Below average — CMS composite of the measures below.
The next survey window likely opens around April 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 Sayre Christian Village Nursing Home during CMS and state inspections, most recent first.
Hand hygiene and food storage practices were not sanitary. The DM repeatedly turned off the faucet with bare hands after washing at the hand sink instead of using a clean towel or paper towel. In addition, a Unit 2 nourishment refrigerator contained three pitchers of tea, including one dated but not labeled and two that were neither dated nor labeled. Facility policy required proper hand hygiene technique and that refrigerated food be labeled, dated, monitored by use-by-date, and discarded when the date is reached.
A facility failed to provide required written bed-hold and transfer notices to three residents and their representatives when the residents were sent to the ER by ambulance. The notices were not given before transfer or upon return and did not include the required reason, date, location, appeal rights, or Ombudsman contact information; family representatives said they were only called about the transfers and did not receive the forms by hand delivery or mail.
Shared resident equipment was not maintained in a clean and disinfected condition. Two Hoyer sit-to-stand lifts had visible debris and encrusted substance in the platforms, even though the facility policy and multiple staff, including an IP, DON, and Administrator, stated the lifts and other multi-use equipment were to be cleaned or sanitized after each resident use to prevent infection control and cross-contamination issues.
Incomplete Dialysis Communication Documentation: A resident with ESRD receiving hemodialysis three times weekly had incomplete or unavailable pre- and post-dialysis communication forms for multiple treatments. The facility’s policy required ongoing pre/post dialysis assessments and communication with the dialysis center, but the record lacked completed documentation for weights, access site checks, snack information, and other required details.
Expired topical medications were found in the medication refrigerator for two residents. The products were labeled for use on a resident’s buttocks and for a stage 2 sacral wound, but both had passed their expiration dates. An LPN, the Unit 100 Manager, the DON, and the Administrator all stated expired medications should not be used and might be ineffective.
The facility did not ensure that residents and their representatives were properly informed that signing a binding arbitration agreement was voluntary, not a condition of admission, and could be rescinded within 30 days. Several residents did not recall being informed about or signing the agreement, and staff interviews revealed gaps in knowledge about residents' rights regarding arbitration.
Multiple infection control lapses were identified, including catheter drainage bags resting on the floor for two residents, improper disinfection of shared equipment such as gait belts and blood pressure cuffs, medications poured onto unclean surfaces without barriers, food handled without gloves, and a staff badge coming into contact with food. Staff interviews revealed inconsistent knowledge and application of infection control policies.
Two residents did not have their needs and preferences reasonably accommodated: one resident's call light was repeatedly found out of reach while she was dependent on staff for mobility, and another resident, who was cognitively intact, was unable to sleep in her bed due to discomfort and instead slept in a recliner after her request for a different bed was not addressed by staff. Interviews with staff and leadership confirmed these issues were not in line with facility expectations.
Hand Hygiene and Improperly Labeled Refrigerated Food
Penalty
Summary
The facility failed to prepare, store, and serve food under sanitary conditions. During observation of the Dietary Manager at the hand sink on 05/11/2026 at 2:00 PM, 2:20 PM, and 4:47 PM, he performed hand hygiene but turned off the faucet with his bare hands instead of using a clean towel or paper towel. The facility policy titled Hand Hygiene, dated 2024, stated that after washing with soap and water, hands should be dried with a single-use towel and a clean towel should be used to turn off the faucet. Observation of the Unit 2 nourishment refrigerator on 05/11/2026 at 4:40 PM revealed three clear plastic pitchers filled with a brown liquid substance. One pitcher was dated 05/04/2026 but was not labeled, and the other two pitchers had no date or label. The facility policy titled Food Safety Requirements, dated 2026, stated refrigerated food should be labeled, dated, monitored by use-by-date, and discarded once the date is reached. During interview, the DM stated the tea should have been discarded within three days and the undated tea should have been thrown out. The DON stated germs could be reintroduced to clean hands by touching faucets directly, and the Administrator stated the tea should be thrown out due to potential for bacteria and decreased quality of the product.
Failure to Provide Required Transfer and Bed-Hold Notices
Penalty
Summary
The facility failed to notify residents and their representatives in writing, in a language and manner they understood, of transfers or discharges and the reasons for the moves as soon as practicable. The required notices were also missing the reason, date, and location of the transfer, along with appeal rights and the contact information for the state Long-Term Care Ombudsman. This deficient practice was identified for 3 of 7 residents sampled for transfer and/or discharge: R1, R7, and R11. R1 was admitted with diagnoses including Alzheimer's disease, unspecified abnormalities of gait and mobility, and unspecified psychosis not due to a substance or known physiological condition, and had a BIMS score of 0, indicating severe cognitive impairment. R1 was sent to the emergency room by ambulance and the record stated she was not given a Notice of Bed Hold or Notice of Transfer before leaving or upon return. R7, who was cognitively intact with a BIMS score of 13 and had diagnoses including schizoaffective disorder bipolar type, anemia, and peripheral autonomic neuropathy, was also transferred to the emergency room via ambulance without receiving a Notice of Bed Hold or Notice of Transfer. R11, who had diagnoses including severe protein-calorie malnutrition, paroxysmal atrial fibrillation, and anemia and had a BIMS score of 11, was transferred to the emergency room on two occasions and likewise was not given a Notice of Bed Hold or Notice of Transfer before leaving the facility. Family representatives for all three residents stated they were called about the hospital transfers but did not receive the required notices by hand delivery or mail.
Shared Resident Equipment Not Cleaned After Use
Penalty
Summary
The facility failed to maintain an effective cleaning and disinfection program for shared resident-care equipment, specifically 2 of its 3 Hoyer sit-to-stand lifts, one on the 300 Unit and one on the 200 Unit. Review of the facility policy titled, Cleaning and Disinfection of Resident-Care Equipment, dated 01/01/2025, stated that multi-resident use equipment was to be cleaned and disinfected after each use. However, observation on 05/14/2026 found finger/toenail clippings in the platform of the lift on the 300 Unit and an encrusted substance throughout the creases in the platform of the lift in the 200 Unit equipment storage area. During interviews, multiple SRNAs and LPNs stated shared resident equipment, including Hoyer sit-to-stand lifts, was to be cleaned after each resident use, with some staff stating the lifts were wiped down with disinfectant wipes after use. The 300 Unit Unit Manager and the Infection Preventionist both stated the lifts were to be cleaned after each resident use and that housekeeping performed deep cleaning. The Infection Preventionist, after being shown photos of the two lifts, stated the condition was an infection control issue. The DON, Administrator, and Medical Director also stated their expectation that shared resident equipment be cleaned or sanitized after each use and that failure to do so would create infection control and cross-contamination problems.
Incomplete Dialysis Communication Documentation
Penalty
Summary
The facility failed to provide completed pre- and post-dialysis communication documentation for 1 of 1 dialysis residents, R5. Review of 12 hemodialysis visits from 04/17/2026 through 05/13/2026 showed that the dialysis communication forms were either unavailable or incomplete. The facility’s policy required ongoing assessments before and after dialysis and communication with the dialysis facility, including use of a written communication form or telephone report, but the record review did not show completed documentation for these exchanges. R5 was admitted with diagnoses including ESRD, stroke, and acute respiratory distress, and had an active order for dialysis three times weekly. The resident’s care plan identified dialysis needs and goals related to avoiding complications, but it did not include initiation, completion, and documentation of the Pre/Post Dialysis Communication Form. The blank form reviewed contained sections for pre-dialysis information, dialysis center information, and post-dialysis information, including weights, medications, meal or snack sent, access site status, and additional information, but the hard copies provided were incomplete. During interviews, staff stated they were expected to complete the forms before sending the resident to dialysis and after return, and the UM and DON stated the access site, weights, and snack information should be documented, but documentation of completed calls to the dialysis center was not available.
Expired topical medications were found in the medication refrigerator
Penalty
Summary
Drugs and biologicals used in the facility were not labeled in accordance with currently accepted professional principles for 2 of 2 sampled residents, R12 and R99. Review of the facility policy titled Medication Storage, implemented 01/2025, showed medications were to be stored according to manufacturer recommendations to ensure proper sanitation, temperature, light, ventilation, moisture control, segregation, and security, but the policy did not address medication labeling. The report also noted that external products, such as disinfectants and drugs for external use, were stored separately from internal and injectable medications. During observation of the 200 Hall medication refrigerator, one canister labeled F-Magic Butt/Lidocaine Cream for topical use on the buttocks every shift as needed for redness was found with R99's name and an expiration date of 05/06/2026, while another canister labeled Magic Butt Paste for a stage 2 sacral wound until healed was found with R12's name and an expiration date of 05/09/2026. Both products were dated in April 2026 and were observed after their expiration dates. LPN 8 stated the creams for R12 and R99 had expired and should not be in use, and that expired medication could be ineffective and might not heal as it should. The Unit 100 Manager, DON, and Administrator each stated expired medications should be discarded and that expired medication might not work or be effective.
