Evaluating Nursing Homes in Lexington

Choosing a nursing home for a parent, spouse, grandparent, or another loved one is a decision most families don’t take lightly. You may compare locations, prices, services, room options, and amenities, but one of the most important sources of information is often buried in government inspection and quality reports.

Nursing home inspection records can show whether a facility has been cited for failing to meet federal or state requirements, how serious those deficiencies were, whether problems were corrected, and whether similar issues have occurred more than once.

Medicare’s Care Compare system also gives nursing homes an overall rating from one to five stars. However, that number doesn’t tell the entire story, especially when it comes to nursing home abuse in Lexington.

A facility with a three-star overall rating may have strong quality measures but weaker staffing. Another facility may have good staffing but a poor inspection history. That’s why families should look beyond the overall star rating and examine the individual categories that make up the score.

How Medicare Rates Nursing Homes

Medicare grades nursing homes on a scale from 1 to 5. These ratings take into account the following:

  • Health Inspection Data
  • Staffing Levels
  • Patient care quality measures
  • Living environment
  • Resident rights
  • Staff and resident interactions
  • Medication management
  • Quality of life
  • Nursing home administration
  • Food services
  • Infection control and prevention

The categories of Medicare ratings are Health Inspections, Staffing, Quality Measures, Fire Safety Inspections & Emergency Preparedness. It is important to consider how a nursing home stacks up against the national average and the Kentucky average for citations.

Here’s what you need to know about these categories:

Health Inspections:

  • Average number of health inspection citations in the U.S: 9.3
  • Average number of health inspection citations in Kentucky 3.1

Staffing

Total number of nurse staff hours per resident per day:

  • National average: 3 hours and 52 minutes
  • Kentucky average: 3 hours and 56 minutes

Fire Safety & Emergency Preparedness

  • Average number of citations in the U.S.: 4.5
  • Average number of citations in Kentucky: 3.2

These averages provide important context for how a particular nursing home is operating.

The following are examples of Medicare rates for a sample group of Kentucky nursing homes:

Lexington Country Place

700 Mason Headley Road
Lexington, KY 40504

Overall Rating: 3 out of 5 stars

Health Inspections: 3 out of 5 stars
2 health citations
No complaint inspections

Staffing: 2 out of 5 stars
3 hours and 53 minutes of nursing staff time per resident per day

Quality Measures: 3 out of 5 stars

Fire Safety & Emergency Preparedness: 10 citations

Why did Lexington Country Place receive three stars?

Lexington Country Place’s overall rating falls in the middle because its three primary Medicare categories are also relatively middle-of-the-road.

Its three-star Health Inspection rating suggests that its inspection performance falls within the middle range of Kentucky facilities rather than among the strongest or weakest performers.

Its biggest weakness among the three Medicare categories is staffing, where it received two stars.

That means a family considering this facility should look more closely at staffing levels, staff turnover, and how consistently residents are receiving the care they need.

The Willows at Citation

1376 Silver Springs Drive
Lexington, KY 40511

Overall Rating: 4 out of 5 stars

Health Inspections: 3 out of 5 stars
2 citations
No complaint inspections

Staffing: 4 out of 5 stars
4 hours and 3 minutes of nursing staff time per resident per day

Quality Measures: 5 out of 5 stars

Fire Safety & Emergency Preparedness: 0 citations

Why did The Willows at Citation receive four stars?

The Willows at Citation provides a good example of why looking at all three Medicare categories matters.

Its Health Inspection rating is three stars, so it isn’t among Kentucky’s highest-rated facilities in that category. However, its staffing rating is four stars, and its Quality Measures rating is five stars.

That combination indicates stronger performance in staffing and reported quality measures than its inspection rating alone would suggest.

The absence of fire-safety and emergency-preparedness citations is another positive factor for families to consider, although that information is separate from the calculation of the overall Medicare rating.

Mayfair Manor

3300 Tates Creek Road
Lexington, KY 40502

Overall Rating: 1 out of 5 stars

Health Inspections: 1 out of 5 stars
7 health citations
No complaint inspections

Staffing: 3 out of 5 stars
3 hours and 40 minutes of nursing staff time per resident per day

Quality Measures: 3 out of 5 stars

Fire Safety & Emergency Preparedness: 0 citations

Federal fines in the previous three years: $33,602

Why did Mayfair Manor receive one star?

Mayfair Manor is one of the clearest examples of why the health inspection portion of the rating matters.

