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 Fountain Circle Care & Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to ensure residents received mail on Saturdays, affecting all 125 residents. Residents reported not receiving mail on Saturdays, except for special deliveries. The ABOM and Administrator confirmed that mail delivered after 5:00 PM was not sorted until Monday due to lack of staff. The facility's policy stated residents' right to privacy in mail was not upheld.
The facility failed to properly store and handle medications, biologicals, and vaccines, leading to deficiencies in medication management. Observations revealed overcrowded medication refrigerators, improper temperature storage, and expired medications in medication carts. Staff interviews highlighted lapses in adherence to facility policies, with nursing staff responsible for labeling and discarding expired or improperly stored medications. The facility's Infection Preventionist and acting DON emphasized the importance of following guidelines to ensure medication efficacy and resident safety.
The facility failed to provide required Notice of Transfer or Discharge forms to residents and their representatives during hospital transfers. This deficiency affected four residents, including those with cognitive impairments, who did not receive information on transfer reasons, dates, locations, or appeal rights. Interviews revealed staff were unaware of the requirement, leading to a lack of implementation.
The facility failed to maintain an effective infection prevention and control program, as evidenced by a nurse not wearing a gown during wound care for a resident and a lack of proper signage. Additionally, a SRNA did not perform hand hygiene after exiting a room with a resident on contact precautions for C. diff. The facility's infection control policies were not reviewed or updated annually.
Failure to Deliver Mail on Saturdays
Penalty
Summary
The facility failed to ensure that residents had the right to receive mail delivered to the facility on Saturdays, affecting all 125 current residents. During a group interview, Resident Council members reported not receiving mail on Saturdays, except for special package deliveries. It was confirmed by the Assistant Business Office Manager (ABOM) and the Administrator that mail delivered from the Post Office on Saturday after 5:00 PM was not sorted or delivered by staff until the following Monday. The facility's policy on Resident Rights, revised in January 2025, stated that residents should be treated with respect and dignity, including ensuring their right to privacy in sending and receiving mail. Interviews with several residents revealed that mail was delivered from the Post Office on Saturdays, but if it arrived after 4:30 PM, it was not sorted or delivered. The Social Services Director (SSD) typically sorted the mail during the week, but was unavailable on weekends, preventing mail distribution. The ABOM acknowledged the issue and mentioned contacting the Post Office to discuss it. The Administrator confirmed that the facility was one of the last stops on the postal carrier's route, resulting in late mail delivery on Saturdays, and stated that no front office staff were available after 5:00 PM to sort the mail. Both the ABOM and the Administrator recognized the residents' right to receive mail on Saturdays as essential for their well-being and quality of life.
Deficiencies in Medication Storage and Handling
Penalty
Summary
The facility failed to ensure proper storage and handling of drugs, biologicals, and vaccines, leading to deficiencies in medication management. Observations revealed that medication refrigerators in the A, B, and D Hall Units were overcrowded, preventing proper airflow, and stored medications outside the recommended temperature parameters. This included influenza and COVID-19 vaccines, as well as various resident medications. Additionally, expired medications were found in the D Hall Unit's medication cart, and opened medications were not dated or stored properly in the B Hall Unit's medication cart. Interviews with staff, including the D Hall Unit Manager and the Administrative/Corporate Consultant, highlighted lapses in adherence to facility policies regarding medication storage and expiration. The D Hall Unit Manager acknowledged that the nursing staff was responsible for labeling and discarding expired or improperly stored medications. The Administrative/Corporate Consultant emphasized the importance of removing expired medications to maintain resident safety, noting that expired medications lose their effectiveness. Further observations in the B Hall Unit revealed improperly stored medications, such as a Zofran tablet without a resident label and opened packages of albuterol nebulizer solution not protected from light. The B Hall Unit Manager confirmed that nursing staff should date opened medications and discard expired or improperly stored items. The facility's Infection Preventionist/Staff Development Coordinator and the acting Director of Nursing reiterated the importance of following manufacturer's guidelines for medication storage to ensure efficacy and resident safety. However, inconsistencies in monitoring and adherence to policies were evident, contributing to the deficiencies observed.
Failure to Provide Transfer/Discharge Notices
Penalty
Summary
The facility failed to provide timely and appropriate notification to residents and their representatives regarding transfers or discharges to the hospital. Specifically, the facility did not issue the required Notice of Transfer or Discharge forms, which should include the reason for the transfer, the date, the location, and the resident's appeal rights, along with contact information for the state Long-Term Care Ombudsman. This deficiency was identified in four out of five residents reviewed for hospitalizations. For Resident 47, who was cognitively intact, there was no evidence in the medical record that she or her representative received the necessary notice when she was transferred to the hospital due to a critically elevated potassium level. Similarly, Resident 90, also cognitively intact, did not receive the required notice when transferred for hip pain following a fall. Resident 110, who had severe cognitive impairment, and his representative did not receive the notice when he was transferred due to a critically low potassium level. Resident 25's representative confirmed not receiving the notice when the resident was sent to the hospital. Interviews with facility staff, including nurses and administrative personnel, revealed a lack of awareness and implementation of the Notice of Transfer or Discharge form. Staff members, including LPNs, RNs, and the Business Office Manager, were not providing the form to residents or their representatives. The acting Director of Nursing and the Administrator acknowledged the oversight and indicated that the correct procedure was not being followed prior to the surveyor's findings.
Infection Control Deficiencies in Resident Care
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by deficiencies observed in the care of two residents. For one resident, a registered nurse did not wear a gown while performing wound care, and there was no Enhanced Barrier Precautions (EBP) sign on the resident's door. The nurse admitted to forgetting to wear the gown, which is crucial for preventing the spread of germs during wound care. The Assistant Director of Nursing confirmed that staff should wear gowns and gloves for wound care and that precaution signs should be posted on residents' doors. In another instance, a State Registered Nurse Aide (SRNA) failed to perform proper hand hygiene after exiting a room with a resident on contact precautions for Clostridium difficile (C. diff). The SRNA moved a mechanical lift out of the room and entered another resident's room without washing hands with soap and water, as required for C. diff precautions. The interim Director of Nursing and the Administrator both stated that staff are expected to wash their hands with soap and water when exiting rooms with enteric precautions due to C. diff. The facility's infection control policies were not reviewed or updated annually, as required. The Administrator acknowledged that infection control policies should be updated yearly and that corporate was responsible for updating and disseminating these policies. The President of Clinical Operations confirmed that the clinical department ensures policies are up-to-date and accurate, with old policies archived in a web-based program.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 64 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Winchester
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Willows At Hamburg | 11.9 mi | ★★★★★ | 0 | 0 |
| Lexington Premier Nursing & Rehab | 12.2 mi | ★★★★★ | 0 | 0 |
| Bourbon Heights Nursing Home | 13 mi | ★★★★★ | 0 | 0 |
| Bluegrass Care & Rehabilitation Center | 14.3 mi | ★★★★★ | 0 | 0 |
| Hartland Park Health & Rehabilitation | 14.8 mi | ★★★★★ | 4 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Fountain Circle Care & Rehabilitation Center.
100% money-back within 48 hours.
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.