0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Elizabethtown, KY
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
106 Diecks Drive, Elizabethtown, KY
(270) 737-2738
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
54
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1987-01-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.56
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
1.05
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
1.97
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
3.59
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.62
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.08
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.50
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.54
CMS adjusted RN staffing hours
Adjusted total hours
3.45
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
56%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
9,764
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.62
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
Readmission
3.82
Baseline 17.87% · Performance 19.66% · Measure score 3.82 · Achievement 3.82 · Improvement 0
Healthcare-associated infections
2.73
Baseline 6.09% · Performance 7.02% · Measure score 2.73 · Achievement 2.73 · Improvement 0
Total nurse turnover
0
Performance 69.84% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
2.50
Baseline 3.12 hours · Performance 3.79 hours · Measure score 2.50 · Achievement 2.50 · Improvement 2.01
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.9% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 89 · Observed rate 11.24% · Lower 95% interval 7.8% |
| Discharge to community | 51.58% |
50.57%
1 pts better
|
No Different than the National Rate · Eligible stays 72 · Observed rate 45.83% · Lower 95% interval 42.03% |
| Medicare spending per beneficiary | 0.86 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 79.55% |
95.27%
15.7 pts worse
|
Numerator 35 · Denominator 44 |
| Falls with major injury | 2.27% |
0.77%
1.5 pts worse
|
Numerator 1 · Denominator 44 |
| Discharge self-care score | 35.14% |
53.69%
18.5 pts worse
|
Numerator 13 · Denominator 37 |
| Discharge mobility score | 48.65% |
50.94%
2.3 pts worse
|
Numerator 18 · Denominator 37 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 44 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.02% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 36 · Observed rate 5.56% · Lower 95% interval 3.47% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 91 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 56.76% |
56.45%
0.3 pts better
|
Numerator 21 · Denominator 37 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 52.38% |
96.28%
43.9 pts worse
|
Numerator 11 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 20% |
25.2%
5.2 pts worse
|
Numerator 5 · Denominator 25 |
Quality measures
| 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 0.8 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
2.2
0.4 pts better
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.6% |
94.3%
6.7 pts worse
|
93.4%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 92.7% · Q2 86.0% · Q3 93.3% · Q4 79.2% · 4Q avg 87.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.8% |
96.2%
1.6 pts better
|
95.5%
2.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
3.8%
2.1 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 0.0% · Q3 0.0% · Q4 2.1% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 15.3% |
15.2%
0.1 pts worse
|
11.4%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 9.5% · Q3 26.8% · Q4 14.9% · 4Q avg 15.3% |
| Percentage of long-stay residents who lose too much weight | 5.1% |
6.7%
1.6 pts better
|
5.4%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · Q3 4.7% · Q4 10.6% · 4Q avg 5.1% |
| 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 · Q1 21.2% · Q2 17.9% · Q3 25.6% · Q4 25.5% · 4Q avg 22.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.4% |
17.6%
4.8 pts worse
|
16.7%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 25.0% · Q3 19.4% · Q4 18.9% · 4Q avg 22.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 1.1% |
0.2%
0.9 pts worse
|
0.1%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 0.0% · Q4 2.1% · 4Q avg 1.1% |
| Percentage of long-stay residents whose ability to walk independently worsened | 39.5% |
17.3%
22.2 pts worse
|
16.3%
23.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 39.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.9% |
15.6%
13.3 pts worse
|
14.9%
14 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.9% · Q2 31.2% · Q3 29.4% · Q4 20.0% · 4Q avg 28.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.7%
0.1 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 31.9% |
19.8%
12.1 pts worse
|
19.8%
12.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.9% · Q2 23.8% · Q3 35.6% · Q4 32.8% · 4Q avg 31.9% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
5.5%
About the same
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 2.7% · Q3 6.4% · Q4 7.9% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.1% |
83.8%
1.7 pts worse
|
81.7%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 79.5% · Q2 81.8% · Q3 83.7% · Q4 83.3% · 4Q avg 82.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.8% |
13.9%
4.9 pts worse
|
12.0%
6.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.8% · Observed 17.1% · Expected 10.2% · 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% · Q4 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 | 78.0% |
83.6%
5.6 pts worse
|
79.7%
1.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 78.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 9.0% |
24.5%
15.5 pts better
|
23.9%
14.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.0% · Observed 8.6% · Expected 22.7% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Quality of Life and Care (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-05-24
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-04-13
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2020-04-13
Inspection history
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 2020-03-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-03-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-01-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-01-27
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 2019-01-27
Health
Provide and implement an infection prevention and control program.
Corrected 2019-01-27
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Elizabethtown, KY
2-star overall rating with 2-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Elizabethtown, KY
1-star overall rating with 2-star inspections with $4,893 in total fines with 8 recent health deficiencies
Elizabethtown, KY
5-star overall rating with 4-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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