Lewisport, KY

Heartland Villa Nursing And Rehabilitation Center

3-star overall rating with 4-star inspections with $8,788 in total fines with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

8005 US Highway 60 West, Lewisport, KY

(270) 295-6756

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

45

Certified beds

Average residents

42

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Encore Health Partners

Operator or chain grouping

Approved since

1994-12-13

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

12 facilities

Chain averages 3 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

0.53

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.62

Licensed practical nurse staffing · state 0.81 · national 0.87

Aide hours / resident day

2.22

Nurse aide staffing · state 2.43 · national 2.35

Total nurse hours

3.36

All reported nurse hours · state 4.01 · national 3.89

Licensed hours

1.15

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

2.83

Weekend nurse staffing · state 3.50 · national 3.43

Weekend RN hours

0.37

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

0.49

CMS adjusted RN staffing hours

Adjusted total hours

3.11

CMS adjusted total nurse staffing hours

Case-mix index

1.48

Higher values indicate more complex resident acuity

RN turnover

70%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

55%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,428

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

20.41

Composite VBP score used to determine payment impact.

Payment multiplier

0.9824

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.92

Baseline 19.22% · Performance 19.15% · Measure score 4.92 · Achievement 4.92 · Improvement 0

Healthcare-associated infections

1.19

Baseline 6.82% · Performance 7.48% · Measure score 1.19 · Achievement 1.19 · Improvement 0

Total nurse turnover

2.06

Baseline 38.23% · Performance 55.26% · Measure score 2.06 · Achievement 2.06 · Improvement 0

Adjusted total nurse staffing

0

Baseline 2.81 hours · Performance 2.74 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.02%	10.72% 0.7 pts better	No Different than the National Rate · Eligible stays 47 · Observed rate 6.38% · Lower 95% interval 6.87%
Discharge to community	44.73%	50.57% 5.8 pts worse	No Different than the National Rate · Eligible stays 50 · Observed rate 38% · Lower 95% interval 35.37%
Medicare spending per beneficiary	1.43	1.02 0.4 pts worse
Drug regimen review with follow-up	93.94%	95.27% 1.3 pts worse	Numerator 31 · Denominator 33
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 33
Discharge self-care score	37.5%	53.69% 16.2 pts worse	Numerator 9 · Denominator 24
Discharge mobility score	45.83%	50.94% 5.1 pts worse	Numerator 11 · Denominator 24
Pressure ulcers or injuries, new or worsened	3.03%	2.29% 0.7 pts worse	Numerator 1 · Denominator 33 · Adjusted rate 3.63%
Healthcare-associated infections requiring hospitalization	7.48%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 36 · Observed rate 8.33% · Lower 95% interval 4.45%
Staff COVID-19 vaccination coverage	73.08%	8.2% 64.9 pts better	Numerator 57 · Denominator 78
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	50%	56.45% 6.5 pts worse	Numerator 12 · Denominator 24
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	23.81%	25.2% 1.4 pts worse	Numerator 5 · Denominator 21

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	1.9 0.1 pts better	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.6 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.7	2.2 1.5 pts better	1.8 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.3%	94.3% 5 pts better	93.4% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 97.6% · Q4 100.0% · 4Q avg 99.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.6%	96.2% 1.4 pts better	95.5% 2.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.6%
Percentage of long-stay residents experiencing one or more falls with major injury	2.0%	3.8% 1.8 pts better	3.3% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 2.4% · Q4 2.7% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	43.8%	15.2% 28.6 pts worse	11.4% 32.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 47.2% · Q2 48.6% · Q3 41.7% · Q4 37.8% · 4Q avg 43.8%
Percentage of long-stay residents who lose too much weight	10.8%	6.7% 4.1 pts worse	5.4% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 8.6% · Q3 11.8% · Q4 17.1% · 4Q avg 10.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.2%	29.6% 12.4 pts better	19.6% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 16.7% · Q3 17.5% · Q4 19.4% · 4Q avg 17.2%
Percentage of long-stay residents who received an antipsychotic medication	4.1%	17.6% 13.5 pts better	16.7% 12.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 3.3% · Q3 3.1% · Q4 3.2% · 4Q avg 4.1% · 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	17.9%	17.3% 0.6 pts worse	16.3% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 17.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.0%	15.6% 1.6 pts better	14.9% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 8.8% · Q3 19.4% · Q4 11.1% · 4Q avg 14.0% · 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	0.7%	1.7% 1 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	30.7%	19.8% 10.9 pts worse	19.8% 10.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 42.3% · Q2 42.1% · Q3 29.8% · Q4 10.1% · 4Q avg 30.7%
Percentage of long-stay residents with pressure ulcers	2.6%	5.5% 2.9 pts better	5.1% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.5% · Q3 3.4% · Q4 3.2% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.2%	83.8% 14.4 pts better	81.7% 16.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.6% · Q3 100.0% · Q4 97.1% · 4Q avg 98.2%
Percentage of short-stay residents who had an outpatient emergency department visit	10.0%	13.9% 3.9 pts better	12.0% 2 pts better	Short Stay · 20240701-20250630 · Adjusted 10.0% · Observed 10.9% · Expected 12.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.8%	1.8% 1 pts worse	1.6% 1.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.5% · 4Q avg 2.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	83.9%	83.6% 0.3 pts better	79.7% 4.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 83.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.1%	24.5% 0.4 pts better	23.9% 0.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.1% · Observed 30.4% · Expected 30.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-06 · Fire 2024-09-06

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2019-11-27 · Fire 2019-11-27

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2018-08-30 · Fire 2018-08-30

4 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-09-06

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-10-04

F · Potential for more than minimal harm 2024-09-06

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-10-04

F · Potential for more than minimal harm 2024-09-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-10-04

F · Potential for more than minimal harm 2024-09-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-10-04

E · Potential for more than minimal harm 2024-09-06

K361 · Smoke Deficiencies

Fire Safety

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

Corrected 2024-10-04

E · Potential for more than minimal harm 2019-11-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-12-26

D · Potential for more than minimal harm 2018-08-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-09-25

Inspection history

Recent health citations

G · Actual harm 2024-12-16

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-27

D · Potential for more than minimal harm 2024-09-06

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 2024-10-04

F · Potential for more than minimal harm 2018-08-30

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 2018-09-25

D · Potential for more than minimal harm 2018-08-30

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2018-09-25

D · Potential for more than minimal harm 2018-08-30

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2018-09-25

D · Potential for more than minimal harm 2018-08-30

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 2018-09-25

Penalties and ownership

What sits behind the stars

$8,788 2024-12-16

Fine

Fine · fine $8,788

Fine

Ownership

Encore Investors LLC

5% Or Greater Direct Ownership Interest · Organization

100% 7 facilities 2024-02-01

Fischl, Mayer