Mayfield, KY

Mills Nursing & Rehabilitation

1-star overall rating with 2-star inspections with $26,132 in total fines with 3 fire-safety deficiencies in the latest cycle

500 Beck Lane, Mayfield, KY

(270) 247-7890

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

104

Certified beds

Average residents

100

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Simcha Hyman & Naftali Zanziper

Operator or chain grouping

Approved since

1991-06-18

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

94 facilities

Chain averages 2 overall / 3 health / 2 staffing / 3 quality stars

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

0.54

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.93

Licensed practical nurse staffing · state 0.81 · national 0.87

Aide hours / resident day

1.66

Nurse aide staffing · state 2.43 · national 2.35

Total nurse hours

3.14

All reported nurse hours · state 4.01 · national 3.89

Licensed hours

1.47

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

2.80

Weekend nurse staffing · state 3.50 · national 3.43

Weekend RN hours

0.16

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

0.52

CMS adjusted RN staffing hours

Adjusted total hours

3.01

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

21%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,264

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

24.23

Composite VBP score used to determine payment impact.

Payment multiplier

0.9834

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.04

Baseline 21.40% · Performance 19.56% · Measure score 4.04 · Achievement 4.04 · Improvement 3.72

Healthcare-associated infections

0

Baseline 6.77% · Performance 9.42% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

3.70

Baseline 55.21% · Performance 48.54% · Measure score 3.70 · Achievement 3.70 · Improvement 1.70

Adjusted total nurse staffing

1.95

Baseline 3.11 hours · Performance 3.63 hours · Measure score 1.95 · Achievement 1.95 · Improvement 1.45

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.5%
10.72%
0.8 pts worse
No Different than the National Rate · Eligible stays 125 · Observed rate 12% · Lower 95% interval 8.77%
Discharge to community 37.48%
50.57%
13.1 pts worse
Worse than the National Rate · Eligible stays 104 · Observed rate 29.81% · Lower 95% interval 26.82%
Medicare spending per beneficiary 1.25
1.02
0.2 pts worse
Drug regimen review with follow-up 94.12%
95.27%
1.1 pts worse
Numerator 80 · Denominator 85
Falls with major injury 1.18%
0.77%
0.4 pts worse
Numerator 1 · Denominator 85
Discharge self-care score 27.27%
53.69%
26.4 pts worse
Numerator 15 · Denominator 55
Discharge mobility score 10.91%
50.94%
40 pts worse
Numerator 6 · Denominator 55
Pressure ulcers or injuries, new or worsened 1.18%
2.29%
1.1 pts better
Numerator 1 · Denominator 85 · Adjusted rate 0.96%
Healthcare-associated infections requiring hospitalization 9.42%
7.12%
2.3 pts worse
No Different than the National Rate · Eligible stays 79 · Observed rate 12.66% · Lower 95% interval 5.73%
Staff COVID-19 vaccination coverage 3.03%
8.2%
5.2 pts worse
Numerator 4 · Denominator 132
Staff flu vaccination coverage 42.25%
42%
0.2 pts better
Numerator 60 · Denominator 142
Discharge function score 23.64%
56.45%
32.8 pts worse
Numerator 13 · Denominator 55
Transfer of health information to provider 94.12%
95.95%
1.8 pts worse
Numerator 32 · Denominator 34
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 50%
25.2%
24.8 pts better
Numerator 25 · Denominator 50

