydration. In addition, the facility failed to ensure residents were monitored for weight loss and their care plans implemented. Further it was determine nursing applicants employed by the facility were not provided supervision and or had licensed nurse immediately available to assist with provision of resident care. Additionally, the facility failed to ensure infection control practices cited from the 11/16/2020 survey were monitored to identify infection control risks and resulted in F880 as a repeat deficiency. (Refer to F656, F689, F692, F693, F726, F755, F835, F837, F865, and F880). The facility's failure to provide an effective QAPI program that identified,…

  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
• Immediate jeopardy · Kcited before2021-04-03 · tag F0656 — failed to write and follow a full care plan — pattern
  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 policy it was determined the facility failed to develop or implement the resident care plan for sixteen (16) of sixty-nine (69) sampled residents, Residents #8, #23, #28, #33, #39, #46, #54, #60, #82, #84, #85, #90, #248, #445, and #447. 1. Review of Resident #248's care plan revealed an intervention to maintain a safe environment. However, on 12/17/2020, Resident #248 eloped from the facility without staff knowledge and was discovered by staff from another facility on the ground in the parking lot. 2. The facility initally admitted Resident #85 on 04/10/2020. He/she was assessed to be at nutritional risk. However, there was no developed care plan in place to ensure his/her fluids were monitored or received. In addition, the facility failed to implement Resident 85's care plan related to lab test ordered and follow up as needed. On 03/09/2021 a critical BUN was reported to the facility which revealed a Blood Urea Nitrogen (BUN) level 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · K2021-04-03 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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 observations, interviews, record reviews and review of the facility's policies it was determined the facility failed to provide and maintain pharmaceutical services to meet residents needs related to medications not being available, medication orders not initiated and/or medication errors for five (5) out of sixty-nine (69) sampled residents (Resident #23, Resident #33, Resident #39, Resident #46, and Resident #447). In addition, the facility failed to maintain proper infection control during medication pass for three (3) of four (4) halls. The facility failed to obtain a prescription for Gabapentin (medication used to treat pain associated with Neuropathy) timely and failed to obtain the medication through the emergency drug system. The facility failed to administer Resident #39 nineteen (19) doses of Gabapentin, from 01/21/2021 through 01/27/2021. Additionally, the facility failed to obtain/provide medications as ordered for Resident #23 (Gabapentin), Resident #33 (anti-anxiety medication), 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2021-04-03 · 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 2. Observation, on 03/10/2021 at 3:05 PM, revealed the facility's Maintenance Director (MD) walked through with the State Survey Agency (Surveyor) in the C/D courtyard. Observations revealed on the immediate left an unlocked gate. The opened gate revealed a steep concrete staircase leading to a door. Items on the staircase included threaded nails for a nail gun with the sharp edges facing upwards, two (2) propane gas tanks half off the second stair, flower pots, and two (2) large deck umbrellas. Further observation revealed an unlocked second gate on the opposite side. The contents included various seasonal items and a recessed window well. Continued observations revealed copious metal nails on the sidewalk, bricks raised up in several places which could cause a tripping hazard. Interview with the Maintenance Director (MD), on 03/10/2021 at 3:12 PM, revealed the two (2) gates had not had locks since 12/2019. He stated the stairs led to the boiler room. Further interview revealed Resident #8 went into 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 before2021-04-03 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 the clinical record revealed the facility admitted Resident #60 on 08/11/2020 with diagnoses that included Traumatic Subdural Hemorrhage, Maxillary (jawbone) Fracture, Orbital Roof Fracture (bone around the eye), and Zygomatic (cheekbone) Fracture. Review of Resident #60's Physician Orders, dated 09/2020 through 03/2021, revealed Resident #60 was taking nothing by mouth (NPO) and receiving tube feedings for nutrition. The orders included a 200 ml g-tube flush four times daily ordered on 11/03/2020 and discontinued on 12/12/2020; and flush 200 ml g-tube flush with normal saline every six hours, ordered on 12/16/2020 and started on 03/16/2021. The enteral feeding, Jevity 1.2 at a continuous rate of seventy (70) ml per hour, was ordered on 12/15/2020. Review of the Medication Administration Record (MAR), from 12/2020 through 03/2021, revealed documentation of enteral tube flush 200 ml four (4) times daily was ordered on 12/01/2020 and discontinued on 12/10/2020. On 01/13/2021, a new order was received…

