Cycle 1
Health 2025-04-17 · Fire 2025-04-17
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Jamestown, KY
Fair Oaks Health and Rehabilitation
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1 Sparks Avenue, Jamestown, KY
(270) 343-2101
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
114
Certified beds
Average residents
99
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Simcha Hyman & Naftali Zanziper
Operator or chain grouping
Approved since
1991-08-13
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
0.49
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.47
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.31
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
3.26
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
0.95
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
2.88
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.35
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.49
CMS adjusted RN staffing hours
Adjusted total hours
3.31
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
46%
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
9,420
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.70
Composite VBP score used to determine payment impact.
Payment multiplier
0.9832
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.34
Baseline 18.68% · Performance 20.81% · Measure score 1.34 · Achievement 1.34 · Improvement 0
Healthcare-associated infections
0
Baseline 6.42% · Performance 8.95% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.93
Baseline 45.00% · Performance 35.37% · Measure score 6.93 · Achievement 6.93 · Improvement 4.28
Adjusted total nurse staffing
1.21
Baseline 3.17 hours · Performance 3.42 hours · Measure score 1.21 · Achievement 1.21 · Improvement 0.46
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.14% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 68 · Observed rate 8.82% · Lower 95% interval 6.74% |
| Discharge to community | 40.55% |
50.57%
10 pts worse
|
No Different than the National Rate · Eligible stays 58 · Observed rate 31.03% · Lower 95% interval 29.14% |
| Medicare spending per beneficiary | 1.21 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 69.23% |
95.27%
26 pts worse
|
Numerator 36 · Denominator 52 |
| Falls with major injury | 5.77% |
0.77%
5 pts worse
|
Numerator 3 · Denominator 52 |
| Discharge self-care score | 32.26% |
53.69%
21.4 pts worse
|
Numerator 10 · Denominator 31 |
| Discharge mobility score | 38.71% |
50.94%
12.2 pts worse
|
Numerator 12 · Denominator 31 |
| Pressure ulcers or injuries, new or worsened | 5.77% |
2.29%
3.5 pts worse
|
Numerator 3 · Denominator 52 · Adjusted rate 4.09% |
| Healthcare-associated infections requiring hospitalization | 8.95% |
7.12%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 53 · Observed rate 13.21% · Lower 95% interval 4.65% |
| Staff COVID-19 vaccination coverage | 1.14% |
8.2%
7.1 pts worse
|
Numerator 1 · Denominator 88 |
| Staff flu vaccination coverage | 0.82% |
42%
41.2 pts worse
|
Numerator 2 · Denominator 245 |
| Discharge function score | 38.71% |
56.45%
17.7 pts worse
|
Numerator 12 · Denominator 31 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| 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 | 24% |
25.2%
1.2 pts worse
|
Numerator 6 · Denominator 25 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.9
1 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
2.2
About the same
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.0 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.9% |
94.3%
3.6 pts better
|
93.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 95.6% · Q3 99.0% · Q4 99.0% · 4Q avg 97.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.0% |
96.2%
2.8 pts better
|
95.5%
3.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% |
3.8%
0.6 pts better
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 2.2% · Q3 3.1% · Q4 3.1% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.7% |
15.2%
13.5 pts better
|
11.4%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 2.2% · Q4 3.3% · 4Q avg 1.7% |
| Percentage of long-stay residents who lose too much weight | 7.8% |
6.7%
1.1 pts worse
|
5.4%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 10.2% · Q3 9.8% · Q4 4.5% · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.1% |
29.6%
3.5 pts worse
|
19.6%
13.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.4% · Q2 33.7% · Q3 31.9% · Q4 32.2% · 4Q avg 33.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.6% |
17.6%
5 pts better
|
16.7%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 13.0% · Q3 11.6% · Q4 12.5% · 4Q avg 12.6% · 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 | 15.9% |
17.3%
1.4 pts better
|
16.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.6% · Q2 29.2% · Q3 11.7% · Q4 6.1% · 4Q avg 15.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.7% |
15.6%
6.1 pts worse
|
14.9%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 34.6% · Q3 24.1% · Q4 5.2% · 4Q avg 21.7% · 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 | 1.3% |
1.7%
0.4 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.5% |
19.8%
2.3 pts better
|
19.8%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.8% · Q2 19.6% · Q3 14.9% · Q4 14.1% · 4Q avg 17.5% |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
5.5%
1 pts worse
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 4.8% · Q3 7.0% · Q4 7.1% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.2% |
83.8%
11.4 pts better
|
81.7%
13.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.5% · Q2 93.9% · Q3 95.1% · Q4 97.7% · 4Q avg 95.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.7% |
13.9%
7.2 pts better
|
12.0%
5.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.7% · Observed 6.8% · Expected 11.3% · 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% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.0% |
83.6%
12.4 pts better
|
79.7%
16.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.8% |
24.5%
2.3 pts worse
|
23.9%
2.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.8% · Observed 25.0% · Expected 22.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-10-21 · Fire 2021-10-21
3 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-01-31 · Fire 2019-01-31
0 health deficiencies
No concentrated health issue counts in this cycle.
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
2025-04-17
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-05-06
E · Potential for more than minimal harm
2025-04-17
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-06
D · Potential for more than minimal harm
2025-04-17
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 2025-05-06
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-04-17
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 2025-05-06
E · Potential for more than minimal harm
2021-10-21
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 2021-11-16
D · Potential for more than minimal harm
2021-10-21
F657 · Resident Assessment and Care Planning Deficiencies
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 2021-11-16
D · Potential for more than minimal harm
2021-10-21
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-11-16
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
Conner, Chelsea
W-2 Managing Employee · Individual
Hc Family Trust
5% Or Greater Indirect Ownership Interest · Organization
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
Zanziper Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Signature Healthcare at Summit Manor Rehab & Welln
Columbia, KY
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Mountain Ridge Health and Rehabilitation
Monticello, KY
1-star overall rating with 1-star inspections with $13,426 in total fines with 4 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Clinton County Care and Rehabilitation Center
Albany, KY
4-star overall rating with 4-star inspections with 1 recent health deficiencies
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