Inspection Reports for
Boyd Nursing and Rehabilitation
12100 PRINCELAND DRIVE, ASHLAND, KY, 41102
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
13% worse than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Capacity: 57
Deficiencies: 4
Date: Nov 21, 2025
Visit Reason
The inspection was conducted to investigate complaints related to medication administration errors, failure to notify physicians of medication omissions, inaccurate medical record documentation, and failure to follow infection prevention protocols including legionella water testing.
Complaint Details
The complaint investigation focused on medication administration errors, failure to notify physicians of medication omissions, inaccurate medical record documentation, and inadequate infection control practices related to legionella water testing. The complaint was substantiated with findings of multiple deficiencies.
Findings
The facility failed to notify physicians timely when medications were not administered for some residents, had a medication error rate of 25% exceeding the acceptable 5%, inaccurately documented medication administration routes, and did not fully comply with local health department recommendations for legionella water testing. These deficiencies posed minimal harm but affected multiple residents.
Deficiencies (4)
F 0580: The facility failed to notify the physician timely when medications were not administered for 2 of 5 sampled residents, resulting in missed medication doses due to residents being asleep.
F 0759: The facility failed to ensure the medication error rate was not greater than 5%, with a 25% error rate observed in 2 of 3 residents during medication administration observation.
F 0842: The facility failed to ensure the route of medication administration was accurate for 1 of 14 sampled residents, documenting oral administration instead of feeding tube administration.
F 0880: The facility failed to follow health department recommendations to test facility water twice weekly for legionella, risking exposure to all 57 residents.
Report Facts
Medication error rate: 25
Residents affected by legionella water testing deficiency: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| QMA2 | Qualified Medication Aide | Named in medication error findings for incorrect medication administration and omissions. |
| LPN 3 | Licensed Practical Nurse | Interviewed regarding inaccurate medication administration route documentation. |
| Medical Director | Primary physician for residents; stated unawareness of medication omissions and expected notification. | |
| Director of Nursing | DON | Provided statements on medication administration expectations and notification procedures. |
| Executive Director | ED | Provided statements on medication administration expectations and legionella water testing. |
| Maintenance Director | Provided information on legionella water testing practices and deficiencies. | |
| Assistant Director of Nursing | ADON / Infection Preventionist | Provided information on legionella case and water testing requirements. |
Inspection Report
Deficiencies: 2
Date: Oct 25, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights and infection prevention and control at Boyd Nursing and Rehabilitation.
Findings
The facility failed to respect a resident's religious beliefs by cutting her hair without consulting her guardian. Additionally, the facility failed to follow infection prevention policies during blood glucose monitoring for another resident.
Deficiencies (2)
F 0550: The facility failed to treat a resident with respect and dignity by cutting her hair without consulting the resident's guardian, violating her religious beliefs.
F 0880: The facility failed to follow infection prevention and control policies by not placing a barrier under a glucometer during blood glucose monitoring, risking transmission of infections.
Report Facts
Residents affected: 1
Residents affected: 1
BIMS score: 3
BIMS score: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| State Registered Nurse Aide (SRNA) 7 | Named in hair cutting deficiency; refused to sign corrective action form | |
| Licensed Practical Nurse (LPN) 1 | Involved in glucometer cleaning and infection prevention deficiency |
Inspection Report
Complaint Investigation
Census: 58
Deficiencies: 1
Date: Oct 25, 2024
Visit Reason
The inspection was conducted due to complaints regarding inadequate nursing staff and failure to meet residents' needs, including delayed call light responses and missed showers.
Complaint Details
The complaint investigation was triggered by resident grievances about long call light wait times and missed showers due to short staffing. The complaint was partially substantiated as the facility confirmed staffing shortages and delays in care.
Findings
The facility failed to maintain adequate nursing staff levels as required by their facility assessment, resulting in residents experiencing delays in care such as long call light wait times and missed showers. Staffing data showed a one-star rating and fewer staff than required on multiple shifts.
