Metcalfe Nursing and Rehabilitation Center ratings, inspections, staffing, and fines

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.
Staffing

−1 star

Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
Quality measures

no change

Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
Overall

1 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Kentucky homes

Metcalfe Nursing and Rehabilitation Center carries 61 inspection points. That is fewer than 13% of Kentucky's 265 rated homes.

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kentucky: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

5★ 0–2 pts
4★ 2–11 pts
3★ 11–22 pts
2★ 22–45 pts
1★ over 45 pts

Bars show every rated home in Kentucky by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

14 health citations on record since 2018. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 6 4 pts

E 4 8 pts

F 4 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Rights3F

F
Ensure residents have reasonable access to and privacy in their use of communication methods.
October 22, 2022 · Standard · F576 · Corrected February 22, 2023
D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
October 22, 2022 · Standard · F578 · Corrected February 22, 2023
E
Honor the resident's right to manage his or her financial affairs.
October 25, 2018 · Standard · F567 · Corrected November 16, 2018

Quality of Life and Care3E

E
Provide activities to meet all resident's needs.
October 22, 2022 · Standard · F679 · Corrected February 22, 2023
E
Provide safe and appropriate respiratory care for a resident when needed.
October 22, 2022 · Standard · F695 · Corrected February 22, 2023
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
October 22, 2022 · Standard · F689 · Corrected February 22, 2023

Resident Assessment and Care Planning3D

D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
October 22, 2022 · Standard · F657 · Corrected February 22, 2023
D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
October 22, 2022 · Standard · F842 · Corrected February 22, 2023
D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
October 25, 2018 · Standard · F842 · Corrected November 16, 2018

Nutrition and Dietary3F

D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
October 22, 2022 · Standard · F812 · Corrected February 22, 2023
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
October 31, 2019 · Standard · F812 · Corrected November 7, 2019
F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
October 25, 2018 · Standard · F804 · Corrected November 16, 2018

Infection Control1F

F
Provide and implement an infection prevention and control program.
October 22, 2022 · Standard · F880 · Corrected February 22, 2023

Pharmacy Service1E

E
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.
October 22, 2022 · Standard · F761 · Corrected February 22, 2023

Inspection history

2022-10-22
10 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2019-10-31
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2018-10-25
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 12 min of nursing staff time a day, 11 min of it from a registered nurse.

This home

3 h 12 min

Kentucky average

3 h 59 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 65% of nursing staff and 67% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

Measure	This home	State	U.S.
Number of hospitalizations per 1000 long-stay resident days0.8 pts better	1.1	1.9	1.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse	2.4	2.0	1.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.2 pts better	98.3%	94.1%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.7 pts worse	95.5%	96.2%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same	3.8%	3.8%	3.2%
Percentage of long-stay residents who have depressive symptoms10.9 pts better	8.0%	18.9%	13.5%
Percentage of long-stay residents who lose too much weight0.8 pts better	5.8%	6.6%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication7.6 pts worse	37.5%	29.9%	19.5%
Percentage of long-stay residents who received an antipsychotic medication12.7 pts worse	28.9%	16.2%	15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better	0.0%	0.2%	0.1%
Percentage of long-stay residents whose ability to walk independently worsened4.7 pts worse	17.0%	12.3%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.2 pts worse	15.4%	13.2%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder2.1 pts worse	2.6%	0.5%	0.7%
Percentage of long-stay residents with a urinary tract infection3.7 pts worse	5.2%	1.5%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.7 pts better	17.6%	18.3%	18.3%
Percentage of long-stay residents with pressure ulcers1.2 pts better	3.5%	4.7%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.1 pts worse	82.4%	84.5%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit8.4 pts worse	21.6%	13.2%	11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better	0.0%	1.6%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.4 pts worse	83.3%	83.7%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.3 pts better	21.6%	23.9%	23.4%

·

Who owns and runs it

27 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list

Name	Role	Share	Homes
Brecher, Hal	Indirect Ownership Interest · Individual	0%	10 facilities
Brecher, Hal	Operational/Managerial Control · Individual	0%	10 facilities
Carter, Valarie	Operational/Managerial Control · Individual	0%	3 facilities
Carter, Valarie	Adp Of The SNF · Individual	0%	3 facilities
Kelman, Moshe	Managing Control - Governing Body · Individual	0%	35 facilities
Kelman, Moshe	Operational/Managerial Control · Individual	0%	35 facilities
Kelman, Moshe	Adp Of The SNF · Individual	0%	35 facilities
Ky Property LLC	Adp Of The SNF · Organization	0%	1 facilities
Ky Property Tr	Adp Of The SNF · Organization	0%	3 facilities
Kyme Ap Prop LLC	Adp Of The SNF · Organization	0%	1 facilities
Kyme Ft Op LLC	5% Or Greater Indirect Ownership Interest · Organization	0%	1 facilities
Kyme Ft Op LLC	Operational/Managerial Control · Organization	0%	1 facilities
Kyme Ft Prop LLC	Adp Of The SNF · Organization	0%	1 facilities
Kyme Hb Op LLC	5% Or Greater Indirect Ownership Interest · Organization	0%	1 facilities
Kyme Hb Op LLC	Operational/Managerial Control · Organization	0%	1 facilities
Kyme Mk Op LLC	5% Or Greater Indirect Ownership Interest · Organization	0%	1 facilities
Kyme Mk Op LLC	Operational/Managerial Control · Organization	0%	1 facilities
Me 701 Skyline Dr LLC	Adp Of The SNF · Organization	0%	1 facilities
Me Skyline Drive Holdco LLC	Adp Of The SNF · Organization	0%	1 facilities
Metcalf Opco Holdco LLC	5% Or Greater Direct Ownership Interest · Organization	0%	1 facilities
Metcalf Opco Holdco LLC	Operational/Managerial Control · Organization	0%	1 facilities
Metcalfe Fiscal LLC	Adp Of The SNF · Organization	0%	1 facilities
Oakhurst Capital Group LLC	Adp Of The SNF · Organization	0%	1 facilities
Platscheck, Andrew	Adp Of The SNF · Individual	0%	4 facilities
Snf Opco LLC	5% Or Greater Indirect Ownership Interest · Organization	0%	1 facilities
Snf Opco LLC	Operational/Managerial Control · Organization	0%	1 facilities
Snf Opco Tr	Operational/Managerial Control · Organization	0%	3 facilities

·

Fire safety

5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke2F

F
Inspect, test, and maintain automatic sprinkler systems.
October 22, 2022 · K353 · Corrected January 26, 2023
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
October 22, 2022 · K321 · Corrected January 26, 2023

Gas, Vacuum, and Electrical Systems2F

F
Have generator or other power source capable of supplying service within 10 seconds.
October 22, 2022 · K918 · Corrected January 26, 2023
E
Ensure proper usage of power strips and extension cords.
October 22, 2022 · K920 · Corrected January 26, 2023

Egress1E

E
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.
October 22, 2022 · K222 · Corrected January 26, 2023

·

Other homes nearby

Glenview Health and Rehabilitation
Glasgow, KY · Simcha Hyman & Naftali Zanziper

Worst citation, 3 yrs
D

Nursing / resident / day
3 h 40 min

Fines
$0
NHC Healthcare, Glasgow
Glasgow, KY · National Healthcare Corporation

Worst citation, 3 yrs
F

Nursing / resident / day
3 h 53 min

Fines
$4,017
Glasgow State Nursing Facility
Glasgow, KY

Worst citation, 3 yrs
J

Nursing / resident / day
6 h 20 min

Fines
$62,189

All homes in Edmonton → All of Kentucky →