Ashland, KY

Boyd Nursing and Rehabilitation

1-star overall rating with 2-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

12100 Princeland Spur, Ashland, KY

(606) 928-2963

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

57

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

David Marx

Operator or chain grouping

Approved since

1995-11-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 2 overall / 3 health / 2 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.36

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.74

Licensed practical nurse staffing · state 0.81 · national 0.87

Aide hours / resident day

2.22

Nurse aide staffing · state 2.43 · national 2.35

Total nurse hours

3.32

All reported nurse hours · state 4.01 · national 3.89

Licensed hours

1.10

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

3.06

Weekend nurse staffing · state 3.50 · national 3.43

Weekend RN hours

0.30

Weekend registered nurse coverage · state 0.52 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.32

CMS adjusted RN staffing hours

Adjusted total hours

2.94

CMS adjusted total nurse staffing hours

Case-mix index

1.54

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

47%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,744

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

28.9

Composite VBP score used to determine payment impact.

Payment multiplier

0.9852

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

2.19

Baseline 7.37% · Performance 7.18% · Measure score 2.19 · Achievement 2.19 · Improvement 0.31

Total nurse turnover

6.48

Baseline 44.19% · Performance 37.21% · Measure score 6.48 · Achievement 6.48 · Improvement 3.11

Adjusted total nurse staffing

0

Baseline 3.43 hours · Performance 3.04 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.93%	10.72% 0.8 pts better	No Different than the National Rate · Eligible stays 36 · Observed rate 5.56% · Lower 95% interval 6.52%
Discharge to community	35.23%	50.57% 15.3 pts worse	No Different than the National Rate · Eligible stays 33 · Observed rate 21.21% · Lower 95% interval 23.91%
Medicare spending per beneficiary	1.23	1.02 0.2 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 28 · Denominator 28
Falls with major injury	3.57%	0.77% 2.8 pts worse	Numerator 1 · Denominator 28
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	7.14%	2.29% 4.8 pts worse	Numerator 2 · Denominator 28 · Adjusted rate 4.57%
Healthcare-associated infections requiring hospitalization	7.18%	7.12% 0.1 pts worse	No Different than the National Rate · Eligible stays 30 · Observed rate 6.67% · Lower 95% interval 3.74%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 47
Staff flu vaccination coverage	23.61%	42% 18.4 pts worse	Numerator 17 · Denominator 72
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	5.6	1.9 3.7 pts worse	1.9 3.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 5.6 · Observed 5.0 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.1	2.2 0.9 pts worse	1.8 1.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 2.9 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	94.3% 5.7 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	96.2% 3.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.4%	3.8% 0.4 pts better	3.3% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 3.9% · Q3 2.0% · Q4 0.0% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	10.6%	15.2% 4.6 pts better	11.4% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 6.7% · Q3 13.0% · Q4 10.6% · 4Q avg 10.6%
Percentage of long-stay residents who lose too much weight	11.2%	6.7% 4.5 pts worse	5.4% 5.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 14.6% · Q3 6.4% · Q4 9.8% · 4Q avg 11.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	35.0%	29.6% 5.4 pts worse	19.6% 15.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.5% · Q2 40.0% · Q3 30.0% · Q4 31.4% · 4Q avg 35.0%
Percentage of long-stay residents who received an antipsychotic medication	15.8%	17.6% 1.8 pts better	16.7% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 21.1% · Q3 11.4% · Q4 5.4% · 4Q avg 15.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	3.4%	17.3% 13.9 pts better	16.3% 12.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.1% · Q3 4.7% · Q4 3.9% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.2%	15.6% 9.4 pts better	14.9% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 7.1% · Q3 7.0% · Q4 6.7% · 4Q avg 6.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.7% 0.7 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.7% 1.7 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	21.4%	19.8% 1.6 pts worse	19.8% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 24.2% · Q3 25.9% · Q4 19.8% · 4Q avg 21.4%
Percentage of long-stay residents with pressure ulcers	6.0%	5.5% 0.5 pts worse	5.1% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 5.3% · Q3 2.5% · Q4 5.5% · 4Q avg 6.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	88.3%	83.8% 4.5 pts better	81.7% 6.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 86.4% · Q2 92.3% · Q3 91.1% · Q4 83.7% · 4Q avg 88.3%
Percentage of short-stay residents who had an outpatient emergency department visit	28.5%	13.9% 14.6 pts worse	12.0% 16.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.5% · Observed 29.6% · Expected 11.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.8% 1.8 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	90.2%	83.6% 6.6 pts better	79.7% 10.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 90.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.0%	24.5% 9.5 pts better	23.9% 8.9 pts better	Short Stay · 20240701-20250630 · Adjusted 15.0% · Observed 14.8% · Expected 23.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-21 · Fire 2025-11-21

4 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-10-25 · Fire 2024-10-25

3 health deficiencies

Top issue: Infection Control (1 deficiency)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-10-04 · Fire 2019-10-04

10 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-11-21

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-12-20

D · Potential for more than minimal harm 2025-11-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-12-20

D · Potential for more than minimal harm 2025-11-21

K900 · Miscellaneous Deficiencies

Fire Safety

Meet Health Care Facilities Code mechanical requirements.

Corrected 2025-12-20

F · Potential for more than minimal harm 2024-10-25

E1 · Emergency Preparedness Deficiencies

Fire Safety

Establish an Emergency Preparedness Program (EP).

Corrected 2024-12-17

F · Potential for more than minimal harm 2024-10-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-28

F · Potential for more than minimal harm 2024-10-25

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-11-26

F · Potential for more than minimal harm 2024-10-25

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-11-16

F · Potential for more than minimal harm 2024-10-25

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-11-16

E · Potential for more than minimal harm 2024-10-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-12-17

E · Potential for more than minimal harm 2024-10-25

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-12-19

F · Potential for more than minimal harm 2019-10-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-11-14

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-11-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-19

E · Potential for more than minimal harm 2025-11-21

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-12-19

D · Potential for more than minimal harm 2025-11-21

F580 · Resident Rights Deficiencies

Health

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

Corrected 2025-12-19

D · Potential for more than minimal harm 2025-11-21

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-12-19

E · Potential for more than minimal harm 2024-10-25

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-11-30

D · Potential for more than minimal harm 2024-10-25

F550 · Resident Rights Deficiencies

Health

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

Corrected 2024-11-30

D · Potential for more than minimal harm 2024-10-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-30

G · Actual harm 2019-10-04

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2019-11-14

G · Actual harm 2019-10-04

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2019-11-14

G · Actual harm 2019-10-04

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2019-11-14

D · Potential for more than minimal harm 2019-10-04

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2019-11-14

D · Potential for more than minimal harm 2019-10-04

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2019-11-14

D · Potential for more than minimal harm 2019-10-04

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2019-11-14

D · Potential for more than minimal harm 2019-10-04

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-11-14

D · Potential for more than minimal harm 2019-10-04

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2019-11-14

D · Potential for more than minimal harm 2019-10-04

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2019-11-14

D · Potential for more than minimal harm 2019-10-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-11-14

Penalties and ownership

What sits behind the stars

Ownership

Boyd Nursing And Rehabilitation Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2019-07-25

Marx, David

5% Or Greater Indirect Ownership Interest · Individual

100% 30 facilities 2019-07-25

12800 Princeland Dr SNF Realty LLC

Operational/Managerial Control · Organization

0% 1 facilities 2019-08-30

Alexander, James