Homestead Post Acute
Lexington, Kentucky · CCN 185144
25 surveys since 2011, 11 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 77
- Surveys
- 25
- Harm or worse
- 11
- Immediate jeopardy
- 11
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 136
- Ownership
- For profit - Limited Liability company
- Chain
- PACS GROUP
- County
- Fayette
- Medicare-certified since
- 1977
CMS ratings
- Overall
- 3
- Health inspection
- 2
- Staffing
- 2
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=19, floor 20).
Last survey on record
Jul 17, 2025
480 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.53 | 3.73 |
| Registered-nurse hours per resident day | 0.80 | — |
| Annual nurse turnover | 48.5% | 48.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D444.4% | E333.3% | F222.2% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F8802×
Provide and implement an infection prevention and control program.
- F5851×
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- F6561×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6991×
Provide care or services that was trauma informed and/or culturally competent.
In the surveyor’s words
From the most serious findings on record at Homestead Post Acute, in the surveyor’s own words.
- Immediate jeopardy, isolatedF656Mar 11, 2021
Based on interview, record review, and review of the facility's policies, it was determined the facility failed to implement the comprehensive person centered care plan interventions for one (1) of eleven (11) sampled residents (Resident #1), whom the facility assessed to exhibit wandering behavior and to be at risk for elopement. The facility admitted Resident #1, on 02/01/2014, with diagnoses, which included Alzheimer's Disease and Dementia. The facility most recently assessed Resident #1 was at risk for elopement, on 02/16/2021. The Comprehensive Person Centered Care Plan interventions, included interventions to prevent elopement. In addition, Resident #1 wore a Wanderguard bracelet (a device that activated alarms when the resident was near an exit door) to alert staff. […]
- Immediate jeopardy, isolatedF689Mar 11, 2021
Based on observation, interview, record review, review of the facility's policies, review of the facility's investigation, review of the website www.localconditions.com, review of the police department report, and review of the fire department report, it was determined the facility failed to have an effective system to ensure each resident received adequate supervision and monitoring to prevent elopement for one (1) of eleven (11) sampled residents (Resident #1), who was assessed to exhibit wandering behavior and to be at risk for elopement. The facility admitted Resident #1, on 02/01/2014, with diagnoses, which included Alzheimer's Disease and Dementia. On 02/16/2021, the facility assessed the resident to be at risk for elopement due to wandering behavior and lack of safety awareness. […]
- Immediate jeopardy, isolatedF656Mar 10, 2021
Based on interview, record review, and review of the facility's policies, it was determined the facility failed to implement the comprehensive person centered care plan interventions for one (1) of eleven (11) sampled residents (Resident #1), whom the facility assessed to exhibit wandering behavior and to be at risk for elopement. The facility admitted Resident #1, on 02/01/2014, with diagnoses, which included Alzheimer's Disease and Dementia. The facility most recently assessed Resident #1 was at risk for elopement, on 02/16/2021. The Comprehensive Person Centered Care Plan interventions, included interventions to prevent elopement. In addition, Resident #1 wore a Wanderguard bracelet (a device that activated alarms when the resident was near an exit door) to alert staff. […]
- Immediate jeopardy, isolatedF689Mar 10, 2021
Based on observation, interview, record review, review of the facility's policies, review of the facility's investigation, review of the website www.localconditions.com, review of the police department report, and review of the fire department report, it was determined the facility failed to have an effective system to ensure each resident received adequate supervision and monitoring to prevent elopement for one (1) of eleven (11) sampled residents (Resident #1), who was assessed to exhibit wandering behavior and to be at risk for elopement. The facility admitted Resident #1, on 02/01/2014, with diagnoses, which included Alzheimer's Disease and Dementia. On 02/16/2021, the facility assessed the resident to be at risk for elopement due to wandering behavior and lack of safety awareness. […]
- No harm, potential for more than minimal, widespreadF812Jul 17, 2025
Based on observation, interview, review of the Food and Drug Administration web site, and review of the facility's documents and policy, the facility failed to store and serve food in a sanitary manager. Observations on 07/15/2025 revealed 5 of 5 nourishment refrigerator/freezers did not have a thermometer, and the freezer temperatures were not recorded. Also, observations on 07/15/2025 during the breakfast tray line revealed not all modified texture foods were listed, and the temperatures were not recorded.The findings include:Review of the facility's policy titled, Food Preparation and Service, revised 11/2022, revealed it referenced the United States Food and Drug Administration (FDA) Food Code. […]
Read 27 findings in full →The most serious and the most recent: 27 of 77 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 17, 2025Standard3 findings
- Sep 20, 2024Standard3 findings
- Aug 29, 2023Complaint1 finding
- Dec 9, 2021Infection control4 findings
- Aug 3, 2021Infection control3 findings
- Mar 11, 2021Complaint2 findings · 2 harm
- Mar 10, 2021Complaint2 findings · 2 harm
- Jan 14, 2021Complaint1 finding
Show the 17 earlier surveys
- Dec 12, 2019Standard2 findings
- Nov 8, 2018Standard1 finding
- Mar 1, 2018Complaint3 findings
- Oct 5, 2017Standard3 findings
- Sep 8, 2016Standard9 findings
- May 24, 2016Complaint1 finding
- Nov 25, 2015Standard7 findings
- Jul 7, 2015Complaint1 finding
- May 14, 2015Complaint1 finding
- Mar 6, 2015Complaint5 findings · 5 harm
- Sep 25, 2014Standard and complaint6 findings
- Mar 4, 2014Complaint1 finding
- Aug 15, 2013—2 findings
- Jul 27, 2012—8 findings
- May 4, 2012—2 findings
- Oct 22, 2011—2 findings · 2 harm
- Jun 16, 2011—4 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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