Complaint Investigation

Breckinridge Memorial Nursing Facility

January 3, 2025 · Hardinsburg, KY · 1011 Old Highway 60

Citations 2

CMS Rating 4/5

Beds 18

Provider ID 185285

Healthcare Facility

Breckinridge Memorial Nursing Facility

Hardinsburg, KY · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov) · 20 pages

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

Breckinridge Memorial Nursing Facility in Hardinsburg, KY — inspection on January 3, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF656

Review of the facility's policy titled, Code [NAME] (Missing Patient/Resident), last revised 09/2023, revealed the policy described the procedure for staff to follow when a resident went missing from their department.

Review of the facility's policy titled, Resident Rights and Responsibilities, with an effective date of 01/01/2000, revealed the resident had the right to a safe and secure environment safeguarded by clinical and non-clinical personnel.

185285

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 185285 B.

Wing 01/03/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Breckinridge Memorial Nursing Facility 1011 Old Highway 60 Hardinsburg, KY 40143

FF689

Immediate resident's plan of care. Continued review of the policy revealed regular reviewing and revising the care plan, Few monitoring the effectiveness of care planning and the provision of care, treatment, and services. Review affected

F-F689, and Substandard Quality of Care (SQC) at 42 CFR 483.25.

The facility provided an acceptable Immediate Jeopardy Removal Plan, on 12/31/2024, alleging removal of the IJ on 01/01/2025.

The State Survey Agency (SSA) validated the IJ was removed on 01/01/2025, prior to exit on 01/03/2025.

Remaining non-compliance continued at a S/S of a D while the facility develops and implements a Plan of Correction (PoC) and the facility's Quality Assurance (QA) monitors to ensure compliance with systemic changes.

Refer to

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Hardinsburg, KY, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Breckinridge Memorial Nursing Facility or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.