Hopkinsville, KY

Bradford Heights Nursing & Rehabilitation

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

950 Highpoint Drive, Hopkinsville, KY

(270) 885-1151

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

93

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Simcha Hyman & Naftali Zanziper

Operator or chain grouping

Approved since

1979-08-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

94 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

0.48

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.72

Licensed practical nurse staffing · state 0.81 · national 0.87

Aide hours / resident day

2.27

Nurse aide staffing · state 2.43 · national 2.35

Total nurse hours

3.47

All reported nurse hours · state 4.01 · national 3.89

Licensed hours

1.20

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

3.14

Weekend nurse staffing · state 3.50 · national 3.43

Weekend RN hours

0.25

Weekend registered nurse coverage · state 0.52 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.49

CMS adjusted RN staffing hours

Adjusted total hours

3.57

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

59%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,100

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

Performance score

13.87

Composite VBP score used to determine payment impact.

Payment multiplier

0.9813

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 20.06% · Performance 21.56% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 7.19% · Performance 7.98% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

3.69

Baseline 75.93% · Performance 54.55% · Measure score 3.69 · Achievement 2.23 · Improvement 3.69

Adjusted total nurse staffing

1.86

Baseline 4.06 hours · Performance 3.61 hours · Measure score 1.86 · Achievement 1.86 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 14.08%
10.72%
3.4 pts worse
Worse than the National Rate · Eligible stays 180 · Observed rate 16.67% · Lower 95% interval 10.82%
Discharge to community 45.03%
50.57%
5.5 pts worse
No Different than the National Rate · Eligible stays 160 · Observed rate 40% · Lower 95% interval 37.24%
Medicare spending per beneficiary 1.01
1.02
About the same
Drug regimen review with follow-up 18.48%
95.27%
76.8 pts worse
Numerator 17 · Denominator 92
Falls with major injury 3.26%
0.77%
2.5 pts worse
Numerator 3 · Denominator 92
Discharge self-care score 50.85%
53.69%
2.8 pts worse
Numerator 30 · Denominator 59
Discharge mobility score 33.9%
50.94%
17 pts worse
Numerator 20 · Denominator 59
Pressure ulcers or injuries, new or worsened 4.35%
2.29%
2.1 pts worse
Numerator 4 · Denominator 92 · Adjusted rate 4.11%
Healthcare-associated infections requiring hospitalization 7.98%
7.12%
0.9 pts worse
No Different than the National Rate · Eligible stays 90 · Observed rate 8.89% · Lower 95% interval 4.72%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 82
Staff flu vaccination coverage 39.1%
42%
2.9 pts worse
Numerator 52 · Denominator 133
Discharge function score 38.98%
56.45%
17.5 pts worse
Numerator 23 · Denominator 59
Transfer of health information to provider 96.77%
95.95%
0.8 pts better
Numerator 30 · Denominator 31
Transfer of health information to patient 96.67%
96.28%
0.4 pts better
Numerator 29 · Denominator 30
Resident COVID-19 vaccinations up to date 2.56%
25.2%
22.6 pts worse
Numerator 1 · Denominator 39

