Cycle 1
Health 2025-08-07 · Fire 2025-08-07
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Nerinx, KY
Loretto Living Center At Loretto Motherhouse, Inc
5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle
515 Nerinx Road, Nerinx, KY
(270) 865-5811
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
55
Certified beds
Average residents
45
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1991-07-09
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
0.79
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
1.36
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
3.99
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
6.13
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
2.15
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
5.26
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.53
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.00
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.95
CMS adjusted RN staffing hours
Adjusted total hours
7.40
CMS adjusted total nurse staffing hours
Case-mix index
1.13
Higher values indicate more complex resident acuity
RN turnover
11%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
25%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
439
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
69.84
Composite VBP score used to determine payment impact.
Payment multiplier
1.0223
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.05
Performance 19.09% · Measure score 5.05 · Achievement 5.05 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
5.23
Performance 6.27% · Measure score 5.23 · Achievement 5.23 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
7.65
Baseline 29.49% · Performance 32.39% · Measure score 7.65 · Achievement 7.65 · Improvement 0
Adjusted total nurse staffing
10
Baseline 8.38 hours · Performance 7.79 hours · Measure score 10 · Achievement 10 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.61% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 44 · Observed rate 9.09% · Lower 95% interval 7.04% |
| Discharge to community | 45.88% |
50.57%
4.7 pts worse
|
No Different than the National Rate · Eligible stays 32 · Observed rate 37.5% · Lower 95% interval 33.37% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 19 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | 6.27% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 30 · Observed rate 0% · Lower 95% interval 3.41% |
| Staff COVID-19 vaccination coverage | 9.46% |
8.2%
1.3 pts better
|
Numerator 14 · Denominator 148 |
| Staff flu vaccination coverage | 46.51% |
42%
4.5 pts better
|
Numerator 80 · Denominator 172 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 6 · 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 | 1.3 |
1.9
0.6 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 0.8 · Expected 1.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
2.2
1.4 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.6 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.4% |
94.3%
4.1 pts better
|
93.4%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 100.0% · Q3 97.9% · Q4 100.0% · 4Q avg 98.4% |
| 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 | 10.4% |
3.8%
6.6 pts worse
|
3.3%
7.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 8.9% · Q3 10.6% · Q4 14.0% · 4Q avg 10.4% · 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 | 2.2% |
6.7%
4.5 pts better
|
5.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.3% · Q3 2.1% · Q4 0.0% · 4Q avg 2.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 31.7% |
29.6%
2.1 pts worse
|
19.6%
12.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 31.1% · Q3 34.0% · Q4 32.6% · 4Q avg 31.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.6% |
17.6%
About the same
|
16.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 17.1% · Q3 18.6% · Q4 18.4% · 4Q avg 17.6% · 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 | 13.1% |
17.3%
4.2 pts better
|
16.3%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 22.9% · Q3 4.8% · Q4 14.6% · 4Q avg 13.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.4% |
15.6%
11.8 pts worse
|
14.9%
12.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 31.0% · Q3 22.5% · Q4 32.5% · 4Q avg 27.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.7%
0.7 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.7% |
1.7%
About the same
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.0% |
19.8%
3.2 pts worse
|
19.8%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 18.1% · Q3 30.7% · Q4 15.6% · 4Q avg 23.0% |
| Percentage of long-stay residents with pressure ulcers | 2.6% |
5.5%
2.9 pts better
|
5.1%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.6% · Q3 3.7% · Q4 3.5% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80.0% |
83.8%
3.8 pts worse
|
81.7%
1.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 80.0% |
| 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 · 4Q avg 0.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-08-11 · Fire 2022-08-11
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2019-05-16 · Fire 2019-05-16
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-08-07
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 2025-08-25
E · Potential for more than minimal harm
2025-08-07
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-08-22
E · Potential for more than minimal harm
2022-08-11
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 2022-08-31
E · Potential for more than minimal harm
2022-08-11
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-08-31
Inspection history
Recent health citations
D · Potential for more than minimal harm
2022-08-11
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-10-31
D · Potential for more than minimal harm
2019-05-16
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2019-06-01
Penalties and ownership
What sits behind the stars
Ownership
Loretto Literary And Benevolent Institution
5% Or Greater Direct Ownership Interest · Organization
Boesen, Mary
Corporate Director · Individual
Edelen, Brittany
Operational/Managerial Control · Individual
Edelen, Brittany
Corporate Officer · Individual
Essex, Michelle
Operational/Managerial Control · Individual
Essex, Michelle
Corporate Officer · Individual
Loretto Literary And Benevolent Institution
Operational/Managerial Control · Organization
Mattingly, Donna
Corporate Director · Individual
Mueller, Catherine
Corporate Director · Individual
Murphy, Mary
Corporate Director · Individual
Smith, Catherine
Corporate Director · Individual
Wright, Kathleen
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Sansbury Care Center
Saint Catharine, KY
5-star overall rating with 4-star inspections with $5,346 in total fines with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
The Village of Lebanon II, LLC
Lebanon, KY
2-star overall rating with 3-star inspections with $45,335 in total fines with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Springfield Nursing and Rehabilitation Center
Springfield, KY
4-star overall rating with 4-star inspections
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