Below 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 Mountain Manor Of Paintsville during CMS and state inspections, most recent first.
The facility did not promptly report suspected abuse, neglect, or theft, nor did it communicate the results of its investigation to the proper authorities as required.
Failure to Provide a Dignified Dining Experience: Two residents who were dependent on staff for feeding and had significant cognitive impairment were observed receiving meal assistance while two SRNAs conversed with each other about unrelated topics and discussed one resident in the third person. Staff interviews and the DON confirmed that feeding assistance should focus on the resident and that talking about a resident with another staff member during the meal was inappropriate and a dignity concern.
Failure to complete and transmit a discharge MDS for a resident discharged home. The resident had CHF and intact cognition on the admission MDS, and the record showed discharge home with no evidence that a discharge assessment was completed or submitted. The MDS Nurse stated the discharge MDS should have been completed within the required timeframe, while the DON and Administrator reported limited knowledge of the MDS process.
Failure to provide nail care during ADL assistance. A resident with age-related physical debility, lack of coordination, and muscle weakness required substantial/maximal help with personal hygiene and had a care plan for bathing and grooming support. During observations, the resident’s nails were long with visible brown-colored substance underneath, and the resident stated staff did not trim or clean the nails during bed baths. An SRNA said nail care was done only if time allowed, while the DON stated nail care was expected when residents received a bed bath.
Failure to Transcribe and Administer Urology Orders: A resident with an indwelling catheter and urinary diagnoses was seen by urology, where Hiprex was ordered twice daily and monthly catheter replacement was instructed. The order was faxed to the facility, but the MAR/TAR and order summary showed no Hiprex order, and progress notes showed no follow-up or administration of the medication. The resident later developed a UTI and started an antibiotic.
A resident with PVD, DM2, weakness, and impaired mobility fell from the bed while receiving a bed bath after an SRNA left the resident unattended to notify a nurse about a soiled dressing. The resident was found on the floor with a bruise to the neck and multiple skin tears, and staff later confirmed the aide should have used the call light instead of stepping away.
Medication was left at a resident’s bedside when an LPN administered mirtazapine and failed to verify that the resident swallowed all of the pills before leaving the room. The resident had severe cognitive impairment, and staff later found a single mirtazapine tablet in a medicine cup on the overbed table. The DON stated medications were not to be left at bedside and expected the nurse to remain until administration was complete.
A nursing assistant failed to follow infection control practices during catheter care for a resident with an indwelling urinary catheter who was on EBP. He did not don a gown, did not fully clean the penis shaft, and contaminated the basin by placing a soiled washcloth back with the clean washcloths before continuing care. The DON and ADON stated the resident required gown and glove use and that the washcloths should have been discarded separately.
Failure to Timely Report Suspected Abuse, Neglect, or Theft
Penalty
Summary
The facility failed to timely report suspected abuse, neglect, or theft and did not report the results of the investigation to the proper authorities. This deficiency was identified based on the facility's lack of prompt action in notifying the appropriate agencies when an incident of suspected abuse, neglect, or theft occurred. The report indicates that the required notifications and investigation results were not communicated as mandated.
Failure to Provide a Dignified Dining Experience
Penalty
Summary
The facility failed to provide a dignified dining experience for two residents who required staff assistance with eating. Facility policies stated that residents needing full assistance were to be fed with attention to safety, comfort, and dignity, and that residents should be provided with a dignified dining experience. Both residents had care plans directing staff to assist with eating, and both had significant cognitive impairment and dysphagia; one resident also had dementia with short- and long-term memory problems, and the other had dementia, blindness in one eye, and low vision in the other. During an observation, two SRNAs were seen providing feeding assistance to the two residents in their room while conversing with each other about unrelated topics. One SRNA and the other discussed one resident aloud in the third person and did not include the resident in the conversation, making comments about how much the resident ate and how the resident would react to certain foods. The staff members were observed focusing on their conversation with each other rather than solely on the residents during the meal. Interviews confirmed that staff and leadership considered this type of conversation during feeding assistance inappropriate and not consistent with dignity expectations. One SRNA stated it was inappropriate to talk about someone else when the resident was not included in the conversation. Other staff and the DON stated that when assisting a resident with a meal, staff should focus on the resident and not converse with other staff members, and that talking about a resident with another staff member during feeding assistance would be a dignity concern.
