Bourbon Heights Nursing Home

2000 South Main Street · Paris, KY · 40361 · 8599875750

99 certified beds Non profit - Other

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $41,040 in fines in the last 24 months.
  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

2 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

63% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 6
Serious harm & abuse 20% 2
Staffing 20% 73
Federal penalties 15% 16
Trend 10% 76
Context 5% 35

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.543.48 min · 4.1 strong
RN hours / resident-day0.550.55–0.75
Weekend hours / resident-day3.91≈ weekday level
Nursing turnover / year63%median 45%
Fines (3-yr window)2 · $57,841

Inspection citations (29 in the current record)

  • Immediate jeopardy · L November 22, 2024 · found via complaint

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected January 25, 2025 · Administration

  • Immediate jeopardy · L November 22, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 25, 2025 · Infection Control

  • Immediate jeopardy · J November 22, 2024 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected January 25, 2025 · Resident Rights

  • Immediate jeopardy · J November 22, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 25, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · J November 22, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected January 25, 2025 · Quality of Life and Care

  • Immediate jeopardy · L November 22, 2024 · found via complaint

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected January 25, 2025 · Administration

  • Immediate jeopardy · L November 22, 2024 · found via complaint

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    Corrected January 25, 2025 · Administration

  • Actual harm · G November 22, 2024

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected January 25, 2025 · Resident Assessment and Care Planning

  • Actual harm · G November 22, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected January 25, 2025 · Resident Assessment and Care Planning

  • Actual harm · G November 22, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 25, 2025 · Quality of Life and Care

  • Potential for harm · D November 22, 2024

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected January 25, 2025 · Resident Rights

  • Potential for harm · E November 22, 2024

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected January 25, 2025 · Quality of Life and Care

  • Potential for harm · D November 22, 2024

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected January 25, 2025 · Quality of Life and Care

  • Potential for harm · F November 22, 2024

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected January 25, 2025 · Nursing and Physician Services

  • Potential for harm · D November 22, 2024

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected January 25, 2025 · Pharmacy Service

  • Potential for harm · E November 22, 2024

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected January 25, 2025 · Nutrition and Dietary

  • Potential for harm · F November 22, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected January 25, 2025 · Resident Rights

  • Potential for harm · F November 22, 2024 · found via complaint

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Corrected January 25, 2025 · Administration

  • Immediate jeopardy · L April 5, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected May 20, 2024 · Infection Control

  • Potential for harm · D April 5, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 20, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 5, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected May 20, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 10, 2020

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected February 22, 2020 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 10, 2020

    Ensure each resident receives an accurate assessment.

    Corrected February 22, 2020 · Resident Assessment and Care Planning

  • Potential for harm · D January 10, 2020

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 22, 2020 · Resident Assessment and Care Planning

  • Potential for harm · D January 10, 2020

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 22, 2020 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
November 22, 2024Fine$41,040
November 22, 2024Payment Denial31 days
April 5, 2024Fine$16,801
April 5, 2024Payment Denial16 days

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 185283 · certified since June 14, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.