Above average — CMS composite of the measures below.
The next survey window likely opens around November 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 Western State Nursing Facility during CMS and state inspections, most recent first.
Failure to Maintain Resident Dignity and Privacy: Two residents were observed sitting in the hall in wheelchairs wearing only gowns and underwear without pants or lap covers. One resident with schizophrenia was seen exposing herself and playing with her gown, and staff stated she often throws off blankets and flashes. The ADON, DON, and Administrator stated residents in gowns should be covered for dignity and privacy while in the hall.
Failure to perform proper hand hygiene during medication administration. An RN wore the same gloves while preparing and administering meds to a resident, touched multiple surfaces and items including the medication cup, computer keyboard, cart drawers, fall mat, bed controls, and the resident’s face, and did not perform hand hygiene at appropriate points. The DON and ADON stated gloves were not required for oral med pass and that hand hygiene should be performed between residents.
Call Light Not Kept Within Reach: A resident with schizophrenia and a BIMS of 99 was observed twice sitting in a Broda chair with the call light out of reach, once wedged behind the recliner and later on the floor between the chair and bed. The care plan identified the resident as high risk for falls and directed staff to keep the call light within reach, and staff stated the resident could use a call light.
The facility did not maintain a QAA committee with the required members, as the Medical Director or their representative did not attend quarterly meetings. Despite being provided with meeting results, the Medical Director was unaware of the QAA committee and QAPI program. The ADON attempted to invite the Medical Director via email and postal mail, but no confirmation was received. The Administrator was surprised by the Medical Director's lack of awareness and misunderstood the regulatory requirement for their participation.
A facility failed to maintain an effective infection control program during wound care for a resident with a Stage IV pressure wound. An LPN did not follow proper hand hygiene protocols and contaminated clean dressings by placing a trash bag near them. The LPN also improperly handled the resident's gastric tube cap. Interviews with facility staff indicated an expectation for adherence to handwashing and wound care policies, which were not followed.
Failure to Maintain Resident Dignity and Privacy
Penalty
Summary
The facility failed to provide a dignified existence for two residents by not ensuring lap covering while they were sitting in the hallway outside their rooms. One resident, admitted with unspecified symptoms and signs involving cognitive functions and awareness, was not interviewable and was observed in a wheelchair wearing only a short gown with underwear and no pants. The other resident, admitted with schizophrenia and psychotic disorder and also not interviewable, was observed in a wheelchair in the hall wearing only a gown and underwear without pants and without a lap cover or blanket nearby. During observation, the resident with schizophrenia was seen playing with the tail of her gown and exposing herself, and no blanket or lap covering was present. A CNA stated that this resident throws her blanket off and likes to flash at times, and that an intervention was to put pants and blankets on her, though she did not like those. An LPN stated that staff had previously used a blanket to cover her but had to continually cover her back up to maintain privacy. The ADON, DON, and Administrator each stated that residents in gowns should be covered with a blanket or lap cover in the hall, and that residents should be covered for dignity and privacy, with behavioral residents redirected or removed to their room if behavior persisted.
Failure to Perform Proper Hand Hygiene During Medication Administration
Penalty
Summary
Standard precautions were not followed during medication administration for one resident. During an observed medication pass, an RN wore the same pair of gloves while preparing medications at the cart, placed a finger inside a medication cup before putting medication in it, typed on the computer keyboard, handled cart drawers, entered the resident’s room, picked up a fall mat from the floor, adjusted the bed height, moved the blanket away from the resident’s face, and began administering medications. The resident, R28, had diagnoses including cancer, anemia, Parkinson’s disease, and schizophrenia, and a BIMS of 99 indicated the interview could not be completed. The RN later exited the room, returned to the medication cart and computer, and then went to the end of the hall to add thickener to liquid medication. She then removed her gloves, used hand sanitizer, re-gloved, typed on the computer keyboard, knocked on the resident’s door, adjusted the bed height, administered the liquid medication, and wiped the resident’s face. She replaced the fall mat, exited the room, and returned to the cart to document before removing her gloves. In interviews, the RN stated she was unaware she had placed a finger inside the cup and said she believed gloves were to be worn during oral medication administration; the ADON and DON stated gloves were not required for oral medication administration and that hand hygiene should be performed between residents.
