0 health deficiencies
No concentrated health issue counts in this cycle.
9 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
London, KY
5-star overall rating with 5-star inspections with 9 fire-safety deficiencies in the latest cycle
208 West 12th Street, London, KY
(606) 864-4155
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
160
Certified beds
Average residents
153
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
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
0.98
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.51
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.72
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
4.20
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.49
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.85
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.76
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
0.77
CMS adjusted RN staffing hours
Adjusted total hours
3.30
CMS adjusted total nurse staffing hours
Case-mix index
1.74
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
35%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
8,844
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.49
Composite VBP score used to determine payment impact.
Payment multiplier
0.9838
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.74
Baseline 20.76% · Performance 21.09% · Measure score 0.74 · Achievement 0.74 · Improvement 0
Healthcare-associated infections
3.90
Baseline 5.60% · Performance 6.67% · Measure score 3.90 · Achievement 3.90 · Improvement 0
Total nurse turnover
5.56
Baseline 30.60% · Performance 40.94% · Measure score 5.56 · Achievement 5.56 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.31 hours · Performance 3.06 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.2% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 107 · Observed rate 11.21% · Lower 95% interval 7.75% |
| Discharge to community | 49.79% |
50.57%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 104 · Observed rate 43.27% · Lower 95% interval 41.89% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.21% |
95.27%
2.9 pts better
|
Numerator 55 · Denominator 56 |
| Falls with major injury | 1.79% |
0.77%
1 pts worse
|
Numerator 1 · Denominator 56 |
| Discharge self-care score | 65.91% |
53.69%
12.2 pts better
|
Numerator 29 · Denominator 44 |
| Discharge mobility score | 79.55% |
50.94%
28.6 pts better
|
Numerator 35 · Denominator 44 |
| Pressure ulcers or injuries, new or worsened | 1.79% |
2.29%
0.5 pts better
|
Numerator 1 · Denominator 56 · Adjusted rate 1.49% |
| Healthcare-associated infections requiring hospitalization | 6.67% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 53 · Observed rate 3.77% · Lower 95% interval 3.88% |
| Staff COVID-19 vaccination coverage | 9.21% |
8.2%
1 pts better
|
Numerator 22 · Denominator 239 |
| Staff flu vaccination coverage | 92.13% |
42%
50.1 pts better
|
Numerator 234 · Denominator 254 |
| Discharge function score | 72.73% |
56.45%
16.3 pts better
|
Numerator 32 · Denominator 44 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 21 · Denominator 21 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 20 · Denominator 20 |
| Resident COVID-19 vaccinations up to date | 24.14% |
25.2%
1.1 pts worse
|
Numerator 7 · Denominator 29 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.9
0.5 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 1.9 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.0 |
2.2
0.8 pts worse
|
1.8
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.3 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 74.0% |
94.3%
20.3 pts worse
|
93.4%
19.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 64.1% · Q2 78.3% · Q3 78.7% · Q4 74.7% · 4Q avg 74.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.7% |
96.2%
2.5 pts better
|
95.5%
3.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.5% |
3.8%
0.3 pts better
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 4.2% · Q3 4.5% · Q4 4.0% · 4Q avg 3.5% · 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 | 5.1% |
6.7%
1.6 pts better
|
5.4%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 3.8% · Q3 4.9% · Q4 6.5% · 4Q avg 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 42.5% |
29.6%
12.9 pts worse
|
19.6%
22.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.6% · Q2 43.1% · Q3 43.8% · Q4 40.3% · 4Q avg 42.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 33.7% |
17.6%
16.1 pts worse
|
16.7%
17 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 31.3% · Q3 35.9% · Q4 33.9% · 4Q avg 33.7% · 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 | 14.5% |
17.3%
2.8 pts better
|
16.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.4% · Q2 12.0% · Q3 13.2% · Q4 11.5% · 4Q avg 14.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.5% |
15.6%
1.1 pts better
|
14.9%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 14.7% · Q3 12.4% · Q4 12.6% · 4Q avg 14.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.7%
0.5 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.5% · Q3 0.6% · Q4 0.0% · 4Q avg 1.2% · 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 0.7% · Q3 0.6% · 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 | 19.6% |
19.8%
0.2 pts better
|
19.8%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 22.2% · Q3 19.4% · Q4 16.2% · 4Q avg 19.6% |
| Percentage of long-stay residents with pressure ulcers | 4.2% |
5.5%
1.3 pts better
|
5.1%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.9% · Q3 5.4% · Q4 4.2% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 56.2% |
83.8%
27.6 pts worse
|
81.7%
25.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 49.1% · Q3 68.8% · Q4 65.0% · 4Q avg 56.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 28.9% |
13.9%
15 pts worse
|
12.0%
16.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.9% · Observed 23.3% · Expected 9.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.1% |
1.8%
3.3 pts worse
|
1.6%
3.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 80.0% |
83.6%
3.6 pts worse
|
79.7%
0.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.9% |
24.5%
1.6 pts better
|
23.9%
1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.9% · Observed 18.6% · Expected 19.4% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
9 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-05-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-24
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-05-12
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-30
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 2025-05-12
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-04-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-21
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-05-30
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-03-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-03-26
Health
Assess the resident when there is a significant change in condition
Corrected 2019-01-29
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-01-29
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 2019-01-29
Penalties and ownership
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Nearby options
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