Inspection Reports for
Pikeville Nursing and Rehab Center
260 SOUTH MAYO TRAIL, PIKEVILLE, KY, 41501
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
2.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
40% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jan 8, 2026
Visit Reason
The investigation was conducted due to an allegation of resident-to-resident physical abuse involving two residents at Pikeville Nursing and Rehab Center on 07/01/2025.
Complaint Details
The complaint involved Resident #99 physically hitting Resident #100 on 07/01/2025. The facility investigated and found no physical or emotional harm. The allegation was reported to the state survey agency approximately nine hours after the incident, which was not timely as required.
Findings
The facility failed to protect a resident from physical abuse by another resident and did not timely report the abuse allegation to the state survey agency within the required two-hour timeframe. The abuse was not substantiated due to no physical or emotional harm sustained.
Deficiencies (2)
F 0600: The facility failed to protect a resident from physical abuse by another resident on 07/01/2025. Resident #99 punched Resident #100 on the arm, but no injuries were sustained and abuse was not substantiated.
F 0609: The facility failed to timely report an allegation of resident-to-resident physical abuse to the state survey agency within two hours as required. The report was made approximately nine hours after the incident.
Report Facts
Residents affected: 2
BIMS score: 9
BIMS score: 13
Incident date: Jul 1, 2025
Report delay: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #3 | Provided statement about hearing Resident #99 yelling and observing Resident #100 holding their arm | |
| Licensed Practical Nurse (LPN) #4 | Assessed residents after incident and notified Administrator and Director of Nursing about abuse allegation | |
| Psychiatric Mental Health Nurse Practitioner (NP) #2 | Documented Resident #99's statement about hitting Resident #100 | |
| Administrator | Notified of incident and responsible for reporting abuse allegation to state agency |
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Feb 5, 2025
Visit Reason
An Abbreviated Survey was initiated on 02/04/2025 and concluded on 02/05/2025 to investigate complaint KY00044949.
Complaint Details
Complaint KY00044949 was investigated and found to be unsubstantiated as no deficient practice was identified.
Findings
The Division of Healthcare determined the facility to be in compliance with regulatory requirements and no deficient practice identified.
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Oct 30, 2024
Visit Reason
The inspection was conducted as a comprehensive annual survey of Pikeville Nursing and Rehab Center to assess compliance with regulatory requirements related to medication storage, infection control, and facility safety and maintenance.
Findings
The facility was found deficient in securing medications properly, maintaining an effective infection prevention and control program, and providing a safe, clean, and homelike environment. Specific issues included unlocked medication carts, failure to use PPE during high-contact care, unlabeled and uncovered bedpans and wash basins, plumbing hazards, uneven flooring, poor lighting, odors, and maintenance deficiencies.
Deficiencies (3)
F 0761: The facility failed to ensure all medications were securely stored as one of two treatment carts was found unlocked and unattended, risking resident access to medications.
F 0880: The facility failed to maintain an infection control program, as staff did not consistently wear gowns during tube feeding care and multiple unlabeled, uncovered bedpans and wash basins were found on bathroom floors.
F 0921: The facility failed to provide a safe, functional, sanitary, and comfortable environment, with hazards including protruding plumbing, uneven flooring, poor lighting, odors, chipped paint, rust, and broken fixtures.
