Bourbon Heights Nursing Home has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating despite 4-star staffing and quality measures. It is a Special Focus Facility candidate/flagged facility, had $41,040 in fines in the last 24 months, and reported nurse staffing of 4.74 hours per resident day versus the 4.1-hour federal benchmark.
Last inspection: February 19, 2026Penalties, last 24 months: $41,040special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7421.
Staffing detail
Registered nurses
0.60
Licensed practical nurses
0.89
Nurse aides
3.26
Weekend nursing
4.15
Hours per resident per day.
Total staff turnover: 58%
Registered nurse turnover: 61%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
11.9%12.1%No change
Residents with a fall causing major injury
4.5%5.4%Worsening
Residents with pressure ulcers (bedsores)
9.8%3.8%Improving
Residents with a urinary tract infection
3.1%1.5%Improving
Residents who lost too much weight
4.8%4.9%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5.3%25%Worsening
Residents whose ability to walk got worse
24.2%30.4%Worsening
Long-stay residents on antianxiety or sleep medication
20.3%20.3%No change
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1.3%3.4%Worsening
Residents with new or worsening incontinence
22.2%22.7%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
98%100%Improving
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2024 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: L
The home failed to run its operations effectively and efficiently using its available resources. Cited November 2024 — widespread issue, immediate jeopardy to residents.
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F-Tag 835 — 42 CFR §483.70 — S/S: L
The home failed to have a responsible governing body to set and carry out policies and properly manage the facility. Cited November 2024 — widespread issue, immediate jeopardy to residents.
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F-Tag 837 — 42 CFR §483.70 — S/S: L
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited November 2024 — widespread issue, immediate jeopardy to residents.
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F-Tag 867 — 42 CFR §483.75 — S/S: L
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited November 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $41,040 was recorded.
INSPECTION
Health inspection found 18 health deficiencies.
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INSPECTION
Health inspection found 3 health deficiencies.
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INSPECTION
Health inspection found 4 health deficiencies.
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Penalties & enforcement
On record with Medicare: 2 fines · $57,841 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Nov 22, 2024
31 days
Federal fine
Nov 22, 2024
$41,040
Medicare/Medicaid payment denial
Apr 5, 2024
16 days
Federal fine
Apr 5, 2024
$16,801
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
78.8 residents on an average day (80% of 99 beds)
Resident voice
Resident council
Medicare history
Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.