Bourbon Heights Nursing Home
2000 South Main Street, Paris, KY 40361859987575099 certified beds · 79 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2020
Deficiencies
29
● 0● 18● 11
Penalties · 3 yrs
$57,841
2 fines · 2 actions
Last survey
2026-02-19
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Kentucky Office of Inspector General · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-02-19 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-11-22 | Standard | 0810 | CMS-2567 (Care Compare) | — |
| 2024-04-05 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2020-01-10 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Kentucky Office of Inspector General publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-17Record 185283-20260219-F550
F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-26Record 185283-20260219-F847
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-26Record 185283-20260219-F880
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 185283-20260219-F912
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity JHarm
Dignity & rights
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-01-25Record 185283-20241122-F580
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity GHarm
Care planningRecords
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-01-25Record 185283-20241122-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity JHarm
Care planningRecords
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-01-25Record 185283-20241122-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity GHarm
Care planningRecords
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-01-25Record 185283-20241122-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-01-25Record 185283-20241122-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-01-25Record 185283-20241122-F689
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity LHarm
Records
Widespread; immediate jeopardy to resident health or safety.Corrected 2025-01-25Record 185283-20241122-F835
F837Establish 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.Scope/severity LHarm
Records
Widespread; immediate jeopardy to resident health or safety.Corrected 2025-01-25Record 185283-20241122-F837
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity LHarm
Records
Widespread; immediate jeopardy to resident health or safety.Corrected 2025-01-25Record 185283-20241122-F867
F880Provide and implement an infection prevention and control program.Scope/severity LHarm
Infection control
Widespread; immediate jeopardy to resident health or safety.Corrected 2025-01-25Record 185283-20241122-F880
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-01-25Record 185283-20241122-F550
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-25Record 185283-20241122-F582
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-25Record 185283-20241122-F678
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-25Record 185283-20241122-F698
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-01-25Record 185283-20241122-F726
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-25Record 185283-20241122-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-25Record 185283-20241122-F804
F838Conduct 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.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-01-25Record 185283-20241122-F838
F880Provide and implement an infection prevention and control program.Scope/severity LHarm
Infection control
Widespread; immediate jeopardy to resident health or safety.Corrected 2024-05-20Record 185283-20240405-F880
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-20Record 185283-20240405-F600
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-20Record 185283-20240405-F607
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-22Record 185283-20200110-F604
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-22Record 185283-20200110-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-22Record 185283-20200110-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-22Record 185283-20200110-F657
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-11-22 | Civil money penalty | $41,040 | CMS · Penalties |
| 2024-11-22 | Denial of payment for new admissions Payment denial for 31 days, from 2024-12-25 | — | CMS · Penalties |
| 2024-04-05 | Civil money penalty | $16,801 | CMS · Penalties |
| 2024-04-05 | Denial of payment for new admissions Payment denial for 16 days, from 2024-05-04 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.60
Facility
Kentucky
National
Kentucky 0.79 · National 0.69
Total nurse hours per resident day4.74
Facility
Kentucky
National
Kentucky 3.95 · National 3.86
Weekend total nurse hours4.15
Facility
Kentucky
National
Kentucky 3.48 · National 3.42
Total nursing staff turnover58%
Facility
Kentucky
National
Kentucky 46% · National 46%
Registered nurse turnover61%
Facility
Kentucky
National
Kentucky 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Kentucky | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.5% | 4.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.1% | 3.9% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 11.2% | 16.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.1% | 1.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 15.6% | 13.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.1% | 6.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 22.8% | 29.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Hightchew, Erica Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bales, Michell Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Bell, Jeff Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Besson, Stephen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Davis, Thomas Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ernest, Shea Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hightchew, Erica Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Logan, Wayne Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mccauley-Thornberry, Amanda Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mccracken, Asa Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Park, Harry Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Kentucky.
No county cost figures on file for Bourbon.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Cedar Ridge Health Campus Cynthiana | 12.5 mi | 2026-01-22 | 050 |
| Edgemont Healthcare Cynthiana | 12.8 mi | 2025-09-04 | 0163 |
| Fountain Circle Care & Rehabilitation Center Winchester | 13.0 mi | 2025-03-06 | 040 |
| Harrison Nursing and Rehabilitation Center Cynthiana | 13.5 mi | 2026-04-02 | 1326 |
| The Willows at Hamburg Lexington | 14.7 mi | 2025-08-08 | 022 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |