Cycle 1
Health 2025-01-09 · Fire 2025-01-09
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Somerset, KY
Lake Cumberland Regional Hospital Scu
4-star overall rating with 5-star inspections
305 Langdon Street, Somerset, KY
(606) 678-3323
Overall
4 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
12
Certified beds
Average residents
10
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Lifepoint Health
Operator or chain grouping
Approved since
1995-04-27
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
8 facilities
Chain averages 4 overall / 4 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
3.81
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.25
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
0.96
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
5.02
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
4.06
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.40
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
2.54
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
3.94
CMS adjusted RN staffing hours
Adjusted total hours
5.18
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
95%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
97%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,004
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
46.46
Composite VBP score used to determine payment impact.
Payment multiplier
0.9998
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.72
Baseline 20.38% · Performance 19.71% · Measure score 3.72 · Achievement 3.72 · Improvement 1.51
Healthcare-associated infections
4.83
Baseline 7.51% · Performance 6.39% · Measure score 4.83 · Achievement 4.83 · Improvement 3.94
Total nurse turnover
5.39
Performance 41.67% · Measure score 5.39 · Achievement 5.39 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.5% |
10.72%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 125 · Observed rate 14.4% · Lower 95% interval 9.62% |
| Discharge to community | 63.94% |
50.57%
13.4 pts better
|
Better than the National Rate · Eligible stays 111 · Observed rate 63.06% · Lower 95% interval 56.56% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 94.2% |
95.27%
1.1 pts worse
|
Numerator 65 · Denominator 69 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 69 |
| Discharge self-care score | 21.82% |
53.69%
31.9 pts worse
|
Numerator 12 · Denominator 55 |
| Discharge mobility score | 23.64% |
50.94%
27.3 pts worse
|
Numerator 13 · Denominator 55 |
| Pressure ulcers or injuries, new or worsened | 1.45% |
2.29%
0.8 pts better
|
Numerator 1 · Denominator 69 · Adjusted rate 2.21% |
| Healthcare-associated infections requiring hospitalization | 6.39% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 61 · Observed rate 3.28% · Lower 95% interval 3.28% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 61 |
| Staff flu vaccination coverage | 19.67% |
42%
22.3 pts worse
|
Numerator 12 · Denominator 61 |
| Discharge function score | 21.82% |
56.45%
34.6 pts worse
|
Numerator 12 · Denominator 55 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 21 · Denominator 21 |
| Transfer of health information to patient | 97.92% |
96.28%
1.6 pts better
|
Numerator 47 · Denominator 48 |
| Resident COVID-19 vaccinations up to date | 11.76% |
25.2%
13.4 pts worse
|
Numerator 4 · Denominator 34 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
83.8%
15.5 pts better
|
81.7%
17.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 100.0% · Q3 100.0% · Q4 99.0% · 4Q avg 99.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.7% |
13.9%
10.2 pts better
|
12.0%
8.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.7% · Observed 3.5% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.5% |
1.8%
0.7 pts worse
|
1.6%
0.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 4.3% · Q3 2.8% · Q4 1.4% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.5% |
83.6%
12.9 pts better
|
79.7%
16.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.3% |
24.5%
6.8 pts worse
|
23.9%
7.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.3% · Observed 28.1% · Expected 21.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-19 · Fire 2023-10-19
1 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Cycle 3
Health 2019-09-12 · Fire 2019-09-12
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
F · Potential for more than minimal harm
2023-10-19
E29 · Emergency Preparedness Deficiencies
Fire Safety
Develop a communication plan.
Corrected 2023-11-10
F · Potential for more than minimal harm
2023-10-19
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-11-10
F · Potential for more than minimal harm
2023-10-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-10
E · Potential for more than minimal harm
2023-10-19
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-11-10
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-10-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-16
D · Potential for more than minimal harm
2019-09-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-10-02
Penalties and ownership
What sits behind the stars
Ownership
Lifepoint Of Lake Cumberland
5% Or Greater Direct Ownership Interest · Organization
Bradley, Kathleen
Operational/Managerial Control · Individual
Branscum, Rachel
Operational/Managerial Control · Individual
Butler, Kimberely
Operational/Managerial Control · Individual
Davis, Daniel
Corporate Officer · Individual
Dsb Acquisition LLC
5% Or Greater Indirect Ownership Interest · Organization
Dugger, Brandon
Operational/Managerial Control · Individual
Grooms, John
Corporate Officer · Individual
Hammond, Spencer
Operational/Managerial Control · Individual
Haugh, William
Corporate Officer · Individual
Herndon, Jeffrey
Operational/Managerial Control · Individual
Historic Lifepoint Hospitals, LLC
5% Or Greater Indirect Ownership Interest · Organization
Lawrence, Charlotte
Corporate Officer · Individual
Legacy Lifepoint Health LLC
5% Or Greater Indirect Ownership Interest · Organization
Lessing, Timothy
Operational/Managerial Control · Individual
Lifepoint Corporate Services General Partnership
Operational/Managerial Control · Organization
Lifepoint Health Inc
5% Or Greater Indirect Ownership Interest · Organization
Lifepoint Holdings 2 LLC
5% Or Greater Indirect Ownership Interest · Organization
Lifepoint Hospitals Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Lockard, Vonda
Operational/Managerial Control · Individual
Manning, Rachel
Operational/Managerial Control · Individual
Mionroe, Kathy
Operational/Managerial Control · Individual
Monte, Christopher
Corporate Officer · Individual
Nelson-Hackney, Tanya
Operational/Managerial Control · Individual
Phillips, Jennifer
Operational/Managerial Control · Individual
Poppell, Marcus
Corporate Officer · Individual
Ruby, Jonathan
Operational/Managerial Control · Individual
Sergin, Mete
Operational/Managerial Control · Individual
Sparks, Carolyn
Operational/Managerial Control · Individual
Wesley, Annette
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Somerwoods Rehabilitation and Healthcare Center
Somerset, KY
2-star overall rating with 3-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Somerset Nursing and Rehabilitation Facility
Somerset, KY
2-star overall rating with 4-star inspections with 3 fire-safety deficiencies in the latest cycle
#3
Cumberland Nursing and Rehabilitation Center
Somerset, KY
2-star overall rating with 2-star inspections with $6,991 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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