Elsmere, KY

Emerald Trace

2-star overall rating with 2-star inspections with $9,318 in total fines with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

3802 Turkeyfoot Road, Elsmere, KY

(859) 342-0200

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

54

Certified beds

Average residents

45

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2017-02-23

CMS approved date

Coverage

Medicare

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.67

Registered nurse staffing

LPN hours / resident day

1.82

Licensed practical nurse staffing

Aide hours / resident day

3.68

Nurse aide staffing

Weekend hours

5.62

Weekend nurse staffing

RN turnover

71%

Annual RN turnover

Total nurse turnover

62%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.1
1.9
0.2 pts worse
1.9
0.2 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.4
2.2
0.2 pts worse
1.8
0.6 pts worse
Long Stay · 20240701-20250630
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
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
Percentage of long-stay residents experiencing one or more falls with major injury 8.5%
3.8%
4.7 pts worse
3.3%
5.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 4.5%
15.2%
10.7 pts better
11.4%
6.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.0%
6.7%
2.7 pts better
5.4%
1.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.8%
29.6%
6.8 pts better
19.6%
3.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 28.6%
17.6%
11 pts worse
16.7%
11.9 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 13.1%
17.3%
4.2 pts better
16.3%
3.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 11.1%
15.6%
4.5 pts better
14.9%
3.8 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection 2.2%
1.7%
0.5 pts worse
1.7%
0.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.1%
19.8%
3.3 pts worse
19.8%
3.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 8.1%
5.5%
2.6 pts worse
5.1%
3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
83.8%
15.3 pts better
81.7%
17.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 15.0%
13.9%
1.1 pts worse
12.0%
3 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 2.2%
1.8%
0.4 pts worse
1.6%
0.6 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97.3%
83.6%
13.7 pts better
79.7%
17.6 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 35.3%
24.5%
10.8 pts worse
23.9%
11.4 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-22 · Fire 2025-08-22

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2023-12-15 · Fire 2023-12-15

4 health deficiencies

Top issue: Infection Control (1 deficiency)

7 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 3 Health 2021-10-01 · Fire 2021-10-01

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-22

K521 · Services Deficiencies

Fire Safety

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

Corrected 2025-10-17

E · Potential for more than minimal harm 2025-08-22

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-10-17

F · Potential for more than minimal harm 2023-12-15

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2023-12-21

F · Potential for more than minimal harm 2023-12-15

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-12-21

F · Potential for more than minimal harm 2023-12-15

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-12-21

F · Potential for more than minimal harm 2023-12-15

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-12-21

F · Potential for more than minimal harm 2023-12-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-12-21

D · Potential for more than minimal harm 2023-12-15

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-12-21

D · Potential for more than minimal harm 2023-12-15

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-12-21

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-22

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-10-17

E · Potential for more than minimal harm 2025-08-22

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 2025-09-26

J · Immediate jeopardy 2023-12-15

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 2024-01-16

G · Actual harm 2023-12-15

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 2024-01-16

E · Potential for more than minimal harm 2023-12-15

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 2024-01-16

E · Potential for more than minimal harm 2023-12-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-16

D · Potential for more than minimal harm 2023-12-15

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 2024-01-16

E · Potential for more than minimal harm 2021-10-01

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 2021-10-22

Penalties and ownership

What sits behind the stars

$9,318 2023-12-15

Fine

Fine · fine $9,318

Fine

Ownership

Kenton Housing, Inc.

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2017-01-01
Eldridge, John

Corporate Director · Individual

0% 1 facilities 1993-05-08
Foster, Terry

Corporate Director · Individual

0% 1 facilities 2021-04-01
Halderman, Bonnie

Corporate Director · Individual

0% 2 facilities 1990-05-22
Jones, Julie

Corporate Director · Individual

0% 1 facilities 2020-04-01
Keith, Ronald

Corporate Director · Individual

0% 1 facilities 2020-04-01
Keith, Ronald

Corporate Officer · Individual

0% 1 facilities 2023-04-01
Kenton Housing, Inc.

Operational/Managerial Control · Organization

0% 1 facilities 2017-01-01
Knollman, Londa

Operational/Managerial Control · Individual

0% 2 facilities 2017-01-01
Knollman, Londa

Corporate Officer · Individual

0% 2 facilities 2017-07-01
Knollman, Londa

W-2 Managing Employee · Individual

0% 2 facilities 2017-01-01
Middendorf, Mark

Corporate Director · Individual

0% 2 facilities 1990-05-08
Middendorf, Mark

Corporate Officer · Individual

0% 2 facilities 2021-04-04
Middleton, John

Corporate Director · Individual

0% 1 facilities 2020-04-01
Middleton, John

Corporate Officer · Individual

0% 1 facilities 2023-04-01
Schieman, Eric

Corporate Director · Individual

0% 1 facilities 2018-04-01
Shabazz, Tiffany

Corporate Director · Individual

0% 1 facilities 2019-04-01
Simmons, Kelly

Corporate Director · Individual

0% 2 facilities 2011-09-27
Weaver, Paul

Corporate Director · Individual

0% 2 facilities 1992-05-12

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#3

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