Facility profile · CCN 185283
Bourbon Heights Nursing Home
29 federal citations on record , including 8 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $57,841.
Record summary
Federal record · Q1 202629
Total citations
21
Last 3 years
11
Actual harm+
4
Federal penalties
$57,841
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
29 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 22, 2024 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Complaint |
| Nov 22, 2024 | F837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | L | Complaint |
| Nov 22, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L | Complaint |
| Nov 22, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Nov 22, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Nov 22, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Complaint |
| Nov 22, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint |
| Nov 22, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | F | Complaint |
| Nov 22, 2024 | F880 | Provide and implement an infection prevention and control program. | L | Complaint |
| Nov 22, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | L | Complaint |
| Nov 22, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Nov 22, 2024 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Nov 22, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | Standard |
| Nov 22, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Nov 22, 2024 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Standard |
| Nov 22, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | G | Standard |
| Nov 22, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | G | Standard |
| Nov 22, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Apr 5, 2024 | F880 | Provide and implement an infection prevention and control program. | L | Complaint |
| Apr 5, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Apr 5, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jan 10, 2020 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Jan 10, 2020 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jan 10, 2020 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jan 10, 2020 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard |
| Oct 25, 2018 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard |
| Oct 25, 2018 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Oct 25, 2018 | F659 | Provide care by qualified persons according to each resident's written plan of care. | D | Standard |
| Oct 25, 2018 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 2 civil money penalties totaling $57,841 and 2 payment-denial actions spanning 47 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Nov 22, 2024 | Fine | $41,040 | — |
| Nov 22, 2024 | Payment Denial | — | Dec 25, 2024 · 31 days |
| Apr 5, 2024 | Fine | $16,801 | — |
| Apr 5, 2024 | Payment Denial | — | May 4, 2024 · 16 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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