Average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
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 Hillcrest Health And Rehabilitation Center during CMS and state inspections, most recent first.
Two residents with cognitive and behavioral impairments were physically assaulted by other residents, resulting in injuries and emotional distress. In both cases, staff and documentation confirmed that the aggressors had histories of confusion or aggression, and the incidents occurred despite care plans noting these risks.
Staff did not promptly report two separate abuse allegations: one involving a resident's report of mistreatment during a hospital stay, and another involving a witnessed resident-to-resident altercation. In both cases, required notifications to the DON, Administrator, and state agency were delayed, despite staff being trained on immediate reporting protocols.
Failure to Provide Nail Care: Two residents with significant cognitive impairment and dependence for ADLs were observed with long, dirty, or jagged fingernails despite facility protocol and care plans directing staff to provide grooming and nail care during bath/shower care or as needed. Staff interviews showed they knew nail care was part of ADL care, but one RN was unaware of the condition and an SRNA stated she had not offered to trim the nails.
The facility failed to maintain a homelike environment for two residents due to persistent urine odors in shared bathrooms. Despite daily cleaning, the odors persisted, as confirmed by the residents and staff. The housekeeping supervisor and maintenance director acknowledged the issue, citing potential causes like leaking seals. The administrator confirmed the strong odors upon inspection.
The facility failed to properly label and store drugs and biologicals, with a medication cart found unlocked and unattended during medication pass, and multi-dose bottles lacking open dates. Expired medical supplies were also found in the medication room. Staff interviews revealed a lack of clarity on responsibilities for discarding expired supplies and emphasized the importance of securing medication carts and dating opened medications.
The facility failed to maintain infection control by not adhering to enhanced barrier precautions during resident care, lacking a policy for cleaning shared equipment, and improperly storing urinals and bedpans. Staff did not use gowns during care for residents under EBP, and shared equipment like the Hoyer lift and In-Bed scale were not cleaned between uses. Additionally, urinals and bedpans were found unbagged and improperly stored, posing a risk of bacterial spread.
Failure to Prevent Resident-to-Resident Physical Abuse
Penalty
Summary
The facility failed to protect residents from abuse by other residents in two separate incidents. In the first incident, a resident with moderate cognitive impairment and a history of insomnia was physically assaulted by another resident with severe cognitive impairment and a history of physical altercations. The assault occurred when the resident with severe cognitive impairment became confused in an adjoining bathroom, exited into the wrong room, and struck the sleeping resident, resulting in a laceration above the victim's right eyelid. Staff interviews confirmed the confusion and physical altercation, and documentation indicated that the aggressor had a prior history of similar behavior. In the second incident, a resident with severe cognitive impairment and a history of physical aggression became upset when their wheelchair was blocked by another resident with moderate cognitive impairment. The agitated resident slapped the other resident in the face, knocking off their glasses and causing redness to the jaw. The incident was witnessed by a nurse aide, and the aggressor was immediately removed from the area. The victim later reported feeling unsafe in the facility as a result of the incident. Both incidents involved residents with documented behavioral and cognitive issues, and the facility's care plans noted the potential for aggression and confusion. Despite these known risks, the facility did not prevent the occurrences of resident-to-resident physical abuse, resulting in physical harm and emotional distress to the affected residents.
Failure to Timely Report Allegations of Abuse and Resident-to-Resident Altercation
Penalty
Summary
The facility failed to ensure timely reporting of suspected abuse, neglect, or theft, and did not report the results of investigations to the proper authorities as required by policy. In one instance, a cognitively intact resident reported to a nurse aide that they had been mistreated during a recent hospital stay and expressed fear for their safety, showing a bruise on their hand. The aide reported this to the nurse on duty, who then contacted the on-call nurse. However, the incident was not reported to the Director of Nursing (DON) or the Administrator within the required timeframe. The DON and Administrator only became aware of the allegation days later during a morning meeting, well beyond the policy's two-hour reporting requirement for abuse allegations. In another case, a resident-to-resident altercation was witnessed by a nurse aide, where one resident struck another, resulting in minor redness to the face. The incident was reported to the assigned nurse, who checked the injured resident and later reported the event to the DON. However, the report to the DON was delayed by over an hour, and the subsequent report to the state agency was not made within the mandated two-hour window. Staff interviews confirmed that although they had received abuse training and were aware of the immediate reporting requirements, the delay occurred due to being occupied with other duties and a breakdown in communication. Both incidents demonstrate that staff did not follow the facility's policy, which requires immediate reporting of all allegations of abuse, neglect, or misappropriation to the DON or Administrator, and timely notification to state and federal agencies. The failure to report these incidents promptly resulted in non-compliance with regulatory requirements and facility policy, as confirmed by staff and administrative interviews and documentation review.
