Deficiency Index

Maysville Nursing and Rehabilitation Facility

Maysville, Kentucky · CCN 185207

18 surveys since 2010, 16 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
49
Surveys
18
Harm or worse
16
Immediate jeopardy
12
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy12

Findings at the most serious level CMS records.

Beyond CMS’s monthly file16/18

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
130
Ownership
For profit - Limited Liability company
Chain
BLUEGRASS HEALTH KY
County
Mason · rural
Medicare-certified since
1990

CMS ratings

Overall
5
Health inspection
4
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=5, floor 20).

Last survey on record

Jul 9, 2026

123 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.883.73
Registered-nurse hours per resident day0.35—
Annual nurse turnover33.6%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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD5100.0%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 5 of the 49 citations on record.

In the surveyor’s words

From the most serious findings on record at Maysville Nursing and Rehabilitation Facility, in the surveyor’s own words.

  • No harm, potential for more than minimal, isolatedF697Jul 9, 2026

    Based on observation, interview, record review, review of a Kentucky Revised Statute (KRS), and review of the facility's policies, the facility failed to ensure pain management was provided consistently with professional standards of practice for 1 of 49 sampled residents, Resident (R) 54.The facility failed to assess, monitor, and provide timely intervention for R54's chronic pain on 06/30/2026 when medication was not reordered timely enough so it could be delivered before exhausting the supply on hand. […]

  • No harm, potential for more than minimal, isolatedF655Oct 7, 2021

    Based on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to implement a baseline person-centered care plan for one (1) of twenty-four (24) sampled residents (Resident #61). Review of the resident's care plan for activities was incomplete after seven (7) weeks. The findings include: Review of the facility's policy titled, Base Line Care Plan, not dated, revealed the facility must develop and implement a base line care plan for each resident that included the instructions needed to provide effective and person-centered care that met professional standards of quality care. […]

  • No harm, potential for more than minimal, isolatedF656Oct 7, 2021

    Based on interview, record review, and review of the facility's policy, it was determined the facility failed to implement a comprehensive person-centered care plan for one (1) of twenty-four (24) sampled residents (Sampled Resident #26). Review of the comprehensive care plan (CCP) revealed Resident #26 required transfer by a mechanical device. However, nursing staff did a transfer, with Resident #26, without using a mechanical lift, which resulted in a fall. The findings include: Review of the facility's policy titled, Base Line Care Plan, not dated, revealed the facility must develop and implement a baseline care plan for each resident that included the instructions needed to provide effective and person centered care and met professional standards of quality of care for each resident. […]

  • No harm, potential for more than minimal, isolatedF689Oct 7, 2021

    Based on interview, record review, and review of the facility's policy, it was determined the facility failed to provide adequate supervision and provide a mechanical device to prevent falls for one (1) of twenty-four (24) sampled residents (Resident #26). Resident #26 was assisted with transfer without use of a mechanical lift, which resulted in a fall. The findings include: Review of the facility's policy titled, Falls Program, undated, revealed this program identified residents at risk of falls, and if at risk, the resident would be placed in the Falling Stars program. Per the policy, after each fall, the environment would be assessed for causative factors. […]

  • No harm, potential for more than minimal, isolatedF758Oct 7, 2021

    Based on interview, record review, and review of the facility's policy, it was determined the facility failed to limit as needed (PRN) orders for antipsychotic drugs to fourteen (14) days without the attending physician or prescribing practitioner evaluating the resident for the appropriateness of that medication for one (1) of twenty-four (24) sampled residents (Resident #15). The findings include: Review of the facility's policy titled, Medication Ordering and Prescribing Psychoactive Medication Use-General, not dated, revealed residents did not receive PRN (as needed) [CONDITION(S)] medications unless necessary to treat a diagnosed specific condition which must be documented in the record. […]

Read 29 findings in full →The most serious and the most recent: 29 of 49 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 9, 2026Standard1 finding
  • Oct 7, 2021Standard4 findings
  • Nov 25, 2020Complaint1 finding
  • Oct 1, 2020Complaint1 finding
  • Feb 5, 2020Complaint1 finding
  • Jun 6, 2019Complaint5 findings · 4 harm
  • May 10, 2019Complaint1 finding
  • Feb 21, 2019Standard10 findings · 3 harm
Show the 10 earlier surveys
  • Mar 22, 2018Standard1 finding
  • Feb 2, 2017Standard1 finding
  • Feb 11, 2016Standard3 findings
  • Jan 8, 2015Standard1 finding
  • Sep 11, 2014Complaint8 findings · 8 harm
  • Nov 26, 2013—1 finding
  • Nov 9, 2012—1 finding
  • Dec 8, 2011—4 findings
  • Sep 28, 2011—1 finding · 1 harm
  • Sep 23, 2010—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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