The facility received only one star for Health Inspections and had seven health citations. Its staffing and Quality Measures ratings were both higher, at three stars.

That tells families something important: the facility’s overall one-star rating is being driven primarily by its inspection performance.

In other words, the concern isn’t that the facility has seven citations. The concern is that the deficiencies identified through the inspection process were significant enough, under CMS’s scoring methodology, to place the facility among the lowest-performing nursing homes in Kentucky for health inspections.

The federal fines are another piece of information families should investigate.

A family considering Mayfair Manor should review the underlying inspection reports, determine what the deficiencies involved, find out whether similar problems occurred previously, and ask the facility what corrective actions were taken.

Sayre Christian Village Nursing Home

3775 Belleau Wood Drive
Lexington, KY 40517

Overall Rating: 2 out of 5 stars

Health Inspections: 3 out of 5 stars
3 health citations
No complaint inspections

Staffing: 4 out of 5 stars
4 hours and 1 minute of nursing staff time per resident per day

Quality Measures: 1 out of 5 stars

Fire Safety & Emergency Preparedness: 4 citations

Federal fines in the previous three years: $7,901

Why did Sayre Christian Village receive two stars?

Sayre Christian Village shows how a facility can have relatively strong staffing and an average inspection rating but still receive a poor overall rating.

The facility received four stars for Staffing and three stars for Health Inspections. Its Quality Measures rating, however, was only one star.

That one-star Quality Measures rating is a significant reason the overall rating falls to two stars.

Families should therefore avoid looking at the three health citations and assuming that inspections are the primary problem at this facility. The more important question is what the Quality Measures are showing about resident outcomes and care.

The Willows at Hamburg

2531 Old Rosebud Road
Lexington, KY 40509

Overall Rating: 3 out of 5 stars

Health Inspections: 2 out of 5 stars
2 health citations
No complaint inspections

Staffing: 5 out of 5 stars
5 hours and 15 minutes of nursing staff time per resident per day

Quality Measures: 4 out of 5 stars

Fire Safety & Emergency Preparedness: 0 citations

Federal fine in the previous three years: $61,627

Why did The Willows at Hamburg receive three stars?

The Willows at Hamburg has a particularly interesting rating profile.

Its five-star Staffing rating and four-star Quality Measures rating are strong. Its Health Inspection rating, however, is only two stars.

That lower inspection rating helps explain why the overall rating is three stars rather than four or five.

This is an excellent example of why families shouldn’t look at a facility’s staffing numbers and assume that the overall quality rating will automatically be high.

Signature Healthcare of Georgetown

102 Pocahontas Trail
Georgetown, KY 40324

Overall Rating: 2 out of 5 stars

Health Inspections: 2 out of 5 stars
3 health citations
No complaint inspections

Staffing: 3 out of 5 stars
3 hours and 52 minutes of nursing staff time per resident per day

Quality Measures: 3 out of 5 stars

Fire Safety & Emergency Preparedness: 0 citations

Why did Signature Healthcare of Georgetown receive two stars?

Signature Healthcare of Georgetown has a relatively consistent rating across its three Medicare categories: two stars for Health Inspections and three stars for both Staffing and Quality Measures.

There isn’t one dramatically poor category like the one-star Quality Measures rating at Sayre Christian Village.

Instead, its overall rating reflects a facility that performs below the strongest group of nursing homes in the state, particularly in the Health Inspection category.

Families should therefore examine the actual inspection deficiencies and determine whether the problems involved resident safety, quality of care, infection control, staffing, or another regulatory requirement.

The Home Place at Midway

101 Sexton Way
Midway, KY 40347

Overall Rating: 3 out of 5 stars

Health Inspections: 2 out of 5 stars
5 health citations
No complaint inspections

Staffing: 4 out of 5 stars
5 hours and 11 minutes of nursing staff time per resident per day

Quality Measures: 5 out of 5 stars

Fire Safety & Emergency Preparedness: 3 citations

Federal fine in the previous three years: $4,147

Why did The Home Place at Midway receive three stars?

The Home Place at Midway is another example of a facility whose strengths and weaknesses can get lost behind its overall rating.

Its Staffing and Quality Measures ratings are both excellent, at four and five stars respectively.

Its Health Inspection rating, however, is only two stars, and it has five health citations.

The result is a three-star overall rating.

