Deficiency Index

F695 citations in Kentucky

Respiratory care · Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F695 in Kentucky. Pick another state for the same tag.

Against expectation — 2025

Kentucky cites F695 less often than its own record predicts

Versus expected share0.89×

0.89 times the national share — cited less often here than elsewhere.

Share of Kentucky citations1.96%

Of every deficiency written in Kentucky in 2025, this is the portion that was F695.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What Kentucky surveyors wrote

F695 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, isolatedJuly 27, 2024

Based on interview, record review, and review of the facility's policy, the facility failed to ensure a resident who needed respiratory care was provided consistent with professional standards of practice for one (1) of five (5) sampled residents (Resident (R) 1). The facility admitted R1 on [DATE], for rehabilitation after sustaining a spinal fracture. R1 was noted to have a Physician's Order dated [DATE], for oxygen at five liters per minute (5 LPM) continuously. However, R1 was sent back to the hospital on [DATE] at 12:25 AM, due to low oxygen saturation (O2 sat) level of 41% while on 2 LPM oxygen (not the ordered 5 LPM) per a nasal cannula (nc). …

Berea Health and Rehabilitation

G · Actual harm, isolatedJune 12, 2020

Based on interview, record review, and facility policy review it was determined the facility failed to provide respiratory care and services for one (1) of seventeen (17) sampled residents, Resident #1. Record review revealed Resident #1's physician ordered daily and as needed (PRN) respiratory aerosols treatments for COVID-19 and the facility instructed staff to be on a heightened alert for COVID-19 respiratory symptoms. Resident #1 presented over a three (3) day period with low-grade fevers and a low oxygen level while on oxygen. Furthermore, on the morning of the fourth day, Resident #1 presented with a Change of Condition (CoC) and the complaint of difficulty with breathing. …

Highlands Nursing and Rehabilitation

D · No harm, potential for more than minimal, isolatedMay 28, 2026

Based on observation, interview, record review and review of the facility's policy, the facility failed to ensure residents receiving respiratory care was provided services in accordance with physician orders and the facility's protocol for 2 of 16 sampled residents, Resident (R) 52 and R8. Record review revealed R52 had an order for oxygen administration at two liters per minute (LPM) via nasal cannula. However, observations conducted on 05/27/2026 and 05/28/2026 revealed R52 was receiving oxygen via nasal cannula with the regulator set at two and one-half and three LPM, which was not consistent with the physician's order. Observation on 05/26/2026 at 1:29 PM revealed R8's oxygen tubing and the distilled water were not dated. …

Willowbrook Healthcare

The short window

Recent years

YearShare of Kentucky citationsvs expected
20230.93%0.40×
20241.95%0.88×
20251.96%0.89×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Kentucky surveyors cite →

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