Average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lee County Care & Rehabilitation Center during CMS and state inspections, most recent first.
Unsafe and Poorly Maintained Physical Environment: Surveyors found multiple environmental deficiencies in resident rooms, shower areas, and common spaces, including cracked and broken tiles, rusted vents and door frames, stained and sagging ceiling tiles, missing baseboard, damaged wall surfaces, and mold-like buildup on mobile shower equipment. A resident reported a ceiling hole and rust in his room and bathroom had been present for weeks, while staff said several concerns were not routinely reported or cleaned, including shower chair wheel wells and other equipment surfaces.
Resident EMR privacy was not maintained when a computer on top of the medication cart at the B Wing nurses' station was left open with confidential resident information and a resident picture visible in the hallway to visitors, residents, and staff. The DON observed the open screen and said it was a privacy violation, and an RN later stated that leaving resident information visible was a violation of privacy. The Administrator stated the screen should be minimized or closed before staff walked away from the cart.
Inaccurate care planning for a resident with cerebral infarction and left-sided hemiplegia failed to reflect his assessed needs and preferences. The behavioral care plan stated he had a history of refusing showers and medications, but the resident denied those behaviors, the Medical Records Nurse said the medication refusal history was incorrect, and no individualized interventions were included. The Nurse Aide Care Plan also contained an unclear leave and return notation without explanation or staff authentication, leaving staff without clear direction for daily care.
Failure to Provide Routine Nail Care: A resident with cerebral infarction, L-sided hemiplegia, dysphagia, and chronic respiratory conditions had long, visibly soiled fingernails with debris under all nails over multiple observations. The resident, who was cognitively intact, said his nails had not been cut in over a month and that staff ignored repeated requests for nail trimming. Staff interviews showed shower documentation was intended to identify nail care needs, but an SRNA did not complete the form, and the RN and DON confirmed nail care was part of routine personal care.
Failure to maintain aseptic technique during IV antibiotic administration: An RN administered IV Vancomycin to a resident without placing a barrier under the IV tubing on the bed and without wiping the IV ports before connecting them. The RN stated wiping was unnecessary because the bed had the resident's flora, while the SPRN, Administrator, and DON stated the tubing should have been on a barrier or clean surface and the ports should have been wiped before connection; the DON also stated the facility lacked competency training for routine IV administration such as antibiotics.
Unsafe and Poorly Maintained Physical Environment
Penalty
Summary
The facility failed to maintain a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. During observations, interviews, and record review from 12/16/2025 through 12/18/2025, surveyors identified multiple ongoing environmental concerns throughout resident rooms and common areas, including damaged wall surfaces, broken or deteriorated tiles, rusted fixtures, and other structural concerns. The facility’s policy stated that residents would be treated in an environment that promotes maintenance or enhancement of quality of life, but the observed conditions showed the physical environment was not consistently maintained in accordance with that policy. In the C Wing shower room, surveyors observed two cracked tiles at the corner of the shower, a black mold-like substance underneath the blue cushion of a resident mobile shower chair, and a wad of hair, debris, and loose hair underneath the cushion and on the surface beneath the mobile shower bed. In the B Wing shower room, surveyors observed a rusted air vent, two broken tiles at the shower entrance, multiple floor tiles separating from the corner wall, and a mobile shower chair with a mold-like substance on its surface and wheel wells. The district manager stated shower chairs and shower beds were expected to be cleaned after each resident use, while the housekeeping supervisor stated this was not routinely done and acknowledged the wheel wells were not routinely cleaned. Additional observations in resident-use and common areas included stained, sagging, and broken ceiling tiles in the dining room and ramp leading to the dining room, rust on drop ceiling clips, a missing section of baseboard, rusted and scuffed door frames, missing or damaged wall paneling and paint, a broken light panel at the C Wing nurses’ station, and a broken wall corner guard. Resident R21 stated he had a hole in the ceiling of his room for several weeks and that rust around his room entryway and bathroom had not been addressed. Staff interviews showed that several environmental concerns were observed but not reported to maintenance, and the maintenance director stated he relied on staff to report concerns and was not aware of some of the issues identified during the survey.
