D
45/100

Good Shepherd Health and Rehabilitation Inspection Report, Violations & Safety Grade (Phelps, Kentucky)

60 Phillips Branch Road, Phelps, Kentucky 41553

Phone: 6064568725

CMS Overall:1/5

Overview & Bed Count

Certified Beds
118
Avg Residents/Day
90
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
County
Pike
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing2/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityKentucky AvgDifference
RN Hours per Resident per Day0.520.80-0.28
Total Nurse Hours per Resident per Day3.543.99-0.45
CMS Staffing Rating2/52.8/5-
Nursing Staff Turnover45.8%45.4%-

Health Citation History

12 health citations on record

DateCategoryDescriptionSeverity
2026-01-22Pharmacy 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
2024-09-13Quality 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
2024-09-13Quality of Life and Care DeficienciesProvide routine and 24-hour emergency dental care for each resident.D – Moderate Harm Potential
2024-09-13Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2023-11-17Resident 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
2023-11-17Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2023-11-17Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.J – Immediate Jeopardy
2023-11-17Administration 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.J – Immediate Jeopardy
2023-11-17Administration DeficienciesHave a plan that describes the process for conducting QAPI and QAA activities.J – Immediate Jeopardy
2019-10-31Resident 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
2019-10-31Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2019-10-31Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

1 fire safety citation on record

DateCategoryDescriptionSeverity
2024-12-09Miscellaneous DeficienciesProvide a written emergency evacuation plan.F – Moderate Harm Potential

Total Penalties & Fines

$29,852
Total Fine Amount (CMS)
4
Number of Fines
4
Total Penalties
DateTypeFine AmountPayment Denial
2024-09-13Fine$14,260-
2023-11-17Fine$5,197-
2023-11-17Fine$5,197-
2023-11-17Fine$5,198-

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