Failure to Complete and Transmit Discharge MDS
Penalty
Summary
The facility failed to complete and transmit a discharge MDS for one resident who was discharged from the facility. Resident #101 was admitted on 03/05/2025 with a medical history that included acute on chronic combined systolic and diastolic congestive heart failure. The resident’s admission MDS, with an ARD of 03/11/2025, showed a BIMS score of 13, indicating intact cognition. The admission record showed the resident was discharged home on 03/20/2025, and the care conference summary for that day documented that the resident did not attend, had no questions or concerns, and planned to discharge home that day. The resident’s record contained no evidence that a discharge MDS was completed or that discharge data were transmitted for the resident. During interview, the MDS Nurse stated a discharge MDS should have been completed with an ARD of 03/20/2025 and within 14 days after discharge, but she was not sure why it was missed. The DON stated she had limited knowledge of the MDS process and could not provide the time frame for completing assessments, and the Administrator stated he did not know much about the MDS process but expected assessments to be completed accurately and timely.
Failure to Provide Nail Care During ADL Assistance
Penalty
Summary
The facility failed to provide nail care for one resident who was unable to perform activities of daily living independently. The resident was admitted with diagnoses including age-related physical debility, lack of coordination, and muscle weakness. The quarterly MDS showed a BIMS score of 14, indicating intact cognition, and the resident required substantial/maximal assistance from staff with personal hygiene. The care plan identified a self-care ADL deficit related to disease process, obesity, and weakness, with interventions directing staff to assist with bathing and personal hygiene. Facility records showed the resident received a bed bath daily during the reviewed period, but during observation the resident’s nails were long and had a brown-colored substance visible underneath them. The resident stated staff did not provide nail care during bathing and that the nails had dirt under them and needed to be trimmed. On a later observation, the nails remained long and uncleaned. An SRNA stated nail care was attempted during bed baths if time allowed, and if not, it was done later; the DON stated her expectation was that nail care be provided when residents were given a bed bath.
Failure to Transcribe and Administer Urology Orders
Penalty
Summary
The facility failed to follow up on a urologist’s orders for Resident #11 and did not ensure the physician’s orders were transcribed and administered. Resident #11 was admitted with a history of obstructive and reflux uropathy, retention of urine, and benign prostatic hyperplasia, and had an indwelling catheter. The care plan directed staff to provide catheter care each shift and as ordered/as needed, observe for signs and symptoms of UTI, and change the catheter and drainage bag as ordered. An office visit report from the resident’s urology provider documented an assessment and plan to replace the catheter monthly and prescribe Hiprex twice daily to maintain clean urine and prevent UTIs. The report was faxed to the facility, but the resident’s order summary, MAR, and TAR showed no evidence of an order entry for Hiprex. Progress notes from the month reviewed showed no evidence that Hiprex was ordered and administered as recommended by the urologist, and no evidence that the recommendation or order was followed up on by facility staff. The record also showed that Resident #11 developed a new UTI later that month and started an antibiotic. During interviews, the IP stated it was the nurse on duty’s responsibility to transcribe new orders when a resident returned from an appointment. The urology MA stated the office provided verbal report, sent paperwork with the resident, and faxed prescriptions to the facility. The DON and Administrator stated they expected outside orders to be entered and followed after an appointment, and medical records staff stated that if paperwork was not received, follow-up would be made with the outside provider.
