B-
74/100

Bluegrass Care & Rehabilitation Center Inspection Report, Violations & Safety Grade (Lexington, Kentucky)

3576 Pimlico Parkway, Lexington, Kentucky 40517

Phone: 8592720608

CMS Overall:3/5

Overview & Bed Count

Certified Beds
124
Avg Residents/Day
109.8
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Fayette
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing3/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityKentucky AvgDifference
RN Hours per Resident per Day0.660.80-0.14
Total Nurse Hours per Resident per Day3.603.99-0.39
CMS Staffing Rating3/52.8/5-
Nursing Staff Turnover42.0%45.4%-

Health Citation History

12 health citations on record

DateCategoryDescriptionSeverity
2026-07-16Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2025-07-25Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-07-25Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2025-07-25Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-08-30Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2024-08-30Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D – Moderate Harm Potential
2024-08-30Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2024-08-30Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2024-08-30Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2019-11-21Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2019-11-21Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2019-11-21Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D – Moderate Harm Potential

Fire Safety Citation History

6 fire safety citations on record

DateCategoryDescriptionSeverity
2025-07-25Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.D – Moderate Harm Potential
2025-07-25Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2024-08-30Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2019-11-21Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2019-11-21Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2019-11-21Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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