Inspection Reports for
Mountain Manor of Paintsville
1025 EUCLID AVENUE, PAINTSVILLE, KY, 41240
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
6.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
34% worse than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
42% occupied
Based on a October 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Oct 21, 2025
Visit Reason
An abbreviated survey was initiated on 2025-10-20 and completed on 2025-10-21 to investigate complaint numbers 2569309 and 2576839.
Complaint Details
Complaint numbers 2569309 and 2576839 were investigated and found to have no deficient practices.
Findings
No deficient practice was identified related to complaint numbers 2569309 and 2576839.
Inspection Report
Complaint Investigation
Census: 53
Deficiencies: 0
Date: Oct 7, 2025
Visit Reason
An Abbreviated Survey investigating complaint 2633150 was initiated and concluded on 10/07/2025.
Complaint Details
Complaint 2633150 was investigated and found to be in compliance with regulatory requirements; no deficiencies were cited.
Findings
The complaint 2633150 was found to be in compliance with regulatory requirements and no deficient practice was cited.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jul 31, 2025
Visit Reason
The inspection was conducted following a complaint investigation regarding the misappropriation of a resident's property, specifically unauthorized use of Resident #4's credit cards by a staff member.
Complaint Details
The complaint investigation was substantiated. Resident #4's credit cards were stolen and used by Licensed Practical Nurse (LPN) #1 without permission. The Kentucky State Police arrested LPN #1 on 07/07/2025. The facility delayed reporting the allegation to the state survey agency until 07/07/2025, despite being notified on 07/04/2025.
Findings
The facility failed to protect Resident #4 from misappropriation of property when a staff member stole and used the resident's credit cards without permission. Additionally, the facility failed to timely report the allegation of misappropriation to the state survey agency, delaying the investigation process.
Deficiencies (2)
F 0602: The facility failed to protect Resident #4 from misappropriation of property when a staff member stole and used the resident's credit cards without permission.
F 0609: The facility failed to timely report an allegation of misappropriation of Resident #4's property to the state survey agency, delaying the investigation process.
Report Facts
Unauthorized charges total: 1700
Residents reviewed for personal property: 3
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Named as the staff member who stole and used Resident #4's credit cards. |
| LPN #2 | Licensed Practical Nurse | Reported the stolen credit cards to the Administrator and Director of Nursing. |
| RN #3 | Registered Nurse | Witnessed the report of stolen credit cards and assisted in the investigation. |
| Social Services Director | Social Services Director | Completed the initial and follow-up reports regarding the misappropriation. |
| Assistant Director of Nursing | Assistant Director of Nursing | Advised staff on reporting procedures and coordinated with Social Services Director. |
| Administrator | Facility Administrator | Informed about the incident and involved in the investigation and reporting process. |
Inspection Report
Deficiencies: 9
Date: Jul 31, 2025
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident rights, abuse prevention, resident assessment, activities of daily living, medication administration, fall prevention, and infection control.
Findings
The facility was found deficient in multiple areas including failure to provide a dignified dining experience, failure to protect a resident from misappropriation of property, failure to timely report abuse allegations, failure to complete and transmit discharge assessments, failure to provide adequate nail care, failure to follow up on physician orders, failure to prevent a resident fall, failure to safely store medications, and failure to maintain infection control during catheter care.
Deficiencies (9)
F 0550: The facility failed to provide a dignified dining experience for 2 residents by allowing staff to have side conversations about residents while providing feeding assistance.
F 0602: The facility failed to protect a resident from misappropriation of property when a staff member stole the resident's credit cards and made unauthorized charges.
F 0609: The facility failed to timely report an allegation of misappropriation of resident property to the state survey agency, delaying the report by three days.
F 0640: The facility failed to complete and transmit a discharge Minimum Data Set (MDS) for a resident within the required timeframe after discharge.
F 0677: The facility failed to provide nail care for a resident who required assistance, resulting in long nails with visible dirt.
F 0684: The facility failed to follow up on a urologist's orders for a urinary anti-infective medication, resulting in no administration and a subsequent urinary tract infection.
F 0689: The facility failed to prevent a fall when a resident was left unattended during bathing assistance, resulting in multiple skin tears and bruising.
F 0761: The facility failed to ensure medications were stored safely when a medication was found at a resident's bedside after administration.
F 0880: The facility failed to maintain infection control during catheter care when a nursing assistant did not don a gown and contaminated clean washcloths by placing soiled washcloths in the same basin.