Resident EMR Left Visible on Medication Cart
Penalty
Summary
The facility failed to protect resident rights to privacy related to electronic medical records (EMRs). On 12/16/2025 at 10:34 AM, 10:40 AM, and 11:05 AM, the computer located on top of the medication cart at the B Wing nurses' station was observed left open with confidential resident information visible in the hallway to visitors, residents, and staff. The screen also displayed a resident picture in the upper left-hand corner while residents and staff were present in the hallway during each observation. The facility admission packet stated that residents are to be provided confidential treatment of their medical and personal records and that residents have the right to privacy and confidentiality of personal and medical records. During an interview at 10:42 AM, the DON observed the open computer screen and stated it was a violation of privacy and that the screen should be minimized before staff walked away from the medication cart. RN 1 also stated at 10:45 AM that leaving the computer open with resident information visible to anyone was a violation of resident privacy. At 11:05 AM, RN 1 was again observed walking away from the B Wing medication cart with the computer screen open and resident information in full view. The Administrator later stated that the computer screen should be minimized or closed for resident privacy before staff walk away from the medication cart.
Inaccurate care plan lacked individualized interventions
Penalty
Summary
The facility failed to ensure that one resident’s comprehensive care plan was accurate, person-centered, and reflective of assessed needs and preferences. For Resident 21, the behavioral care plan was updated to state that the resident had a history of refusing showers and medications at times, but the care plan did not include any corresponding interventions, approaches, or strategies to address those behaviors. The resident’s comprehensive care plan also lacked documentation supporting the inclusion of those behaviors and did not reflect individualized guidance related to bathing or medication administration. Resident 21 was admitted after a hospital stay with diagnoses including cerebral infarction with left-sided hemiplegia. The resident’s MDS showed a BIMS score of 15 out of 15, indicating cognitive intactness. During interview, the resident stated he had never refused showers or medications and explained that when personal care was delayed, he felt unclean and uncomfortable and would request hygiene care rather than refuse it. The Medical Records Nurse stated the resident did not have a history of refusing medications and acknowledged that the information should not have been included in the care plan. The Nurse Aide Care Plan for Resident 21 also contained an entry stating leave and return, but it did not explain the purpose of the notation, the duration, or how staff were to use it in providing care. The entry was not signed or initialed by the person who entered it. Staff interviews reflected that the notation was unclear and did not provide direction for nurse aides. The MDS nurses and DON stated that when a behavior is added to a care plan, corresponding individualized interventions should be included immediately, and the care plan should provide clear guidance to staff; however, that was not present for this resident.
Failure to Provide Routine Nail Care
Penalty
Summary
The facility failed to ensure routine nail care was provided for one sampled resident, R21, whose fingernails were observed to be long and visibly soiled on multiple days. The nails extended beyond the fingertips and had dark debris underneath all fingernails, and the condition remained unchanged throughout the observation period. R21 was admitted after a hospital stay with diagnoses including cerebral infarction with left-sided hemiplegia, dysphagia, and chronic respiratory conditions, and his MDS showed a BIMS score of 15, indicating he was cognitively intact. R21 stated his fingernails had not been cut in over a month and that he had asked staff on multiple occasions to trim them, but felt his requests were ignored. The behavioral care plan noted a history of self-inflicted scratching and bruising to the left side of his nose and included nursing interventions related to hygiene and reducing complications. Staff interviews indicated shower documentation sheets were intended to identify residents needing nail care, but the SRNA did not complete the sheet during care and did not verify whether R21 was diabetic before initiating the shower. The RN stated the sheets were expected to be reviewed for nail care needs, and the DON stated trimming residents' nails was part of routine personal care and that if R21 had been requesting nail care, his nails should have been trimmed.
Failure to Maintain Aseptic Technique During IV Antibiotic Administration
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one resident, R59. The cited policy on infection control required needleless connectors to be vigorously scrubbed with an antiseptic wipe before access and swabbed between each entry, including when attaching syringes of flush solution or the administration set. During observation on 12/16/2025 at 11:05 AM, RN1 administered IV Vancomycin to R59 without placing a barrier on the bed before laying the IV tubing with open ports on the resident's bedsheets. RN1 also did not wipe the ends of the port from R59's wrist with an alcohol swab or the end of the IV tubing before connecting them to administer the medication. RN1 stated it was not necessary to wipe the IV tubing ports because the bed had the resident's flora and cleanliness was not an issue. The SPRN, Administrator, and DON each stated the tubing should have been placed on a barrier or clean surface and the IV ports should have been wiped before connection, and the DON stated the facility did not have competency training for regular IV administration such as antibiotics.
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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.
Illustrative
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Beattyville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Owsley County Health Care Center, Inc. | 8.2 mi | ★★★★★ | 0 | 0 |
| Wolfe County Health & Rehabilitation Center | 15.2 mi | ★★★★★ | 0 | 0 |
| Irvine Nursing And Rehabilitation Center | 17.3 mi | ★★★★★ | 1 | 0 |
| Breathitt Health & Rehabilitation | 18.3 mi | ★★★★★ | 5 | 0 |
| Stanton Nursing And Rehabilitation Center | 20.2 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 August 2026) and official state health department websites.