Paris, KY

Bourbon Heights Nursing Home

1-star overall rating with 1-star inspections with $57,841 in total fines with 10 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

2000 South Main Street, Paris, KY

(859) 987-5750

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

99

Certified beds

Average residents

83

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1991-06-14

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.55

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.81

Licensed practical nurse staffing · state 0.81 · national 0.87

Aide hours / resident day

3.23

Nurse aide staffing · state 2.43 · national 2.35

Total nurse hours

4.58

All reported nurse hours · state 4.01 · national 3.89

Licensed hours

1.35

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

3.85

Weekend nurse staffing · state 3.50 · national 3.43

Weekend RN hours

0.45

Weekend registered nurse coverage · state 0.52 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.56

CMS adjusted RN staffing hours

Adjusted total hours

4.73

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

83%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

72%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,710

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

31.95

Composite VBP score used to determine payment impact.

Payment multiplier

0.9868

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0

Baseline 55.83% · Performance 63.25% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

6.39

Baseline 5.08 hours · Performance 4.90 hours · Measure score 6.39 · Achievement 6.39 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.53%
10.72%
1.2 pts better
No Different than the National Rate · Eligible stays 39 · Observed rate 2.56% · Lower 95% interval 5.33%
Discharge to community 47.19%
50.57%
3.4 pts worse
No Different than the National Rate · Eligible stays 28 · Observed rate 39.29% · Lower 95% interval 34.03%
Medicare spending per beneficiary 1.27
1.02
0.2 pts worse
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 16 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 5.26%
8.2%
2.9 pts worse
Numerator 5 · Denominator 95
Staff flu vaccination coverage 29.51%
42%
12.5 pts worse
Numerator 36 · Denominator 122
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.7
1.9
0.2 pts better
1.9
0.2 pts better
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.2 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.9
2.2
0.3 pts better
1.8
0.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.5 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.3%
5.7 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
96.2%
3.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 2.5%
3.8%
1.3 pts better
3.3%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.8% · Q3 4.5% · Q4 2.7% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
15.2%
15.2 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 3.8%
6.7%
2.9 pts better
5.4%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 4.8% · Q3 4.8% · Q4 2.7% · 4Q avg 3.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.4%
29.6%
7.2 pts better
19.6%
2.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.5% · Q2 24.6% · Q3 20.3% · Q4 23.0% · 4Q avg 22.4%
Percentage of long-stay residents who received an antipsychotic medication 12.8%
17.6%
4.8 pts better
16.7%
3.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 17.0% · Q3 11.9% · Q4 10.8% · 4Q avg 12.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 22.3%
17.3%
5 pts worse
16.3%
6 pts worse
Long Stay · 2024Q4-2025Q3 · Q4 24.2% · 4Q avg 22.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 19.2%
15.6%
3.6 pts worse
14.9%
4.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 32.8% · Q2 20.7% · Q3 5.3% · Q4 18.2% · 4Q avg 19.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.9%
0.7%
0.2 pts worse
1.0%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 1.3% · Q4 1.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.1%
1.7%
0.6 pts better
1.7%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 3.1% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 22.1%
19.8%
2.3 pts worse
19.8%
2.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 11.6% · Q3 22.2% · Q4 28.3% · 4Q avg 22.1%
Percentage of long-stay residents with pressure ulcers 5.7%
5.5%
0.2 pts worse
5.1%
0.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 2.3% · Q3 9.8% · Q4 6.1% · 4Q avg 5.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.8%
83.8%
15 pts better
81.7%
17.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.0% · Q4 98.0% · 4Q avg 98.8%
Percentage of short-stay residents who had an outpatient emergency department visit 10.2%
13.9%
3.7 pts better
12.0%
1.8 pts better
Short Stay · 20240701-20250630 · Adjusted 10.2% · Observed 10.7% · Expected 11.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.8%
1.8 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
83.6%
16.4 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 15.0%
24.5%
9.5 pts better
23.9%
8.9 pts better
Short Stay · 20240701-20250630 · Adjusted 15.0% · Observed 14.3% · Expected 22.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-22 · Fire 2024-11-22

10 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2020-01-10 · Fire 2020-01-10

15 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2018-10-25 · Fire 2018-10-25

4 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-22

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-12-17

F · Potential for more than minimal harm 2024-11-22

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-12-17

F · Potential for more than minimal harm 2024-11-22

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-12-17

E · Potential for more than minimal harm 2024-11-22

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-12-17

E · Potential for more than minimal harm 2024-11-22

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-12-17

E · Potential for more than minimal harm 2024-11-22

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-01-16

E · Potential for more than minimal harm 2024-11-22

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-12-17

E · Potential for more than minimal harm 2024-11-22

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2024-12-17

E · Potential for more than minimal harm 2024-11-22

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-12-17

D · Potential for more than minimal harm 2024-11-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-17