Failure to Inform Residents of Arbitration Agreement Rights
Penalty
Summary
The facility failed to ensure that residents and their representatives were properly informed about the voluntary nature of binding arbitration agreements and their right to refuse or rescind such agreements within 30 days of signing. Review of the facility's arbitration and mediation agreement forms revealed that they did not include required language stating that signing was optional, not a condition of admission, and that residents or their representatives had the right to rescind the agreement within 30 days. This deficiency was identified for five residents, whose signed agreements lacked the necessary verbiage. Additionally, several residents interviewed did not recall being informed about arbitration or signing the agreements, indicating a lack of clear communication during the admissions process. Interviews with staff revealed that the admissions coordinator was unaware of the 30-day rescission right and that the arbitration agreement was presented as part of a large packet of admission documents, which may have contributed to residents' lack of understanding. The administrator acknowledged that while the facility understood the voluntary nature of the agreement, the documentation and explanation provided to residents and their representatives did not consistently meet regulatory requirements. The failure to provide clear, required information about arbitration agreements was observed in both the documentation and the admissions process.
Infection Control Lapses in Catheter Care, Equipment Disinfection, and Food Handling
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by multiple observed lapses in infection control practices involving both staff and residents. Several residents with indwelling urinary catheters were found with their catheter drainage bags resting on the floor, contrary to facility policy and staff training, which require that such bags be kept off the floor to prevent contamination. Staff interviews confirmed awareness of the policy, yet the deficiency persisted, with both cognitively intact and impaired residents affected. Additional deficiencies were observed in the handling and disinfection of shared medical equipment. A physical therapy/occupational therapy assistant used a gait belt on multiple residents without disinfecting it between uses, and a blood pressure cuff was used on a resident and then returned to the medication cart without cleaning. Staff interviews revealed inconsistent knowledge and application of the correct disinfection procedures, with some staff using hand sanitizer instead of the required EPA-registered disinfectant wipes, and others unsure of the policy details. Further infection control breaches included a medication aide pouring medications directly onto an unclean tablecloth without a barrier for a resident to self-administer, and a nurse handling a resident's food without gloves. In the dietary department, a staff member's identification badge was observed resting in a resident's food during meal service. Staff interviews indicated a lack of specific training on badge management during food service and inconsistent adherence to policies regarding food handling and contamination prevention.
Failure to Accommodate Resident Needs and Preferences for Call Light Access and Sleeping Arrangements
Penalty
Summary
The facility failed to reasonably accommodate the needs and preferences of two residents. For one resident with acute lymphoblastic lymphoma, urine retention, and COPD, observations revealed that the call light was repeatedly found on the floor and out of the resident's reach while she was in bed. This resident was cognitively intact but required substantial to maximum assistance with bed mobility and was dependent on staff for transfers. Interviews with staff confirmed that call lights should always be within residents' reach for safety and access to assistance, and that leaving a call light on the floor was unacceptable. Another resident, admitted with a history of stroke and Alzheimer's disease and assessed as cognitively intact, reported that she was unable to sleep in her bed due to discomfort and instead slept in a recliner. She stated she had informed facility staff about the issue with her bed, but no action had been taken to address her concern. The Social Services Director acknowledged being notified about the bed issue but had not followed up, and the resident's representative confirmed that the resident had previously slept in a bed at home. Facility leadership stated that concerns about the bed should have been addressed promptly, but no resolution had occurred.
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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 Lexington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Willows At Fritz Farm | 1.3 mi | ★★★★★ | 3 | 0 |
| Hartland Park Health & Rehabilitation | 1.6 mi | ★★★★★ | 4 | 0 |
| Mayfair Manor | 1.8 mi | ★★★★★ | 7 | 0 |
| Bluegrass Care & Rehabilitation Center | 1.9 mi | ★★★★★ | 0 | 0 |
| Lexington Premier Nursing & Rehab | 4.4 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.