| Dover Nursing & Rehabilitation Center | |
| 112 Dover Drive, Georgetown, Kentucky 40324 | |
| (502) 863-9529 | |
| Name | Dover Nursing & Rehabilitation Center |
|---|---|
| Location | 112 Dover Drive, Georgetown, Kentucky |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 85 |
| Occupancy Rate | 92.35% |
| Medicare ID (CCN) | 185295 |
| Legal Business Name | Dover Manor Operations LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Bluegrass Health Ky (15 nursing homes) |
| Chain Average Overall Rating | 3.1 out of 5 |
| NPI Number | 1306553052 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Dover Manor Operations LLC |
| Address | 112 Dover Drive, Georgetown, KY 40324 |
| Phone Number | 859-623-0898 |
| NPI Number | 1053953406 |
| Match | Possible same name, address or phone number |
| Organization Name | Harborview Dover, LLC |
| Address | 112 Dover Dr, Georgetown, KY 40324 |
| Phone Number | 502-863-9529 |
| NPI Number | 1922001148 |
| Match | Possible same name, address or phone number |
| Organization Name | Dover Manor, Inc. |
| Address | 112 Dover Dr, Georgetown, KY 40324 |
| Phone Number | 502-863-9529 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.04 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.62 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.81 | 0.86 |
| Nurse aide hours per resident per day | 2.61 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.66 | 3.42 |
| RN hours per resident per day on the weekend | 0.5 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 58.6% | 45.8% |
| Registered nurse turnover | 60% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $163,742 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 19, 2026 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 11, 2026 |
| Mar 19, 2026 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 11, 2026 |
| Mar 19, 2026 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 11, 2026 |
| Mar 19, 2026 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Apr 11, 2026 |
| Dec 13, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jan 5, 2025 |
| Dec 13, 2024 | Ensure 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 5, 2025 |
| Dec 13, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Actual harm, isolated | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. F0575, Resident Rights, Standard inspection | Potential for harm, widespread | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585, Resident Rights, Standard inspection | Potential for harm, widespread | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Mar 12, 2024 |
| Dec 13, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Assess the resident when there is a significant change in condition F0637, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 1, 2024 |
| Dec 13, 2023 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 1, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.53 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 7.87 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 15.22 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.4 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.23 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.29 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.09 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 19.2 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.33 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 85.33 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.32 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.91 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.1 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 17.29 | 15.38 |
Signature Healthcare of Georgetown Location: 102 Pocahontas Trail, Georgetown, Kentucky 40324 Phone: (502) 863-3696 |