Resident Fell During Bed Bath After Being Left Unattended
Penalty
Summary
The facility failed to prevent a fall for one resident who was dependent on staff for bed mobility and bathing. The resident had diagnoses including peripheral vascular disease, type II diabetes mellitus, hypertension secondary to other renal disorders, muscle weakness, difficulty walking, and lack of coordination. The resident’s care plan directed staff to provide bathing and bed mobility assistance with one staff member at the time of the incident, and the resident was also identified as being at risk for injury and falls. On 06/01/2025, a state registered nursing aide was providing a bed bath when he rolled the resident onto the resident’s left side and then stepped to the doorway to notify a nurse that a bandage on the resident’s coccyx was soiled and needed to be changed. While the resident was left unattended, the resident fell from the bed. The resident was later found on the floor lying on the right side, with the head somewhat underneath the bed, and sustained a bruise to the right neck, a 2-cm skin tear to the left inner wrist, and two skin tears to the right forearm measuring 4 cm and 13 cm. The resident stated that while being bathed, the legs began to come off the bed and the resident slid to the floor. Staff interviews confirmed that the aide left the resident to alert the nurse rather than remaining with the resident, and the director of nursing stated the aide should have used the resident’s call light instead of leaving the resident unattended. The resident’s bed mobility and bathing assistance were later increased to two staff members after the fall.
Medication Left at Bedside
Penalty
Summary
Medications were not stored safely when a mirtazapine 30 mg tablet was found in a medicine cup on a resident’s overbed table near the bed during observation. The resident had been admitted with diagnoses including Huntington’s disease, bipolar disorder, anxiety disorder, and insomnia, and a quarterly MDS showed a BIMS score of 6, indicating severe cognitive impairment. The resident’s order summary included mirtazapine 30 mg at bedtime, and the July 2025 MAR showed the medication was documented as administered by an LPN at 9:00 PM the prior evening. During the observation, an RN identified the pill as mirtazapine by comparing it with medication supply cards in the medication cart. The RN stated she had not entered the room before the observation and had not noticed the medication at the bedside. An LPN later stated she had given the resident the medication, believed the resident had swallowed it after taking the cup of pills, and did not check the cup afterward because the resident often discarded it. The LPN acknowledged she should have checked to verify all pills were swallowed before leaving the room. The DON stated medications were not to be left at bedside and expected the nurse to remain at the bedside until all medications were administered.
Infection Control Lapses During Catheter Care
Penalty
Summary
The facility failed to maintain infection control practices during urinary catheter care for one resident who had an indwelling catheter. The resident was admitted with diagnoses including obstructive and reflux uropathy, retention of urine, and benign prostatic hyperplasia. The resident’s quarterly MDS showed intact cognition with a BIMS score of 15, and the care plan directed staff to provide catheter care each shift and as ordered, observe for signs and symptoms of UTI, and change the catheter and drainage bag as ordered. During observation of catheter care, a nursing assistant entered the resident’s room, donned clean gloves, gathered supplies, filled a basin with warm water, and placed clean washcloths in the basin. The nursing assistant used a washcloth to wipe the end of the penis tip and scrotum, did not clean the penis shaft, then placed the soiled washcloth back into the basin on top of the clean washcloths. The nursing assistant then retrieved another washcloth from the same basin to rinse the area and continued care without donning a gown. The nursing assistant stated the resident was on enhanced barrier precautions and acknowledged he should have worn a gown but forgot. He also acknowledged that the soiled washcloth contaminated the basin and remaining clean washcloths, and stated the soiled washcloth should have been placed in a bag instead. The DON and ADON stated the foreskin should be pulled back and the penis cleaned properly, the washcloths should be discarded into a plastic bag, and the resident required a gown and gloves for the care.
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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 6 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 Paintsville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Prestonsburg Health Care Center | 10.2 mi | ★★★★★ | 0 | 0 |
| Riverview Health Care Center | 10.4 mi | ★★★★★ | 0 | 0 |
| Martin County Health Care Facility | 14.6 mi | ★★★★★ | 3 | 0 |
| Salyersville Nursing And Rehabilitation Center | 16 mi | ★★★★★ | 2 | 0 |
| Jordan Rehabilitation And Healthcare Center | 21.6 mi | ★★★★★ | 1 | 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.