Cycle 1
Health 2024-10-31 · Fire 2024-10-31
4 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Russellville, KY
Creekwood Nursing & Rehabilitation
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
107 Boyles Drive, Russellville, KY
(270) 726-9049
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
104
Certified beds
Average residents
94
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Simcha Hyman & Naftali Zanziper
Operator or chain grouping
Approved since
1992-01-01
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
0.50
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.57
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.14
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
3.21
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.07
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
2.84
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
0.06
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.47
CMS adjusted RN staffing hours
Adjusted total hours
3.04
CMS adjusted total nurse staffing hours
Case-mix index
1.45
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,523
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56
Composite VBP score used to determine payment impact.
Payment multiplier
1.0111
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.81
Baseline 19.99% · Performance 18.28% · Measure score 6.81 · Achievement 6.81 · Improvement 5.29
Healthcare-associated infections
7.68
Baseline 7.03% · Performance 5.54% · Measure score 7.68 · Achievement 7.68 · Improvement 6.83
Total nurse turnover
6.26
Baseline 44.30% · Performance 38.09% · Measure score 6.26 · Achievement 6.26 · Improvement 2.69
Adjusted total nurse staffing
1.65
Baseline 3.29 hours · Performance 3.55 hours · Measure score 1.65 · Achievement 1.65 · Improvement 0.52
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.67% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 170 · Observed rate 9.41% · Lower 95% interval 6.79% |
| Discharge to community | 49.32% |
50.57%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 149 · Observed rate 44.3% · Lower 95% interval 42.11% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 96.46% |
95.27%
1.2 pts better
|
Numerator 109 · Denominator 113 |
| Falls with major injury | 3.54% |
0.77%
2.8 pts worse
|
Numerator 4 · Denominator 113 |
| Discharge self-care score | 38.16% |
53.69%
15.5 pts worse
|
Numerator 29 · Denominator 76 |
| Discharge mobility score | 35.53% |
50.94%
15.4 pts worse
|
Numerator 27 · Denominator 76 |
| Pressure ulcers or injuries, new or worsened | 7.96% |
2.29%
5.7 pts worse
|
Numerator 9 · Denominator 113 · Adjusted rate 8.89% |
| Healthcare-associated infections requiring hospitalization | 5.54% |
7.12%
1.6 pts better
|
No Different than the National Rate · Eligible stays 106 · Observed rate 2.83% · Lower 95% interval 3.45% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 110 |
| Staff flu vaccination coverage | 1.48% |
42%
40.5 pts worse
|
Numerator 2 · Denominator 135 |
| Discharge function score | 40.79% |
56.45%
15.7 pts worse
|
Numerator 31 · Denominator 76 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 28 · Denominator 28 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 48 · Denominator 48 |
| Resident COVID-19 vaccinations up to date | 32% |
25.2%
6.8 pts better
|
Numerator 16 · Denominator 50 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.9
0.3 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.4 · Expected 1.6 · 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 2.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.1% |
94.3%
0.2 pts worse
|
93.4%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.9% · Q2 96.3% · Q3 92.5% · Q4 92.5% · 4Q avg 94.1% |
| 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 7.6% · Q2 2.5% · Q3 1.2% · Q4 2.5% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.7% |
15.2%
11.5 pts better
|
11.4%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 6.5% · Q3 2.7% · Q4 2.6% · 4Q avg 3.7% |
| Percentage of long-stay residents who lose too much weight | 5.8% |
6.7%
0.9 pts better
|
5.4%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 2.9% · Q3 4.1% · Q4 7.4% · 4Q avg 5.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.9% |
29.6%
7.7 pts better
|
19.6%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 19.4% · Q3 24.3% · Q4 23.9% · 4Q avg 21.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.5% |
17.6%
5.1 pts better
|
16.7%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 15.6% · Q3 11.8% · Q4 12.3% · 4Q avg 12.5% · 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 | 30.4% |
17.3%
13.1 pts worse
|
16.3%
14.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 54.8% · 4Q avg 30.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.5% |
15.6%
1.1 pts better
|
14.9%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 30.9% · Q2 13.2% · Q3 7.0% · Q4 7.4% · 4Q avg 14.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.7%
0.4 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
1.7%
0.9 pts worse
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 2.5% · Q3 1.3% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.8% |
19.8%
3 pts better
|
19.8%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 24.3% · Q3 15.0% · Q4 15.3% · 4Q avg 16.8% |
| Percentage of long-stay residents with pressure ulcers | 7.4% |
5.5%
1.9 pts worse
|
5.1%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 7.8% · Q3 3.6% · Q4 6.3% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 66.8% |
83.8%
17 pts worse
|
81.7%
14.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 56.7% · Q2 71.6% · Q3 67.6% · Q4 71.7% · 4Q avg 66.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.2% |
13.9%
4.3 pts worse
|
12.0%
6.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.2% · Observed 18.0% · Expected 11.1% · 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 | 94.4% |
83.6%
10.8 pts better
|
79.7%
14.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.6% |
24.5%
0.1 pts worse
|
23.9%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.6% · Observed 23.6% · Expected 22.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-09-25 · Fire 2019-09-25
1 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2018-07-03 · Fire 2018-07-03
13 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-10-31
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-11-01
F · Potential for more than minimal harm
2019-09-25
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-10-01
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-10-31
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 2024-11-01
D · Potential for more than minimal harm
2024-10-31
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-01
D · Potential for more than minimal harm
2024-10-31
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 2024-11-01
D · Potential for more than minimal harm
2024-10-31
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-01
D · Potential for more than minimal harm
2019-09-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-10-12
F · Potential for more than minimal harm
2018-07-03
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 2018-08-01
E · Potential for more than minimal harm
2018-07-03
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 2018-08-01
E · Potential for more than minimal harm
2018-07-03
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2018-08-01
D · Potential for more than minimal harm
2018-07-03
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 2018-08-08
D · Potential for more than minimal harm
2018-07-03
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 2018-08-01
D · Potential for more than minimal harm
2018-07-03
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 2018-08-01
D · Potential for more than minimal harm
2018-07-03
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-08-01
D · Potential for more than minimal harm
2018-07-03
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2018-08-01
D · Potential for more than minimal harm
2018-07-03
F744 · Quality of Life and Care Deficiencies
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2018-08-01
D · Potential for more than minimal harm
2018-07-03
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 2018-08-01
D · Potential for more than minimal harm
2018-07-03
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2018-08-01
D · Potential for more than minimal harm
2018-07-03
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2018-08-01
C · Minimal harm
2018-07-03
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2018-08-01
Penalties and ownership
What sits behind the stars
Ownership
Ky M53 Spe Opco Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
Clearview Healthcare Management Ky LLC
Operational/Managerial Control · Organization
Clearview Ky SNF Holdco LLC
5% Or Greater Indirect Ownership Interest · Organization
Hc Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Majmudar, Manoj
Contracted Managing Employee · Individual
Shnz Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Sweet Home Management LLC
5% Or Greater Indirect Ownership Interest · Organization
Vujanovic, Mick
Operational/Managerial Control · Individual
Vujanovic, Mick
Corporate Officer · Individual
Waymon, Tiffany
W-2 Managing Employee · Individual
Zanziper Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Auburn Nursing and Rehabilitation Center
Auburn, KY
1-star overall rating with 2-star inspections with 9 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#2
Elkton Nursing and Rehabilitation Center
Elkton, KY
1-star overall rating with 2-star inspections with $30,641 in total fines with 3 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#3
Franklin-Simpson Nursing and Rehabilitation Center
Franklin, KY
2-star overall rating with 4-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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