F657 in Kentucky. Pick another state for the same tag.
Against expectation — 2025
Kentucky cites F657 less often than its own record predicts
Versus expected share0.90×
0.90 times the national share — cited less often here than elsewhere.
Share of Kentucky citations1.68%
Of every deficiency written in Kentucky in 2025, this is the portion that was F657.
Kentucky1.68%
National1.87%
Share of all citations that were F657.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kentucky surveyors wrote
F657 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, isolatedMay 27, 2026
Based on interview, record review, review of the facility's investigation, and review of the facility's policy, the facility failed to ensure residents' care plans were revised to include interventions needed to provide person-centered care related to supervision and monitoring to ensure safety for 1 of 28 sampled residents, Resident (R) 5.Interviews with staff revealed that on 05/02/2026 at approximately 5:55 PM, staff observed the resident exiting the facility and they were able to intervene and return the resident back to the facility. However, the facility failed to revise the resident's care plan to include interventions that would increase the resident's supervision and/or monitoring. …
Based on interview, record review, and review of the facility's policy, the facility failed to ensure the Comprehensive Care Plan (CCP) was reviewed and revised by an interdisciplinary team composed of individuals who have knowledge of the resident and his/her needs for 2 of 12 sampled residents, Resident (R)12 and R13.
1. On 06/07/2024, R12 was transferred without the use of a gait belt, as per policy. The resident sustained wounds to the left knee, and left arm, and bruising with scratches on the left ribcage. Additionally, a CT of the Chest performed on 06/08/2024, revealed an age-indeterminate nondisplaced left 8th rib fracture. …
D · No harm, potential for more than minimal, isolatedAugust 14, 2026
Based on interview, record review, and review of the facility's policies, the facility failed to ensure residents' comprehensive care plans were reviewed for effectiveness of interventions and revised to meet the needs for 2 of 32 sampled residents (Resident (R) 32, R38)1). The facility failed to revise R32's care plan with interventions to prevent the resident from irritating the gastrostomy tube stoma (G-tube) and surrounding tissue.2). The facility failed to revise R38's care plan with interventions to prevent the resident from self-extubating the G-tube. …
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