Federal inspection record · CMS data as of October 1, 2026

Barbourville Health and Rehabilitation Center

65 Minton Hickory Farm Road, Barbourville, KY · (606) 546-5136

CMS overall rating

1 of 5

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Certified beds
135
Residents per day
104
Ownership
For-Profit
Chain
Seky Holding Co.
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 28, 1981

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Kentucky homes

Barbourville Health and Rehabilitation Center carries 64.25 inspection points. That is fewer than 12% of Kentucky's 265 rated homes.

5★4★3★2★1★+8 homes above 204.505102550100200inspection points → fewer is better on the leftThis home · 64.25 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kentucky: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–2 pts
  • 4★ 2–11 pts
  • 3★ 11–22 pts
  • 2★ 22–45 pts
  • 1★ over 45 pts

Bars show every rated home in Kentucky by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

19 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 3 20 pts
H 4 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 11 4 pts
E 0 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (7)

  1. H

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    September 30, 2024 · Complaint inspection · Resident Assessment and Care Planning · F657 · Corrected November 8, 2024

  2. H

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 30, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected November 8, 2024

  3. H

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    September 30, 2024 · Standard inspection · Administration · F835 · Corrected November 8, 2024

  4. H

    Have a plan that describes the process for conducting QAPI and QAA activities.

    September 30, 2024 · Complaint inspection · Administration · F865 · Corrected November 8, 2024

  5. G

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    June 28, 2019 · Standard inspection · Resident Assessment and Care Planning · F656 · Corrected August 2, 2019

  6. G

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    June 28, 2019 · Standard inspection · Quality of Life and Care · F684 · Corrected August 2, 2019

  7. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    June 28, 2019 · Standard inspection · Quality of Life and Care · F689 · Corrected August 2, 2019

Everything else, by area of care

Quality of Life and Care4D
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    August 28, 2025 · Standard · F677 · Corrected September 22, 2025

  2. D

    Provide safe and appropriate respiratory care for a resident when needed.

    August 28, 2025 · Standard · F695 · Corrected September 22, 2025

  3. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    June 28, 2019 · Standard · F676 · Corrected August 2, 2019

  4. D

    Provide safe and appropriate respiratory care for a resident when needed.

    June 28, 2019 · Standard · F695 · Corrected August 2, 2019

Resident Rights3D
  1. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    August 28, 2025 · Standard · F557 · Corrected September 22, 2025

  2. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    September 30, 2024 · Standard · F550 · Corrected November 8, 2024

  3. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    September 30, 2024 · Complaint · F580 · Corrected November 8, 2024

Pharmacy Service2D
  1. D

    Ensure medication error rates are not 5 percent or greater.

    August 28, 2025 · Standard · F759 · Corrected September 22, 2025

  2. D

    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.

    June 28, 2019 · Standard · F761 · Corrected August 2, 2019

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    September 30, 2024 · Standard · F609 · Corrected November 8, 2024

  2. D

    Respond appropriately to all alleged violations.

    September 30, 2024 · Standard · F610 · Corrected November 8, 2024

Nutrition and Dietary1F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 28, 2025 · Standard · F812 · Corrected September 22, 2025

Inspection history

  1. 2025-08-28

    5 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2024-09-30

    8 health deficiencies · 4 fire-safety deficiencies

    Top issue: Administration (2 deficiencies)

  3. 2019-06-28

    6 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 35 min of nursing staff time a day, 59 min of it from a registered nurse.

This home

3 h 35 min

Kentucky average

3 h 59 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 58% of nursing staff and 46% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$87,077 in federal fines on record over the past three years.

DatePenaltyAmount
2024-09-30Fine$87,077
2024-09-30Payment Denial · 10 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.8 pts worse2.71.91.8
Number of outpatient emergency department visits per 1000 long-stay resident days3.6 pts worse5.62.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts better100.0%94.1%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.8 pts better100.0%96.2%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better3.0%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms18.6 pts better0.3%18.9%13.5%
Percentage of long-stay residents who lose too much weight0.3 pts better6.3%6.6%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.7 pts worse35.6%29.9%19.5%
Percentage of long-stay residents who received an antipsychotic medication11.8 pts worse28.0%16.2%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened14.3 pts worse26.6%12.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased9 pts worse22.2%13.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse1.2%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection2.1 pts worse3.6%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.7 pts worse20.0%18.3%18.3%
Percentage of long-stay residents with pressure ulcers3.1 pts worse7.8%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.5 pts better100.0%84.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit17.6 pts worse30.8%13.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts worse3.0%1.6%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.3 pts better100.0%83.7%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission14.7 pts better9.2%23.9%23.4%

·

Who owns and runs it

15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Seky Holding Co5% Or Greater Direct Ownership Interest · Organization100%9 facilities
Alsip, RogerCorporate Director · Individual0%9 facilities
Alsip, RogerCorporate Officer · Individual0%9 facilities
Carter, RichardContracted Managing Employee · Individual0%1 facilities
Dailey, JohnOperational/Managerial Control · Individual0%7 facilities
Fcltc Holdings Inc5% Or Greater Indirect Ownership Interest · Organization0%8 facilities
Forcht, Terry5% Or Greater Indirect Ownership Interest · Individual0%8 facilities
Jarboe, MichelleCorporate Director · Individual0%1 facilities
Sizemore, HannahW-2 Managing Employee · Individual0%1 facilities
Sizemore, HannahOperational/Managerial Control · Individual0%1 facilities
Tipton, WesleyCorporate Director · Individual0%9 facilities
Tipton, WesleyCorporate Officer · Individual0%9 facilities
Willis, JackieCorporate Officer · Individual0%8 facilities
Witt, DavidCorporate Director · Individual0%9 facilities
Witt, DavidCorporate Officer · Individual0%9 facilities

·

Fire safety

5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke2D
  1. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    August 28, 2025 · K321 · Corrected September 15, 2025

  2. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    September 30, 2024 · K321 · Corrected October 14, 2024

Egress1F
  1. F

    Have properly located and lighted "Exit" signs.

    September 30, 2024 · K293 · Corrected October 13, 2024

Miscellaneous1F
  1. F

    Have restrictions on the use of portable space heaters.

    September 30, 2024 · K781 · Corrected October 13, 2024

Gas, Vacuum, and Electrical Systems1F
  1. F

    Ensure that testing and maintenance of electrical equipment is performed.

    September 30, 2024 · K921 · Corrected November 1, 2024

·

Other homes nearby

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    J
    Nursing / resident / day
    3 h 58 min
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