2 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Williamstown, KY
3-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
201 Kimberly Lane, Williamstown, KY
(859) 824-7803
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
95
Certified beds
Average residents
90
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Simcha Hyman & Naftali Zanziper
Operator or chain grouping
Approved since
1991-04-22
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
RN hours / resident day
0.85
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.66
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
1.68
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
3.19
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.51
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
2.90
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.62
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
0.90
CMS adjusted RN staffing hours
Adjusted total hours
3.36
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
61%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
69%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
13,061
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
8.66
Composite VBP score used to determine payment impact.
Payment multiplier
0.9808
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.86% · Performance 23.51% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.11% · Performance 8.18% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1.36
Baseline 65.66% · Performance 58.14% · Measure score 1.36 · Achievement 1.36 · Improvement 1.34
Adjusted total nurse staffing
2.11
Baseline 3.91 hours · Performance 3.68 hours · Measure score 2.11 · Achievement 2.11 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.06% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 95 · Observed rate 17.89% · Lower 95% interval 8.34% |
| Discharge to community | 32.14% |
50.57%
18.4 pts worse
|
Worse than the National Rate · Eligible stays 59 · Observed rate 18.64% · Lower 95% interval 18.82% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 94.74% |
95.27%
0.5 pts worse
|
Numerator 72 · Denominator 76 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 76 |
| Discharge self-care score | 42.31% |
53.69%
11.4 pts worse
|
Numerator 22 · Denominator 52 |
| Discharge mobility score | 23.08% |
50.94%
27.9 pts worse
|
Numerator 12 · Denominator 52 |
| Pressure ulcers or injuries, new or worsened | 11.84% |
2.29%
9.6 pts worse
|
Numerator 9 · Denominator 76 · Adjusted rate 9.78% |
| Healthcare-associated infections requiring hospitalization | 8.18% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 53 · Observed rate 13.21% · Lower 95% interval 5.05% |
| Staff COVID-19 vaccination coverage | 4.76% |
8.2%
3.4 pts worse
|
Numerator 3 · Denominator 63 |
| Staff flu vaccination coverage | 67.27% |
42%
25.3 pts better
|
Numerator 74 · Denominator 110 |
| Discharge function score | 42.31% |
56.45%
14.1 pts worse
|
Numerator 22 · Denominator 52 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 26 · Denominator 26 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 13.33% |
25.2%
11.9 pts worse
|
Numerator 4 · Denominator 30 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.9
0.1 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.7 · Expected 2.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.8 |
2.2
0.6 pts worse
|
1.8
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 3.4 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.3% |
94.3%
10 pts worse
|
93.4%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 85.2% · Q2 88.0% · Q3 83.9% · Q4 80.5% · 4Q avg 84.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 81.1% |
96.2%
15.1 pts worse
|
95.5%
14.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 81.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.2% |
3.8%
2.4 pts worse
|
3.3%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 4.8% · Q3 6.9% · Q4 8.0% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.7% |
15.2%
7.5 pts better
|
11.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 14.3% · Q3 1.3% · Q4 1.3% · 4Q avg 7.7% |
| Percentage of long-stay residents who lose too much weight | 7.2% |
6.7%
0.5 pts worse
|
5.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 9.7% · Q3 7.9% · Q4 1.3% · 4Q avg 7.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.1% |
29.6%
6.5 pts better
|
19.6%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 18.4% · Q3 23.8% · Q4 25.0% · 4Q avg 23.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.7% |
17.6%
1.1 pts worse
|
16.7%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 25.0% · Q3 18.8% · Q4 12.7% · 4Q avg 18.7% · 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 | 15.7% |
17.3%
1.6 pts better
|
16.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 23.4% · Q3 17.0% · Q4 9.4% · 4Q avg 15.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.6% |
15.6%
5 pts worse
|
14.9%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 24.3% · Q3 16.2% · Q4 15.8% · 4Q avg 20.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.7%
0.5 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
1.7%
0.5 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 1.2% · Q4 2.4% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.2% |
19.8%
0.4 pts worse
|
19.8%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 23.4% · Q3 17.8% · Q4 24.2% · 4Q avg 20.2% |
| Percentage of long-stay residents with pressure ulcers | 3.9% |
5.5%
1.6 pts better
|
5.1%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 2.4% · Q3 2.2% · Q4 2.1% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 46.8% |
83.8%
37 pts worse
|
81.7%
34.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 47.3% · Q3 55.8% · Q4 57.1% · 4Q avg 46.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.4% |
13.9%
0.5 pts better
|
12.0%
1.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.4% · Observed 14.8% · Expected 12.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.0% |
1.8%
1.2 pts worse
|
1.6%
1.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 33.9% |
83.6%
49.7 pts worse
|
79.7%
45.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 33.9% |
| 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 27.8% · Expected 27.0% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-10-10
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-10-10
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 2025-10-10
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-11-22
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-11-22
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-11-22
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-11-22
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-11-22
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-09-12
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 2019-09-12
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2019-09-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-09-12
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-24
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-24
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-11-27
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 2024-11-27
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-09-12
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2019-09-12
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2019-09-12
Health
Respond appropriately to all alleged violations.
Corrected 2019-09-12
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-09-12
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 2019-09-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-09-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-09-12
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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5-star overall rating with 4-star inspections with 2 recent health deficiencies
Owenton, KY
2-star overall rating with 2-star inspections with $8,512 in total fines with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Warsaw, KY
2-star overall rating with 2-star inspections with abuse icon flag with $13,800 in total fines with 2 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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