Inspection Reports for
Fair Oaks Health and Rehabilitation
1 SPARKS AVENUE, JAMESTOWN, KY, 42629
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
1.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
64% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Re-Inspection
Census: 101
Deficiencies: 1
Date: Jun 10, 2025
Visit Reason
An off-site revisit survey was conducted on 06/10/2025 to verify the implementation of the acceptable plan of correction following a prior abbreviated survey conducted from 04/14/2025 to 04/17/2025.
Complaint Details
The survey investigated multiple complaints identified by numbers KY#00042459, KY#00043566, KY#00044600, KY#00044777, KY#00044787, KY#00044817, KY#00045230, KY#00045275, KY#00045680, and KY#00045716. The facility was found to be in compliance with regulatory practice.
Findings
The facility was found to be in substantial compliance as of 05/06/2025 based on the acceptable plan of correction. The prior survey identified a deficiency related to resident rights and dignity, with a scope and severity level of 'D'. The facility implemented corrective actions including staff education and monitoring to ensure residents were treated with dignity and respect.
Deficiencies (1)
Failure to ensure that two of 25 sampled residents were treated with dignity and respect, including timely assistance with grooming, hygiene, food clean up, and linen changes.
Report Facts
Survey Census: 101
Sample Size: 25
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 17, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to ensure residents were treated with dignity and respect, specifically concerning timely assistance with grooming, hygiene, food cleanup, and linen changes.
Complaint Details
The complaint investigation found that two residents were not cleaned properly after meals, leading to food stains on their faces, clothing, and bedding. Staff interviews confirmed expectations to clean residents after meals were not consistently met. The complaint was substantiated with observations and interviews.
Findings
The facility failed to provide timely hygiene and grooming assistance to two residents, resulting in unclean conditions, emotional discomfort, and dissatisfaction. Observations and interviews confirmed food stains on residents and their bedding, and staff acknowledged lapses in cleaning after meals.
Deficiencies (1)
F 0550: The facility failed to ensure two residents were treated with dignity and respect and received timely assistance with grooming, hygiene, food cleanup, and linen changes. This resulted in residents experiencing unclean conditions and emotional discomfort.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA 5 | Certified Nursing Assistant | Stated that staff cleaned residents' faces as they picked up meal trays and acknowledged that leaving food stains probably embarrasses residents. |
| Unit Manager | Interviewed about staff expectations to clean residents' faces after meals and acknowledged staff skipped residents R19 and R20. | |
| Administrator | Stated that cleaning residents' faces after meals had been a concern, staff were educated, and expected every resident to be treated with dignity and cleaned timely. |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Oct 21, 2021
Visit Reason
The inspection was conducted to investigate complaints regarding failure to review and revise comprehensive care plans for residents, ensure appropriate pressure ulcer care, and proper medication storage and labeling.
Complaint Details
The investigation was complaint-driven, focusing on Resident #37's pressure ulcer care and medication storage practices. The complaint was substantiated with findings of care plan omissions and medication storage violations.
Findings
The facility failed to update Resident #37's care plan to include air boots as ordered, resulting in inadequate pressure ulcer care. Additionally, the facility failed to ensure medications were properly labeled, stored, and expired medications were removed, including expired vaccines and discontinued controlled substances.
Deficiencies (3)
F 0657: The facility failed to revise the comprehensive care plan to include air boots for Resident #37, despite physician orders and wound care recommendations. Resident #37 was observed not wearing air boots during multiple observations.
F 0686: The facility failed to provide appropriate pressure ulcer care and prevent new ulcers for Resident #37 by not following physician orders for air boots, heel floating, and off-loading wounds consistently.
F 0761: The facility failed to ensure drugs and biologicals were not expired, properly labeled, and stored according to professional principles. Expired COVID-19 vaccine and discontinued controlled medications were found improperly stored.
Report Facts
Residents sampled: 21
Pressure ulcer stage: 4
Air boots in storage: 3
Expired COVID-19 vaccine: 1
Flu vaccine packages: 4
Discontinued Hydrocodone tablets: 1
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jan 31, 2019
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at Fair Oaks Health and Rehabilitation.
Findings
No health deficiencies were found during the inspection.
Viewing
Loading inspection reports...