That doesn’t necessarily mean the facility provides poor care. Instead, it means families should understand the difference between its inspection performance and its other quality indicators.

Thomason-Hood Veterans Center

100 Veterans Drive
Wilmore, KY 40390

Overall Rating: 5 out of 5 stars

Health Inspections: 4 out of 5 stars
1 health citation
No complaint inspections

Staffing: 5 out of 5 stars
5 hours and 5 minutes of nursing staff time per resident per day

Quality Measures: 4 out of 5 stars

Fire Safety & Emergency Preparedness: 2 citations

Why did Thomason-Hood Veterans Center receive five stars?

Thomason-Hood Veterans Center demonstrates what a strong rating profile can look like.

The facility has five stars for Staffing, four stars for Health Inspections, and four stars for Quality Measures.

Its inspection history is particularly strong in the sample data, with only one health citation and no complaint inspections.

Its staffing level is also substantially strong, with more than five hours of nursing staff time per resident per day.

Bourbon Heights Nursing Home

2000 South Main Street
Paris, KY 40361

Overall Rating: 1 out of 5 stars

Health Inspections: 1 out of 5 stars
10 health citations
No complaint inspections

Quality Measures: 4 out of 5 stars

Fire Safety & Emergency Preparedness: 10 citations

Federal fines in the previous three years: $57,841

Why did Bourbon Heights receive one star?

Bourbon Heights provides another example of a facility where the Health Inspection rating is the most significant concern.

The facility received one star for Health Inspections despite having a four-star Quality Measures rating.

That distinction matters.

The four-star Quality Measures rating indicates that the facility performs relatively well on the clinical and resident-outcome measures included in that category. But its inspection performance is substantially weaker.

The facility also has 10 fire-safety and emergency-preparedness citations and more than $57,000 in federal fines over the previous three years.

Those records warrant closer review.

How to Access Kentucky Nursing Home Survey Reports

In addition to the Medicare website, you can find additional nursing home inspection reports on the Kentucky Cabinet for Health and Family Services website. An important thing to consider is that any time there is a citation issue, the facility is given a chance to correct that issue. That means a follow-up visit to make sure the facility is now in compliance.

That issue of compliance is important because the Medicare data rates each violation with a level of harm to the resident on a scale of 1 to 4, with 4 being considered “immediate jeopardy to resident health or safety” and 3 being considered “actual harm.”

Steps to Take If a Loved One Is in a Failing Facility

What happens if you suddenly discover that your loved one is in a failing facility? It is important to note that things like health citations are not uncommon. However, these should not be a recurring issue. If you are facing a situation where you think your loved one’s care has been compromised, these are the steps to take:

Step 1: Document and Assess

Write down dates, times, and clear facts of any poor care or injuries. Be sure to take photos of visible bruises, bedsores, or unsafe living conditions. You’re entitled to have copies of your loved one’s medical records from the facility. You should also make notes about any interactions with the staff when you bring up the issue.

Step 2: Report to Authorities

When you suspect any type of abuse or neglect at a Kentucky nursing home, you can call Adult Protective Services (APS) at 1-800-752-6200 to make an official report.

The Kentucky Long-Term Care Ombudsman is a program that advocates for nursing home residents. They can step in and act as a liaison between you and the facility. They can also access other relevant agencies that might need to look into the matter. If you feel as though your loved one is in immediate danger, don’t hesitate to call the police.

Step 3: Speak with an Attorney

It will also be helpful to speak with a qualified Lexington nursing home abuse attorney. The legal team at the Peterson Law Office has helped many families deal with nursing home problems. We understand how stressful it can be to discover an instance of neglect while your loved one is still living in the facility. We can help protect your loved one by immediately calling out the facility and demanding that they present an action plan for how they intend to correct the situation.

If you’re not satisfied with the nursing home’s remedy, we might be able to help transition your loved one to a new facility with the costs of the transfer absorbed by the negligent nursing home. The bottom line is that we need to act fast. If you suspect your loved one is being abused, report it and schedule a free consultation with our team. Let’s work together to make sure your loved one is taken care of in the right way.

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If you suspect nursing home abuse or neglect, don’t wait to seek legal guidance. Important evidence can disappear, and delaying action may make it more difficult to protect your loved one’s rights.

Contact Peterson Law Office today for a free, confidential consultation. We’ll listen to your concerns, explain your legal options, and help you take the next steps toward protecting your loved one and pursuing the justice your family deserves.

 

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