Cycle 1
Health 2025-06-05 · Fire 2025-06-05
3 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Ashland, KY
Kingsbrook Lifecare Center
4-star overall rating with 3-star inspections with $11,154 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
2500 State Route 5, Ashland, KY
(606) 324-1414
Overall
4 / 5
CMS overall stars
Health inspections
3 / 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
137
Certified beds
Average residents
127
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2002-07-11
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
0.82
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
1.22
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
3.17
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
5.21
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
2.03
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.69
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
0.04
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.85
CMS adjusted RN staffing hours
Adjusted total hours
5.45
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
26%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
28%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,674
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
43.19
Composite VBP score used to determine payment impact.
Payment multiplier
0.9962
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 23.58% · Performance 25.31% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
6.32
Baseline 7.26% · Performance 5.95% · Measure score 6.32 · Achievement 6.32 · Improvement 5.29
Total nurse turnover
4.19
Baseline 37.50% · Performance 46.55% · Measure score 4.19 · Achievement 4.19 · Improvement 0
Adjusted total nurse staffing
6.77
Baseline 4.21 hours · Performance 5 hours · Measure score 6.77 · Achievement 6.77 · Improvement 4.56
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.65% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 349 · Observed rate 11.75% · Lower 95% interval 8.83% |
| Discharge to community | 59.12% |
50.57%
8.5 pts better
|
Better than the National Rate · Eligible stays 315 · Observed rate 54.92% · Lower 95% interval 54.3% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.1% |
95.27%
3.8 pts better
|
Numerator 220 · Denominator 222 |
| Falls with major injury | 1.35% |
0.77%
0.6 pts worse
|
Numerator 3 · Denominator 222 |
| Discharge self-care score | 38% |
53.69%
15.7 pts worse
|
Numerator 57 · Denominator 150 |
| Discharge mobility score | 26% |
50.94%
24.9 pts worse
|
Numerator 39 · Denominator 150 |
| Pressure ulcers or injuries, new or worsened | 1.8% |
2.29%
0.5 pts better
|
Numerator 4 · Denominator 222 · Adjusted rate 2.19% |
| Healthcare-associated infections requiring hospitalization | 5.95% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 208 · Observed rate 4.81% · Lower 95% interval 3.79% |
| Staff COVID-19 vaccination coverage | 18.65% |
8.2%
10.4 pts better
|
Numerator 47 · Denominator 252 |
| Staff flu vaccination coverage | 74.26% |
42%
32.3 pts better
|
Numerator 202 · Denominator 272 |
| Discharge function score | 40.67% |
56.45%
15.8 pts worse
|
Numerator 61 · Denominator 150 |
| Transfer of health information to provider | 98.57% |
95.95%
2.6 pts better
|
Numerator 69 · Denominator 70 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 114 · Denominator 114 |
| Resident COVID-19 vaccinations up to date | 14.15% |
25.2%
11 pts worse
|
Numerator 15 · Denominator 106 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.8 |
1.9
0.9 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.9 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
2.2
0.8 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.4 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.2% |
94.3%
3.9 pts better
|
93.4%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 99.0% · Q3 99.0% · Q4 98.0% · 4Q avg 98.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.1% |
96.2%
1.9 pts better
|
95.5%
2.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.3% |
3.8%
1.5 pts worse
|
3.3%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 5.9% · Q3 5.2% · Q4 6.0% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
15.2%
14.9 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 2.2% |
6.7%
4.5 pts better
|
5.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 4.4% · Q3 1.1% · Q4 2.2% · 4Q avg 2.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.1% |
29.6%
0.5 pts worse
|
19.6%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.7% · Q2 31.6% · Q3 30.8% · Q4 30.4% · 4Q avg 30.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.4% |
17.6%
2.2 pts better
|
16.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 14.9% · Q3 15.3% · Q4 18.1% · 4Q avg 15.4% · 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 | 14.3% |
17.3%
3 pts better
|
16.3%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 17.0% · Q3 10.1% · Q4 12.3% · 4Q avg 14.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.1% |
15.6%
0.5 pts worse
|
14.9%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 18.9% · Q3 15.5% · Q4 18.2% · 4Q avg 16.1% · 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 0.8% · Q2 1.8% · 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 | 4.4% |
1.7%
2.7 pts worse
|
1.7%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 4.2% · Q3 4.1% · Q4 6.1% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.8% |
19.8%
6 pts better
|
19.8%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 15.5% · Q3 12.5% · Q4 11.3% · 4Q avg 13.8% |
| Percentage of long-stay residents with pressure ulcers | 4.6% |
5.5%
0.9 pts better
|
5.1%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 4.0% · Q3 3.9% · Q4 5.7% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.8% |
83.8%
3 pts better
|
81.7%
5.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 84.7% · Q2 86.3% · Q3 90.2% · Q4 85.8% · 4Q avg 86.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 23.2% |
13.9%
9.3 pts worse
|
12.0%
11.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 23.2% · Observed 23.0% · Expected 11.1% · 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 2.5% · Q2 2.2% · Q3 4.0% · Q4 3.2% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.0% |
83.6%
2.4 pts better
|
79.7%
6.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.9% |
24.5%
4.4 pts worse
|
23.9%
5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.9% · Observed 28.5% · Expected 23.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-28 · Fire 2024-06-28
3 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
15 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Cycle 3
Health 2019-03-28 · Fire 2019-03-28
10 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · 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 2025-06-26
D · Potential for more than minimal harm
2025-06-05
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 2025-06-26
D · Potential for more than minimal harm
2025-06-05
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-26
F · Potential for more than minimal harm
2024-06-28
E24 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2024-08-06
F · Potential for more than minimal harm
2024-06-28
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2024-08-06
F · Potential for more than minimal harm
2024-06-28
E33 · Emergency Preparedness Deficiencies
Fire Safety
Establish methods for sharing information.
