F
32/100

Bourbon Heights Nursing Home Inspection Report, Violations & Safety Grade (Paris, Kentucky)

2000 South Main Street, Paris, Kentucky 40361

Phone: 8599875750

CMS Overall:1/5

Overview & Bed Count

Certified Beds
99
Avg Residents/Day
81.8
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Bourbon
Sprinkler Systems
Yes
Special Focus
SFF Candidate
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing4/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityKentucky AvgDifference
RN Hours per Resident per Day0.600.80-0.20
Total Nurse Hours per Resident per Day4.573.99+0.57
CMS Staffing Rating4/52.8/5-
Nursing Staff Turnover54.5%45.4%-

Health Citation History

29 health citations on record

DateCategoryDescriptionSeverity
2026-02-19Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2026-02-19Administration DeficienciesInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.E – Moderate Harm Potential
2026-02-19Environmental DeficienciesProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.E – Moderate Harm Potential
2026-02-19Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-11-22Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.L – Immediate Jeopardy
2024-11-22Administration DeficienciesEstablish 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.L – Immediate Jeopardy
2024-11-22Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.L – Immediate Jeopardy
2024-11-22Infection Control DeficienciesProvide and implement an infection prevention and control program.L – Immediate Jeopardy
2024-11-22Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.J – Immediate Jeopardy
2024-11-22Resident 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.J – Immediate Jeopardy
2024-11-22Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.J – Immediate Jeopardy
2024-11-22Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedG – Actual Harm
2024-11-22Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.G – Actual Harm
2024-11-22Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2024-11-22Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.F – Moderate Harm Potential
2024-11-22Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.F – Moderate Harm Potential
2024-11-22Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F – Moderate Harm Potential
2024-11-22Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.E – Moderate Harm Potential
2024-11-22Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2024-11-22Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D – Moderate Harm Potential
2024-11-22Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.D – Moderate Harm Potential
2024-11-22Pharmacy 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
2024-04-05Infection Control DeficienciesProvide and implement an infection prevention and control program.L – Immediate Jeopardy
2024-04-05Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2024-04-05Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2020-01-10Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.D – Moderate Harm Potential
2020-01-10Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2020-01-10Resident 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
2020-01-10Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential

Fire Safety Citation History

20 fire safety citations on record

DateCategoryDescriptionSeverity
2026-02-19Construction DeficienciesMeet requirements for sections of health care facilities separated by fire resistive construction.F – Moderate Harm Potential
2026-02-19Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2026-02-19Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2026-02-19Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential
2024-11-22Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2024-11-22Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-11-22Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.F – Moderate Harm Potential
2024-11-22Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2024-11-22Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2024-11-22Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-11-22Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2024-11-22Miscellaneous DeficienciesHave restrictions on the use of portable space heaters.E – Moderate Harm Potential
2024-11-22Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2024-11-22Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2020-01-10Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2020-01-10Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2020-01-10Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2020-01-10Egress DeficienciesAdd 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.D – Moderate Harm Potential
2020-01-10Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential
2020-01-10Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential

Total Penalties & Fines

$57,841
Total Fine Amount (CMS)
2
Number of Fines
4
Total Penalties
DateTypeFine AmountPayment Denial
2024-11-22Fine$41,040-
2024-11-22Payment Denial-31 days starting 2024-12-25
2024-04-05Fine$16,801-
2024-04-05Payment Denial-16 days starting 2024-05-04

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