0 health deficiencies
No concentrated health issue counts in this cycle.
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Hopkinsville, KY
5-star overall rating with 5-star inspections with 6 fire-safety deficiencies in the latest cycle
200 Sterling Drive, Hopkinsville, KY
(270) 885-1166
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
114
Certified beds
Average residents
107
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Christian Care Communities
Operator or chain grouping
Approved since
1978-03-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
RN hours / resident day
0.72
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.73
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.72
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
4.18
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.71
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.51
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
0.74
CMS adjusted RN staffing hours
Adjusted total hours
4.25
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
35%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
58%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
2,683
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.30
Composite VBP score used to determine payment impact.
Payment multiplier
1.0020
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.50
Baseline 20.01% · Performance 18.88% · Measure score 5.50 · Achievement 5.50 · Improvement 3.28
Healthcare-associated infections
6.92
Baseline 8.30% · Performance 5.85% · Measure score 6.92 · Achievement 6.65 · Improvement 6.92
Total nurse turnover
3.10
Baseline 72.97% · Performance 55.64% · Measure score 3.10 · Achievement 1.97 · Improvement 3.10
Adjusted total nurse staffing
3.79
Baseline 3.84 hours · Performance 4.16 hours · Measure score 3.79 · Achievement 3.79 · Improvement 1.14
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.81% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 197 · Observed rate 11.17% · Lower 95% interval 8.65% |
| Discharge to community | 49.31% |
50.57%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 193 · Observed rate 47.15% · Lower 95% interval 44.7% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.6% |
95.27%
3.3 pts better
|
Numerator 141 · Denominator 143 |
| Falls with major injury | 1.4% |
0.77%
0.6 pts worse
|
Numerator 2 · Denominator 143 |
| Discharge self-care score | 65.45% |
53.69%
11.8 pts better
|
Numerator 72 · Denominator 110 |
| Discharge mobility score | 48.18% |
50.94%
2.8 pts worse
|
Numerator 53 · Denominator 110 |
| Pressure ulcers or injuries, new or worsened | 4.93% |
2.29%
2.6 pts worse
|
Numerator 7 · Denominator 142 · Adjusted rate 5.92% |
| Healthcare-associated infections requiring hospitalization | 5.85% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 128 · Observed rate 3.13% · Lower 95% interval 3.77% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 136 |
| Staff flu vaccination coverage | 23.38% |
42%
18.6 pts worse
|
Numerator 54 · Denominator 231 |
| Discharge function score | 66.36% |
56.45%
9.9 pts better
|
Numerator 73 · Denominator 110 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 34 · Denominator 34 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 63 · Denominator 63 |
| Resident COVID-19 vaccinations up to date | 3.75% |
25.2%
21.4 pts worse
|
Numerator 3 · Denominator 80 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.9
0.4 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.6 · 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 1.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.4% |
94.3%
1.9 pts worse
|
93.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 95.2% · Q2 94.1% · Q3 88.2% · Q4 92.1% · 4Q avg 92.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.8% |
96.2%
0.6 pts better
|
95.5%
1.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
3.8%
0.9 pts better
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 3.5% · Q3 1.2% · Q4 2.2% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.9% |
15.2%
13.3 pts better
|
11.4%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 1.3% · Q3 1.3% · Q4 0.0% · 4Q avg 1.9% |
| Percentage of long-stay residents who lose too much weight | 10.5% |
6.7%
3.8 pts worse
|
5.4%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 17.1% · Q3 11.8% · Q4 6.5% · 4Q avg 10.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 32.5% |
29.6%
2.9 pts worse
|
19.6%
12.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.1% · Q2 34.1% · Q3 30.9% · Q4 32.9% · 4Q avg 32.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.3% |
17.6%
8.3 pts better
|
16.7%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 7.5% · Q3 10.3% · Q4 11.6% · 4Q avg 9.3% · 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 | 37.1% |
17.3%
19.8 pts worse
|
16.3%
20.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 53.3% · 4Q avg 37.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.9% |
15.6%
13.3 pts worse
|
14.9%
14 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 37.1% · Q3 25.8% · Q4 24.7% · 4Q avg 28.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
0.7%
0.7 pts worse
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.0% · Q3 2.5% · Q4 1.1% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.1% |
1.7%
4.4 pts worse
|
1.7%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 5.0% · Q3 7.3% · Q4 8.0% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.9% |
19.8%
4.1 pts worse
|
19.8%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 24.4% · Q3 21.2% · Q4 27.6% · 4Q avg 23.9% |
| Percentage of long-stay residents with pressure ulcers | 6.7% |
5.5%
1.2 pts worse
|
5.1%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 6.5% · Q3 6.5% · Q4 5.3% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.5% |
83.8%
2.3 pts worse
|
81.7%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 79.8% · Q2 90.7% · Q3 85.0% · Q4 70.3% · 4Q avg 81.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.2% |
13.9%
3.7 pts better
|
12.0%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.2% · Observed 8.9% · Expected 9.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% |
1.8%
0.2 pts worse
|
1.6%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.4% · Q3 2.4% · Q4 2.6% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.6% |
83.6%
8 pts better
|
79.7%
11.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.6% |
| 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 12.6% · Expected 20.0% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-25
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-04-25
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-04-25
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-04-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-22
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-01-23
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 2019-01-23
Inspection history
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-04-10
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 2020-04-10
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-04-10
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 2020-04-10
Health
Provide and implement an infection prevention and control program.
Corrected 2019-01-23
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2019-01-23
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-01-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-01-23
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-01-23
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2019-01-23
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
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