Cycle 1
Health 2025-02-27 · Fire 2025-02-27
3 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Morgantown, KY
Morgantown Care & Rehabilitation Center
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
201 South Warren Street, Morgantown, KY
(270) 526-3368
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
122
Certified beds
Average residents
116
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Signature Healthcare
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
71 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
0.87
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.49
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.27
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
3.63
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.36
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.09
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.59
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.95
CMS adjusted RN staffing hours
Adjusted total hours
3.98
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,160
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.64
Composite VBP score used to determine payment impact.
Payment multiplier
0.9846
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 17.23% · Performance 21.35% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.39
Baseline 5.28% · Performance 7.12% · Measure score 2.39 · Achievement 2.39 · Improvement 0
Total nurse turnover
5.61
Baseline 37.76% · Performance 40.74% · Measure score 5.61 · Achievement 5.61 · Improvement 0
Adjusted total nurse staffing
3.06
Baseline 4.11 hours · Performance 3.95 hours · Measure score 3.06 · Achievement 3.06 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.02% |
10.72%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 105 · Observed rate 14.29% · Lower 95% interval 8.52% |
| Discharge to community | 54.01% |
50.57%
3.4 pts better
|
No Different than the National Rate · Eligible stays 94 · Observed rate 50% · Lower 95% interval 43.12% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 79.31% |
95.27%
16 pts worse
|
Numerator 46 · Denominator 58 |
| Falls with major injury | 3.45% |
0.77%
2.7 pts worse
|
Numerator 2 · Denominator 58 |
| Discharge self-care score | 56.82% |
53.69%
3.1 pts better
|
Numerator 25 · Denominator 44 |
| Discharge mobility score | 38.64% |
50.94%
12.3 pts worse
|
Numerator 17 · Denominator 44 |
| Pressure ulcers or injuries, new or worsened | 8.62% |
2.29%
6.3 pts worse
|
Numerator 5 · Denominator 58 · Adjusted rate 8.42% |
| Healthcare-associated infections requiring hospitalization | 7.12% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 66 · Observed rate 6.06% · Lower 95% interval 4.01% |
| Staff COVID-19 vaccination coverage | 0.71% |
8.2%
7.5 pts worse
|
Numerator 1 · Denominator 141 |
| Staff flu vaccination coverage | 21.51% |
42%
20.5 pts worse
|
Numerator 40 · Denominator 186 |
| Discharge function score | 61.36% |
56.45%
4.9 pts better
|
Numerator 27 · Denominator 44 |
| Transfer of health information to provider | 88% |
95.95%
8 pts worse
|
Numerator 22 · Denominator 25 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 23.53% |
25.2%
1.7 pts worse
|
Numerator 8 · Denominator 34 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.9
0.4 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
2.2
0.3 pts better
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.6% |
94.3%
3.3 pts better
|
93.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 98.1% · Q3 98.0% · Q4 96.3% · 4Q avg 97.6% |
| 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 | 5.2% |
3.8%
1.4 pts worse
|
3.3%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 5.7% · Q3 4.0% · Q4 5.6% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 19.0% |
15.2%
3.8 pts worse
|
11.4%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 16.5% · Q3 17.0% · Q4 32.6% · 4Q avg 19.0% |
| 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 3.0% · Q2 5.2% · Q3 6.5% · Q4 5.9% · 4Q avg 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.9% |
29.6%
7.7 pts better
|
19.6%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 22.4% · Q3 19.4% · Q4 21.6% · 4Q avg 21.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.9% |
17.6%
2.7 pts better
|
16.7%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 14.3% · Q3 12.7% · Q4 16.1% · 4Q avg 14.9% · 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 | 9.0% |
17.3%
8.3 pts better
|
16.3%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 15.1% · Q3 5.9% · Q4 0.0% · 4Q avg 9.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.1% |
15.6%
3.5 pts better
|
14.9%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 9.8% · Q3 5.7% · Q4 12.6% · 4Q avg 12.1% · 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 | 2.2% |
1.7%
0.5 pts worse
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 1.0% · Q3 1.0% · Q4 2.8% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.7% |
19.8%
1.1 pts better
|
19.8%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 21.6% · Q3 13.0% · Q4 23.3% · 4Q avg 18.7% |
| 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 4.5% · Q2 5.8% · Q3 2.4% · Q4 2.3% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4% |
83.8%
12.6 pts better
|
81.7%
14.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 96.0% · Q3 93.6% · Q4 98.6% · 4Q avg 96.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.2% |
13.9%
1.7 pts better
|
12.0%
0.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.2% · Observed 13.2% · Expected 12.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.8%
1.2 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.2% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.1% |
83.6%
1.5 pts worse
|
79.7%
2.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.5% |
24.5%
1 pts better
|
23.9%
0.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.5% · Observed 20.8% · Expected 21.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-24 · Fire 2024-05-24
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
5 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Cycle 3
Health 2019-09-05 · Fire 2019-09-05
0 health deficiencies
No concentrated health issue counts in this cycle.
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
2025-02-27
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-03-17
E · Potential for more than minimal harm
2025-02-27
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-03-17
F · Potential for more than minimal harm
2024-05-24
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-06-13
F · Potential for more than minimal harm
2024-05-24
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-06-13
E · Potential for more than minimal harm
2024-05-24
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-06-13
E · Potential for more than minimal harm
2024-05-24
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2024-06-13
E · Potential for more than minimal harm
2024-05-24
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-07-01
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-02-27
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 2025-03-24
C · Minimal harm
2025-02-27
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-03-24
C · Minimal harm
2025-02-27
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2025-03-24
E · Potential for more than minimal harm
2024-05-24
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-06-13
D · Potential for more than minimal harm
2024-05-24
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-06-13
Penalties and ownership
What sits behind the stars
Ownership
Lp Cr Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Agemo Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Harrison, John
Corporate Officer · Individual
Jjla LLC
5% Or Greater Indirect Ownership Interest · Organization
Lpsnf Ii LLC
5% Or Greater Indirect Ownership Interest · Organization
Smedra, Ira
5% Or Greater Indirect Ownership Interest · Individual
Steier Iii, Elmer
5% Or Greater Indirect Ownership Interest · Individual
Strasburger, Joshua
W-2 Managing Employee · Individual
Wheaten LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Beaver Dam Nursing & Rehab Center, Inc
Beaver Dam, KY
3-star overall rating with 3-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Signature Healthcare of Hartford Rehab & Wellness
Hartford, KY
4-star overall rating with 4-star inspections with 3 recent health deficiencies
#3
Signature Healthcare of Bowling Green
Bowling Green, KY
4-star overall rating with 4-star inspections with 2 recent health deficiencies
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