Based on observation, interview, and review of the facility's document and policy, the facility failed to ensure a safe, functional, sanitary, and comfortable environment for resident rooms and shower rooms. The facility failed to identify and correct problems related to the residents' environment that had the potential to affect all residents that used three of the three sampled shower rooms and all residents that resided on the [NAME] Unit Hallway 1 and Hallway 2.Observation on 07/02/2026 revealed there were two holes on the right side of the [NAME] 2 Hallway, directly above the baseboard. One hole was approximately four inches long, and the other was approximately one inch long. …
F921 citations in Kentucky
Safe, clean, comfortable environment · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Kentucky cites F921 more often than its own record predicts
1.48 times the share F921 takes of citations nationally.
Of every deficiency written in Kentucky in 2025, this is the portion that was F921.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Kentucky surveyors wrote
F921 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 | 0.75% | 0.94× |
| 2025 | 1.26% | 1.48× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kentucky surveyors cite →
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