Care-facility inspections
How nursing homes and care facilities in Kentucky are inspected, licensed, and held to account.
14 laws · 9 enforcement actions · 4 guides · 3 court decisions
See the details
The laws 14
- KRS 216B.010, Legislative findings and purposes of the health-facility-licensure chapter — authorizes and empowers the Cabinet for Health and Family Services to perform certificate-of-need and other licensure functions to ensure safe, adequ… apps.legislature.ky.gov
- KRS 216B.042, Licenses — authority to enter upon premises — authority for administrative regulations: the cabinet's power to establish licensure fees/standards and to issue, deny, revoke, modify, or suspend licenses of health facilities apps.legislature.ky.gov
- KRS 216B.105, License procedure — hearings — decisions of cabinet to be in writing and of record: no person may operate a health facility without a cabinet-issued license; apps.legislature.ky.gov
- KRS 216B.990, Penalties — criminal penalties for willfully operating an unlicensed health facility or operating after license suspension/revocation apps.legislature.ky.gov
- KRS 216.515, Rights of residents — duties of facilities — actions: the enumerated statutory bill of rights every long-term-care-facility resident holds (informed consent to admission, disclosure of charges, complaint rights) with a private… apps.legislature.ky.gov
- KRS 216.555, Long-term care facility — citation by cabinet for violations of regulations, standards, and requirements — restriction on publication of results of survey, inspection, or investigation: requires the cabinet to immediately issue… apps.legislature.ky.gov
- KRS 216.557, Classification of violations: defines Type "A" violations (imminent danger of death/serious harm, $1,000-$5,000 civil penalty per violation, abatement in up to 10 days) and Type "B" violations (direct/immediate risk to health/s… apps.legislature.ky.gov
- KRS 216.560, Penalties for failure to correct violations within time specified: $500/day civil penalty for an uncorrected Type A violation past its correction deadline, with an extension process and a nursing-incentive-scholarship-fund pena… apps.legislature.ky.gov
- KRS 216.567, Manner of appeal — decision of hearing officer to be final order of cabinet — judicial review: appeals of ratings/citations/penalties go through an Office of Administrative Hearings (Department of Law) hearing officer, whose de… apps.legislature.ky.gov
- KRS 216.547, Public inspection of cabinet inspection reports, service descriptions, listings of rates and charges, and court orders on premises — duties of Inspector General: every long-term care facility must keep its last 3 years of cabin… apps.legislature.ky.gov
- KRS 216.597, Definitions and licensure requirements for personal care homes (PCHs) and specialized personal care homes (SPCHs) — services provided, administrative-regulation authority, and on-site visits apps.legislature.ky.gov
- KRS 194A.700, Definitions for KRS 194A.700 to 194A.729, the assisted living community chapter (activities of daily living, ambulatory, assistance with self-administration of medication, etc.) apps.legislature.ky.gov
- KRS 194A.710, Licensure requirement — categories — administrative regulations: an assisted living community shall not operate unless licensed by the Office of Inspector General, under three license categories (assisted living, assisted livi… apps.legislature.ky.gov
- KRS 194A.722, Violations of standards and requirements for assisted living communities are citations or deficiencies (not classified as Type A/B) — limitation on civil monetary penalties; penalty reduction where a facility self-reports apps.legislature.ky.gov
Know your rights 4
- OIG Division of Health Care — "Applications for Health Care and Long-Term Care" hub page: licensing application forms and fee schedules by facility type (long-term care/certificate-of-need, adult day health, assisted living community — incl… chfs.ky.gov
- OIG Division of Health Care — "Complaint Information" guidance sheet: what information a complaint against a licensed long-term or health care facility should include, and the regional Complaint Coordinator contacts (phone/fax/e-mail) by br… chfs.ky.gov
- OIG Division of Health Care — "Health Care Facility Directories" page: monthly-updated PDF/Excel directories of every OIG-licensed facility type (assisted living communities, family care homes, long-term care, personal care homes, and a mis… chfs.ky.gov
- Office of Inspector General — "Civil Money Penalty Funds" guidance: how the state reinvests nursing-home CMP funds collected under KRS 216.557/.560 and 42 U.S.C. chfs.ky.gov
Enforcement actions 1
Orders & settlements 8
- 902 KAR 20:300, Operation and services; nursing facilities — current minimum licensure requirements for nursing facilities, promulgated by the Cabinet for Health and Family Services, Office of Inspector General, Division of Health Care unde… apps.legislature.ky.gov
- 902 KAR 20:036, Operation and services; personal care homes — current minimum licensure requirements for personal care homes and specialized personal care homes, promulgated by OIG's Division of Health Care under KRS 216B.042 and 216.597(7)… apps.legislature.ky.gov
- 902 KAR 20:480, Assisted living communities — current licensure regulation for the three ALC license categories under KRS 194A.700-.729, promulgated by the Office of Inspector General, Division of Health Care apps.legislature.ky.gov
- 902 KAR 20:086, Operation and services; intermediate care facilities for individuals with intellectual disabilities (ICF/IID) — current licensure requirements promulgated by OIG's Division of Health Care under KRS 216B.042 apps.legislature.ky.gov
- 902 KAR 20:041, Operation and services; family care homes — current licensure requirements for family care homes apps.legislature.ky.gov
- 902 KAR 20:081, Operations and services; home health agencies — current licensure requirements for home health agencies, promulgated by OIG's Division of Health Care apps.legislature.ky.gov
- 902 KAR 20:066, Operation and services; adult day health care programs — current licensure requirements for adult day health care programs apps.legislature.ky.gov
- 910 KAR 1:210, Kentucky Long-term Care Ombudsman Program — the state's implementing regulation (Dept. apps.legislature.ky.gov
Court decisions 3
- King v. Butler Rest Home, Inc., 365 S.W.3d 561 (Ky. App. 2011), No. 2010-CA-001467-MR — Court of Appeals of Kentucky review of a Franklin Circuit Court judgment affirming a Cabinet for Health and Family Services final order that a nursing f… courtlistener.com
- Jones v. Cabinet for Human Resources, Division for Licensure & Regulations, 710 S.W.2d 862 (Ky. App. courtlistener.com
- Baptist Convalescent Center, Inc. v. Boonespring Transitional Care Center, LLC, 405 S.W.3d 498 (Ky. App. courtlistener.com
Official notices 2
- Office of Inspector General, Division of Health Care — Long-Term Care Provider Newsletter Archive, monthly provider bulletins (January 2025 through July 2026 at time of verification) keeping licensed long-term care facilities "up to date on… chfs.ky.gov
- Office of Inspector General, Division of Health Care — Home Health Agency Newsletter Archive, periodic provider bulletins for licensed home health agencies (January 2025 through July 2026 at time of verification) chfs.ky.gov