  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 · J2021-04-03 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  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 ensure hydration for one (1) of sixty-nine (69) sampled residents (Resident #85). The facility admitted Resident #85 on 04/10/2020, and assessed him/her to be at nutritional risk. Resident #85 had Physician's Orders for free water (the amount of the additional water needed to meet residents hydration needs). The NP (Nurse Practitioner) wrote the orders based on continuous free water provided by a dual pump. However, the dual pump was broken. There was no documented evidence the facility monitored or provided the free water as ordered. On 03/09/2021 the facility was notified of a critical lab report for Resident #85 which revealed a Blood Urea Nitrogen (BUN) level of 111 Critical (reference range 7 mg/dL to 25 mg/dL ) indicating dehydration. Intravenous (IV) fluids were ordered. However, the facility did not start the intravenous fluids for approximately 15 hours after the orders were received. 24 hours…

  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 · G2021-04-03 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 ensure residents were treated in a dignified manner for two (2) of sixty-nine (69) sampled residents (Residents #14 and #90). Interview and observations revealed Resident #14 was transferred from a room which he/she could enter a bathroom to a room in which the size of his/her wheelchair prohibited access to the bathroom. The sink and toilet were not accessible to Resident #14. The facility provided Resident #14 a bedside commode, placed near a window leaving the resident exposed to the outside. Resident #14 was still unable to wash his/her hands. In addition, observations revealed facility staff used baby talk when talking with Resident #90. Resident #90, was able to feed himself/herself. However, staff held the resident's hands or shoulders while other staff fed him/her to prevent interference from the resident's hands and arms. The findings include: Review of the facility's 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
• Actual harm · Gcited before2021-04-03 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 5. Review of the clinical record revealed the facility admitted Resident #82 on 10/21/2019 with diagnoses to include Alzheimer's disease, Major depressive disorder, and Osteoarthritis. Review of the Quarterly Minimum Data Set (MDS), dated [DATE], revealed the facility assessed Resident #82 with a Brief Interview for Mental Status (BIMS) score of fifteen (15) and determined he/she was interviewable. Interview with Resident #82, on 03/09/2021 at 3:24 PM, revealed the bathroom sink would not drain and the resident was not able to wash his/her face or hands. The resident revealed there had been a problem with the drain since the facility moved him/her to the room in November and he/she reported the issue to Certified Nursing Assistants (CNAs), nurses, housekeeping, maintenance, and the Administrator. According to the resident, the facility provided him/her with aloe-cleaning cloths for hygiene. In addition, the resident stated the overhead light fixture had only one bulb and was dim. The resident revealed he/she…

