Based on interview, record review, and review of the facility's policies, the facility failed to recognize a change in a resident's condition, to ensure the resident received quality of care based on the facility's identified care and treatment needs for the resident and failed to ensure professional standards of practice for the resident's care were provided that would meet the resident's physical, mental, and psychosocial needs for 1 of 35 sampled residents reviewed for quality of care concerns, Resident (R) 117.R117 gained 17 pounds in 13 days, a significant weight gain with exhibited signs of edema, while a resident at the facility from [DATE] through [DATE]. …
F684 citations in Kentucky
Quality of care · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kentucky cites F684 less often than its own record predicts
0.49 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kentucky in 2025, this is the portion that was F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kentucky surveyors wrote
F684 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, review of facility policies, and review of [NAME] 9th edition - Standard of Practice for Nursing Assessment of Change in Condition information which the facility followed as its standard of practice, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for one (Resident (R) 1) of eight sampled residents.The facility identified a change in condition for R1 on [DATE] and notified the physician of the change in condition. However, the physician ordered labs were not obtained promptly. Additionally, staff had no evidence of ongoing monitoring of the resident for a period of 12 hours, until they documented R1 had decreased blood pressure. …
Based on observation, interview, and record review, the facility failed to provide necessary care and services consistent with professional standards of practice and the residents' assessed needs for 2 of 32 residents reviewed for quality of care (Residents (R)32 and R36). Specifically, the facility failed to provide appropriate care and monitoring of gastrostomy tube (G-tube) sites and failed to timely identify and/or address changes in skin condition and other care needs. For R32, the deficient practice resulted in concerns related to the resident's G-tube, including dislodgement and infection of the stoma site that required evaluation in the emergency department. …
The short window
Recent years
| Year | Share of Kentucky citations | vs expected |
|---|---|---|
| 2023 | 1.85% | 0.51× |
| 2024 | 2.69% | 0.68× |
| 2025 | 2.10% | 0.49× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kentucky surveyors cite →
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