Call Light Not Kept Within Reach
Penalty
Summary
The facility failed to ensure that the call system was accessible to a resident while in a bed, chair, or other sleeping accommodation for 1 of 20 sampled residents. The resident, R46, was admitted on [DATE], had a BIMS of 99, carried a diagnosis of schizophrenia, and was not interviewable. The MDS showed partial to moderate help was needed for using eating utensils. The care plan dated 10/20/2025 included an intervention for high risk of fall to ensure the call light was within reach. On 12/08/2025 at 2:00 PM, R46 was observed sitting in a Broda chair about 2 feet from the bed with the call light wedged behind the recliner at the foot of the bed. On 12/10/2025 at 3:33 PM, R46 was again observed sitting in a Broda chair with the call light on the floor between the recliner and the bed, out of reach. CNA #2 stated that R46 can hold drinking cups and can use a call light. LPN #1 stated that R46 can operate a call light and at times feed herself. The ADON stated staff were trained to place the call light on the resident's lap when it was not seen within reach, and the DON and Administrator stated the expectation was that residents who can use call lights have them within reach.
Failure to Include Medical Director in QAA Committee Meetings
Penalty
Summary
The facility failed to maintain a Quality Assessment and Assurance (QAA) committee with the required members, specifically the Medical Director or their representative. The facility's policy mandates that the QAA committee must include the Administrator, Director of Nursing (DON), a Physician, Infection Preventionist, and three facility staff, and meet at least quarterly. However, the Medical Director had not attended any of the quarterly meetings, either in person or through alternative methods like videoconferencing or teleconference calls. The Administrator acknowledged that the Medical Director had been provided with the results of the meetings and made recommendations as needed, but had not been present at the meetings. Interviews revealed a lack of communication and understanding regarding the Medical Director's role in the QAA committee. The Medical Director was unaware of the QAA committee and the QAPI program, stating he had not received any invitations or information about the meetings. The Assistant Director of Nursing (ADON) claimed to have emailed the Medical Director for the last quarterly meeting and sent postal invitations for the previous two meetings, but no confirmation of attendance was received. The Administrator expressed surprise at the Medical Director's lack of awareness and acknowledged a misunderstanding of the regulatory requirement for the Medical Director's participation in the meetings.
Infection Control Deficiency in Wound Care
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by the actions of a Licensed Practical Nurse (LPN) during wound care for a resident with multiple diagnoses, including a Stage IV pressure wound. The LPN did not adhere to proper hand hygiene protocols, as she failed to wash her hands after removing dirty gloves and before donning clean ones. Additionally, she contaminated clean dressings by placing a trash bag on the clean table beside the dressings and solution, and further contaminated the wound care area by placing used items in the trash bag that was in close proximity to the clean supplies. The resident involved had a history of cognitive impairment and other health issues, including an eating disorder and chronic schizophrenia. During the wound care procedure, the LPN also improperly handled the resident's gastric tube cap by securing it to the IV fluid pole, which was not a clean area. Interviews with the Infection Control Registered Nurse, Director of Nursing, and the Administrator revealed that there was an expectation for staff to follow handwashing and wound care policies, which were not adhered to in this instance.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
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 45 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 Hopkinsville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Christian Health Center | 3 mi | ★★★★★ | 7 | 0 |
| Bradford Heights Nursing & Rehabilitation | 3.7 mi | ★★★★★ | 15 | 0 |
| Christian Heights Nursing And Rehabilitation Cente | 7.9 mi | ★★★★★ | 7 | 0 |
| Elkton Nursing And Rehabilitation Center | 17.3 mi | ★★★★★ | 0 | 0 |
| Shady Lawn Nursing And Rehabilitation Center | 19.3 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Western State Nursing Facility.
100% money-back within 48 hours.
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.