Cycle 1
Health 2024-10-31 · Fire 2024-10-31
12 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Hazard, KY
Hazard Health and Rehabilitation Center
3-star overall rating with 2-star inspections with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
390 Park Avenue, Hazard, KY
(606) 439-2306
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
200
Certified beds
Average residents
187
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Seky Holding Co.
Operator or chain grouping
Approved since
1976-03-08
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 3 overall / 3 health / 4 staffing / 1 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
1.04
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.37
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
3.58
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
4.99
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.42
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.61
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.86
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
1.03
CMS adjusted RN staffing hours
Adjusted total hours
4.92
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,796
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.52
Composite VBP score used to determine payment impact.
Payment multiplier
0.9829
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.00% · Performance 21.21% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.03% · Performance 10.59% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.18
Baseline 51.01% · Performance 50.69% · Measure score 3.18 · Achievement 3.18 · Improvement 0
Adjusted total nurse staffing
5.83
Baseline 4.17 hours · Performance 4.74 hours · Measure score 5.83 · Achievement 5.83 · Improvement 3.03
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.69% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 67 · Observed rate 13.43% · Lower 95% interval 7.45% |
| Discharge to community | 35.99% |
50.57%
14.6 pts worse
|
No Different than the National Rate · Eligible stays 27 · Observed rate 18.52% · Lower 95% interval 20.51% |
| Medicare spending per beneficiary | 1.46 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 93.33% |
95.27%
1.9 pts worse
|
Numerator 56 · Denominator 60 |
| Falls with major injury | 3.33% |
0.77%
2.6 pts worse
|
Numerator 2 · Denominator 60 |
| Discharge self-care score | 25.64% |
53.69%
28 pts worse
|
Numerator 10 · Denominator 39 |
| Discharge mobility score | 23.08% |
50.94%
27.9 pts worse
|
Numerator 9 · Denominator 39 |
| Pressure ulcers or injuries, new or worsened | 5% |
2.29%
2.7 pts worse
|
Numerator 3 · Denominator 60 · Adjusted rate 3.54% |
| Healthcare-associated infections requiring hospitalization | 10.59% |
7.12%
3.5 pts worse
|
No Different than the National Rate · Eligible stays 40 · Observed rate 25% · Lower 95% interval 6.71% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 347 |
| Staff flu vaccination coverage | 10.5% |
42%
31.5 pts worse
|
Numerator 48 · Denominator 457 |
| Discharge function score | 23.08% |
56.45%
33.4 pts worse
|
Numerator 9 · Denominator 39 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 9.38% |
25.2%
15.8 pts worse
|
Numerator 3 · Denominator 32 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
1.9
0.8 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.1 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 5.0 |
2.2
2.8 pts worse
|
1.8
3.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 5.0 · Observed 4.4 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
94.3%
3.2 pts better
|
93.4%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.9% · Q3 97.1% · Q4 96.5% · 4Q avg 97.5% |
| 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 | 3.7% |
3.8%
0.1 pts better
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 2.5% · Q3 3.5% · Q4 4.7% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.7% |
15.2%
14.5 pts better
|
11.4%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 1.3% · Q4 0.7% · 4Q avg 0.7% |
| Percentage of long-stay residents who lose too much weight | 8.5% |
6.7%
1.8 pts worse
|
5.4%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 9.0% · Q3 10.2% · Q4 7.0% · 4Q avg 8.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 55.7% |
29.6%
26.1 pts worse
|
19.6%
36.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 54.9% · Q2 56.0% · Q3 57.7% · Q4 54.2% · 4Q avg 55.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.9% |
17.6%
11.3 pts worse
|
16.7%
12.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 30.6% · Q3 29.8% · Q4 28.3% · 4Q avg 28.9% · 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 | 6.5% |
17.3%
10.8 pts better
|
16.3%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 1.9% · Q3 8.0% · Q4 10.9% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.9% |
15.6%
4.7 pts better
|
14.9%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 5.3% · Q3 13.6% · Q4 15.3% · 4Q avg 10.9% · 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 0.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · 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 3.5% · Q2 1.3% · Q3 4.3% · Q4 1.2% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.0% |
