Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Maysville Nursing and Rehabilitation Facility

Maysville, KY · 130 certified beds · Last Life Safety survey June 19, 2025

CMS Certification Number 185207 · first certified April 1990

Ownership

Operated by BLUEGRASS HEALTH KY · For profit - Corporation

  • Ownership changed November 1, 2016 (change of ownership)from MAYSVILLE MANOR LLC
16
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within KY

16 citations — more than 82% of the 267 certified nursing homes in KY. Compared within KY rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: August 2026 to May 2030. This facility’s last Life Safety survey was June 2025. Facilities in KY are typically surveyed 14–59 months after the last one (median 28), measured over 391 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 16 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in KY, and nationally. Surveyors differ markedly between states, so the KY figure is the meaningful one.

This facility16KY median7National median11
Citations on file over three years, compared
MeasureCitations
This facility16
Median facility in KY7
Median facility nationally11

Survey history

Citations at each Life Safety survey
52020-0242021-1072025-06
Citations at each Life Safety survey
Survey dateCitations
February 27, 20205
October 7, 20214
June 19, 20257

Most-cited tags

Most-cited tags at this facility
K-03532K-09121K-07611K-03551K-03721K-03211K-03251K-09201
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22021-10-07
K-0912Have power receptacles that are properly grounded.12020-02-27
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12025-06-19
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12020-02-27
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12021-10-07
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12020-02-27
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.12025-06-19
K-0920Ensure proper usage of power strips and extension cords.12025-06-19

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Miscellaneous Deficiencies 2
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies5
Miscellaneous Deficiencies2
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 19, 2025 — 7 citations

Citations issued on June 19, 2025
TagWhat the surveyor checksStatus
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (July 15, 2025)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (July 31, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (July 15, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 15, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (July 15, 2025)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (July 15, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (July 15, 2025)

October 7, 2021 — 4 citations

Citations issued on October 7, 2021
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (November 13, 2021)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 13, 2021)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (November 13, 2021)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (November 13, 2021)

February 27, 2020 — 5 citations

Citations issued on February 27, 2020
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (March 20, 2020)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 20, 2020)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (March 20, 2020)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (March 20, 2020)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (March 20, 2020)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.