F689 in Kentucky. Pick another state for the same tag.
Against expectation — 2025
Kentucky cites F689 less often than its own record predicts
Versus expected share0.76×
0.76 times the national share — cited less often here than elsewhere.
Share of Kentucky citations4.19%
Of every deficiency written in Kentucky in 2025, this is the portion that was F689.
Kentucky4.19%
National5.53%
Share of all citations that were F689.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kentucky surveyors wrote
F689 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 observation, interview, record review, review of the website https://www.localconditions.com, review of the facility's investigation, and review of the facility's policies, the facility failed to have an effective system in place to ensure each resident received adequate supervision and monitoring. The facility failed to implement interventions and adequate supervision for 1 of 20 sampled residents to prevent unsafe wandering and elopement, Resident (R) 5.Review of the facility's investigation revealed R5 eloped from the facility on 05/02/2026 at approximately 8:11 PM and was found outside near the back facility entrance roadway by Dietary Aide 1, who was taking out trash. …
Based on interview, record review, and review of facility documentation and policy, the facility failed to ensure an environment free of accidents hazards by failing to use/provide the necessary assistance/device required during transfer of 1 of 32 sampled residents. (Resident (R) 79). On 07/13/2026, R79 was observed with a large bruise and swelling to her right upper extremity. Review of the facility's investigation documentation revealed CNA 9 failed to follow R79's care-planned intervention requiring the use of a mechanical lift with a two-person assist for transfers and instead manually transferred R79 to the bed. The investigation further revealed CNA 9 continued dressing R79 and reported hearing a pop. …
E · No harm, potential for more than minimal, patternJuly 30, 2026
Based on observation, interview, record review, and review of the facility's policy, the facility failed to ensure the residents' environment remained free of accident hazards for 1 of 17 sampled residents, Resident (R) 54, but had the potential to affect all 64 residents in the facility. The findings include:Review of the facility's policy titled, Resident Room Safety, revised 05/27/2023, revealed, It is the policy of [the facility's name] to ensure resident room safety focusing on fall prevention, environmental hazard identification, and infection control. Core protocols require keeping the room free of clutter, ensuring proper lighting, and maintaining functional assistive devices. 1. …
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