Based on interview, record review, and review of the facility's policy, it was determined the facility failed to ensure prompt efforts were made to resolve grievances for one (1) of forty-seven (47) sampled residents (Resident #117). On 01/09/19, Resident #117's family member voiced concerns to the Administrator and Director of Nursing (DON) that staff were not adequately suctioning secretions from Resident #117's [MEDICAL CONDITION] (an opening in the neck to the windpipe). Resident #117 had been treated in the Emergency Department (ED) on 01/08/19 and diagnosed with [REDACTED]. According to the family member, the ED Physician who treated the resident on 01/08/19 stated the resident was not receiving appropriate tracheal suctioning. …
F585 citations in Kentucky
Grievances · Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kentucky cites F585 less often than its own record predicts
0.87 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kentucky in 2025, this is the portion that was F585.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kentucky surveyors wrote
F585 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.
Based on interview, record review, and review of the facility's policies, the facility failed to have information on how to file a grievance or complaint available to residents. In addition, the facility failed to establish a grievance system to ensure the prompt resolution of all grievances. The findings include:Review of the facility's policy titled, Notice of Resident Rights, revised March 2018, revealed the facility shall inform the resident in writing of his or her rights as a resident, and the rules and regulations governing the resident's conduct and responsibilities during his or her stay in the facility.Review of facility's policy titled, Grievances/Complaints, Filing, revised April 2017, revealed the residents and their representative have the right to file grievances, either… …
The short window
Recent years
| Year | Share of Kentucky citations | vs expected |
|---|---|---|
| 2023 | 1.23% | 2.02× |
| 2024 | 0.75% | 1.19× |
| 2025 | 0.56% | 0.87× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kentucky surveyors cite →
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