Calvert City, KY

Calvert City Convalescent Center

4-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle

1201 Fifth Avenue, Calvert City, KY

(270) 395-4124

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

95

Certified beds

Average residents

90

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1991-01-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.61

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.76

Licensed practical nurse staffing · state 0.81 · national 0.87

Aide hours / resident day

4.06

Nurse aide staffing · state 2.43 · national 2.35

Total nurse hours

5.43

All reported nurse hours · state 4.01 · national 3.89

Licensed hours

1.37

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

4.73

Weekend nurse staffing · state 3.50 · national 3.43

Weekend RN hours

0.17

Weekend registered nurse coverage · state 0.52 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.61

CMS adjusted RN staffing hours

Adjusted total hours

5.39

CMS adjusted total nurse staffing hours

Case-mix index

1.38

Higher values indicate more complex resident acuity

RN turnover

14%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

33%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,920

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

Performance score

38.09

Composite VBP score used to determine payment impact.

Payment multiplier

0.9912

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 19.09% · Performance 23.62% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.94

Baseline 6.26% · Performance 6.96% · Measure score 2.94 · Achievement 2.94 · Improvement 0

Total nurse turnover

5.89

Baseline 68.54% · Performance 40.60% · Measure score 5.89 · Achievement 5.65 · Improvement 5.89

Adjusted total nurse staffing

6.4

Baseline 3.18 hours · Performance 4.90 hours · Measure score 6.4 · Achievement 6.4 · Improvement 6.10

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.69%	10.72% 2 pts worse	No Different than the National Rate · Eligible stays 144 · Observed rate 13.19% · Lower 95% interval 9.17%
Discharge to community	31.34%	50.57% 19.2 pts worse	Worse than the National Rate · Eligible stays 115 · Observed rate 25.22% · Lower 95% interval 24.38%
Medicare spending per beneficiary	1.33	1.02 0.3 pts worse
Drug regimen review with follow-up	95.88%	95.27% 0.6 pts better	Numerator 93 · Denominator 97
Falls with major injury	1.03%	0.77% 0.3 pts worse	Numerator 1 · Denominator 97
Discharge self-care score	45%	53.69% 8.7 pts worse	Numerator 27 · Denominator 60
Discharge mobility score	43.33%	50.94% 7.6 pts worse	Numerator 26 · Denominator 60
Pressure ulcers or injuries, new or worsened	2.06%	2.29% 0.2 pts better	Numerator 2 · Denominator 97 · Adjusted rate 1.76%
Healthcare-associated infections requiring hospitalization	6.96%	7.12% 0.2 pts better	No Different than the National Rate · Eligible stays 99 · Observed rate 6.06% · Lower 95% interval 4.5%
Staff COVID-19 vaccination coverage	2.46%	8.2% 5.7 pts worse	Numerator 5 · Denominator 203
Staff flu vaccination coverage	10.24%	42% 31.8 pts worse	Numerator 34 · Denominator 332
Discharge function score	50%	56.45% 6.5 pts worse	Numerator 30 · Denominator 60
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 56 · Denominator 56
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	35.85%	25.2% 10.7 pts better	Numerator 19 · Denominator 53

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	1.9 0.3 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.2 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.5	2.2 0.7 pts better	1.8 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · 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	2.5%	3.8% 1.3 pts better	3.3% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 2.5% · Q3 0.0% · Q4 2.5% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.4%	15.2% 13.8 pts better	11.4% 10 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 2.8% · Q4 0.0% · 4Q avg 1.4%
Percentage of long-stay residents who lose too much weight	3.1%	6.7% 3.6 pts better	5.4% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.4% · Q3 2.5% · Q4 5.6% · 4Q avg 3.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	28.7%	29.6% 0.9 pts better	19.6% 9.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.1% · Q2 32.0% · Q3 29.3% · Q4 22.4% · 4Q avg 28.7%
Percentage of long-stay residents who received an antipsychotic medication	13.1%	17.6% 4.5 pts better	16.7% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 12.5% · Q3 12.7% · Q4 15.2% · 4Q avg 13.1% · 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	26.3%	17.3% 9 pts worse	16.3% 10 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 43.5% · Q3 25.2% · Q4 20.0% · 4Q avg 26.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	26.3%	15.6% 10.7 pts worse	14.9% 11.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 29.0% · Q3 18.3% · Q4 29.4% · 4Q avg 26.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.6%	0.7% 0.1 pts better	1.0% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 1.2% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	5.8%	1.7% 4.1 pts worse	1.7% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 3.9% · Q3 3.7% · Q4 11.8% · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	34.5%	19.8% 14.7 pts worse	19.8% 14.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.1% · Q2 36.6% · Q3 32.3% · Q4 37.3% · 4Q avg 34.5%
Percentage of long-stay residents with pressure ulcers	3.1%	5.5% 2.4 pts better	5.1% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 5.1% · Q3 4.8% · Q4 1.1% · 4Q avg 3.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.9%	83.8% 8.1 pts better	81.7% 10.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 79.6% · Q2 95.0% · Q3 95.8% · Q4 97.9% · 4Q avg 91.9%
Percentage of short-stay residents who had an outpatient emergency department visit	13.9%	13.9% About the same	12.0% 1.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.9% · Observed 13.4% · Expected 10.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.8%	1.8% About the same	1.6% 0.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 2.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.8%	83.6% 13.2 pts better	79.7% 17.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	36.0%	24.5% 11.5 pts worse	23.9% 12.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 36.0% · Observed 33.0% · Expected 21.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-04 · Fire 2025-12-04

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2024-10-03 · Fire 2024-10-03

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 3 Health 2019-11-14 · Fire 2019-11-14

4 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 2025-12-04

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2025-12-22

F · Potential for more than minimal harm 2025-12-04

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-12-22

F · Potential for more than minimal harm 2024-10-03

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-10-15

F · Potential for more than minimal harm 2024-10-03

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-10-18

D · Potential for more than minimal harm 2019-11-14

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2019-12-20

D · Potential for more than minimal harm 2019-11-14

K364 · Smoke Deficiencies

Fire Safety

Install properly constructed windows in hallway walls or doors.

Corrected 2019-12-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-10-03

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 2024-10-23

D · Potential for more than minimal harm 2024-10-03

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2023-09-17

D · Potential for more than minimal harm 2024-10-03

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 2024-10-23

D · Potential for more than minimal harm 2024-10-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-23

D · Potential for more than minimal harm 2019-11-14

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-12-20

D · Potential for more than minimal harm 2019-11-14

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-12-20

D · Potential for more than minimal harm 2019-11-14

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-12-20

D · Potential for more than minimal harm 2019-11-14

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 2019-12-20

Penalties and ownership