Carmel Manor

100 Carmel Manor Road
Fort Thomas, KY, 41075
8597815111
CCN: 185208
1
Overall
1
Health
3
Staffing
1
Quality
ChainCARMELITE SISTERS FOR THE AGED & INFIRM
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
MULLEN, BOBETTECORPORATE DIRECTORNOT APPLICABLE
SAALFELD, THOMASCORPORATE DIRECTORNOT APPLICABLE
PFEFFER, THERESACORPORATE DIRECTORNOT APPLICABLE
BANIEWICZ, MARYCORPORATE DIRECTORNOT APPLICABLE
BRAULEY, JEFFREYCORPORATE DIRECTORNOT APPLICABLE
BROWN, ANNCORPORATE DIRECTORNOT APPLICABLE
DESMOND, WALTERCORPORATE DIRECTORNOT APPLICABLE
DOMINICK, KATHLEENCORPORATE DIRECTORNOT APPLICABLE
HAAS, ADAMCORPORATE DIRECTORNOT APPLICABLE
HALEY, MARGARETCORPORATE DIRECTORNOT APPLICABLE
KLEIN, MATTCORPORATE DIRECTORNOT APPLICABLE
MCCARTNEY, ANNCORPORATE DIRECTORNOT APPLICABLE
MCCAULEY, PATRICKCORPORATE DIRECTORNOT APPLICABLE
MILLETTE, CATHERINECORPORATE DIRECTORNOT APPLICABLE
QUINN-SEXTON, JENACORPORATE OFFICERNOT APPLICABLE
HALEY, MARGARETCORPORATE OFFICERNOT APPLICABLE
MILLETTE, CATHERINECORPORATE OFFICERNOT APPLICABLE
PFEFFER, THERESACORPORATE OFFICERNOT APPLICABLE
BRAULEY, JEFFREYCORPORATE OFFICERNOT APPLICABLE
GATHERS, PATRICIACORPORATE OFFICERNOT APPLICABLE
QUINN-SEXTON, JENAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ITTICHERIA, ACHAMMAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
THE CARMELITE SYSTEM INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (4)
DateTypeAmount
2025-07-24Fine$292K
2025-07-24Payment Denial110 days
2025-03-15Fine$10K
2025-03-15Payment Denial4 days
Health Deficiencies (44)
2025-12-01 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
F809 · Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
F802 · Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
D
F761 · Pharmacy Service Deficiencies
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.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F628 · Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
F585 · Resident Rights Deficiencies
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.
D
F578 · Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2025-07-24 · Health
E
F887 · Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
J
F835 · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
J
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
J
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
J
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-03-15 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
G
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
J
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2023-05-05 · Health
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F700 · Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2022-03-17 · Health
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
F761 · Pharmacy Service Deficiencies
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.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
G
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.29
3.68
RN Hrs/Resident/Day
0.65
0.54
LPN Hrs/Resident/Day
1.01
0.81
CNA Hrs/Resident/Day
2.63
2.33
PT Hrs/Resident/Day
0.00
0.12
Data as of 2026-03-01