9 health deficiencies
Top issue: Administration (3 deficiencies)
17 fire-safety deficiencies
Top issue: Emergency Preparedness (8 deficiencies)
Stanford, KY
1-star overall rating with 1-star inspections with Special Focus status with $272,373 in total fines with 9 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
105 Harmon Heights, Stanford, KY
(606) 365-2141
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
128
Certified beds
Average residents
120
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Journey Healthcare
Operator or chain grouping
Approved since
1991-02-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
20 facilities
Chain averages 2 overall / 2 health / 1 staffing / 3 quality stars
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
0.36
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.74
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.20
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
3.30
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.10
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.00
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.26
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
0.34
CMS adjusted RN staffing hours
Adjusted total hours
3.16
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
83%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
74%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
13,726
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
0
Composite VBP score used to determine payment impact.
Payment multiplier
0.9803
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.25% · Performance 23.20% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.33% · Performance 8.03% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Baseline 64.57% · Performance 99.30% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.37 hours · Performance 3.06 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.72% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 71 · Observed rate 14.08% · Lower 95% interval 7.87% |
| Discharge to community | 41.91% |
50.57%
8.7 pts worse
|
No Different than the National Rate · Eligible stays 46 · Observed rate 34.78% · Lower 95% interval 32.48% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 96.83% |
95.27%
1.6 pts better
|
Numerator 61 · Denominator 63 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 63 |
| Discharge self-care score | 28.57% |
53.69%
25.1 pts worse
|
Numerator 12 · Denominator 42 |
| Discharge mobility score | 28.57% |
50.94%
22.4 pts worse
|
Numerator 12 · Denominator 42 |
| Pressure ulcers or injuries, new or worsened | 1.59% |
2.29%
0.7 pts better
|
Numerator 1 · Denominator 63 · Adjusted rate 1.37% |
| Healthcare-associated infections requiring hospitalization | 8.03% |
7.12%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 53 · Observed rate 9.43% · Lower 95% interval 5.05% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 130 |
| Staff flu vaccination coverage | 27.86% |
42%
14.1 pts worse
|
Numerator 39 · Denominator 140 |
| Discharge function score | 28.57% |
56.45%
27.9 pts worse
|
Numerator 12 · Denominator 42 |
| Transfer of health information to provider | 66.67% |
95.95%
29.3 pts worse
|
Numerator 22 · Denominator 33 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 17.65% |
25.2%
7.6 pts worse
|
Numerator 6 · Denominator 34 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.9
0.8 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
2.2
0.2 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.3 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
94.3%
5.4 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| 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 | 3.1% |
3.8%
0.7 pts better
|
3.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 4.2% · Q3 3.1% · Q4 2.0% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.2% |
15.2%
5 pts better
|
11.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 15.5% · Q3 10.8% · Q4 9.7% · 4Q avg 10.2% |
| Percentage of long-stay residents who lose too much weight | 2.7% |
6.7%
4 pts better
|
5.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 5.6% · Q3 1.1% · Q4 2.2% · 4Q avg 2.7% |
| 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 24.4% · Q2 27.2% · Q3 29.5% · Q4 29.5% · 4Q avg 27.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.8% |
17.6%
3.2 pts worse
|
16.7%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 28.1% · Q3 18.6% · Q4 13.0% · 4Q avg 20.8% · 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 | 25.3% |
17.3%
8 pts worse
|
16.3%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 36.7% · Q3 25.7% · Q4 6.0% · 4Q avg 25.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.8% |
15.6%
10.2 pts worse
|
14.9%
10.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.9% · Q2 31.2% · Q3 24.7% · Q4 16.7% · 4Q avg 25.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.7%
0.5 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 2.9% · Q3 1.0% · Q4 0.0% · 4Q avg 1.2% · 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 4.3% · Q3 5.2% · Q4 4.1% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.5% |
19.8%
1.7 pts worse
|
19.8%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.7% · Q2 21.5% · Q3 22.0% · Q4 13.9% · 4Q avg 21.5% |
| Percentage of long-stay residents with pressure ulcers | 2.2% |
5.5%
3.3 pts better
|
5.1%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.5% · Q3 1.6% · Q4 4.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.8% |
83.8%
10 pts better
|
81.7%
12.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.4% · Q2 93.7% · Q3 95.9% · Q4 90.7% · 4Q avg 93.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.5% |
13.9%
6.6 pts worse
|
12.0%
8.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.5% · Observed 22.8% · Expected 12.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.3% |
1.8%
1.5 pts worse
|
1.6%
1.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 9.1% · Q3 2.3% · Q4 0.0% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.3% |
83.6%
12.7 pts better
|
79.7%
16.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.0% |
24.5%
4.5 pts better
|
23.9%
3.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.0% · Observed 22.8% · Expected 27.2% · Used in QM five-star |
Survey summary
Top issue: Administration (3 deficiencies)
17 fire-safety deficiencies
Top issue: Emergency Preparedness (8 deficiencies)
Top issue: Pharmacy Service (1 deficiency)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Pharmacy Service (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2023-07-16
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2023-07-16
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2023-07-16
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2023-07-16
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2023-07-16
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-07-16
Fire Safety
Provide family notifications of emergency plan.
Corrected 2023-07-16
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2023-07-16
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2023-07-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-07-16
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 2023-07-16
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-07-16
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-07-16
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-07-16
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2023-07-16
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-07-16
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2021-07-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-09-02
Fire Safety
Have exits that are accessible at all times.
Corrected 2020-09-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-03-30
Inspection history
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-02-27
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-07-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-22
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-07-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-07-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-22
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-07-20
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 2023-07-20
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 2023-07-20
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-07-20
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-07-20
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-07-20
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 2023-07-20
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-07-20
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2021-07-27
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2021-07-27
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2021-07-27
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2020-03-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-04-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-03-30
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2020-03-30
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 2020-03-30
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2020-03-30
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 2020-03-30
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 2020-03-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-03-30
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 2020-03-30
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-03-30
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-03-30
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 2020-03-30
Health
Provide and implement an infection prevention and control program.
Corrected 2020-03-30
Health
Post nurse staffing information every day.
Corrected 2020-03-30
Penalties and ownership
Fine · fine $13,342
Fine
Fine · fine $13,343
Fine
Fine · fine $245,688
Fine
Payment Denial · denial start 2023-07-14 · 8 days
8 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Nearby options
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2-star overall rating with 2-star inspections with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Danville, KY
1-star overall rating with 1-star inspections with $369,133 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Danville, KY
2-star overall rating with 1-star inspections with $12,444 in total fines with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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