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Pine Meadows Post Acute Inspection Report, Violations & Safety Grade (Lexington, Kentucky)

1608 Hill Rise Drive, Lexington, Kentucky 40504

Phone: 8592542402

CMS Overall:2/5

Overview & Bed Count

Certified Beds
120
Avg Residents/Day
116.5
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Fayette
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health3/5
Staffing1/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityKentucky AvgDifference
RN Hours per Resident per Day0.530.80-0.26
Total Nurse Hours per Resident per Day3.643.99-0.35
CMS Staffing Rating1/52.8/5-
Nursing Staff Turnover48.3%45.4%-

Health Citation History

16 health citations on record

DateCategoryDescriptionSeverity
2025-09-05Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-09-05Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2023-11-30Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential
2023-11-30Resident 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
2023-11-30Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.D – Moderate Harm Potential
2023-11-30Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2022-08-12Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2022-08-12Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2022-08-12Infection Control DeficienciesPerform COVID19 testing on residents and staff.F – Moderate Harm Potential
2022-08-12Resident Rights DeficienciesEnsure residents have reasonable access to and privacy in their use of communication methods.E – Moderate Harm Potential
2022-08-12Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2022-08-12Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.E – Moderate Harm Potential
2022-08-12Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E – Moderate Harm Potential
2022-08-12Infection Control DeficienciesEnsure staff are vaccinated for COVID-19E – Moderate Harm Potential
2022-08-12Resident 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
2022-08-12Pharmacy 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.D – Moderate Harm Potential

Fire Safety Citation History

9 fire safety citations on record

DateCategoryDescriptionSeverity
2025-09-05Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2025-09-05Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2022-08-12Emergency Preparedness DeficienciesEstablish policies and procedures for volunteers.F – Moderate Harm Potential
2022-08-12Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.F – Moderate Harm Potential
2022-08-12Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2022-08-12Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2022-08-12Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2022-08-12Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2022-08-12Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – 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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