Inspection Reports for
Green Acres Healthcare
402 W. FARTHING STREET, MAYFIELD, KY, 42066
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
21% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Nov 19, 2025
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident care, notification procedures, baseline care planning, and pressure ulcer management at Green Acres Healthcare.
Findings
The facility failed to notify a resident's Power of Attorney about significant changes in the resident's condition, did not develop a baseline care plan within 48 hours of admission, and failed to provide appropriate pressure ulcer care to prevent worsening and new ulcers. These deficiencies affected one sampled resident and posed minimal harm or potential for actual harm.
Deficiencies (3)
F 0580: The facility failed to promptly notify the resident's representative of a significant change in condition, including new wound orders and a diagnosis of osteomyelitis, for 1 of 4 sampled residents.
F 0655: The facility failed to develop and implement a baseline care plan within 48 hours of admission for 1 of 6 sampled residents, delaying effective and person-centered care.
F 0686: The facility failed to provide appropriate pressure ulcer care and prevent new ulcers from developing for 1 of 4 sampled residents, resulting in worsening wounds and delayed treatment.
Report Facts
Residents sampled: 6
Residents affected: 1
BIMS score: 7
Days delay for baseline care plan: 7
Days delay for x-ray: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse 2 | LPN | Admitting nurse for Resident 1 who reported not completing baseline care plan |
| Licensed Practical Nurse 3 | LPN | Nurse who performed wound rounds and did not recall notifying POA of new orders |
| Director of Nursing | DON | Responsible for admission assessment and oversight of care plan and notification processes |
| Administrator | Administrator | Oversight of facility policies and procedures related to resident care and notification |
Inspection Report
Routine
Deficiencies: 2
Date: Aug 15, 2025
Visit Reason
The inspection was conducted to assess compliance with resident rights regarding reasonable accommodation of needs and preferences, and to evaluate the facility's adherence to care plan meeting requirements for residents.
Findings
The facility failed to ensure call lights were accessible to residents in wheelchairs or beds for three sampled residents, posing safety risks. Additionally, the facility did not conduct required quarterly care plan meetings for two sampled residents, potentially impacting quality of care.
Deficiencies (2)
F 0558: The facility failed to reasonably accommodate the needs and preferences of residents by not ensuring call lights were within reach for three residents, placing them at risk of not being able to summon assistance.
F 0657: The facility failed to conduct required quarterly care plan meetings for two residents, resulting in missing care plan reviews and potential negative impacts on resident care.
Report Facts
Residents sampled: 12
Residents affected: 3
Residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse 2 | RN | Interviewed regarding call light placement and resident safety |
| Licensed Practical Nurse 1 | LPN | Interviewed regarding call light placement and resident safety |
| Certified Nurse Aide 4 | CNA | Interviewed regarding call light placement and resident safety |
| Certified Nurse Aide 5 | CNA | Interviewed regarding call light placement and resident safety |
| Director of Nursing | DON | Interviewed regarding call light policy and care plan meetings |
| Administrator | Interviewed regarding call light policy and care plan meetings | |
| Social Services Director | SSD | Interviewed regarding responsibility for care plan meetings |
Inspection Report
Deficiencies: 2
Date: May 26, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to residents' rights regarding advance directives and discharge planning at Green Acres Healthcare.
Findings
The facility failed to ensure that a resident's medical record accurately reflected the resident's desired code status, resulting in conflicting documentation for one resident. Additionally, the facility failed to develop and implement a discharge care plan addressing the discharge goals and needs for one resident.
Deficiencies (2)
F 0578: The facility failed to ensure Resident #43's medical record reflected the correct code status, showing conflicting documentation between DNR and full code.
F 0660: The facility failed to address Resident #22's discharge goals and did not develop or implement a discharge care plan to support the resident's goal to return to the community.
Report Facts
Residents sampled for advanced directives: 3
Total residents sampled: 16
Residents sampled for discharge planning: 3
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Sep 17, 2020
Visit Reason
The inspection was conducted to assess the facility's compliance with regulatory requirements related to resident dignity, care planning, catheter care, and nutritional status during the annual survey.
Findings
The facility was found deficient in treating residents with dignity by failing to conceal urine drainage tubing, implementing comprehensive care plans for catheter care and weight monitoring, securing catheter tubing to prevent trauma, and ensuring adequate nutritional monitoring for residents at risk of weight loss.
Deficiencies (4)
F 0550: The facility failed to treat Resident #13 with dignity by allowing urine drainage tubing to be visible to visitors and other residents in the hallway.
F 0656: The facility failed to implement comprehensive care plans for Residents #10 and #13, including securing catheter tubing to prevent trauma and obtaining weekly weights.
F 0690: The facility failed to secure Resident #10's catheter tubing to the upper thigh per policy, resulting in pain and potential trauma.
F 0692: The facility failed to ensure Resident #13's weights were obtained weekly as required, despite significant weight loss and nutritional risk.
Report Facts
Residents sampled: 17
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 1
Weight loss percentage: 10
Weight loss percentage: 9
Weight loss percentage: 15
Nutritional supplement frequency: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Beanita [Last Name Unknown] | Surveyor | Named as surveyor conducting the inspection |
| SRNA #1 | State Registered Nurse Aide | Performed catheter care observation for Resident #10 and interviewed regarding care plan and catheter securing |
| SRNA #2 | State Registered Nurse Aide | Performed catheter care observation for Resident #13 and interviewed regarding catheter tubing visibility and weight monitoring |
| RN #1 | Registered Nurse | Interviewed regarding catheter tubing visibility for Resident #13 |
| LPN #1 | Licensed Practical Nurse | Interviewed regarding catheter care and care plan for Resident #10 |
| DON | Director of Nursing | Interviewed regarding expectations for catheter care, dignity, and weight monitoring |
| ADON | Assistant Director of Nursing | Interviewed regarding responsibility for weight monitoring and care plan implementation |
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