Deficiencies (1)
F 0725: The facility failed to provide enough nursing staff every day to meet the needs of every resident and have a licensed nurse in charge on each shift. Staffing levels were below the facility's assessment requirements, causing delays in care and resident grievances.
Report Facts
Facility census: 58
Facility census: 57
Total nursing service hours: 95.5
Hours per patient day (PPD): 1.6
Staffing rating: 1
Required SRNAs per shift: 3
Required LPNs per shift: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| SRNA4 | State Registered Nurse Aide | Interviewed about staffing and care delays |
| Assistant Director of Nursing Services | ADNS | Interviewed about staffing management and scheduling |
| Director of Nursing Services | DNS | Interviewed about staffing levels and facility assessment |
| Executive Director | ED | Interviewed about staffing shortage coverage and facility management |
Inspection Report
Annual Inspection
Deficiencies: 9
Date: Oct 4, 2019
Visit Reason
Annual inspection of Boyd Nursing and Rehabilitation to assess compliance with regulatory requirements including resident care, medication management, infection control, and hospice services.
Findings
The facility failed to maintain a safe, comfortable environment for residents, ensure timely pain management, implement comprehensive care plans, properly manage medications including controlled substances, maintain infection control practices, and coordinate hospice care effectively.
Deficiencies (9)
F 0584: The facility failed to ensure a safe, clean, and comfortable environment for two residents due to malfunctioning air conditioning and unsecured bathroom commode and handrails.
F 0655: The facility failed to develop and implement a baseline care plan addressing pain management for a resident with a fractured arm, resulting in delayed and inconsistent pain medication administration.
F 0656: The facility failed to develop and implement comprehensive care plans for two residents, resulting in missed medication doses and inadequate oxygen management during a power outage.
F 0658: The facility failed to ensure medication administration followed professional standards, including leaving medications at bedside without orders for self-administration and failure to administer medications with meals as ordered.
F 0695: The facility failed to provide safe and appropriate respiratory care during a power outage, resulting in a resident found in respiratory distress due to oxygen concentrator not being plugged into emergency power.
F 0697: The facility failed to provide timely and effective pain management for a resident with a fractured arm, resulting in over 24 hours without prescribed pain medication due to delayed pharmacy delivery and prescription issues.
F 0755: The facility failed to ensure pharmaceutical services met resident needs, including delayed delivery of pain and anxiety medications and failure to reorder medications timely for two residents.
F 0849: The facility failed to coordinate hospice services effectively, resulting in missed medication doses and lack of communication between hospice and facility staff, and failure to ensure oxygen therapy during a power outage.
F 0880: The facility failed to implement an infection prevention and control program, including failure to discard expired Tubersol used for TB testing and failure to perform hand hygiene between glove changes during wound care.
Report Facts
Residents sampled: 16
Residents affected: 2
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 2
Residents affected: 1
PPD vial expiration: 30
Wound measurement: 0.6
Wound measurement: 0.5
Pain medication delay: 24
Pain medication delay: 31
Missed medication doses: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Involved in medication administration and pain medication reorder for Resident #207 |
| LPN #2 | Licensed Practical Nurse | Performed wound care without proper hand hygiene and involved in medication issues for Resident #207 |
| LPN #5 | Licensed Practical Nurse | Administered medication to Resident #57 during respiratory distress |
| RN Supervisor | Registered Nurse Supervisor | Involved in medication reorder and communication with pharmacy for Resident #207 |
| DON | Director of Nursing | Oversaw nursing practices, medication management, and infection control |
| ADON | Assistant Director of Nursing | Involved in wound care observation and medication administration oversight |
| Pharmacist | Pharmacist | Provided pharmacy services and information on medication delivery and prescriptions |
| Medical Director | Medical Director | Provided medical oversight and expectations for medication management |
| Hospice Nurse | Hospice Nurse | Provided hospice care and reported resident distress and medication issues |
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