F656 in Kentucky. Pick another state for the same tag.
Against expectation — 2025
Kentucky cites F656 more often than its own record predicts
Versus expected share1.66×
1.66 times the share F656 takes of citations nationally.
Share of Kentucky citations5.73%
Of every deficiency written in Kentucky in 2025, this is the portion that was F656.
Kentucky5.73%
National3.44%
Share of all citations that were F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kentucky surveyors wrote
F656 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.
J · Immediate jeopardy, isolatedMarch 9, 2026
Based on observation, interview, record review, and review of the facility's documents and policies, the facility failed to develop and implement a comprehensive care plan to ensure the care plan met each of the resident's medical, nursing, mental and psychosocial needs identified on his/her comprehensive assessment for 1 of 35 residents reviewed for comprehensive care plans, Resident (R) 117.R117 gained 17 pounds in 13 days while a resident at the facility from [DATE] through [DATE], a significant weight gain with exhibited signs of edema. The resident was sent to the hospital on [DATE] and admitted with diagnoses of fluid overload and myocardial infarction (heart attack). …
Based on observation, interview, record review, and review of the facility's policies, the facility failed to ensure staff followed its policy and the resident-centered, comprehensive care plan for 1 of 32 residents, Resident (R) 79.R79 had been dependent on staff for total care and mobility since her admission in 2021. However, staff failed to follow and implement R79's care plan intervention for the use of a mechanical lift for all transfers. Review of the facility's Investigation Statement, dated 07/13/2026, revealed Certified Nursing Assistant (CNA) 9 admitted to transferring R79 to bed using a scoop method and not the care planned mechanical lift. …
D · No harm, potential for more than minimal, isolatedJuly 30, 2026
Based on observation, interview, record review, and review of the facility's policy, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights and include measurable objectives for 1 out of 17 residents reviewed for care plans, Resident (R) 4.Observation on 07/28/2026 at 4:00 PM revealed R4 did not have bilateral rails on her bed to assist with bed mobility. However, R4 was care planned to have them.The findings include:Review of the facility's policy titled, Comprehensive Care Plans, revised date 04/26/2017, revealed, It is the policy of the facility to develop and implement a comprehensive person-centered care plan for each resident consistent with the resident's rights. …
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