Inspection Reports for Letcher Manor

73 PIEDMONT DRIVE, WHITESBURG, KY, 41858

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Inspection Report Summary

The most recent inspection on June 25, 2025, found no deficiencies during the abbreviated survey. Earlier inspections, including one on February 27, 2025, identified several deficiencies related to care planning, discharge assessment reporting, food safety, and infection control. Inspectors cited issues such as failure to electronically transmit discharge assessments timely, incomplete care plans for a resident refusing wound care, and lapses in food sanitation and infection prevention. Multiple complaints were investigated, with most found unsubstantiated except for one that led to a cited deficiency in the February inspection. The facility appears to have addressed prior concerns, as indicated by the clean results in the latest survey.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

15% better than Kentucky average
Kentucky average: 4.7 deficiencies/year

Deficiencies per year

4 3 2 1 0
2025

Census

Latest occupancy rate 119 residents

Based on a June 2025 inspection.

Census over time

108 112 116 120 124 Feb 2025 Jun 2025
Inspection Report Abbreviated Survey Census: 119 Deficiencies: 0 Jun 25, 2025
Visit Reason
An Abbreviated Survey was conducted from 06/24/2025 to 06/25/2025 to investigate KY00046599.
Findings
The facility was found to have no deficient practice during the abbreviated survey.
Report Facts
Sample Resident Size: 3
Inspection Report Abbreviated Survey Census: 116 Deficiencies: 4 Feb 27, 2025
Visit Reason
A recertification and abbreviated survey were conducted from 02/24/2025 to 02/27/2025, including investigation of multiple complaints. The facility was found not to be in substantial compliance with 42 CFR 483, Subpart B.
Findings
The facility was cited for a deficiency related to failure to electronically transmit the discharge assessment within 14 days, and failure to develop and implement a comprehensive care plan for a resident with wound care refusals. Additional deficiencies included food safety violations and infection prevention and control issues. The facility provided plans of correction and education to address these issues.
Complaint Details
Multiple complaints were investigated (KY00042649, KY00042990, KY00043252, KY00043290, KY00044784, KY00044912, KY00045172). The facility was found to be in compliance with regulatory practice for all complaints except KY00043731, which resulted in a cited deficiency.
Severity Breakdown
Scope and Severity D: 1
Deficiencies (4)
DescriptionSeverity
Failure to electronically transmit the discharge Minimum Data Set (MDS) assessment within 14 days as required.Scope and Severity D
Failure to develop and/or implement a comprehensive person-centered care plan to meet the needs of a resident who refused wound care.
Failure to prepare and serve food in a sanitary manner and maintain proper food temperatures.
Failure to maintain an infection prevention and control program to prevent communicable diseases and infections.
Report Facts
Survey Census: 116 Sample Size: 31 Deficiencies cited: 1 Completion Dates: Plans of correction completion dates ranged from 03/14/2025 to 03/18/2025

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