Inspection Reports for
Perkins Country Manor
5269 ASBURY ROAD, AUGUSTA, KY, 41002
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% better than Kentucky average
Kentucky average: 4.7 deficiencies/year
Deficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
78% occupied
Based on a February 2025 inspection.
Occupancy rate over time
Inspection Report
Abbreviated Survey
Census: 25
Deficiencies: 1
Date: Feb 20, 2025
Visit Reason
A Recertification and Abbreviated Survey was conducted to assess the facility's compliance with 42 CFR 483 subpart B.
Findings
The facility was found not to be in substantial compliance due to deficient practices identified at KY00044006 related to notice requirements before transfer/discharge. No deficient practices were identified at other surveyed locations.
Deficiencies (1)
Failure to provide proper notice before transfer or discharge to residents and their representatives, including reasons for transfer, timing, and appeal rights.
Report Facts
Survey Census: 25
Sample Size: 13
Supplemental Residents: 15
Residents Investigated for Deficient Practice: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| F31 | Family Member | Named as resident's caretaker and involved in transfer notification deficiency |
| R2 | Resident involved in transfer notification deficiency | |
| Licensed Practical Nurse (LPN) 1 | Licensed Practical Nurse | Nurse who sent resident R2 to hospital and involved in transfer notification process |
| R15 | Resident involved in transfer notification deficiency | |
| R25 | Resident involved in transfer notification deficiency | |
| F5 | Family Member | Family member of resident R5 involved in transfer notification deficiency |
| R12 | Resident involved in transfer notification deficiency | |
| R14 | Resident involved in transfer notification deficiency | |
| R10 | Resident involved in transfer notification deficiency | |
| R17 | Resident involved in transfer notification deficiency | |
| Director of Nursing (DON) | Director of Nursing | Interviewed regarding notification process and transfer paperwork |
| BOM | Business Office Manager | Signed bed hold agreements and involved in transfer consent process |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Feb 20, 2025
Visit Reason
The inspection was conducted to investigate complaints regarding the facility's failure to provide timely and proper written notification to residents and their representatives about transfers or discharges, including appeal rights and bed hold policies.
Complaint Details
The complaint investigation focused on the facility's failure to provide written notices to residents and their representatives regarding transfers to hospitals and the facility's bed hold policies. Interviews and record reviews revealed consistent verbal notifications but lack of written documentation and failure to provide appeal rights information.
Findings
The facility failed to notify residents and their representatives in writing about transfers or discharges, including reasons, dates, locations, appeal rights, and bed hold policies. This deficiency was identified for 9 out of 9 residents reviewed. The facility also failed to provide written documentation of bed hold agreements and policies to residents or their representatives.
Deficiencies (2)
F 0623: The facility failed to provide timely written notification to residents and their representatives about transfers or discharges, including reasons, dates, locations, and appeal rights. This was identified for 9 residents.
F 0625: The facility failed to notify residents or their representatives in writing about the duration of the nursing home's bed hold policy during transfers or therapeutic leaves. This was identified for 9 residents.
Report Facts
Residents investigated for transfer and/or discharge: 9
Residents investigated for hospitalizations and bed hold policy notification: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse 1 | LPN | Nurse who sent resident R2 to the hospital and notified POA by phone but did not provide paperwork. |
| Business Office Manager | BOM | Responsible for obtaining verbal consent for bed hold agreements but did not provide written copies to residents or representatives. |
| Director of Nursing | DON | Stated nurse assigned to resident is responsible for notifying family of condition changes and transfers. |
| Administrator | Administrator | Acknowledged inconsistencies in providing transfer paperwork and bed hold policy notifications. |
Inspection Report
Routine
Census: 25
Deficiencies: 1
Date: Feb 20, 2025
Visit Reason
The inspection was conducted to evaluate compliance with medication storage regulations, specifically ensuring drugs and biologicals were stored at proper temperatures according to professional standards.
Findings
The facility failed to maintain the medication refrigerator temperature within the required range of 36 to 46 degrees Fahrenheit. Multiple observations revealed malfunctioning thermometers and temperatures outside the acceptable range, potentially affecting all residents.
Deficiencies (1)
F 0761: The facility failed to ensure drugs and biologicals were stored at proper temperatures. Observations showed the medication refrigerator thermometer read as low as 20 degrees F and as high as 50 degrees F, outside the acceptable range of 36 to 46 degrees F.
