Based on observation, interview, and facility policy review, the facility failed to ensure the resident was clinically appropriate to self-administer medications for 1 of 24 sampled residents (Resident (R)23).The findings include: Review of the facility's policy titled, Administering Medication Policy, undated, revealed medication was to be administered by licensed medical or nursing personnel as prescribed. The policy further stated that self-administration of medications may be permitted when approved by the interdisciplinary team. Observation on 03/16/2026 at 3:04 PM, revealed a white, round, opened/unlabeled medication in a medication cup on R23's overbed table. During interview, at the time of observation, R23 stated the medication in the cup was Tylenol and had been left by nurse. …
F554 citations in Kentucky
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kentucky cites F554 more often than its own record predicts
1.48 times the share F554 takes of citations nationally.
Of every deficiency written in Kentucky in 2025, this is the portion that was F554.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kentucky surveyors wrote
F554 findings written in Kentucky, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
The short window
Recent years
| Year | Share of Kentucky citations | vs expected |
|---|---|---|
| 2023 | 0.31% | 0.56× |
| 2024 | 0.60% | 1.09× |
| 2025 | 0.84% | 1.48× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kentucky surveyors cite →
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