Cycle 1
Health 2025-06-05 · Fire 2025-06-05
7 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
13 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)
Louisa, KY
Jordan Rehabilitation and Healthcare Center
2-star overall rating with 2-star inspections with 7 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
270 E Clayton Lane, Louisa, KY
(606) 638-4586
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
104
Certified beds
Average residents
88
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1974-12-18
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
Hours and turnover
RN hours / resident day
0.98
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.39
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
3.16
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
4.52
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.36
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.47
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.55
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
4.78
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
39%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,371
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.68
Composite VBP score used to determine payment impact.
Payment multiplier
0.9978
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
2.54
Performance 7.08% · Measure score 2.54 · Achievement 2.54 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
6.36
Baseline 47.14% · Performance 37.68% · Measure score 6.36 · Achievement 6.36 · Improvement 3.74
Adjusted total nurse staffing
4.50
Baseline 4.24 hours · Performance 4.36 hours · Measure score 4.50 · Achievement 4.50 · Improvement 0.29
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.82% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 33 · Observed rate 18.18% · Lower 95% interval 6.82% |
| Discharge to community | 44.56% |
50.57%
6 pts worse
|
No Different than the National Rate · Eligible stays 33 · Observed rate 36.36% · Lower 95% interval 31.35% |
| Medicare spending per beneficiary | 1.19 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 24 · Denominator 24 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 24 |
| Discharge self-care score | 34.78% |
53.69%
18.9 pts worse
|
Numerator 8 · Denominator 23 |
| Discharge mobility score | 34.78% |
50.94%
16.2 pts worse
|
Numerator 8 · Denominator 23 |
| Pressure ulcers or injuries, new or worsened | 4.17% |
2.29%
1.9 pts worse
|
Numerator 1 · Denominator 24 · Adjusted rate 4.04% |
| Healthcare-associated infections requiring hospitalization | 7.08% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 30 · Observed rate 6.67% · Lower 95% interval 3.79% |
| Staff COVID-19 vaccination coverage | 1.47% |
8.2%
6.7 pts worse
|
Numerator 2 · Denominator 136 |
| Staff flu vaccination coverage | 28.13% |
42%
13.9 pts worse
|
Numerator 36 · Denominator 128 |
| Discharge function score | 43.48% |
56.45%
13 pts worse
|
Numerator 10 · Denominator 23 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| 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 | Not Available |
25.2%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
1.9
0.3 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.5 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 5.4 |
2.2
3.2 pts worse
|
1.8
3.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 5.4 · Observed 5.5 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
94.3%
5.4 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.8% · 4Q avg 99.7% |
| 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 | 4.3% |
3.8%
0.5 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 2.8% · Q3 3.8% · Q4 4.7% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
15.2%
15.2 pts better
|
11.4%
11.4 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 who lose too much weight | 10.4% |
6.7%
3.7 pts worse
|
5.4%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 9.7% · Q3 7.8% · Q4 11.1% · 4Q avg 10.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.6% |
29.6%
10 pts better
|
19.6%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 18.1% · Q3 15.4% · Q4 23.5% · 4Q avg 19.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 26.9% |
17.6%
9.3 pts worse
|
16.7%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 27.3% · Q3 26.2% · Q4 29.1% · 4Q avg 26.9% · 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 | 25.6% |
17.3%
8.3 pts worse
|
16.3%
9.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 29.6% · Q4 22.7% · 4Q avg 25.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.0% |
15.6%
9.4 pts worse
|
14.9%
10.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 19.6% · Q3 31.7% · Q4 19.7% · 4Q avg 25.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
0.7%
0.9 pts worse
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 2.8% · Q3 2.8% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
1.7%
1.4 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.3% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.2% |
19.8%
10.6 pts better
|
19.8%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 15.1% · Q3 5.6% · Q4 9.7% · 4Q avg 9.2% |
| Percentage of long-stay residents with pressure ulcers | 16.1% |
5.5%
10.6 pts worse
|
5.1%
11 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 12.7% · Q3 15.5% · Q4 21.7% · 4Q avg 16.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.4% |
83.8%
6.6 pts better
|
81.7%
8.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.8% · Q3 84.2% · Q4 82.0% · 4Q avg 90.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.4% |
13.9%
4.5 pts worse
|
12.0%
6.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.4% · Observed 18.2% · Expected 11.0% · 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 | 98.1% |
83.6%
14.5 pts better
|
79.7%
18.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.4% |
24.5%
6.1 pts better
|
23.9%
5.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.4% · Observed 18.2% · Expected 23.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-03-05 · Fire 2020-03-05
0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2019-01-11 · Fire 2019-01-11
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-06-05
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-07-14
F · Potential for more than minimal harm
2025-06-05
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-07-14
F · Potential for more than minimal harm
2025-06-05
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-08-19
F · Potential for more than minimal harm
2025-06-05
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 2025-07-14
F · Potential for more than minimal harm
2025-06-05
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-07-19
F · Potential for more than minimal harm
2025-06-05
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-14
E · Potential for more than minimal harm
2025-06-05
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-07-14
E · Potential for more than minimal harm
2025-06-05
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-07-14
D · Potential for more than minimal harm
2025-06-05
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-07-14
D · Potential for more than minimal harm
2025-06-05
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-07-14
D · Potential for more than minimal harm
2025-06-05
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-07-14
D · Potential for more than minimal harm
2025-06-05
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-07-14
D · Potential for more than minimal harm
2025-06-05
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-07-14
F · Potential for more than minimal harm
2020-03-05
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-04-04
D · Potential for more than minimal harm
2020-03-05
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2020-03-28
D · Potential for more than minimal harm
2020-03-05
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-05-02
F · Potential for more than minimal harm
2019-01-11
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-02-05
F · Potential for more than minimal harm
2019-01-11
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-02-02
E · Potential for more than minimal harm
2019-01-11
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2019-02-22
E · Potential for more than minimal harm
2019-01-11
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 2019-02-02
D · Potential for more than minimal harm
2019-01-11
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-02-02
D · Potential for more than minimal harm
2019-01-11
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-02-02
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-06-05
F809 · Nutrition and Dietary Deficiencies
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2025-07-01
F · Potential for more than minimal harm
2025-06-05
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 2025-06-14
E · Potential for more than minimal harm
2025-06-05
F576 · Resident Rights Deficiencies
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2025-06-18
D · Potential for more than minimal harm
2025-06-05
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-07-01
D · Potential for more than minimal harm
2025-06-05
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-14
D · Potential for more than minimal harm
2025-06-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-14
D · Potential for more than minimal harm
2025-06-05
F926 · Environmental Deficiencies
Health
Have policies on smoking.
Corrected 2025-06-14
F · Potential for more than minimal harm
2019-01-11
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 2019-02-19
Penalties and ownership
What sits behind the stars
Ownership
Mhc Properties, LLC
5% Or Greater Direct Ownership Interest · Organization
Bailey, Beth
5% Or Greater Indirect Ownership Interest · Individual
Mckenzie, David
5% Or Greater Indirect Ownership Interest · Individual
Bailey, Beth
Corporate Director · Individual
Bailey, Beth
Corporate Officer · Individual
Bailey, Terry
Corporate Director · Individual
Klein, Jeremy
Operational/Managerial Control · Individual
Mckenzie, David
Operational/Managerial Control · Individual
Mckenzie, David
Corporate Director · Individual
Mckenzie, David
Corporate Officer · Individual
Mhc Properties, LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Wayne Healthcare Center
Wayne, WV
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Martin County Health Care Facility
Inez, KY
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Boyd Nursing and Rehabilitation
Ashland, KY
1-star overall rating with 2-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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