Carmel Home

Location & what’s nearby

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

Quality measures — how residents actually fare

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

Staffing

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. Inspectors cited this home for failing to submit its staffing data to CMS (F0851) — see the citation below. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. 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.

• Potential for harm · F2026-05-07 · tag F0756 — failed to review each resident's drug regimen — widespread
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  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, the facility failed to ensure the Pharmacist reviewed residents' drug regimens at least once a month for 4 of 5 residents sampled for Medication Regimen Review (MRR). Resident (R)4, R5, R10, and R18). The findings include:Review of the facility policy titled, Medication Regimen Review, undated, revealed, the facility ensured that all residents' medication regimens were regularly reviewed to optimize therapeutic outcomes, prevent adverse reactions, and comply with regulatory requirements. Per policy review, a pharmacist was to conduct periodic reviews of each resident's medication regimen to assess effectiveness, identify potential risks, and recommend necessary adjustments to enhance resident safety and care. Policy review revealed under, Guidelines a licensed pharmacist was to review each resident's medication regimen at least once a month. Continued policy review revealed the medication regimen review would be conducted following…

  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 · F2026-05-07 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, review of the facility's documentation, and review of the Centers for Medicare and Medicaid (CMS) Payroll Based Journal (PBJ) Report, the facility failed to electronically submit to CMS complete and accurate direct care staffing information based on its payroll and other verifiable and auditable data in a uniform format according to specifications as established by CMS. The findings include:Review of the facility's Payroll-Based Journal (PBJ) Staffing Report for Fiscal Year (FY) Quarter 1 2026 (October 1 - December 31) revealed the facility failed to submit data for that quarter and indicated no data was submitted for the quarter. In an interview with the Business Office Manager (BOM) on 05/06/2026 at 11:34 AM, she stated she was not able to submit the required information. In a continued interview on 05/06/2026 at 11:34 AM, the BOM said her computer had been hacked and needed to be replaced. She reported that, therefore, she had been unable to submit the payroll-based journal (PBJ) information due to those computer issues. The BOM said she received verification…

  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
• Potential for harm · E2026-05-07 · tag F0605 — failed to not use drugs as a restraint — pattern
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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 policy, the facility failed to ensure each resident's drug regimen was free from unnecessary drugs, for 4 of 5 sampled for drug regimen review out of the total of 8 sampled residents, (Resident (R)5, R8, R10 and R18).The findings include:Review of the facility policy titled, Unnecessary Medications, undated, revealed the facility was to ensure each resident was free from unnecessary medications. Per policy review, all medications, including psychotropic medications, must be clinically indicated; appropriately dosed; monitored for effectiveness and adverse consequences; and used in accordance with current standards of practice. Continued review revealed an unnecessary medication was any medication used without adequate indication for use; used in excessive dose; used for excessive duration; used without adequate monitoring; used in the presence of adverse consequences indicating the dose should be reduced or discontinued; or any combination of 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-07 · 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

  Based on observation, interview, and review of facility policy, the facility failed to ensure the resident environment remained as free of accident hazards as was possible, open tote containing 36 medication cards with pills, unsecured, on the floor outside the medication storage area, which had the potential to affect all 17 residents.The findings include:Review of the facility's policy titled, Storage of Medications, undated, revealed, the facility shall ensure that all medications are stored securely and in accordance with applicable laws, regulations, and best practices to maintain their integrity and ensure the safety of residents. Review of the policy further revealed all medications were to be stored in a designated, secured area that was accessible only to authorized personnel.Observation on 05/07/2026 at 10:55 AM, of the facility's medication storage area, revealed five boxes of medication cards. Per observation, there were four cardboard boxes and one gray plastic tote sitting on the floor, unsecured, outside the locked medication storage area. In interview, at 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-02-15 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review, it was determined the facility failed to provide the services of a Registered Nurse (RN) at least eight (8) consecutive hours a day, seven (7) days a week from 07/01/2023 through 09/30/2023. The findings include: Review of the facility's policy titled, Staffing Policy, revealed it was the policy of the Center to ensure that sufficient qualified nursing staff were available daily to meet residents needs for nursing care and in a manner and environment which promotes each resident's physical, mental and psycho-social well-being thus enhancing their quality of life. Staffing was determined within the facility based on work assignments designed to meet the needs of residents as determined by the resident assessment and individual plans of care. Review of the facility's July 2023 daily staffing sheets revealed the facility failed to have RN coverage for eight (8) consecutive hours in the facility on 07/01/2023, 07/02/2023, 07/08/2023, 07/09/2023, 07/15/2023, and 07/16/2023. Review of the facility's August 2023 daily staffing sheets dated 08/01/2023…

  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 · F2024-02-15 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and review of facility documents, it was determined the facility failed to store, label, and date food in accordance with professional standards for food service safety. The findings include: Review of a facility document titled, Labeling and Dating for Safe Storage of Food, dated 04/10/2023, revealed labeling and dating were critical in order to promote food safety. The use of use by dates would be reviewed. All products should be dated upon receipt. All products should be dated when opened, used by dates on all food once opened and stored under refrigeration. Observation of the kitchen on 02/14/2024 at 8:42 AM, revealed walk in cooler #1 contained a plastic container partially full of a brown substance that was not labeled or dated. Further observation revealed a container full of a yellow/orange substance not labeled or dated. Observation of the kitchen on 02/14/2024 at 8:48 AM, revealed walk in cooler #2 contained a tray containing forty-one (41) ten (10) ounce Styrofoam cups of various liquids that were not dated. In an interview with 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• No harm found · C2024-02-15 · tag F0732 — widespread
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and review of the facility policy, it was determined the facility failed to post staffing data for two (2) of the three (3) days of the survey. The findings include: Review of facility's policy titled, Staffing Policy, not dated, revealed the center would post the facility name, the current date, the Resident census, and the actual number of nursing staff on duty each shift daily. Included with this posting would be Registered Nurses, Licensed Practical Nurses, Medication Aids and Nursing Assistants directly responsible for patient care. The daily posting would be displayed in a public place, clearly visible where residents, staff and the general public may view it. Observation of the daily staffing posting on 02/13/2024 at 6:30 PM, revealed that the staffing posted for the 300 Hall, was dated 02/08/2024. Observation of the daily staffing posting on 02/14/2024 at 9:30 AM, revealed that the staffing posted for the 300 Hall, was unchanged and dated 02/08/2024. In an interview with the Director of Nursing (DON) on 02/15/2024 at 5:58 PM, she stated it…

  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

Fines & penalties

$40,173 in federal fines across 4 penalties. 1 Medicare payment denial on record.

• $3,764 — penalty dated 2024-02-20
• $25,119 — penalty dated 2024-02-15
• $3,387 — penalty dated 2024-02-12
• $7,903 — penalty dated 2024-01-22
• Medicare payment denial — starting 2024-04-06 for 9 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 6 rows in the source record cover these 4 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.

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.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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