19.8%
1.2 pts worse
|
19.8%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 27.7% · Q3 17.2% · Q4 20.7% · 4Q avg 21.0% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
5.5%
0.5 pts worse
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 8.2% · Q3 6.4% · Q4 4.2% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.1% |
83.8%
2.3 pts better
|
81.7%
4.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.1% · Q2 87.8% · Q3 84.3% · Q4 84.7% · 4Q avg 86.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.5% |
13.9%
0.4 pts better
|
12.0%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.5% · Observed 14.8% · Expected 12.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.7% |
1.8%
3.9 pts worse
|
1.6%
4.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 8.3% · Q3 7.4% · Q4 3.7% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.9% |
83.6%
10.3 pts better
|
79.7%
14.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.5% |
24.5%
7 pts better
|
23.9%
6.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.5% · Observed 18.5% · Expected 25.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-06-20 · Fire 2019-06-20
4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Cycle 3
Health 2018-04-05 · Fire 2018-04-05
1 health deficiencies
Top issue: Infection Control (1 deficiency)
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
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 2024-11-18
E · Potential for more than minimal harm
2024-10-31
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-18
D · Potential for more than minimal harm
2019-06-20
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-07-08
D · Potential for more than minimal harm
2019-06-20
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2019-07-08
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 2024-12-31
F · Potential for more than minimal harm
2024-10-31
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-31
F · Potential for more than minimal harm
2024-10-31
F924 · Environmental Deficiencies
Health
Put firmly secured handrails on each side of hallways.
Corrected 2024-12-31
E · Potential for more than minimal harm
2024-10-31
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-12-31
D · Potential for more than minimal harm
2024-10-31
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-31
D · Potential for more than minimal harm
2024-10-31
F625 · Resident Rights Deficiencies
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 2024-12-31
D · Potential for more than minimal harm
2024-10-31
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-12-31
D · Potential for more than minimal harm
2024-10-31
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2024-12-31
D · Potential for more than minimal harm
2024-10-31
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-12-31
D · Potential for more than minimal harm
2024-10-31
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-31
D · Potential for more than minimal harm
2024-10-31
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 2024-12-31
D · Potential for more than minimal harm
2024-10-31
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 2024-12-31
D · Potential for more than minimal harm
2019-06-20
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2019-07-19
D · Potential for more than minimal harm
2019-06-20
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2019-07-19
D · Potential for more than minimal harm
2019-06-20
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-07-19
D · Potential for more than minimal harm
2019-06-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-07-19
D · Potential for more than minimal harm
2018-04-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2018-05-04
Penalties and ownership
What sits behind the stars
Ownership
Seky Holding Co
5% Or Greater Direct Ownership Interest · Organization
Alsip, Roger
Corporate Director · Individual
Alsip, Roger
Corporate Officer · Individual
Fcltc Holdings Inc
5% Or Greater Indirect Ownership Interest · Organization
Forcht, Terry
5% Or Greater Indirect Ownership Interest · Individual
Thornsberry, Charlotte
Operational/Managerial Control · Individual
Thornsberry, Charlotte
W-2 Managing Employee · Individual
Tipton, Wesley
Corporate Director · Individual
Tipton, Wesley
Corporate Officer · Individual
Willis, Jackie
Corporate Officer · Individual
Witt, David
Corporate Director · Individual
Witt, David
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Paul E Patton Eastern KY Veterans Center
Hazard, KY
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
#2
Hyden Health and Rehabilitation Center
Hyden, KY
5-star overall rating with 5-star inspections with $5,346 in total fines with 3 fire-safety deficiencies in the latest cycle
#3
Knott County Health and Rehabilitation Center
Hindman, KY
4-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle
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