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.4
1.9
0.5 pts better
1.9
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.5 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.6
2.2
0.4 pts worse
1.8
0.8 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.6 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 32.2%
94.3%
62.1 pts worse
93.4%
61.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 34.6% · Q2 31.8% · Q3 31.7% · Q4 30.8% · 4Q avg 32.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 64.8%
96.2%
31.4 pts worse
95.5%
30.7 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 64.8%
Percentage of long-stay residents experiencing one or more falls with major injury 4.6%
3.8%
0.8 pts worse
3.3%
1.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 3.5% · Q3 4.9% · Q4 5.1% · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
15.2%
15.2 pts better
11.4%
11.4 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 who lose too much weight 10.0%
6.7%
3.3 pts worse
5.4%
4.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 15.7% · Q3 7.5% · Q4 9.7% · 4Q avg 10.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.6%
29.6%
8 pts better
19.6%
2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 24.7% · Q2 21.2% · Q3 20.7% · Q4 19.4% · 4Q avg 21.6%
Percentage of long-stay residents who received an antipsychotic medication 7.9%
17.6%
9.7 pts better
16.7%
8.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 9.0% · Q3 7.6% · Q4 7.4% · 4Q avg 7.9% · 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 34.0%
17.3%
16.7 pts worse
16.3%
17.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 37.8% · Q2 49.6% · Q3 26.7% · Q4 17.7% · 4Q avg 34.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 26.6%
15.6%
11 pts worse
14.9%
11.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q2 23.5% · Q3 38.8% · Q4 13.0% · 4Q avg 26.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.2%
0.7%
0.5 pts better
1.0%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.9%
1.7%
0.8 pts better
1.7%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.8% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.0%
19.8%
2.8 pts better
19.8%
2.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 11.0% · Q3 19.4% · Q4 18.5% · 4Q avg 17.0%
Percentage of long-stay residents with pressure ulcers 7.0%
5.5%
1.5 pts worse
5.1%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 6.2% · Q3 7.4% · Q4 7.7% · 4Q avg 7.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 8.3%
83.8%
75.5 pts worse
81.7%
73.4 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 7.7% · Q3 11.7% · Q4 7.7% · 4Q avg 8.3%
Percentage of short-stay residents who had an outpatient emergency department visit 16.6%
13.9%
2.7 pts worse
12.0%
4.6 pts worse
Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 17.3% · 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% · Q3 0.0% · Q4 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 9.5%
83.6%
74.1 pts worse
79.7%
70.2 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 9.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 35.0%
24.5%
10.5 pts worse
23.9%
11.1 pts worse
Short Stay · 20240701-20250630 · Adjusted 35.0% · Observed 40.0% · Expected 27.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-12 · Fire 2025-09-12

2 health deficiencies

Top issue: Infection Control (1 deficiency)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-09-20 · Fire 2024-09-20

8 health deficiencies

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

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2019-11-27 · Fire 2019-11-27

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-12

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2025-10-10

E · Potential for more than minimal harm 2025-09-12

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-10-10

E · Potential for more than minimal harm 2025-09-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-12

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 2025-10-10

F · Potential for more than minimal harm 2024-09-20

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-10-29

F · Potential for more than minimal harm 2024-09-20

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 2024-10-29

F · Potential for more than minimal harm 2024-09-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-10-29

E · Potential for more than minimal harm 2024-09-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-10-29

E · Potential for more than minimal harm 2024-09-20

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-10-29

E · Potential for more than minimal harm 2024-09-20

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-10-29

E · Potential for more than minimal harm 2024-09-20

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-10-29

E · Potential for more than minimal harm 2024-09-20

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-10-29

D · Potential for more than minimal harm 2019-11-27

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2020-01-03

D · Potential for more than minimal harm 2019-11-27

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2020-01-03

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-12

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-10

F · Potential for more than minimal harm 2024-09-20

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-09-20

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-09-20

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-09-20

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-09-20

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 2024-10-29

D · Potential for more than minimal harm 2024-09-20

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-09-20

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-09-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-29

F · Potential for more than minimal harm 2019-11-27

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2020-01-02

D · Potential for more than minimal harm 2019-11-27

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 2020-01-02

D · Potential for more than minimal harm 2019-11-27

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-01-02

D · Potential for more than minimal harm 2019-11-27

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2020-01-02

D · Potential for more than minimal harm 2019-11-27

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-01-02

D · Potential for more than minimal harm 2019-11-27

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2020-01-02

D · Potential for more than minimal harm 2019-11-27

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 2020-01-02

Penalties and ownership

What sits behind the stars

Ownership

Ky M53 Spe Opco Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 11 facilities 2021-12-01
Clearview Healthcare Management Ky LLC

Operational/Managerial Control · Organization

0% 20 facilities 2020-01-01
Clearview Ky SNF Holdco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2021-12-01
Hc Family Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 59 facilities 2021-12-01
Hopper, Tia

W-2 Managing Employee · Individual

0% 1 facilities 2023-10-05
Shnz Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 41 facilities 2021-12-01
Sweet Home Management LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 29 facilities 2021-12-01
Vujanovic, Mick

Operational/Managerial Control · Individual

0% 33 facilities 2020-01-01
Vujanovic, Mick

Corporate Officer · Individual

0% 33 facilities 2020-01-01
Zanziper Family Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 64 facilities 2021-12-01

Nearby options

Other facilities in reach

#1

Christian Health Center

Hopkinsville, KY

5-star overall rating with 5-star inspections with 6 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
5 / 5
Staffing
4 / 5
Fines
$0
#2

Western State Nursing Facility

Hopkinsville, KY

4-star overall rating with 4-star inspections with 3 recent health deficiencies

Overall
4 / 5
Health
4 / 5
Staffing
0 / 5
Fines
$0

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