Based on record review, staff interview, and facility documentation, the facility failed to immediately report allegations and incidents of potential abuse, as well as injuries of unknown origin, to appropriate external authorities, including law enforcement and/or the State Survey Agency (SSA), in accordance with facility policy and federal regulations. This failure involved eight (Resident (R) 12, R19, R30, R67, R84, R87, R90, R93) of 13 sampled residents reviewed for abuse. The failure to immediately report allegations as required included a witnessed incident on 01/05/2026 when R12, who had a history of sexual behaviors, physically restrained R93 in her bed, causing R93 psychosocial harm with emotional distress and fear. …
F609 citations in Kentucky
Reporting alleged violations · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kentucky cites F609 more often than its own record predicts
1.14 times the share F609 takes of citations nationally.
Of every deficiency written in Kentucky in 2025, this is the portion that was F609.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kentucky surveyors wrote
F609 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 policy, State Registered Nurse Aide (SRNA) 10 failed to immediately report an allegation of staff abuse/neglect for 1 of 10 sampled residents, Resident (R) 29.SRNA10 did not notify the Administrator when R29 reported to her that SRNA1 and SRNA11 failed to provide timely hygiene care and left R29 soiled for hours after an episode of fecal incontinence on 08/24/2025. Resident 29 stated the SRNAs actions were neglectful of her care which made her scared of SRNA1, and SRNA10 reported the resident was visibly upset, causing the resident psychosocial harm.Refer to F600The findings include:Review of the facility's policy titled, Abuse, Neglect, Misappropriation and Exploitation Policy, dated 07/01/2025, revealed abuse was the willful… …
Based on interview, record review, and review of facility policy, the facility failed to ensure all allegations of abuse were reported within 24 hours of the event that caused the allegation for 1 of 4 facility reported incidents which were investigated for abuse. The allegation of abuse occurred on 04/24/2026 and was not reported to the State Survey Agency until 05/25/2026. The findings include:Review of facility policy, titled Abuse Prohibition Standard of Practice, last reviewed 03/2026, revealed alleged violations would be reported to the Administrator and / or designee immediately. …
The short window
Recent years
| Year | Share of Kentucky citations | vs expected |
|---|---|---|
| 2023 | 2.78% | 1.40× |
| 2024 | 1.35% | 0.59× |
| 2025 | 2.79% | 1.14× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kentucky surveyors cite →
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