Owensboro, KY

Chautauqua Health and Rehabilitation

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

1205 Leitchfield Road, Owensboro, KY

(270) 684-0464

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

145

Certified beds

Average residents

126

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Simcha Hyman & Naftali Zanziper

Operator or chain grouping

Approved since

1991-01-23

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

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

0.49

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.44

Licensed practical nurse staffing · state 0.81 · national 0.87

Aide hours / resident day

2.39

Nurse aide staffing · state 2.43 · national 2.35

Total nurse hours

3.33

All reported nurse hours · state 4.01 · national 3.89

Licensed hours

0.94

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

3.15

Weekend nurse staffing · state 3.50 · national 3.43

Weekend RN hours

0.34

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

0.49

CMS adjusted RN staffing hours

Adjusted total hours

3.29

CMS adjusted total nurse staffing hours

Case-mix index

1.38

Higher values indicate more complex resident acuity

RN turnover

62%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

41%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,606

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

Performance score

35.55

Composite VBP score used to determine payment impact.

Payment multiplier

0.9892

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.69

Baseline 19.61% · Performance 20.19% · Measure score 2.69 · Achievement 2.69 · Improvement 0

Healthcare-associated infections

2.74

Baseline 6.10% · Performance 7.02% · Measure score 2.74 · Achievement 2.74 · Improvement 0

Total nurse turnover

5.93

Baseline 62.26% · Performance 39.42% · Measure score 5.93 · Achievement 5.93 · Improvement 5.61

Adjusted total nurse staffing

2.86

Baseline 3.48 hours · Performance 3.89 hours · Measure score 2.86 · Achievement 2.86 · Improvement 1.27

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.2%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 45 · Observed rate 8.89% · Lower 95% interval 6.56%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.77	1.02 0.8 pts worse
Drug regimen review with follow-up	84.62%	95.27% 10.6 pts worse	Numerator 22 · Denominator 26
Falls with major injury	7.69%	0.77% 6.9 pts worse	Numerator 2 · Denominator 26
Discharge self-care score	14.29%	53.69% 39.4 pts worse	Numerator 3 · Denominator 21
Discharge mobility score	9.52%	50.94% 41.4 pts worse	Numerator 2 · Denominator 21
Pressure ulcers or injuries, new or worsened	11.54%	2.29% 9.2 pts worse	Numerator 3 · Denominator 26 · Adjusted rate 8.38%
Healthcare-associated infections requiring hospitalization	7.02%	7.12% 0.1 pts better	No Different than the National Rate · Eligible stays 31 · Observed rate 6.45% · Lower 95% interval 3.5%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 119
Staff flu vaccination coverage	28.46%	42% 13.5 pts worse	Numerator 37 · Denominator 130
Discharge function score	23.81%	56.45% 32.6 pts worse	Numerator 5 · Denominator 21
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · 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 12 · 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	1.9	1.9 About the same	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.1 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.8	2.2 0.4 pts better	1.8 About the same	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.9 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.4%	94.3% 2.1 pts better	93.4% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 98.1% · Q3 95.5% · Q4 93.9% · 4Q avg 96.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.5%	96.2% 1.3 pts better	95.5% 2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5%
Percentage of long-stay residents experiencing one or more falls with major injury	5.0%	3.8% 1.2 pts worse	3.3% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 7.4% · Q3 2.7% · Q4 4.3% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.2%	15.2% 10 pts better	11.4% 6.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.0% · Q3 7.6% · Q4 5.6% · 4Q avg 5.2%
Percentage of long-stay residents who lose too much weight	6.8%	6.7% 0.1 pts worse	5.4% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 8.2% · Q3 4.0% · Q4 7.6% · 4Q avg 6.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	41.9%	29.6% 12.3 pts worse	19.6% 22.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 41.2% · Q2 44.2% · Q3 40.9% · Q4 41.4% · 4Q avg 41.9%
Percentage of long-stay residents who received an antipsychotic medication	22.6%	17.6% 5 pts worse	16.7% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 23.9% · Q3 19.2% · Q4 23.2% · 4Q avg 22.6% · 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	16.9%	17.3% 0.4 pts better	16.3% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 30.3% · Q3 0.0% · Q4 15.3% · 4Q avg 16.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	19.2%	15.6% 3.6 pts worse	14.9% 4.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 33.0% · Q3 10.0% · Q4 15.4% · 4Q avg 19.2% · 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	2.8%	1.7% 1.1 pts worse	1.7% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.7% · Q3 1.9% · Q4 2.7% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	15.0%	19.8% 4.8 pts better	19.8% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.9% · Q2 21.7% · Q3 8.8% · Q4 10.4% · 4Q avg 15.0%
Percentage of long-stay residents with pressure ulcers	5.4%	5.5% 0.1 pts better	5.1% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 7.6% · Q3 4.8% · Q4 5.7% · 4Q avg 5.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	59.9%	83.8% 23.9 pts worse	81.7% 21.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 67.5% · Q2 57.4% · Q3 62.5% · Q4 54.7% · 4Q avg 59.9%
Percentage of short-stay residents who had an outpatient emergency department visit	24.5%	13.9% 10.6 pts worse	12.0% 12.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.5% · Observed 28.9% · Expected 13.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.4%	1.8% 1.6 pts worse	1.6% 1.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 5.0% · Q3 0.0% · Q4 0.0% · 4Q avg 3.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	65.2%	83.6% 18.4 pts worse	79.7% 14.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 65.2%
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 15.8% · Expected 25.0% · Used in QM five-star

Survey summary

Recent inspection cycles

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

2 health deficiencies

Top issue: Infection Control (1 deficiency)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2021-08-27 · Fire 2021-08-27

18 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2019-07-25 · Fire 2019-07-25

14 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-04-04

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 2025-04-25

D · Potential for more than minimal harm 2025-04-04

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-04-04

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-04-04

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-04-25

F · Potential for more than minimal harm 2019-07-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-09-06

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-04

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-04-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-25

K · Immediate jeopardy 2021-08-27

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2021-11-05

K · Immediate jeopardy 2021-08-27

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2021-11-05

K · Immediate jeopardy 2021-08-27

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2021-11-05

J · Immediate jeopardy 2021-08-27

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2021-11-05

F · Potential for more than minimal harm 2021-08-27

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2021-11-05

F · Potential for more than minimal harm 2021-08-27

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2021-11-05

F · Potential for more than minimal harm 2021-08-27

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 2021-11-05

F · Potential for more than minimal harm 2021-08-27

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2021-11-05

F · Potential for more than minimal harm 2021-08-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-11-05

D · Potential for more than minimal harm 2021-08-27

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 2021-11-05

D · Potential for more than minimal harm 2021-08-27

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2021-11-05

D · Potential for more than minimal harm 2021-08-27

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 2021-11-05

D · Potential for more than minimal harm 2021-08-27

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 2021-11-05

D · Potential for more than minimal harm 2021-08-27

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-11-05

D · Potential for more than minimal harm 2021-08-27

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 2021-11-05

D · Potential for more than minimal harm 2021-08-27

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 2021-11-05

D · Potential for more than minimal harm 2021-08-27

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-11-05

D · Potential for more than minimal harm 2021-08-27

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 2021-11-05

E · Potential for more than minimal harm 2019-07-25

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 2019-09-06

E · Potential for more than minimal harm 2019-07-25

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-09-06

E · Potential for more than minimal harm 2019-07-25

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 2019-09-06

E · Potential for more than minimal harm 2019-07-25