Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Breathitt Health & Rehabilitation during CMS and state inspections, most recent first.
A resident with Multiple Sclerosis, Anxiety, and Depression alleged rough care and threats from a CNA, which were not thoroughly investigated by the facility. Despite the resident's intact cognition and distress, the Administrator concluded no abuse occurred without interviewing other potential witnesses. The DON and Medical Director were informed but did not further investigate, leading to a deficiency in protecting the resident from abuse.
A resident alleged that a CNA was rough during care and threatened her with physical harm if she reported it. Despite the resident's intact cognition and the report to staff, the facility failed to document or report the allegation to State Agencies or law enforcement, as required by policy. The Administrator did not perceive the incident as abuse and did not report it, leading to a deficiency in handling potential abuse cases.
A resident reported rough care and a threat from a CNA, but the facility failed to conduct a thorough investigation. The Administrator spoke with the resident and staff but did not document the incident or remove the CNA from duty. Despite claims of monitoring the resident, no documentation was provided, highlighting a deficiency in handling abuse allegations.
The facility failed to follow its food safety and temperature control policies, resulting in deficiencies in food storage and service. Cook1 did not check the temperatures of six pureed food items before serving, and eight expired food items were found in storage. The Dietary Manager and Administrator acknowledged the importance of these checks to prevent foodborne illnesses.
A resident with intact cognition received an opened letter from the Kentucky Public Pensions Authority, violating their right to privacy in communication. The Business Manager mistakenly believed permission was granted to open the mail, leading to the incident. The resident expressed distress over the violation, and the Administrator confirmed the facility's policy to protect mail privacy.
The facility failed to maintain an effective infection prevention and control program. A CNA did not use PPE or practice hand hygiene when caring for a resident on Enhanced Barrier Precautions due to MRSA. Additionally, urinals and bedpans for two residents were found unlabeled, undated, and improperly stored, contrary to facility policy. The DON/IP acknowledged the oversight, noting that daily rounds did not include bathroom inspections.
Failure to Protect Resident from Abuse
Penalty
Summary
The facility failed to protect a resident from abuse, as evidenced by an incident involving a Certified Nursing Assistant (CNA) and a resident. The resident, who was admitted with diagnoses including Multiple Sclerosis, Anxiety, and Depression, alleged that on a specific date, CNA2 was rough while providing care and threatened her with physical harm if she reported the incident. The resident, who had intact cognition, expressed fear and distress to a Registered Nurse (RN) and another CNA, who reported the incident to the RN. The facility's policy on abuse prevention was not effectively implemented, as the incident was not thoroughly investigated. The Administrator, responsible for abuse investigations, was informed of the allegations but did not conduct a comprehensive investigation. The Administrator spoke with the resident and the involved CNAs but did not interview other residents or staff who might have witnessed the incident. The Administrator concluded there was no abuse without fully exploring the verbal threat allegation. The Director of Nursing (DON) and the Medical Director were also involved but did not take further action to investigate the claims. The DON could not recall why CNA2 had been previously instructed not to enter the resident's room, and the Medical Director was informed that the issue had been resolved without any abuse occurring. The lack of a thorough investigation and failure to address the resident's allegations of verbal and physical abuse led to the deficiency in protecting the resident from abuse.
Failure to Report Allegation of Abuse
Penalty
Summary
The facility failed to report an allegation of abuse involving a resident, identified as R2, to the State Agencies and local law enforcement. On 12/24/2024, R2 alleged to CNA6 that CNA2 was rough while providing care and threatened her with physical harm if she reported the incident. R2, who was admitted with diagnoses including Multiple Sclerosis, Anxiety, and Depression, had a BIMS score indicating intact cognition. Despite R2's report to CNA6 and subsequent communication with RN1, the allegation was not documented or reported to the appropriate authorities as required by the facility's policy. Interviews with staff revealed that CNA6 reported the allegation to RN1 immediately after R2's disclosure. RN1 then spoke with R2 and informed the Administrator of the situation. However, the Administrator, after speaking with R2, CNA1, and CNA2, did not perceive the incident as an allegation of abuse but rather as a concern, and thus did not report it to the State Agencies or law enforcement. The Administrator claimed she was not informed of the specific threat made by CNA2 to R2. The Medical Director was informed of the situation by the Administrator and was under the impression that the issue had been resolved without any abuse occurring. The facility's failure to report the allegation of abuse as per their policy and regulatory requirements constitutes a deficiency in handling and reporting potential abuse cases, leaving the resident's concerns inadequately addressed and unreported to the necessary authorities.
