Based on interview, record review, and review of the facility policy it was determined that the facility failed to establish an antibiotic stewardship program that included a system to monitor antibiotic use. The findings include:Review of the facility policy titled, Antibiotic Stewardship Guideline, reviewed 11/19/2025, revealed the purpose of the policy was to optimize the treatment of infections ensuring that residents who required an antibiotic were prescribed the appropriate antibiotic, to reduce the risk of adverse event, including the development of antibiotic resistant organisms from unnecessary or inappropriate antibiotic use encompass of facility wide system to monitor the use of antibiotics.Review of the facility's surveillance tracking for antibiotics revealed there was no… …
F881 citations in Kentucky
Antibiotic stewardship · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kentucky cites F881 less often than its own record predicts
0.29 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kentucky in 2025, this is the portion that was F881.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kentucky surveyors wrote
F881 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.
The short window
Recent years
| Year | Share of Kentucky citations | vs expected |
|---|---|---|
| 2024 | 0.30% | 0.67× |
| 2025 | 0.14% | 0.29× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kentucky surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction