Bourbon Heights Nursing Home
State inspectors recorded 8 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
Serious inspection findings
2024-11-22 — IMMEDIATE JEOPARDY (tag F0867, severity L)
Administration Deficiencies · correction not recorded in CMS data
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
2024-11-22 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-11-22 — ACTUAL HARM (tag F0657, severity G)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2024-11-22 — ACTUAL HARM (tag F0655, severity G)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
2024-11-22 — IMMEDIATE JEOPARDY (tag F0835, severity L)
Administration Deficiencies · correction not recorded in CMS data
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
2024-11-22 — IMMEDIATE JEOPARDY (tag F0837, severity L)
Administration Deficiencies · correction not recorded in CMS data
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.
2024-11-22 — IMMEDIATE JEOPARDY (tag F0580, severity J)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-11-22 — IMMEDIATE JEOPARDY (tag F0656, severity J)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Staffing, from payroll records
Nursing hours / resident / day
3.83
state median 3.15
Weekend staffing gap
−4%
fewer nursing hours on weekends · state median −5%
RN hours / resident / day
0.46
registered nurses only
Contract (agency) staff
8%
share of all nursing hours
Nursing staff turnover
58%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
4 enforcement action(s), totaling $57,841 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-11-22 | Fine | $41,040 |
| 2024-11-22 | Payment Denial | payment denial |
| 2024-04-05 | Fine | $16,801 |
| 2024-04-05 | Payment Denial | payment denial |
Ownership
Ownership type: Non profit - Other.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2024-11-22 | F0550 | Resident Rights Deficiencies | F | not recorded |
| 2024-11-22 | F0580 | Resident Rights Deficiencies | J | not recorded |
| 2024-11-22 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2024-11-22 | F0655 | Resident Assessment and Care Planning Deficiencies | G | not recorded |
| 2024-11-22 | F0656 | Resident Assessment and Care Planning Deficiencies | J | not recorded |
| 2024-11-22 | F0657 | Resident Assessment and Care Planning Deficiencies | G | not recorded |
| 2024-11-22 | F0678 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-11-22 | F0684 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-11-22 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-11-22 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-11-22 | F0726 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2024-11-22 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-11-22 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-11-22 | F0835 | Administration Deficiencies | L | not recorded |
| 2024-11-22 | F0837 | Administration Deficiencies | L | not recorded |
| 2024-11-22 | F0838 | Administration Deficiencies | F | not recorded |
| 2024-11-22 | F0867 | Administration Deficiencies | L | not recorded |
| 2024-11-22 | F0880 | Infection Control Deficiencies | L | not recorded |
| 2024-04-05 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-04-05 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-04-05 | F0880 | Infection Control Deficiencies | L | not recorded |
| 2020-01-10 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2020-01-10 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2020-01-10 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2020-01-10 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2018-10-25 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2018-10-25 | F0659 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2018-10-25 | F0679 | Quality of Life and Care Deficiencies | E | not recorded |
| 2018-10-25 | F0758 | Pharmacy Service Deficiencies | D | not recorded |