Average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Menifee Meadows Nursing & Rehab Llc during CMS and state inspections, most recent first.
The facility failed to update care plans for two residents. One resident with dementia, depression, anxiety, and severe cognitive impairment was observed wearing a soft helmet, but the care plan did not include the helmet or its maintenance. Another resident with COPD and chronic respiratory failure reported becoming short of breath during a shower when oxygen was not brought with her; although oxygen was ordered continuously at 3 LPM, the care plan and Kardex did not give SRNAs specific direction on oxygen use or when it could be removed. The DON confirmed the missing care plan details.
Portable oxygen was not available for a resident with COPD, acute on chronic respiratory failure with hypoxia, and CHF during a shower, and she became short of breath and upset when the shower took longer than usual. Although the resident had an order for O2 at 3 LPM every shift and the DON and NP expected oxygen to be worn and available at all times, the SRNA was not aware of the specific oxygen order and the Kardex had no direction for staff regarding oxygen.
The facility failed to maintain sanitary conditions in its food service operations. Observations revealed that a cook and the Maintenance Director did not wear proper beard protectors, violating the facility's infection control policy. Additionally, the kitchen was found to be unsanitary, with dirty equipment such as the stove top, back-splash, grease trap, and convection oven. The cleaning schedule lacked specific tasks for these areas, and staff interviews indicated a lack of adherence to cleaning protocols.
Care plans were not updated for a resident using a soft helmet and a resident requiring continuous oxygen
Penalty
Summary
The facility failed to review and revise the comprehensive care plan for 2 of 13 sampled residents, R14 and R26. The facility policy required a comprehensive person-centered care plan for each resident with measurable objectives and timeframes to meet medical, nursing, and psychosocial needs. For R14, who was admitted with dementia with behavioral disturbance, major depression, and anxiety and had a BIMS score of 01 indicating severe cognitive impairment, observation showed the resident wearing a soft helmet strapped under the chin. Review of the care plan showed a falls focus area initiated on 01/14/2022 and last revised on 01/08/2026 for physical therapy, but it did not include an intervention for use of the soft helmet or maintenance of the helmet. For R26, who was admitted with COPD, acute and chronic respiratory failure with hypoxia, and anxiety, the resident stated she became short of breath during a shower because it took longer than normal and her regular SRNA did not bring oxygen with her. The physician order dated 03/04/2026 directed oxygen at 3 LPM via nasal cannula continuously, with humidification for comfort every shift, but the Kardex had no direction for SRNAs regarding oxygen use. The care plan addressed altered respiratory status and oxygen as ordered, but it did not specify when, if ever, oxygen could be removed. Staff interviews confirmed the oxygen should have been available at all times, including in the shower room, and the DON stated the care plan had not been updated to include the padded helmet for R14 or specific guidance for R26 regarding oxygen use.
Portable Oxygen Not Available During Resident Shower
Penalty
Summary
The facility failed to keep portable oxygen available for a resident who required oxygen during a shower. Resident 26 had diagnoses of COPD, acute on chronic respiratory failure with hypoxia, and CHF, and her MDS showed a BIMS score of 8, indicating moderate cognitive impairment. Her physician orders included oxygen at 3 LPM every shift, and her care plan addressed altered respiratory status with an intervention to apply oxygen as ordered. However, the resident’s Kardex contained no documentation or direction for the SRNA regarding oxygen. Resident 26 stated she became short of breath and upset during her shower because the shower took longer than usual and no portable oxygen tank was available in the shower room. The SRNA who provided the shower stated he did not notice the resident was short of air and was not aware of how oxygen was specifically ordered for her, though he said he would have obtained a portable tank if she had stated she was short of air. The DON stated that if the order was for oxygen continuous every shift, the resident should keep oxygen on at all times and staff should have oxygen readily available, and the NP stated the resident was expected to wear oxygen at all times and have it available near her.
Failure to Maintain Sanitary Food Service Conditions
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a survey. Cook1 was seen preparing food without wearing a proper beard protector, which is a requirement according to the facility's Prevention of Foodborne Illness/Infection Control policy. This policy mandates that all staff in the food and nutrition department must wear hair nets and beard nets at all times to prevent contamination. The Maintenance Director was also observed without a proper mustache/beard protector, despite acknowledging the importance of covering all facial hair to prevent cross-contamination. Additionally, the facility's kitchen was found to be in an unsanitary condition. During the initial tour, the stove top surface, back-splash, grease trap, and convection oven were noted to be dirty and in need of cleaning. The facility's Kitchen/Food Service Area Cleaning and Sanitary Standards policy requires that all surfaces and equipment be cleaned after each use and at the end of each shift. However, the cleaning schedule did not include specific tasks for cleaning the stove top backsplash, grease trap, and convection oven, leading to their neglected state. Interviews with staff revealed a lack of clarity and adherence to the cleaning schedule. The A Shift Aide could not recall the last time the oven was cleaned, and the Dietary Manager admitted that the heavy equipment had not been cleaned according to the facility's schedule. The Dietary Manager also acknowledged the need for a more effective tracking system to ensure compliance with cleaning protocols. This failure to maintain a clean and sanitary kitchen environment had the potential to affect all residents consuming food prepared in the facility's kitchen.
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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 Frenchburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Stanton Nursing And Rehabilitation Center | 13 mi | ★★★★★ | 0 | 0 |
| Wolfe County Health & Rehabilitation Center | 13.3 mi | ★★★★★ | 0 | 0 |
| Ridgeway Nursing & Rehabilitation Facility | 17.3 mi | ★★★★★ | 1 | 0 |
| Mt. Sterling Health & Rehab, Llc | 19.4 mi | ★★★★★ | 14 | 0 |
| West Liberty Nursing And Rehabilitation | 19.4 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.