Federal inspection record · CMS data as of October 1, 2026
Bourbon Heights Nursing Home
2000 South Main Street, Paris, KY · (859) 987-5750
- Special Focus Facility
- Certified beds
- 99
- Residents per day
- 82
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 14, 1991
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kentucky homes
Bourbon Heights Nursing Home carries 308.75 inspection points. That is fewer than 0% of Kentucky's 265 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kentucky: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–2 pts
- 4★ 2–11 pts
- 3★ 11–22 pts
- 2★ 22–45 pts
- 1★ over 45 pts
Bars show every rated home in Kentucky by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
29 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (11)
-
L
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
-
L
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.
-
L
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
-
L
Provide and implement an infection prevention and control program.
-
J
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
J
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
-
G
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
L
Provide and implement an infection prevention and control program.
Everything else, by area of care
Resident Rights3F
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning3D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Administration2F
- E
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- F
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.
Quality of Life and Care2E
- E
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Infection Control1F
- F
Provide and implement an infection prevention and control program.
Environmental1E
- E
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Nursing and Physician Services1F
- F
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.
Nutrition and Dietary1E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Pharmacy Service1D
- D
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.
Inspection history
2026-02-19
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Administration (1 deficiency)
2024-11-22
18 health deficiencies · 10 fire-safety deficiencies
Top issue: Administration (4 deficiencies)
2020-01-10
7 health deficiencies · 6 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 34 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
4 h 34 min
Kentucky average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 55% of nursing staff and 42% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$57,841 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-11-22 | Fine | $41,040 |
| 2024-11-22 | Payment Denial · 31 day denial | $0 |
| 2024-04-05 | Fine | $16,801 |
| 2024-04-05 | Payment Denial · 16 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 2.0 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better | 0.9 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts better | 100.0% | 94.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.8 pts better | 100.0% | 96.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts worse | 4.3% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.9 pts better | 0.0% | 18.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.6 pts better | 3.0% | 6.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.1 pts better | 24.8% | 29.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.2 pts better | 11.0% | 16.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9.9 pts worse | 22.2% | 12.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.6 pts worse | 18.8% | 13.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.2 pts worse | 1.7% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.7% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.6 pts worse | 28.9% | 18.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts better | 3.7% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15 pts better | 99.5% | 84.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.4 pts better | 6.8% | 13.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better | 0.0% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.3 pts better | 100.0% | 83.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.1 pts better | 21.8% | 23.9% | 23.4% |
·
Who owns and runs it
11 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bales, Michell | Corporate Director · Individual | 0% | 1 facilities |
| Bell, Jeff | Corporate Director · Individual | 0% | 1 facilities |
| Besson, Stephen | Adp Of The SNF · Individual | 0% | 2 facilities |
| Davis, Thomas | Adp Of The SNF · Individual | 0% | 8 facilities |
| Ernest, Shea | Corporate Director · Individual | 0% | 1 facilities |
| Hightchew, Erica | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hightchew, Erica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Logan, Wayne | Corporate Director · Individual | 0% | 2 facilities |
| Mccauley-Thornberry, Amanda | Corporate Director · Individual | 0% | 1 facilities |
| Mccracken, Asa | Corporate Director · Individual | 0% | 1 facilities |
| Park, Harry | Corporate Director · Individual | 0% | 1 facilities |
·
Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- D
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Provide properly protected cooking facilities.
- E
Install an approved automatic sprinkler system.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems4F
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Ensure proper usage of power strips and extension cords.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- E
Have restrictions on the use of portable space heaters.
- F
Have simulated fire drills held at unexpected times.
Egress2F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- D
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.
Construction1F
- F
Meet requirements for sections of health care facilities separated by fire resistive construction.
·
Other homes nearby
-
Cedar Ridge Health Campus
Cynthiana, KY · Trilogy Health Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 3 min
- Fines
- $0
-
Edgemont Healthcare
Cynthiana, KY
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 9 min
- Fines
- $133,225
-
Fountain Circle Care & Rehabilitation Center
Winchester, KY · Signature Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 57 min
- Fines
- $0