Failure to Investigate Alleged Abuse Incident
Penalty
Summary
The facility failed to conduct a thorough investigation in response to an alleged violation of abuse involving a resident who reported that a CNA was rough while providing care and threatened her. The resident, who had intact cognition, reported the incident to another CNA, who then informed an RN. Despite the report, the facility did not document the allegation properly, nor did they conduct a comprehensive investigation as required by their abuse prevention policy. The Administrator, who was the designated Abuse Coordinator, was informed of the allegation but did not initiate a full investigation. Instead, the Administrator spoke with the resident and the involved staff over the phone and decided not to pursue the matter further, allowing the CNA to continue working unsupervised. The facility's staff, including the DON and ADON, claimed to have monitored the resident for a few days following the incident, but there was no documented evidence of this monitoring. Interviews with various staff members revealed inconsistencies and a lack of documentation regarding the incident. The Medical Director expected a thorough investigation and removal of the CNA from the facility during the investigation, but this did not occur. The facility's failure to properly investigate and document the alleged abuse incident represents a significant deficiency in their handling of abuse allegations.
Deficiencies in Food Safety and Temperature Control
Penalty
Summary
The facility failed to adhere to its own policies regarding food safety and temperature control, leading to deficiencies in food storage, preparation, and service. During an observation, it was noted that Cook1 did not check the temperatures of six pureed food items on the steam table before serving the dinner meal. This was contrary to the facility's policy, which mandates that all food and beverage temperatures be checked and recorded prior to meal service to ensure they are served at safe temperatures. Cook1 admitted to only checking the temperatures of foods on the main steam table, neglecting the pureed foods. Additionally, the facility was found to have eight expired food items in storage, which were not discarded as required by the facility's food safety policy. These items included various condiments and a pack of flour tortillas, some of which were found in the walk-in refrigerator and pantry. The Dietary Manager acknowledged that it was the responsibility of all dietary staff to check for expired food and ensure that all food served to residents had undergone a temperature check. The Administrator also emphasized the importance of these checks to prevent foodborne illnesses among residents.
Violation of Resident's Mail Privacy
Penalty
Summary
The facility failed to protect a resident's right to privacy in communication, specifically the right to receive mail unopened. Resident 40, who was assessed with intact cognition, received an opened letter from the Kentucky Public Pensions Authority. The facility's policy clearly states that residents have the right to receive unopened mail unless they or their Power of Attorney have given explicit permission for staff to open it. However, there was no documented evidence that Resident 40 had given such permission. The incident occurred when the Business Manager opened the letter, believing that the resident had granted permission by signing a consent form related to Medicaid eligibility. This misunderstanding led to the violation of the resident's privacy rights. The resident expressed distress over the situation, stating that it made him feel like he didn't exist. The Administrator confirmed that the facility's expectation is for all residents to receive unopened mail unless permission is explicitly given otherwise.
Infection Control Deficiencies in PPE Use and Urinal Management
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by several observations and interviews. A Certified Nursing Assistant (CNA) did not don Personal Protective Equipment (PPE) before providing care to a resident on Enhanced Barrier Precautions (EBP) due to a history of Methicillin-resistant Staphylococcus aureus (MRSA). The CNA also failed to wash or sanitize hands after exiting the resident's room, despite the presence of clear indicators such as an orange dot and a sign on the door, as well as a cart with PPE supplies. The CNA acknowledged the importance of PPE and hand hygiene but admitted to not following protocol due to being in a hurry. Additionally, the facility did not adhere to its policy regarding the labeling and storage of urinals and bedpans. Observations revealed that a resident's urinal was unlabeled, undated, and uncovered, often found on the floor or hanging from the bathroom rail. The resident was dependent on staff for toileting, indicating that staff were responsible for the improper placement and handling of the urinal. Interviews with staff confirmed that they were aware of the policy requiring urinals to be labeled, dated, and stored in a bag, yet these procedures were not followed. Another resident's bathroom contained two unlabeled, undated, and uncovered urinals, as well as an uncovered bedpan. The Director of Nursing/Infection Preventionist (DON/IP) acknowledged that these items should be labeled, dated, and stored according to policy to prevent the spread of bacteria. Despite making daily rounds, the DON/IP did not inspect residents' bathrooms, which contributed to the oversight. The facility's administrator emphasized the importance of hand hygiene and PPE use but relied on clinical management to ensure compliance with infection control policies.
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Jackson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wolfe County Health & Rehabilitation Center | 15.3 mi | ★★★★★ | 0 | 0 |
| Lee County Care & Rehabilitation Center | 18.3 mi | ★★★★★ | 0 | 0 |
| Owsley County Health Care Center, Inc. | 18.7 mi | ★★★★★ | 0 | 0 |
| Salyersville Nursing And Rehabilitation Center | 21 mi | ★★★★★ | 2 | 0 |
| Hazard Health And Rehabilitation Center | 21.2 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.