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The last time the state closed a nursing home in Kentucky was in, and many of the 106 residents were placed in adjoining states because there were not enough nursing home beds in Kentucky, said Ms. Smith.Valuation finds house price.The order to close St. John’s came a week after the Health Care Finance Administration levied a fine against St. John’s for substandard care that resulted in a resident’s death in September. The state had recommended that fine after investigating the nursing home in October.

The state compiled a 28-page list of deficiencies after that investigation, including patients being given wrong medications, and problems with sanitation, nutrition, grooming and privacy.Ms. Cecil said the decision to close the home was based on the home’s history of poor care and the results of the latest, 100-page survey.

Ms. Smith said some families may find the closing surprising because the care or lack of care for residents was not universal.Some families found the care to be satisfactory, depending on the area of the nursing home where their loves one resided, she said.The residents will have to be out of the home by May, which is the last day that federal Medicare will pay for their care.

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Ms. Smith said even if the nursing home fights the closing in court, the state has the authority to move the residents. The state already has started moving the 14 residents who are wards of the state.On a national level, some states have replaced administrators at troubled nursing homes with temporary property valuation melbourne course management teams. But that remedy is not used in the eight-state region that includes Kentucky, Ms. Cecil said.

When a facility gets to a point where termination is the option, then to have a temporary manager go in and try to correct that in a short amount of time has not been determined to be an effective measure, she said.Within weeks of moving her mother into St. John’s Health Care Center in Covington, Evelyn Bussard started putting her on waiting lists at other nursing homes.

The place was not clean. There was total chaos. People yelling, people asking for water. At 1 p.m., breakfast trays were still there,Mrs. Bussard said.That was a little over a year ago.Mrs. Bussard’s mother has since been moved to another floor that is less chaotic.But Mrs. Bussard still checks her mother’s standings on the waiting lists regularly. She wants her out of St. John’s.When word arrived on Wednesday that the home was closing, Mrs. Bussard greeted it with relief and apprehension.