Kentucky official allege that the staff of Bluegrass Care and Rehabilitation Center in Lexington used personal cell phones to “inappropriately photograph and make audio recordings” of residents without their knowledge, according to documents from the Kentucky Cabinet for Health and Family Services. The staff attached songs with sexual lyrics to the photographs and circulated them to other staffers, Cabinet spokeswoman Beth Fisher said. On April 10, 2009, the home received a Type A citation, the most serious that a nursing home can receive, according to documents that The Kentucky Herald-Leader acquired under the state Open Records Act. The Type A citation said that, as a result of the recordings and photographs, the state considered seven residents to have been abused.