Inspection Reports for Homestead Post Acute
1608 Versailles Rd, Lexington, KY 40504, United States, KY, 40504
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
2.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
47% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Routine
Deficiencies: 3
Date: Jul 14, 2025
Visit Reason
The inspection was conducted to assess compliance with regulations regarding medication storage, food safety, and infection prevention and control in the facility.
Findings
The facility was found to have deficiencies including failure to keep medication carts locked when unattended, inadequate monitoring and documentation of freezer temperatures in nourishment refrigerators, and failure to keep an indwelling urinary catheter bag off the floor, posing potential risks to resident safety and infection control.
Deficiencies (3)
Failed to store all drugs and biologicals in locked compartments for 1 of 6 treatment carts; the 500-A Unit treatment cart was left unlocked and unattended.
Failed to procure food from approved sources and store, prepare, distribute, and serve food in accordance with professional standards; nourishment refrigerator/freezers lacked thermometers and freezer temperatures were not recorded.
Failed to provide and implement an infection prevention and control program; indwelling urinary catheter bag for Resident 84 was dragging on the floor.
Report Facts
Treatment carts: 6
Nourishment refrigerator/freezers: 5
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse 1 | Nurse Manager | Interviewed regarding unlocked medication cart and policy |
| Licensed Practical Nurse 3 | Interviewed about medication cart locking policy | |
| Registered Nurse 2 | Interviewed about medication cart locking policy | |
| Director of Nursing | Director of Nursing | Interviewed about medication cart locking policy and infection control |
| Administrator | Administrator | Interviewed about medication cart locking policy and infection control |
| Dietary Manager | Dietary Manager | Interviewed about food temperature monitoring and documentation |
| Certified Nurse Aide 5 | Certified Nurse Aide | Interviewed about refrigerator temperature documentation |
| Licensed Practical Nurse 4 | Licensed Practical Nurse | Interviewed about urinary catheter bag placement |
| Certified Nurse Aide 1 | Certified Nurse Aide | Interviewed about urinary catheter bag placement |
Inspection Report
Routine
Census: 122
Deficiencies: 3
Date: Sep 20, 2024
Visit Reason
The inspection was conducted to assess the facility's compliance with regulatory requirements related to trauma-informed care and infection prevention and control programs.
Findings
The facility failed to develop and implement comprehensive, trauma-informed care plans for residents with PTSD, specifically Resident 85, and lacked a documented water management program based on nationally accepted standards to prevent Legionella growth and spread.
Deficiencies (3)
Failed to develop and implement a comprehensive, resident-centered care plan including trauma-informed care for Resident 85.
Failed to provide trauma-informed care accounting for resident's experiences to mitigate triggers for Resident 85.
Failed to establish written standards, policies, and procedures by having a documented water management program based on nationally accepted standards for all residents.
Report Facts
Census: 122
Deficiencies cited: 3
PHQ-9 score: 12
BIMS score: 15
Water chlorine level readings: 0.61
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Clinical Social Worker 1 | LCSW | Provided psychiatric progress notes and trauma history for Resident 85 |
| Unit Manager | Interviewed regarding trauma-informed care and care plan expectations | |
| Social Services Assistant | SSA | Interviewed about social services history assessment and trauma disclosures |
| Social Services Director | SSD | Interviewed about role in care planning and trauma history screening |
| Minimum Data Set Nurse 1 | MDSN | Interviewed about comprehensive care plan development and psychiatric needs |
| Minimum Data Set Coordinator | MDSC | Interviewed about care plan development and psychosocial needs inclusion |
| Director of Nursing | DON | Interviewed about expectations for trauma-informed care and care plan content |
| Administrator | Interviewed about facility expectations and responsibility for trauma-informed care and water management program | |
| Maintenance Assistant | Interviewed about water management program knowledge and facility water system | |
| Maintenance Director | Interviewed about water maintenance program and training | |
| Staff Development/Infection Preventionist backup | SD/IP | Interviewed about infection prevention education and water management program knowledge |
| Infection Preventionist nurse | IP nurse | Interviewed about infection prevention program and water management responsibilities |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 29, 2023
Visit Reason
The inspection was conducted to investigate complaints raised by the Family Council regarding grievances involving resident care that were not adequately addressed by the facility in writing.
Complaint Details
The visit was complaint-related based on grievances raised by the Family Council involving resident care issues such as unanswered phone calls after 5:00 PM, staff deactivating call lights without addressing needs, restrictions on changing residents during meal times, and lack of supplies. The substantiation status is not explicitly stated.
Findings
The facility failed to ensure grievances presented by the Family Council were addressed in writing. Multiple grievances were identified, including unanswered phone calls after 5:00 PM, staff deactivating call lights before addressing residents' needs, restrictions on changing residents during meal service, and lack of supplies such as Depends. The Administrator responded to some concerns but did not address others, and the Family Council President stated ongoing issues and lack of adequate responses.
Deficiencies (1)
Failure to ensure grievances presented by the Family Council involving resident care were addressed in writing.
Report Facts
Family Council members: 13
Family Council members: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Responded to Family Council grievances and acknowledged some concerns were not addressed in writing | |
| Family Council President | Raised grievances on behalf of the Family Council regarding resident care issues | |
| Ombudsman | Interviewed and provided perspective on the Family Council grievances and facility responses |
Inspection Report
Routine
Deficiencies: 3
Date: Dec 12, 2019
Visit Reason
The inspection was conducted to evaluate the facility's compliance with food safety and handling standards, including food temperature control and sanitation practices in the kitchen and food service areas.
Findings
The facility failed to ensure food was served at safe and palatable temperatures, with documented food temperatures often missing or taken from incorrect locations. Additionally, food storage and kitchen sanitation practices were inadequate, including improperly stored beverage pitchers and residue inside the ice machine compartment.
Deficiencies (3)
Failure to provide each resident with food that is palatable and at a safe and appetizing temperature; food temperatures were not immediately documented and were taken from the stove instead of the steam table.
Cold foods were not maintained at safe temperatures at point of service; food temperature logs were incomplete and some food items were below acceptable temperatures.
Food was not stored, prepared, and distributed in accordance with professional standards; beverage pitchers were stored improperly and kitchen shelves were soiled; ice machine compartment had residue.
Report Facts
Food temperature: 109
Food temperature: 101.8
Food temperature: 118.9
Food reheating temperature: 165
Safe holding temperature: 135
Safe holding temperature: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Dietary Manager | Accompanied surveyor during kitchen observations and provided information about food temperature practices and cleaning. | |
| Dietary Aide #1 | Responsible for documenting food temperatures from memory and taking temperatures at the stove instead of the steam table. | |
| Assistant Food Manager | Interviewed regarding food temperature recording and cleaning schedules. | |
| Director of Nursing (DON) | Interviewed about acceptable food temperature ranges and food safety. | |
| Administrator | Interviewed about food temperature recording policies and kitchen cleaning schedules. | |
| Assistant Food Services Manager | Interviewed about cleaning schedules and food service sanitation practices. |
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