  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
• Actual harm · G2021-04-03 · tag F0710 — isolated
  Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
  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 ensure the Nurse Practitioner (NP) Care Services provided timely orders for one (1) of sixty nine (69) sampled residents (Resident #85). The facility received a critical lab value of a Blood Urea Nitrogen (BUN) level of 111 (above 20 is high) mg/dl (deciLiter) on 03/09/2021 at 1:00 AM. The facility notified the NP immediately. However, there was no documented evidence the NP addressed the critical lab until 4:14 PM (03/09/2021), roughly fifteen (15) hours later. In addition, the facility failed to provide adequate fluids per dietary recommendations after the NP ordered a reduction of fluid intake per Enteral Feeding. Furthermore, the NP failed to follow-up with pharmacy regarding insulin orders which were not initiated. The findings include: The State Survey Agency requested the facility's policy related to Reporting Critical Lab values. The facility presented its Change in Condition policy. 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-04 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and review of facility documents and policy, the facility failed to resolve a grievance related to a missing item in a timely manner for 1 of 3 residents (Resident (R) 83) reviewed for personal property. The findings included: Review of facility policy, Grievances, effective 10/01/2024, revealed 3. Definitions 'Prompt efforts to resolve include facility acknowledgment of a complaint/grievance and actively working toward resolution of that complaint/grievance. The policy specified, G. In accordance with the resident's/patient's right to obtain a written decision regarding the grievance, the Grievance Official will issue a written decision on the grievance to the resident/patient or representative at the conclusion of the investigation. The written decision will include at a minimum the date received, steps taken to investigate, summary of findings, statement of confirmation or non-confirmation, corrective actions, and the date of decision. Review of facility admission Record revealed the facility admitted Resident #83 on 09/23/2024. According to 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 before2025-07-04 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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 provide nail care for 1 of 5 residents (Resident (R) 3) reviewed for activities of daily living (ADL) care. Specifically, the facility failed to regularly trim or clean Resident #3's fingernails. Review of facility policy, Activities of Daily Living (ADLs), dated 01/02/2024, indicated, 3. A resident who is unable to carry out activities of daily living will receive the necessary services to maintain good nutrition, grooming, and personal and oral hygiene. Review of facility policy, Interdisciplinary Team (IDT) Risk Review Meeting, dated 01/02/2024, indicated, 3. Routine cleaning and inspection of nails will be provided during ADL care on an ongoing basis. Review of facility admission Record revealed the facility admitted Resident #3 on 06/22/2023 with diagnoses including cerebrovascular disease affecting the left non-dominant side, cerebral infarction (ischemic stroke), and cerebral palsy. Other diagnoses included type 2 diabetes mellitus, vascular dementia, generalized muscle…

  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 · Dcited before2025-01-17 · 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

  Based on observation, interview, record review, review of facility signage, and review of facility policy, the facility failed to maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections for one of three residents (Resident (R) 8) investigated for enhanced barrier precautions. The findings include: Review of the facility policy, Enhanced Barrier Precautions not dated, revealed the facility was to implement enhanced barrier precautions to prevent the transmission of multidrug resistant organisms. Further review revealed all staff were to comply with designated precautions, including wearing personal protective equipment (PPE) while dressing a resident or while changing resident linens. Continued review revealed residents with chronic wounds, such as pressure ulcers, were to be placed in enhanced barrier precautions. Review of the facility signage, Enhanced Barrier Precautions, not dated, posted outside R8's room revealed staff were to don PPE, including gown and gloves, before performing…

  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 · Dcited before2024-02-09 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of facility policy, it was determined the facility failed to ensure residents received services in the facility with reasonable accommodation of resident needs and preferences for two (2) of twenty-three (23) sampled residents, Resident #69 and Resident #78. The facility initiated a plan of care to keep a touch call light within Resident #69's reach, however observation revealed Resident #69 had a push-button call light. The facility initiated a plan of care to keep Resident #78's call light within reach; however, observation revealed the resident's call light was lying on his/her bedside table. The findings include: Review of the policy titled Call Lights: Accessibility and Timely Response, undated, revealed the policy's purpose was to assure the facility was adequately equipped with a call light at each resident's bedside, toilet, and bathing location to allow residents to call for assistance. Per policy review, each resident was evaluated for unique…

  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 before2024-02-09 · 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 review of facility policy, it was determined the facility failed to implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframe's to meet a resident's medical, nursing, and mental and psychosocial needs identified in the comprehensive assessment for one (1) of twenty-three (23) sampled residents, Resident #69. The facility initiated a care plan intervention to keep a touch call light within Resident #69's reach; however, observation revealed the resident had a push-button call light. The findings include: Review of the policy titled, Comprehensive Care Plans, undated, revealed it was the policy of the facility to develop and implement a comprehensive person-centered care plan for each resident which was consistent with resident rights. Continued review revealed residents' comprehensive person-centered care plans that included measurable objectives and timeframe's to meet a resident's medical, nursing, and mental and psychosocial needs as identified in the resident's…