F · Potential for more than minimal harm 2020-01-10

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2020-01-15

F · Potential for more than minimal harm 2020-01-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-01-14

F · Potential for more than minimal harm 2020-01-10

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2020-01-09

D · Potential for more than minimal harm 2020-01-10

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2020-01-21

D · Potential for more than minimal harm 2020-01-10

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2020-01-14

D · Potential for more than minimal harm 2020-01-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2020-02-07

E · Potential for more than minimal harm 2018-10-25

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2018-12-22

D · Potential for more than minimal harm 2018-10-25

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-01-05

D · Potential for more than minimal harm 2018-10-25

K361 · Smoke Deficiencies

Fire Safety

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

Corrected 2018-12-22

D · Potential for more than minimal harm 2018-10-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-01-06

D · Potential for more than minimal harm 2018-10-25

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2019-01-22

Inspection history

Recent health citations

L · Immediate jeopardy 2024-11-22

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-01-25

L · Immediate jeopardy 2024-11-22

F837 · Administration Deficiencies

Health

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.

Corrected 2025-01-25

L · Immediate jeopardy 2024-11-22

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2025-01-25

L · Immediate jeopardy 2024-11-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-25

J · Immediate jeopardy 2024-11-22

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-01-25

J · Immediate jeopardy 2024-11-22

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-01-25

J · Immediate jeopardy 2024-11-22

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-01-25

G · Actual harm 2024-11-22

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-01-25

G · Actual harm 2024-11-22

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-01-25

G · Actual harm 2024-11-22

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-01-25

F · Potential for more than minimal harm 2024-11-22

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-01-25

F · Potential for more than minimal harm 2024-11-22

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-01-25

F · Potential for more than minimal harm 2024-11-22

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2025-01-25

E · Potential for more than minimal harm 2024-11-22

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2025-01-25

E · Potential for more than minimal harm 2024-11-22

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-01-25

D · Potential for more than minimal harm 2024-11-22

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-01-25

D · Potential for more than minimal harm 2024-11-22

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-01-25

D · Potential for more than minimal harm 2024-11-22

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-01-25

L · Immediate jeopardy 2024-04-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-20

D · Potential for more than minimal harm 2024-04-05

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-05-20

D · Potential for more than minimal harm 2024-04-05

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-05-20

D · Potential for more than minimal harm 2020-01-10

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2020-02-22

D · Potential for more than minimal harm 2020-01-10

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2020-02-22

D · Potential for more than minimal harm 2020-01-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2020-02-22

D · Potential for more than minimal harm 2020-01-10

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2020-02-22

E · Potential for more than minimal harm 2018-10-25

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2018-12-20

D · Potential for more than minimal harm 2018-10-25

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2018-12-20

D · Potential for more than minimal harm 2018-10-25

F659 · Resident Assessment and Care Planning Deficiencies

Health

Provide care by qualified persons according to each resident's written plan of care.

Corrected 2018-12-20

D · Potential for more than minimal harm 2018-10-25

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2018-12-20

Penalties and ownership

What sits behind the stars

$41,040 2024-11-22

Fine

Fine · fine $41,040

Fine

$0 2024-11-22

Payment Denial

Payment Denial · denial start 2024-12-25 · 31 days

31 day denial

$16,801 2024-04-05

Fine

Fine · fine $16,801

Fine

$0 2024-04-05

Payment Denial

Payment Denial · denial start 2024-05-04 · 16 days

16 day denial

Ownership

Bales, Michell

Corporate Director · Individual

0% 1 facilities 2020-02-01
Bell, Jeff

Corporate Director · Individual

0% 1 facilities 2016-01-01
Ernest, Shea

Corporate Director · Individual

0% 1 facilities 2020-11-01
Hightchew, Erica

Operational/Managerial Control · Individual

0% 1 facilities 2025-03-04
Logan, Wayne

Corporate Director · Individual

0% 1 facilities 2022-09-15
Mccauley-Thornberry, Amanda

Corporate Director · Individual

0% 1 facilities 2018-01-01
Mccracken, Asa

Corporate Director · Individual

0% 1 facilities 2022-06-01
Park, Harry

Corporate Director · Individual

0% 1 facilities 2018-01-01

Nearby options

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Staffing
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#2

Edgemont Healthcare

Cynthiana, KY

1-star overall rating with 1-star inspections with abuse icon flag with $133,225 in total fines with 19 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
1 / 5
Fines
$133,225

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