10 health deficiencies
Top issue: Resident Rights (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Lexington, KY
1-star overall rating with 1-star inspections with $240,331 in total fines with 10 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
2770 Palumbo Drive, Lexington, KY
(859) 263-2410
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
108
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2007-05-25
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
RN hours / resident day
0.33
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
1.09
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.32
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
3.74
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.42
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.49
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.32
CMS adjusted RN staffing hours
Adjusted total hours
3.57
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
71%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
9,179
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.56
Composite VBP score used to determine payment impact.
Payment multiplier
0.9835
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.51
Baseline 20.55% · Performance 20.73% · Measure score 1.51 · Achievement 1.51 · Improvement 0
Healthcare-associated infections
3.34
Baseline 6.91% · Performance 6.84% · Measure score 3.34 · Achievement 3.34 · Improvement 0
Total nurse turnover
3.49
Baseline 81.58% · Performance 58.95% · Measure score 3.49 · Achievement 1.16 · Improvement 3.49
Adjusted total nurse staffing
1.49
Baseline 3.56 hours · Performance 3.50 hours · Measure score 1.49 · Achievement 1.49 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.4% |
10.72%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 94 · Observed rate 17.02% · Lower 95% interval 9.09% |
| Discharge to community | 42.69% |
50.57%
7.9 pts worse
|
No Different than the National Rate · Eligible stays 79 · Observed rate 32.91% · Lower 95% interval 33.86% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 95.77% |
95.27%
0.5 pts better
|
Numerator 68 · Denominator 71 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 71 |
| Discharge self-care score | 41.51% |
53.69%
12.2 pts worse
|
Numerator 22 · Denominator 53 |
| Discharge mobility score | 39.62% |
50.94%
11.3 pts worse
|
Numerator 21 · Denominator 53 |
| Pressure ulcers or injuries, new or worsened | 11.27% |
2.29%
9 pts worse
|
Numerator 8 · Denominator 71 · Adjusted rate 9.15% |
| Healthcare-associated infections requiring hospitalization | 6.84% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 60 · Observed rate 6.67% · Lower 95% interval 3.46% |
| Staff COVID-19 vaccination coverage | 75.82% |
8.2%
67.6 pts better
|
Numerator 116 · Denominator 153 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 128 |
| Discharge function score | 49.06% |
56.45%
7.4 pts worse
|
Numerator 26 · Denominator 53 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 29 · Denominator 29 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 30% |
25.2%
4.8 pts better
|
Numerator 9 · Denominator 30 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.9
About the same
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.0 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
2.2
About the same
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.2 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.5% |
94.3%
3.8 pts worse
|
93.4%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 91.8% · Q2 92.6% · Q3 91.0% · Q4 86.7% · 4Q avg 90.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.3% |
96.2%
4.9 pts worse
|
95.5%
4.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.5% |
3.8%
2.3 pts better
|
3.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 1.1% · Q3 0.0% · Q4 2.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.9% |
15.2%
9.3 pts better
|
11.4%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 6.5% · Q3 4.7% · Q4 6.3% · 4Q avg 5.9% |
| Percentage of long-stay residents who lose too much weight | 10.4% |
6.7%
3.7 pts worse
|
5.4%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 11.2% · Q3 5.5% · Q4 12.0% · 4Q avg 10.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.7% |
29.6%
1.9 pts better
|
19.6%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.5% · Q2 30.3% · Q3 25.8% · Q4 23.4% · 4Q avg 27.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.2% |
17.6%
1.4 pts better
|
16.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 17.2% · Q3 15.1% · Q4 14.9% · 4Q avg 16.2% · 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 | 29.2% |
17.3%
11.9 pts worse
|
16.3%
12.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 37.9% · Q3 9.0% · 4Q avg 29.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.4% |
15.6%
5.8 pts worse
|
14.9%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 24.0% · Q3 19.8% · Q4 16.5% · 4Q avg 21.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
0.7%
0.8 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 1.3% · Q3 2.4% · Q4 1.7% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.2% |
1.7%
2.5 pts worse
|
1.7%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 5.3% · Q3 5.1% · Q4 3.1% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.4% |
19.8%
7.6 pts worse
|
19.8%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.7% · Q2 29.4% · Q3 26.7% · Q4 20.1% · 4Q avg 27.4% |
| Percentage of long-stay residents with pressure ulcers | 10.7% |
5.5%
5.2 pts worse
|
5.1%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 11.9% · Q3 12.1% · Q4 6.5% · 4Q avg 10.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 31.3% |
83.8%
52.5 pts worse
|
81.7%
50.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 26.7% · Q3 43.9% · Q4 43.0% · 4Q avg 31.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.2% |
13.9%
2.3 pts worse
|
12.0%
4.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.2% · Observed 18.6% · Expected 12.8% · 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 · Q1 0.0% · Q2 0.0% · 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 | 38.5% |
83.6%
45.1 pts worse
|
79.7%
41.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 38.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.0% |
24.5%
3.5 pts worse
|
23.9%
4.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.0% · Observed 32.9% · Expected 27.9% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Nursing and Physician Services (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-09-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-16
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-09-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-09-16
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-09-16
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 2025-09-16
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-04-11
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-04-11
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-04-11
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 2023-04-11
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-04-11
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-04-11
Inspection history
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-09-16
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-09-16
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-09-16
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-09-16
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-09-16
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-09-16
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-16
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-16
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 2025-09-16
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-16
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-10-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-03
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-10-03
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-10-03
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-10-03
Health
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected 2023-10-03
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2023-10-03
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 2023-10-03
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-10-03
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2023-10-03
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-10-03
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-10-03
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 2023-10-03
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-04-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-11
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-04-11
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-04-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-11
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-04-11
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 2023-04-11
Health
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.
Corrected 2023-04-11
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 2023-04-11
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-04-11
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-04-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-11
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-04-11
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-04-11
Health
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.
Corrected 2023-04-11
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-04-11
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-04-11
Health
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.
Corrected 2020-01-18
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 2020-01-18
Penalties and ownership
Fine · fine $240,331
Fine
Payment Denial · denial start 2023-09-08 · 25 days
25 day denial
Nearby options
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Lexington, KY
1-star overall rating with 1-star inspections with abuse icon flag with $33,602 in total fines with 5 recent health deficiencies
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