  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 · D2024-02-09 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 ensure residents received treatment and care in accordance with professional standards of practice, as based on the comprehensive assessment of the resident, the comprehensive person-centered care plan, and the resident's choices for one (1) of twenty-three (23) sampled residents (Resident #22). Review of Resident #22's Physician's Orders dated 01/20/2024 and the resident's Treatment Administration Record (TAR) dated 02/2024, revealed wound care orders for his/her wound on the right foot anterior first digit to be provided daily at bedtime. However, observation on 02/08/2024, revealed a gauze with tape noting the date of 02/03/2024, and the bottom of the gauze dressing on Resident #22's left foot was reddish-brown in color and was soiled with what resembled blood seeping through the gauze. The findings include: Review of the facility policy titled, Wound Treatment Management, undated,…

  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 · Dcited before2024-02-09 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 facility policy, it was determined the facility failed to maintain acceptable parameters of nutritional status, such as usual body weight or desirable body weight range unless the resident's clinical condition demonstrates that this was not possible or resident preferences indicated otherwise for one (1) of twenty-three (23) sampled residents, (Resident #22) who had exceeded a twelve (12) percent weight loss in sixty-seven (67) days. The findings include: Review of the facility policy titled, Nutritional Management, dated 2023, revealed the facility was to provide care and services to each resident to ensure the residents maintained acceptable parameters of nutritional status in the context of his or her overall condition. Continued review revealed a systematic approach was used to optimize each resident's nutritional status. Further review revealed optimizing the residents' nutritional status included: identifying and assessing each resident's…

  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 · Dcited before2024-02-09 · 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

  The facility failed to ensure all drugs and biologicals were labeled and stored in accordance with professional standards to include labels, the date opened and the securement of medication carts for two (2) of four (4) medication carts observed out of the facility's total of eight (8) medication carts. Observation of one (1) medication cart revealed it was left unlocked and unattended while the Registered Nurse (RN) passed medications to residents in their rooms. In addition, opened, undated medications were observed stored in medication carts. The findings include: Review of the facility policy titled, Storage of Medications revised 08/2020, revealed medications and biologicals were to be stored safely, securely, and properly, following the manufacturer's recommendations or recommendations of the supplier. Per policy review, the medication supply was to be accessible only to licensed nursing personnel, or staff members lawfully authorized to administer medications. Continued review revealed only licensed nurses, pharmacy personnel, and those lawfully authorized to administer…

  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 · Dcited before2024-02-09 · 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, and facility policy review, it was determined 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 the development and transmission of communicable diseases and infections, for two (2) of twenty-three (23) sampled residents (Residents #22 and #69). Observation revealed Enhanced Barrier Precautions (EBP) signage outside Resident #22's room with guidance for staff; however, a Registered Nurse (RN) was observed to enter the resident's room without donning the appropriate Personal Protective Equipment (PPE) and provide wound care for him/her. Additionally, observation revealed no PPE located outside the resident's door as per the facility's policy. Observation revealed Resident #69 was on Enhanced Barrier Precautions (EBP) related to having an indwelling medical device (gastrostomy tube). However, on 02/07/2024, a facility staff member was observed…

  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 · D2024-02-09 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 ensure the comprehensive care plan was reviewed and revised by the interdisciplinary team after each assessment, including both the comprehensive and quarterly review assessments for one (1) of twenty-three (23) sampled residents (Resident #79). Resident #79 had outpatient surgery on 01/22/2024, to change his/her gastrostomy tube (g-tube) to a jejunostomy tube. However, upon return to the facility after the outpatient surgery, the facility failed to revise Resident #79's care plan to reflect the changes in his/her feeding tube. The findings include: Review of the facility policy titled, Care Plan Revisions Upon Status Change undated, revealed the purpose of the policy was to provide a consistent process for reviewing and revising the care plan for residents experiencing a status change. Further review revealed the Minimum Data Set (MDS) Coordinator and the Interdisciplinary Team (IDT) were to discuss…

  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

“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

No federal fines in the current CMS record.

Part of a chain

This home belongs to DAVID MARX — 10 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

1 organizational owner 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 $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 10% 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