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.7
1.9
0.8 pts worse
1.9
0.8 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.7 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.6
2.2
0.6 pts better
1.8
0.2 pts better
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.7 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
94.3%
5.1 pts better
93.4%
6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.4%
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 5.1%
3.8%
1.3 pts worse
3.3%
1.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 5.7% · Q3 5.7% · Q4 5.7% · 4Q avg 5.1% · 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 1.2% · Q4 0.0% · 4Q avg 0.3%
Percentage of long-stay residents who lose too much weight 5.8%
6.7%
0.9 pts better
5.4%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 11.4% · Q3 3.8% · Q4 2.5% · 4Q avg 5.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 35.2%
29.6%
5.6 pts worse
19.6%
15.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 37.9% · Q2 36.9% · Q3 31.3% · Q4 34.5% · 4Q avg 35.2%
Percentage of long-stay residents who received an antipsychotic medication 6.2%
17.6%
11.4 pts better
16.7%
10.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 5.6% · Q3 5.6% · Q4 6.9% · 4Q avg 6.2% · 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 30.9%
17.3%
13.6 pts worse
16.3%
14.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 32.6% · Q2 37.1% · Q3 28.1% · Q4 25.2% · 4Q avg 30.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 29.2%
15.6%
13.6 pts worse
14.9%
14.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 41.5% · Q2 32.9% · Q3 18.2% · Q4 23.8% · 4Q avg 29.2% · 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 2.8%
1.7%
1.1 pts worse
1.7%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 2.4% · Q3 1.2% · Q4 3.6% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.0%
19.8%
2.8 pts better
19.8%
2.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 16.0% · Q3 14.3% · Q4 14.2% · 4Q avg 17.0%
Percentage of long-stay residents with pressure ulcers 3.8%
5.5%
1.7 pts better
5.1%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 5.2% · Q3 3.5% · Q4 1.2% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.8%
83.8%
7 pts better
81.7%
9.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 91.1% · Q2 87.5% · Q3 90.9% · Q4 93.6% · 4Q avg 90.8%
Percentage of short-stay residents who had an outpatient emergency department visit 12.1%
13.9%
1.8 pts better
12.0%
0.1 pts worse
Short Stay · 20240701-20250630 · Adjusted 12.1% · Observed 12.1% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.3%
1.8%
0.5 pts better
1.6%
0.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.9% · Q4 2.1% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 87.8%
83.6%
4.2 pts better
79.7%
8.1 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.0%
24.5%
1.5 pts better
23.9%
0.9 pts better
Short Stay · 20240701-20250630 · Adjusted 23.0% · Observed 24.2% · Expected 25.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-10 · Fire 2025-07-10

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-05-10 · Fire 2024-05-10

5 health deficiencies

Top issue: Infection Control (1 deficiency)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2019-07-19 · Fire 2019-07-19

10 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-07-10

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2025-08-02

E · Potential for more than minimal harm 2025-07-10

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-08-02

E · Potential for more than minimal harm 2025-07-10

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-08-02

F · Potential for more than minimal harm 2024-05-10

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-05-10

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-05-10

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-05-10

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-06-07

F · Potential for more than minimal harm 2019-07-19

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2019-08-16

D · Potential for more than minimal harm 2019-07-19

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-08-16

Inspection history

Recent health citations

J · Immediate jeopardy 2024-05-10

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 2024-04-25

J · Immediate jeopardy 2024-05-10

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-04-25

F · Potential for more than minimal harm 2024-05-10

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 2024-06-03

E · Potential for more than minimal harm 2024-05-10

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-06-03

D · Potential for more than minimal harm 2024-05-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-03

J · Immediate jeopardy 2023-10-14

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 2023-11-10

J · Immediate jeopardy 2023-10-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-10-14

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-10-14

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-10-14

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-10-14

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-11-10

F · Potential for more than minimal harm 2019-07-19

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 2019-08-16

D · Potential for more than minimal harm 2019-07-19

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-08-16

D · Potential for more than minimal harm 2019-07-19

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 2019-08-16

D · Potential for more than minimal harm 2019-07-19

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2019-08-16

Penalties and ownership

What sits behind the stars

$8,400 2024-05-10

Fine

Fine · fine $8,400

Fine

$8,401 2024-05-10

Fine

Fine · fine $8,401

Fine

$9,331 2023-10-14

Fine

Fine · fine $9,331

Fine

Ownership

Ky M53 Spe Opco Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 11 facilities 2021-12-01
Ash, Hughes

W-2 Managing Employee · Individual

0% 1 facilities 2020-08-17
Clearview Healthcare Management Ky LLC

Operational/Managerial Control · Organization

0% 20 facilities 2021-01-01
Clearview Ky SNF Holdco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2021-12-01
Hc Family Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 59 facilities 2021-12-01
Shnz Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 41 facilities 2021-12-01
Sweet Home Management LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 29 facilities 2021-12-01
Vujanovic, Mick

Operational/Managerial Control · Individual

0% 33 facilities 2021-12-01
Vujanovic, Mick

Corporate Officer · Individual

0% 33 facilities 2021-12-01
Zanziper Family Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 64 facilities 2021-12-01

Nearby options

Other facilities in reach

#1

Green Acres Healthcare

Mayfield, KY

3-star overall rating with 3-star inspections with 5 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
2 / 5
Fines
$0
#2

Clinton-Hickman County Nursing Facility

Clinton, KY

4-star overall rating with 4-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
4 / 5
Fines
$0

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