Hardinsburg, KY

Breckinridge Memorial Nursing Facility

4-star overall rating with 2-star inspections with $10,364 in total fines with 2 recent health deficiencies

1011 Old Highway 60, Hardinsburg, KY

(270) 756-6578

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

18

Certified beds

Average residents

18

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1991-07-11

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

1.83

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

3.30

Nurse aide staffing · state 2.43 · national 2.35

Total nurse hours

5.13

All reported nurse hours · state 4.01 · national 3.89

Licensed hours

1.83

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

4.32

Weekend nurse staffing · state 3.50 · national 3.43

Weekend RN hours

1.39

Weekend registered nurse coverage · state 0.52 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

2.56

CMS adjusted RN staffing hours

Adjusted total hours

7.19

CMS adjusted total nurse staffing hours

Case-mix index

0.98

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

44%

Annual nurse turnover · state 47% · national 46%

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community Not Available
50.57%
Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary Not Available
1.02
Too few residents or stays to report publicly.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 2 · 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 1 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 6.49%
8.2%
1.7 pts worse
Numerator 5 · Denominator 77
Staff flu vaccination coverage 60%
42%
18 pts better
Numerator 66 · Denominator 110
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 79.7%
94.3%
14.6 pts worse
93.4%
13.7 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 79.7%
Percentage of long-stay residents experiencing one or more falls with major injury 1.4%
3.8%
2.4 pts better
3.3%
1.9 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.4% · 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 · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 1.5%
6.7%
5.2 pts better
5.4%
3.9 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.2%
29.6%
6.4 pts better
19.6%
3.6 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.2%
Percentage of long-stay residents who received an antipsychotic medication 31.6%
17.6%
14 pts worse
16.7%
14.9 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 31.6% · 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 · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 9.6%
17.3%
7.7 pts better
16.3%
6.7 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 12.9%
15.6%
2.7 pts better
14.9%
2 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.7%
0.7 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.4%
1.7%
0.3 pts better
1.7%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 15.7%
19.8%
4.1 pts better
19.8%
4.1 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.7%
Percentage of long-stay residents with pressure ulcers 0.0%
5.5%
5.5 pts better
5.1%
5.1 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-03 · Fire 2025-01-03

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-03-30 · Fire 2023-03-30

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2019-07-02 · Fire 2019-07-02

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-03-30

E33 · Emergency Preparedness Deficiencies

Fire Safety

Establish methods for sharing information.

Corrected 2023-05-02

F · Potential for more than minimal harm 2023-03-30

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-05-02

F · Potential for more than minimal harm 2023-03-30

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-05-02

F · Potential for more than minimal harm 2023-03-30

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-05-02

F · Potential for more than minimal harm 2023-03-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-02

E · Potential for more than minimal harm 2023-03-30

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 2023-05-02

E · Potential for more than minimal harm 2023-03-30

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2023-05-02

Inspection history

Recent health citations

J · Immediate jeopardy 2025-01-03

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 2025-01-29

J · Immediate jeopardy 2025-01-03

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 2025-01-23

F · Potential for more than minimal harm 2025-01-03

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2025-01-28

D · Potential for more than minimal harm 2025-01-03

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 2025-01-09

D · Potential for more than minimal harm 2025-01-03

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 2025-01-22

D · Potential for more than minimal harm 2023-03-30

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-05-01

F · Potential for more than minimal harm 2019-07-02

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2019-07-06

Penalties and ownership

What sits behind the stars

$5,182 2025-01-03

Fine

Fine · fine $5,182

Fine

$5,182 2025-01-03

Fine

Fine · fine $5,182

Fine

Ownership

Arndell, Amy

5% Or Greater Indirect Ownership Interest · Individual

5% 1 facilities 2019-10-01
Arndell, Amy

Corporate Officer · Individual

0% 1 facilities 2019-01-01
Dowell, Faye

Corporate Director · Individual

0% 1 facilities 2019-01-01
Elder, Janice

Corporate Director · Individual

0% 1 facilities 2019-01-01
Flood, Kim

Corporate Director · Individual

0% 1 facilities 2020-01-01
Gregory, Holly

Corporate Director · Individual

0% 1 facilities 2019-01-01
Jackson, Mitchell

Corporate Director · Individual

0% 1 facilities 2025-02-01
Kasey, Kerry

Corporate Director · Individual

0% 1 facilities 2019-01-01
Loughran, Tom

Corporate Director · Individual

0% 1 facilities 2019-01-01
Lucas, Layman

Corporate Director · Individual

0% 1 facilities 2019-01-01
Pollock, Rebecca

Corporate Director · Individual

0% 1 facilities 2020-08-01
Portman, Angela

Operational/Managerial Control · Individual

0% 1 facilities 2015-01-01
Portman, Angela

Corporate Officer · Individual

0% 1 facilities 2015-06-01
Robbins, Jeffrey

Corporate Director · Individual

0% 2 facilities 2014-02-01
Watson, Dottie

Corporate Director · Individual

0% 1 facilities 1999-04-01
Wilson, Sherry

Corporate Director · Individual

0% 1 facilities 2022-06-01

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4-star overall rating with 3-star inspections with 5 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
3 / 5
Staffing
3 / 5
Fines
$0

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