Bourbon Heights Nursing Home
2000 South Main Street, Paris, KY 40361 · Bourbon County · 99 certified beds · avg 79 residents/day · certified since Jun 14, 1991
SFF Candidate
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, facility-wide · Nov 22, 2024 · F-0835 · triggered by a complaint
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Jan 25, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, facility-wide · Nov 22, 2024 · F-0837 · triggered by a complaint
The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility.
Why it matters: Weak leadership and accountability at the top often show up as problems in residents' daily care.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Jan 25, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, facility-wide · Nov 22, 2024 · F-0867 · triggered by a complaint
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Why it matters: Without a working quality program, the same care problems tend to repeat instead of getting fixed.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Jan 25, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, facility-wide · Nov 22, 2024 · F-0880 · triggered by a complaint
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Jan 25, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Nov 22, 2024 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 25, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Nov 22, 2024 · F-0656 · triggered by a complaint
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 25, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Nov 22, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 25, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, facility-wide · Apr 5, 2024 · F-0880 · triggered by a complaint
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: May 20, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 22, 2024 · F-0655
The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Why it matters: In the critical first days, staff may not know a new resident's medications, diet, or fall risks.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 25, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 22, 2024 · F-0657
The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Why it matters: Delays or gaps in care planning mean staff may work without a clear, current roadmap for the resident's daily care and treatment.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 25, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (29)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 19, 2026 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 19, 2026 | E · Potential for harm, repeated | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| Feb 19, 2026 | E · Potential for harm, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Feb 19, 2026 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Nov 22, 2024 | ▲ L · Immediate jeopardy, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Nov 22, 2024 | ▲ L · Immediate jeopardy, facility-wide | The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility. · from a complaint |
| Nov 22, 2024 | ▲ L · Immediate jeopardy, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Nov 22, 2024 | ▲ L · Immediate jeopardy, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Nov 22, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Nov 22, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Nov 22, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Nov 22, 2024 | ▲ G · Actual harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Nov 22, 2024 | ▲ G · Actual harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Nov 22, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Nov 22, 2024 | F · Potential for harm, facility-wide | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Nov 22, 2024 | F · Potential for harm, facility-wide | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Nov 22, 2024 | F · Potential for harm, facility-wide | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · from a complaint |
| Nov 22, 2024 | E · Potential for harm, repeated | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. |
| Nov 22, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Nov 22, 2024 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Nov 22, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Nov 22, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 5, 2024 | ▲ L · Immediate jeopardy, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Jan 10, 2020 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Jan 10, 2020 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jan 10, 2020 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jan 10, 2020 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 4 | 0 | D |
| 2024 | 21 | 11 | L ▲ |
| 2026 | 4 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $57,841, plus 2 Medicare payment denial periods.
| Date | Type | Amount / length |
|---|---|---|
| Nov 22, 2024 | Fine | $41,040 |
| Nov 22, 2024 | Payment Denial | 31 days from Dec 25, 2024 |
| Apr 5, 2024 | Fine | $16,801 |
| Apr 5, 2024 | Payment Denial | 16 days from May 4, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Kentucky avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.27 | 3.71 | 3.95 | top 10% in Kentucky; top 10% in the U.S. |
| Registered Nurse hours | 0.66 | 0.74 | 0.69 | top 47% in Kentucky; top 41% in the U.S. |
| Weekend total nurse staffing | 4.61 | 3.27 | 3.50 | top 10% in Kentucky; top 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.54 | 0.53 | 0.48 | top 34% in Kentucky; top 29% in the U.S. |
| Total nursing staff turnover (%) | 58.0 | 46.4 | 45.8 | bottom 16% in Kentucky; bottom 20% in the U.S. |
| RN turnover (%) | 61.1 | 41.8 | 42.9 | bottom 17% in Kentucky; bottom 20% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.74, RN 0.60, weekend 4.15. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bales, Michell | Individual | Corporate Director | NOT APPLICABLE | 02/01/2020 |
| Bell, Jeff | Individual | Corporate Director | NOT APPLICABLE | 01/01/2016 |
| Besson, Stephen | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2022 |
| Davis, Thomas | Individual | ADP of the SNF | NOT APPLICABLE | 02/10/2025 |
| Ernest, Shea | Individual | Corporate Director | NOT APPLICABLE | 11/01/2020 |
| Hightchew, Erica | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/04/2025 |
| Hightchew, Erica | Individual | ADP of the SNF | NOT APPLICABLE | 03/04/2025 |
| Logan, Wayne | Individual | Corporate Director | NOT APPLICABLE | 09/15/2022 |
| McCauley-Thornberry, Amanda | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| McCracken, Asa | Individual | Corporate Director | NOT APPLICABLE | 06/01/2022 |
| Park, Harry | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "Who owns and governs this facility, and how long has the current administrator been here?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Cedar Ridge Health Campus | 12.4 mi | Cynthiana, KY | ★★★★★ | 4/5 | |
| Edgemont Healthcare | 12.8 mi | Cynthiana, KY | ★☆☆☆☆ | 1/5 | abuse |
| Fountain Circle Care & Rehabilitation Center | 13.0 mi | Winchester, KY | ★★☆☆☆ | 2/5 | |
| Harrison Nursing and Rehabilitation Center | 13.5 mi | Cynthiana, KY | ★☆☆☆☆ | 1/5 | |
| The Willows at Citation | 14.2 mi | Lexington, KY | ★★★★☆ | 3/5 | |
| Dover Nursing & Rehabilitation Center | 14.3 mi | Georgetown, KY | ★☆☆☆☆ | 2/5 | |
| Willowbrook Healthcare | 14.5 mi | Carlisle, KY | —/5 | ||
| The Willows at Hamburg | 14.7 mi | Lexington, KY | ★★★☆☆ | 2/5 | |
| Signature Healthcare of Georgetown | 15.9 mi | Georgetown, KY | ★★☆☆☆ | 2/5 | |
| Lexington Premier Nursing & Rehab | 16.0 mi | Lexington, KY | ★☆☆☆☆ | 1/5 | |
| Homestead Post Acute | 17.7 mi | Lexington, KY | ★★★★☆ | 3/5 | |
| Pine Meadows Post Acute | 17.8 mi | Lexington, KY | ★★☆☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 185283.