Report Facts
Census: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN1 | Licensed Practical Nurse | Interviewed regarding medication refrigerator temperature checks and access |
| Pharmacy Account Manager | Interviewed about quarterly audits of medication cart and refrigerator | |
| Registered Pharmacist | RPh | Interviewed about medication temperature requirements and replacement |
| Director of Nursing | DON | Interviewed about staff education and corrective actions taken |
| Administrator | Interviewed about expectations for temperature monitoring and logs |
Inspection Report
Renewal
Census: 25
Deficiencies: 3
Date: Feb 17, 2025
Visit Reason
A Relicensure and Complaint Survey was conducted from 02/17/2025 through 02/20/2025 to assess compliance with regulatory requirements and investigate complaint allegations.
Complaint Details
The complaint investigation identified deficient practice related to failure to provide proper transfer/discharge notices and bed hold policy notices for 9 out of 9 residents investigated. The facility failed to notify residents and their representatives in writing of transfer reasons, dates, appeal rights, and failed to provide written bed hold policy notices. The complaint was substantiated.
Findings
No deficient practice was identified with KY00035235, KY00036992, KY00042351, or KY00043228. Deficient practice was identified with KY00044006 at tags F623 and F625 related to notice requirements before transfer/discharge and bed hold policy. The facility was found not to be in substantial compliance with 42 CFR 483 subpart B.
Deficiencies (3)
Failure to provide proper notice before transfer or discharge, including notifying the resident and representative in writing with reasons, timing, and appeal rights.
Failure to provide written notice of bed-hold policy before or upon transfer, including duration and reserve bed payment policy.
Failure to store drugs and biologicals in accordance with accepted professional principles, including maintaining proper temperature controls in medication refrigerator.
Report Facts
Survey Census: 25
Sample Size: 13
Supplemental Residents: 15
Number of residents with deficient practice: 9
Temperature readings: 50
Temperature range: 36
Temperature range: 46
Low oxygen saturation: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) 1 | Licensed Practical Nurse | Nurse who sent resident R2 to hospital and stated she was responsible for checking medication refrigerator temperatures |
| Director of Nursing (DON) | Director of Nursing | Stated nurse assigned to resident was responsible for notifying family of condition changes and transfer; also stated facility identified process inconsistencies and planned quality assurance improvements |
| Administrator | Facility Administrator | Stated facility identified need to fix inconsistencies in transfer paperwork and expected medication refrigerator temperature logs to be completed per policy |
| Pharmacy Account Manager | Pharmacy Account Manager | Provided information about medication refrigerator temperature audits |
| Registered Pharmacist (RPh) | Registered Pharmacist | Stated medication refrigerator temperature of 50 degrees F was too warm and medications would need replacement |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Nov 26, 2019
Visit Reason
The inspection was conducted to investigate a complaint regarding improper labeling and storage of medications, specifically a compounded white paste found unlabeled in the treatment cart.
Complaint Details
The visit was complaint-related, triggered by concerns about medication labeling and storage. The complaint was substantiated as the facility failed to properly label a compounded medication mixture.
Findings
The facility failed to ensure medications were labeled according to professional standards, as a compounded medication mixture was found unlabeled with missing critical information such as medication name, strength, prescribing physician, and directions for use. Interviews revealed the mixture was compounded at the facility without proper labeling and there was uncertainty about the consistency and safety of the mixture.
Deficiencies (1)
F 0761: The facility failed to ensure drugs and biologicals were labeled in accordance with accepted professional principles, as a compounded medication mixture was found unlabeled with missing medication name, strength, prescribing physician, directions for use, and expiration date.
Report Facts
Medication compound ingredients: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #1 | Registered Nurse | Interviewed regarding the unlabeled medication mixture and its use on Resident #2. |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Interviewed about calling the physician for clarification on the compounded medication ingredients and proportions. |
| Director of Nursing | Director of Nursing | Interviewed about the facility's compounding practices and labeling expectations. |
| Interim Administrator | Interim Administrator | Interviewed about the facility's compounding process and labeling policy expectations. |
Inspection Report
Deficiencies: 0
Date: Oct 18, 2018
Visit Reason
The document is a statement of deficiencies and plan of correction related to a regulatory inspection of Perkins Country Manor nursing home.
Findings
No health deficiencies were found during the inspection.
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