Report Facts
Treatment carts observed unlocked: 1
Residents investigated for tube feeding care: 3
Unlabeled bedpans observed: 4
Unlabeled wash basins observed: 1
Length of raised flooring in bathroom: 3
Gap in vinyl plank flooring: 7.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN1 | Registered Nurse | Named in medication cart unlocked finding. |
| LPN/UM1 | Licensed Practical Nurse/Unit Manager | Provided expectations on medication cart security. |
| Director of Nursing | Director of Nursing (DON) | Provided policy and expectations on medication security and infection control. |
| RN2 | Registered Nurse | Failed to wear gown during tube feeding care for residents R2 and R7. |
| South Unit Manager | South Unit Manager (SUM) | Provided expectations on enhanced barrier precautions. |
| Assistant Director of Nursing/Infection Preventionist | Assistant Director of Nursing/Infection Preventionist (ADON/IP) | Provided infection control program details and expectations. |
| Maintenance Director | Maintenance Director | Discussed facility maintenance issues and repair processes. |
| Dietary Account Manager | Dietary Account Manager | Reported maintenance issues via computerized system. |
| District Manager of Dining Services | District Manager of Dining Services | Oversaw reporting of maintenance issues to Administrator. |
| Environmental Services Director | Environmental Services Director (ESD) | Discussed cleaning protocols and awareness of odors and flooring issues. |
| Licensed Practical Nurse | Licensed Practical Nurse (LPN)1 | Reported use of maintenance repair log and awareness of hazards. |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 22, 2019
Visit Reason
Annual inspection survey of Pikeville Nursing and Rehab Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 9
Date: Jul 19, 2018
Visit Reason
The inspection was conducted to investigate complaints regarding failure to notify responsible parties of resident transfers, failure to maintain a safe and clean environment, inaccurate resident assessments, failure to implement care plans, medication errors, and pest control issues.
Complaint Details
The complaint investigation was substantiated with findings that the facility failed to notify family of resident transfers, maintain a safe environment, accurately complete assessments, implement care plans, provide pain management, administer medications correctly, and maintain pest control.
Findings
The facility was found deficient in multiple areas including failure to notify family of resident transfers, unsafe and unsanitary environmental conditions, inaccurate Minimum Data Set assessments, failure to administer pain medication as ordered, medication administration errors, failure to include family in care plan meetings, and ineffective pest control measures.
Deficiencies (9)
F 0580: The facility failed to notify the responsible party of Resident #48's physician appointment and transferred the resident unaccompanied by family or staff.
F 0584: The facility failed to maintain a safe, clean, comfortable environment including damaged walls, loose toilet, missing shower curtain, and disrepair of Resident #41's overbed table padding.
F 0641: The facility failed to ensure accurate Minimum Data Set assessments for Residents #48 and #73, including incorrect documentation of insulin administration and pressure ulcer dates.
F 0656: The facility failed to implement the care plan for Resident #6 by not administering pain medication as needed for right ear pain.
F 0657: The facility failed to include Resident #11's family in care plan meetings as required by policy.
F 0697: The facility failed to provide pain management consistent with Resident #6's care plan and physician orders, resulting in untreated ear pain.
F 0760: The facility failed to ensure Resident #83 received Midodrine medication as ordered; the 1:00 PM dose was withheld due to staff misunderstanding of the medication's purpose.
F 0812: The facility failed to ensure sanitizing solution was used in the three-compartment sink and failed to cover ice scoops stored beside the ice machine.
F 0925: The facility failed to maintain an effective pest control program; flies were observed in resident areas and door sweeps were damaged allowing pest entry.
Report Facts
Residents sampled: 21
Resident #48 BIMS score: 8
Resident #11 BIMS score: 0
Resident #83 BIMS score: 15
Resident #6 BIMS score: 12
Resident #83 blood pressure: 91
Resident #83 blood pressure: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #5 | Licensed Practical Nurse | Named in failure to administer pain medication to Resident #6 |
| RN #3 | Registered Nurse | Assigned nurse on day of Resident #48's physician appointment |
| Maintenance Staff Member #2 | Named in facility maintenance issues including pest control and environmental repairs | |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding multiple deficiencies including care plan and medication administration |
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Interviewed regarding medication error for Resident #83 |
| Dietary Manager | Interviewed regarding food service sanitizing and ice scoop storage | |
| Kentucky Medication Aide | KMA | Named in withholding Resident #83's medication dose |
| LPN #4 | Licensed Practical Nurse | Interviewed regarding medication error for Resident #83 |
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