Failure to Provide Nail Care
Penalty
Summary
The facility failed to ensure nail care was provided for 2 of 3 sampled residents who were unable to perform activities of daily living independently. Facility documentation titled "Protocol for Nail Care" stated that residents without a diabetes diagnosis were to receive nail care as needed with morning care. Despite this, Resident #42, who was admitted with dementia and anxiety disorder and was assessed as severely impaired for daily decision making with memory problems, was observed on multiple occasions to have long, dirty fingernails. The resident's care plan directed staff to assist with grooming daily as needed, and the resident required supervision or touch assistance for personal hygiene. Resident #56, who was admitted with muscle weakness, cataract, lack of coordination, and anxiety disorder, was also assessed as severely cognitively impaired and dependent on staff for all ADLs. The resident's care plan directed staff to assist with grooming/personal hygiene and provide total assist for all ADLs. The resident was observed to have long fingernails on both hands and later continued to have long fingernails. Staff interviews indicated that trimming and cleaning fingernails was part of bath/shower care or as needed, but RN #7 was not aware of the condition of either resident's nails, and SRNA #9 stated she knew both residents had long, dirty fingernails but had not offered to trim them. Interviews with staff and management confirmed the issue. RN #7 stated residents' nails should be trimmed on shower/bath days and as needed. SRNA #8 stated Resident #42's nails needed to be trimmed and cleaned but gave no reason for not doing so. MDS staff later trimmed Resident #56's nails after the Administrator mentioned the surveyor had raised the issue, and both MDS staff confirmed the nails were jagged and long. The DON stated staff had been in-serviced to trim and clean residents' fingernails on bath/shower days, and the Administrator stated she expected staff to cut and clean residents' fingernails.
Failure to Maintain a Homelike Environment Due to Persistent Urine Odors
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment for two residents, as evidenced by strong urine odors in shared bathrooms. Observations revealed that bathrooms in several rooms had a persistent urine odor, which was confirmed by interviews with the residents. One resident, who was cognitively intact, reported that despite daily cleaning, the bathroom continued to smell bad for months, rating the odor as extremely unpleasant. Another resident, also cognitively intact, mentioned being accustomed to the smell, indicating a long-standing issue. Interviews with the housekeeping/laundry supervisor and the maintenance director revealed awareness of the odor problem. The housekeeping supervisor acknowledged the difficulty in eliminating the urine smell despite using various cleaning chemicals and identified potential causes such as leaking seals or commode issues. The maintenance director confirmed replacing a commode seal recently, which could contribute to the odor if leaking. The administrator, upon being made aware of the issue, confirmed the presence of strong urine odors in the bathrooms, despite her expectations for a homelike environment free of such odors.
Medication Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to adhere to accepted principles for labeling and storing drugs and biologicals. During multiple observations, a medication cart on the [NAME] Hall was found unlocked and unattended during medication pass, with residents, staff, and visitors passing by. Additionally, multi-dose bottles on the cart were not labeled with an open date. The facility's policy required medications to be stored securely and accessible only to authorized personnel, but this was not followed. Licensed Practical Nurse #1 acknowledged the failure to lock the cart and the absence of open dates on medications, which could lead to potential harm. Further observations revealed expired medical supplies in the medication room, including viral transport tubes, central line dressing kits, and intravenous supplies. Interviews with staff, including the Nurse Consultant, RN3, the Director of Nursing, and the Administrator, highlighted a lack of clarity on responsibility for discarding expired supplies and the importance of locking medication carts and dating opened medications. The Director of Nursing and the Administrator emphasized the risks associated with unlocked carts and expired products, which could cause harm to residents.
Infection Control Deficiencies in Resident Care and Equipment Cleaning
Penalty
Summary
The facility failed to maintain proper infection control measures, as evidenced by staff not adhering to enhanced barrier precautions (EBP) during resident care. Observations revealed that a Licensed Practical Nurse (LPN) and State Registered Nursing Assistants (SRNAs) did not don gowns while providing wound care and urinary catheter care to a resident under EBP. Despite being trained by the Infection Preventionist (IP) on the necessity of using gowns and gloves for residents with multi-drug resistant organisms, staff admitted to forgetting these precautions due to nervousness during the survey. The IP confirmed that staff were educated on EBP and that PPE was available, but acknowledged the absence of formal audits and structured rounding times. The facility also lacked a policy for cleaning shared resident equipment, such as the Hoyer lift and In-Bed scale. Staff were observed using these items without cleaning them before or after use, and some staff were unaware of any cleaning requirements. Interviews with staff and the IP/Staff Development Coordinator revealed that there was no training provided for cleaning these pieces of equipment, and no cleaning schedule was in place. The Director of Nursing (DON) and Administrator acknowledged the absence of a cleaning policy and were in the process of developing one. Additionally, the facility did not ensure proper storage of residents' urinals and bedpans, which were found unbagged and placed on the floor or hanging with dark-colored urine. The DON and Administrator both stated that these items should be cleaned after each use, stored in bags, and not placed on the floor to prevent the spread of bacteria. The lack of proper storage and cleaning protocols for these items was recognized as a potential risk for bacterial spread among residents.
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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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Nursing homes near Corbin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Christian Health Center Corbin | 1.6 mi | ★★★★★ | 4 | 3 |
| The Heritage Nursing And Rehabilitation Facility | 4.5 mi | ★★★★★ | 0 | 0 |
| Corbin Health And Rehabilitation Center | 4.6 mi | ★★★★★ | 0 | 0 |
| Laurel Heights Home For The Elderly | 10.7 mi | ★★★★★ | 0 | 0 |
| Barbourville Health And Rehabilitation Center | 13.4 mi | ★★★★★ | 7 | 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.