Inspection Reports for
Breckinridge Place
170 SYKES BOULEVARD, MORGANFIELD, KY, 42437
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
72% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 28, 2025
Visit Reason
Annual inspection survey of Breckinridge Place nursing home to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Deficiencies: 0
Date: Oct 20, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction related to a regulatory survey of the nursing home facility.
Findings
No health deficiencies were found during the survey conducted at the facility.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jul 20, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding medication administration errors at the facility.
Complaint Details
The complaint investigation found that a medication aide administered the wrong medication to Resident #16 but corrected the error before harm occurred. The Director of Nursing confirmed the aide reported the mistake and noted potential risk to the resident's blood pressure.
Findings
The facility failed to ensure residents were free from significant medication errors for one of three residents sampled. A Certified Medication Aide administered the wrong medication to Resident #16, dropping a tablet and initially giving an incorrect pill before correcting the error.
Deficiencies (1)
F 0760: The facility failed to ensure residents were free from significant medication errors. A Certified Medication Aide dropped a white tablet on Resident #16's leg and initially administered the wrong medication before correcting the error.
Report Facts
Residents sampled for medication administration: 3
Total residents sampled: 24
Date of medication administration observation: Jul 19, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Medication Aide | Involved in medication administration error with Resident #16. | |
| Director of Nursing | Interviewed regarding medication error and staff education. |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Apr 15, 2022
Visit Reason
The inspection was conducted following a complaint investigation regarding the facility's failure to implement the comprehensive care plan for Resident #17, specifically related to the required two-person assist for bed mobility and incontinent care, which resulted in the resident falling and sustaining serious injuries.
Complaint Details
The complaint investigation was substantiated. Resident #17 was found to have been injured due to staff failing to follow the care plan requiring two-person assistance, resulting in a fall with fractures. The agency CNA involved had her contract terminated. The facility implemented staff education and quality assurance measures following the incident.
Findings
The facility failed to ensure Resident #17 received the required two-person assistance for bed mobility and incontinent care, leading to the resident rolling out of bed and sustaining multiple fractures. The investigation revealed staff did not follow the care plan, and the agency CNA's contract was terminated. The facility provided ongoing staff education and implemented quality assurance measures.
Deficiencies (3)
F 0656: The facility failed to develop and implement a complete care plan that meets all the resident's needs, resulting in Resident #17 receiving incontinent care without the required two-person assistance, causing the resident to fall and sustain fractures.
F 0689: The facility failed to ensure adequate supervision and accident hazard prevention, resulting in Resident #17 falling from bed during care provided by a single staff member instead of the required two-person assist, causing serious injuries.
F 0812: The facility failed to store food in accordance with professional standards, as opened food items in the refrigerator and dry storage were not labeled or dated, creating a potential for foodborne illness.
Report Facts
Morse Fall Scale score: 55
Morse Fall Scale score: 15
BIMS score: 3
Deficiencies cited: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Named in the finding for providing incontinent care alone contrary to care plan, leading to resident fall |
| LPN #1 | Licensed Practical Nurse | Observed resident after fall, initiated neuro checks, and coordinated emergency response |
| Administrator | Facility Administrator | Provided statements on staff expectations and ongoing education after incident |
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