Based upon interview, review of medical records, and review of the facility's policy/procedures, the facility failed to maintain complete and accurately documented clinical records. The facility failed to maintain complete and accurately documented clinical records for 79 of 116 residents (R1 - R79). Staff documented weights that had been falsified (made up). The fabricated and inaccurate weight records were used in clinical assessments related to residents' nutritional status, monitoring of weight changes, and care planning. These inaccurate records compromised the facility's ability to appropriately monitor residents' nutritional status and respond to weight changes. …
F842 citations in Kentucky
Medical records · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kentucky cites F842 less often than its own record predicts
0.31 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kentucky in 2025, this is the portion that was F842.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kentucky surveyors wrote
F842 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 observation, interview, record review, and policy review, it was determined the facility failed to maintain medical records on each resident that were complete and accurately documented in accordance with accepted professional standards and practices for one (1) of 51 total sampled residents, Resident (R) 19. The facility failed to document assessments for R19 from 11/24/2025 to 11/27/2025 when R19 had a decline in intake and level of consciousness. R19 was transferred to the hospital on [DATE]. R19 expired on 12/04/2025.The findings include:The facility did not provide a policy for nursing documentation. …
Based on interview, record review, and facility policy review, the facility failed to ensure staff transcribed physicians' orders into the orders of residents' electronic medical record (EMR) for 1 of 1 residents sampled for constipation concerns out of the 49 total sampled residents (Resident (R)110).The findings include: Review of the facility policy titled, Medication Orders, revised 01/2026, revealed, under the section titled, New Handwritten Orders, received from an office visit and sent with the resident were to be noted by the nurse on duty at the time the order was received. Per review, the nurse on duty was also to enter the order on (the resident's) physician order sheet/ telephone order sheet, and electronic medical record (EMR). …
The short window
Recent years
| Year | Share of Kentucky citations | vs expected |
|---|---|---|
| 2023 | 0.62% | 0.38× |
| 2024 | 0.60% | 0.32× |
| 2025 | 0.70% | 0.31× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kentucky surveyors cite →
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