Above average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Homestead Post Acute during CMS and state inspections, most recent first.
The facility failed to establish a comprehensive water management program to prevent Legionella growth, lacking detailed descriptions, flow diagrams, and intervention strategies. Staff interviews revealed a lack of awareness and training on the program, with the new Maintenance Director untrained and the Infection Preventionist uninvolved. The Administrator, overseeing the program temporarily, could not provide specific documents, leading to the deficiency.
A facility failed to develop a comprehensive care plan for a resident with PTSD, omitting trauma-informed care and interventions for potential triggers. Staff interviews revealed a lack of awareness and understanding of including trauma care in plans, with the Director of Nursing attributing the oversight to staff turnover. The Administrator expected such needs to be included but could not explain the omission.
A facility failed to provide trauma-informed care for a resident with PTSD, who had a history of witnessing a traumatic event in childhood. The resident's care plan did not include her traumatic life events or interventions to mitigate potential triggers, such as loud noises. Staff interviews revealed a lack of awareness and understanding of the resident's trauma history and how to provide appropriate care. The interdisciplinary team failed to identify and address the resident's trauma history and potential triggers, leading to inadequate psychosocial support.
Deficiency in Water Management Program for Legionella Prevention
Penalty
Summary
The facility failed to establish a comprehensive water management program to prevent the growth and spread of Legionella and other opportunistic waterborne pathogens. The facility's policy on infection prevention and control, dated December 2023, did not include a detailed water management program. The program lacked a description of the building's water systems, flow diagrams, measures to prevent pathogen growth, testing protocols, acceptable ranges, and intervention strategies when control limits were not met. The facility's water management binder contained limited information, including chlorine level readings, but did not document any actions taken when levels were out of range. Interviews with facility staff revealed a lack of awareness and training regarding the water management program. The Maintenance Assistant, who was the former Maintenance Director, stated he had never heard of Legionella and was unaware of any water management program or policy. The new Maintenance Director, who had been in the position for only three days, had not received any training on water maintenance or testing procedures for Legionella. The Infection Preventionist and her backup also had limited knowledge of the water management program, with the IP nurse stating she had no involvement in it and the backup unaware of testing ranges or procedures. The Administrator acknowledged the recent turnover in the maintenance department and stated he had assumed responsibility for the water management program until the new Maintenance Director could be trained. However, he was unable to provide specific documents related to the facility's water system assessment, flow diagrams, or intervention strategies. Despite the QAPI committee's review of the program in January 2024, the facility lacked a comprehensive and documented approach to managing waterborne pathogens, leading to the deficiency identified by the surveyors.
Failure to Include Trauma-Informed Care in Resident's Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive, resident-centered care plan for Resident 85, who was admitted with diagnoses including sequelae of cerebral infarction, PTSD, insomnia, and recurrent depressive disorders. The care plan did not include the resident's history of traumatic life events or interventions to mitigate potential triggers related to the PTSD diagnosis. This omission was identified during a review of the resident's care plan dated 09/17/2024, which lacked focus areas addressing the resident's trauma history. Interviews with facility staff revealed a lack of awareness and understanding regarding the inclusion of trauma-informed care in the care plans. The Unit Manager was initially unaware that trauma-informed care should be included for residents with PTSD. The Social Services Assistant noted that trauma information should be added to care plans once disclosed by residents, but this was not done for Resident 85. The Social Services Director and Minimum Data Set Nurse also expressed unfamiliarity with the process of incorporating trauma triggers into care plans, indicating a gap in the facility's procedures. The Director of Nursing acknowledged the importance of including trauma triggers in care plans to promote residents' quality of life but attributed the oversight to staff turnover in the social services department. The Administrator expected psychiatric needs, including trauma-informed care, to be part of the care plans but could not explain the failure to include these elements for Resident 85. This deficiency highlights a systemic issue in the facility's approach to developing comprehensive care plans that address all aspects of residents' needs.
Failure to Provide Trauma-Informed Care for Resident with PTSD
Penalty
Summary
The facility failed to provide trauma-informed care for Resident 85, who was a trauma survivor with a history of post-traumatic stress disorder (PTSD). The facility's policy required a thorough assessment of residents for mental disorders and behavioral symptoms, but the care plan for Resident 85 did not include her traumatic life events or interventions to mitigate potential triggers related to her PTSD. Despite being cognitively intact and having a history of moderate depression, the facility did not address the resident's trauma history in her care plan. Resident 85 had a traumatic childhood experience where she witnessed her father kill her baby brother, which she reported to a Licensed Clinical Social Worker. The resident experienced sleep disturbances and was sensitive to loud noises, such as slamming doors, which were not considered in her care plan. Staff interviews revealed a lack of awareness and understanding of the resident's trauma history and how to provide appropriate care. The Unit Manager, Social Services Assistant, and Director of Nursing were unaware of the resident's trauma history and did not know how to assess or mitigate trauma triggers. The facility's interdisciplinary team failed to identify and address Resident 85's trauma history and potential triggers, leading to inadequate psychosocial support. The Social Services Director, who was new to the facility, was not familiar with the long-term care residents and did not know the role of social services in caring for residents with PTSD. The Administrator believed the team did everything possible to identify trauma history, but could not explain how the process failed for Resident 85.
What surveyors are citing around you — mapped
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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 65 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 Lexington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pine Meadows Post Acute | 0.1 mi | ★★★★★ | 6 | 0 |
| Cardinal Hill Skilled Rehabilitation Unit | 0.5 mi | ★★★★★ | 8 | 0 |
| Cambridge Nursing & Rehabilitation Center | 0.9 mi | ★★★★★ | 6 | 0 |
| Lexington Country Place | 0.9 mi | ★★★★★ | 0 | 0 |
| The Willows At Citation | 3.5 mi | ★★★★★ | 0 | 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.