Corrected 2024-08-06
F · Potential for more than minimal harm
2024-06-28
E34 · Emergency Preparedness Deficiencies
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2024-08-06
F · Potential for more than minimal harm
2024-06-28
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-08-06
F · Potential for more than minimal harm
2024-06-28
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-08-06
F · Potential for more than minimal harm
2024-06-28
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-08-06
F · Potential for more than minimal harm
2024-06-28
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-06
F · Potential for more than minimal harm
2024-06-28
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 2024-08-06
E · Potential for more than minimal harm
2024-06-28
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-08-06
E · Potential for more than minimal harm
2024-06-28
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-08-06
E · Potential for more than minimal harm
2024-06-28
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-06
E · Potential for more than minimal harm
2024-06-28
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-08-06
E · Potential for more than minimal harm
2024-06-28
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-08-06
E · Potential for more than minimal harm
2024-06-28
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-08-06
D · Potential for more than minimal harm
2019-03-28
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2019-05-10
D · Potential for more than minimal harm
2019-03-28
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 2019-05-10
D · Potential for more than minimal harm
2019-03-28
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-04-19
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-06-05
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 2025-06-26
E · Potential for more than minimal harm
2025-06-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-26
D · Potential for more than minimal harm
2025-06-05
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-06-26
G · Actual harm
2024-06-28
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 2024-08-06
G · Actual harm
2024-06-28
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-06
E · Potential for more than minimal harm
2024-06-28
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 2024-08-06
F · Potential for more than minimal harm
2019-03-28
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 2019-04-19
D · Potential for more than minimal harm
2019-03-28
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2019-04-19
D · Potential for more than minimal harm
2019-03-28
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-04-19
D · Potential for more than minimal harm
2019-03-28
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 2019-04-19
D · Potential for more than minimal harm
2019-03-28
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 2019-04-19
D · Potential for more than minimal harm
2019-03-28
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2019-04-19
D · Potential for more than minimal harm
2019-03-28
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 2019-04-19
D · Potential for more than minimal harm
2019-03-28
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2019-04-19
D · Potential for more than minimal harm
2019-03-28
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2019-04-19
D · Potential for more than minimal harm
2019-03-28
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-04-19
Penalties and ownership
What sits behind the stars
$4,394
2024-06-28
Fine
Fine · fine $4,394
Fine
$6,760
2024-06-28
Fine
Fine · fine $6,760
Fine
$0
2024-06-28
Payment Denial
Payment Denial · denial start 2024-07-30 · 7 days
7 day denial
Ownership
Ashland Hospital Corporation
5% Or Greater Direct Ownership Interest · Organization
Addington, Stephen
Corporate Director · Individual
Beyond Blue Corporation
5% Or Greater Indirect Ownership Interest · Organization
Birdwhistell, Mark
Corporate Director · Individual
Burnette, Thomas
Corporate Director · Individual
Clifton, Steven
Corporate Director · Individual
Clifton, Steven
Corporate Officer · Individual
Collins, Craig
Corporate Director · Individual
Cox, Penny
Corporate Director · Individual
Dipaola, Robert
Corporate Director · Individual
Dugas, Gina
Corporate Director · Individual
Jones, David
Corporate Director · Individual
Marks, Sara
Operational/Managerial Control · Individual
Marks, Sara
Corporate Officer · Individual
Mcfann, Autumn
Corporate Officer · Individual
Monday, Eric
Corporate Director · Individual
Royal Blue Health, LLC
5% Or Greater Indirect Ownership Interest · Organization
Stewart, John
Corporate Director · Individual
University Of Kentucky
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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#2
Sanctuary At Ohio Valley
Ironton, OH
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 4 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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