Report Facts
Unauthorized charges: 1700
Skin tear size: 13
Skin tear size: 4
Skin tear size: 2
Medication dose: 30
BIMS score: 6
BIMS score: 11
BIMS score: 13
BIMS score: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Named in misappropriation of Resident #4's credit cards and subsequent arrest |
| SRNA #6 | State Registered Nursing Assistant | Named in dignified dining deficiency and fall incident with Resident #95 |
| SRNA #13 | State Registered Nursing Assistant | Named in dignified dining deficiency |
| LPN #12 | Licensed Practical Nurse | Named in medication administration error for Resident #38 |
| SRNA #14 | State Registered Nursing Assistant | Named in infection control deficiency during catheter care for Resident #11 |
| RN #8 | Registered Nurse | Named in fall incident involving Resident #95 |
Inspection Report
Abbreviated Survey
Census: 118
Deficiencies: 0
Date: Jul 2, 2025
Visit Reason
An abbreviated complaint survey was conducted to investigate multiple complaints identified by their KY numbers, initiated on 07/01/2025 and concluded on 07/02/2025 by the Department of Health & Family Services with the Office of Inspector General.
Complaint Details
The survey investigated complaints KY39845, KY40336, KY40500, KY41080, KY41863, KY43276, KY43568, KY43798, KY44550, and KY45446 and found no deficient practices.
Findings
The facility was found in compliance with regulatory requirements related to all investigated complaints; no deficient practices were cited.
Report Facts
Sample Size: 15
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Jun 2, 2025
Visit Reason
An Abbreviated Survey was initiated and concluded on 06/02/2025 to investigate Complaint KY00039075.
Complaint Details
Complaint KY00039075 was investigated and found unsubstantiated with no deficiencies cited.
Findings
The Division of Health Care unsubstantiated the allegations with no deficiencies cited.
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Nov 4, 2021
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements, including accuracy of resident assessments.
Findings
The facility failed to ensure that the Minimum Data Set (MDS) assessments accurately reflected the status of one resident who experienced significant weight loss. Specifically, the resident's annual MDS did not document a greater than 10 percent weight loss over six months as required.
Deficiencies (1)
F0641: The facility failed to ensure the MDS assessment accurately reflected a resident's weight loss of over 21 percent in six months. The Dietary Manager overlooked coding the weight loss on the MDS, resulting in inaccurate documentation.
Report Facts
Resident weight loss percentage: 21.8
Number of sampled residents: 26
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Coordinator/Interim Director of Nursing | Responsible for completing and signing the MDS assessment | |
| Dietary Manager | Responsible for coding the Swallowing/Nutritional Status on the MDS and acknowledged oversight |
Inspection Report
Annual Inspection
Deficiencies: 7
Date: May 8, 2019
Visit Reason
The inspection was conducted as a standard annual survey to assess compliance with regulatory requirements for Mountain Manor of Paintsville nursing home.
Findings
The facility was found deficient in multiple areas including failure to complete timely resident assessments, inaccurate coding of hospice services, incomplete implementation of care plans, inadequate supervision leading to resident falls, failure to post nurse staffing information properly, expired medications in emergency drug boxes, and improper medication storage.
Deficiencies (7)
F 0640: The facility failed to ensure a discharge Minimum Data Set (MDS) assessment was completed and transmitted within 14 days after a resident expired.
F 0641: The facility failed to ensure hospice services were accurately coded on resident assessments for one resident receiving hospice care.
F 0656: The facility failed to implement comprehensive care plans for two residents, resulting in a fall due to insufficient staff assistance and inadequate fall mat placement.
F 0689: The facility failed to provide adequate supervision and assistance to prevent a resident fall when only one staff member assisted despite care plan requiring two.
F 0732: The facility failed to post daily nurse staffing information including the number of staff responsible for resident care on posted forms.
F 0755: The facility failed to provide pharmaceutical services by maintaining expired medications in an emergency drug box.
F 0761: The facility failed to ensure medications were stored at proper temperatures, with room temperature medication found stored in a refrigerator.
Report Facts
Residents sampled: 22
Resident #73 fall date: Jan 20, 2019
Resident #90 fall mat observation dates: May 6, 2019
Resident #90 fall mat observation dates: May 8, 2019
Morse Fall Risk score: 55
Expired medication count: 5
Staffing form review period: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| SRNA #5 | State Registered Nurse Aide | Named in fall incident involving Resident #73 |
| SRNA #6 | State Registered Nurse Aide | Named in fall incident involving Resident #73 |
| Licensed Practical Nurse #2 | LPN | Interviewed regarding expired medications in emergency drug box |
| Licensed Practical Nurse #3 | LPN | Interviewed regarding fall mat placement for Resident #90 |
| Licensed Practical Nurse #4 | LPN | Interviewed regarding improper medication storage |
| MDS Coordinator | Responsible for MDS assessments and coding hospice services | |
| Director of Nursing | DON | Interviewed regarding multiple deficiencies including MDS assessments, care plans, staffing, medication storage |
| Staffing Coordinator | Interviewed regarding nurse staffing posting procedures | |
| Consultant Pharmacist | RPH | Interviewed regarding pharmacy responsibilities for emergency drug boxes |
| Unit Manager | Interviewed regarding care plan implementation and medication audits | |
| Administrator | Interviewed regarding nurse staffing posting concerns |
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