0 health deficiencies
No concentrated health issue counts in this cycle.
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
New Castle, KY
5-star overall rating with 5-star inspections with 7 fire-safety deficiencies in the latest cycle
50 Adams Street, New Castle, KY
(502) 845-2861
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
54
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pacs Group
Operator or chain grouping
Approved since
1992-10-29
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
264 facilities
Chain averages 3 overall / 3 health / 2 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
RN hours / resident day
0.45
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.28
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
3.73
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.19
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.19
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.37
CMS adjusted RN staffing hours
Adjusted total hours
3.06
CMS adjusted total nurse staffing hours
Case-mix index
1.67
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
5,012
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.76
Composite VBP score used to determine payment impact.
Payment multiplier
0.9909
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.51
Baseline 20.10% · Performance 19.80% · Measure score 3.51 · Achievement 3.51 · Improvement 0.46
Healthcare-associated infections
5.31
Baseline 5.37% · Performance 6.25% · Measure score 5.31 · Achievement 5.31 · Improvement 0
Total nurse turnover
5.35
Baseline 48.15% · Performance 41.82% · Measure score 5.35 · Achievement 5.35 · Improvement 2.22
Adjusted total nurse staffing
0.94
Baseline 3.34 hours · Performance 3.34 hours · Measure score 0.94 · Achievement 0.94 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.95% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 45 · Observed rate 13.33% · Lower 95% interval 7.89% |
| Discharge to community | 51.84% |
50.57%
1.3 pts better
|
No Different than the National Rate · Eligible stays 37 · Observed rate 43.24% · Lower 95% interval 34.25% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 41 · Denominator 41 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 41 |
| Discharge self-care score | 56.67% |
53.69%
3 pts better
|
Numerator 17 · Denominator 30 |
| Discharge mobility score | 63.33% |
50.94%
12.4 pts better
|
Numerator 19 · Denominator 30 |
| Pressure ulcers or injuries, new or worsened | 4.88% |
2.29%
2.6 pts worse
|
Numerator 2 · Denominator 41 · Adjusted rate 3.56% |
| Healthcare-associated infections requiring hospitalization | 6.25% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 35 · Observed rate 2.86% · Lower 95% interval 3.51% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 117 |
| Staff flu vaccination coverage | 13.33% |
42%
28.7 pts worse
|
Numerator 24 · Denominator 180 |
| Discharge function score | 76.67% |
56.45%
20.2 pts better
|
Numerator 23 · Denominator 30 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| 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 | 28% |
25.2%
2.8 pts better
|
Numerator 7 · Denominator 25 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.2 |
1.9
1.3 pts worse
|
1.9
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 2.7 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.6 |
2.2
1.4 pts worse
|
1.8
1.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.6 · Observed 3.2 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.3%
5.7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 3.0% |
3.8%
0.8 pts better
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.0% · Q3 6.0% · Q4 2.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 41.0% |
15.2%
25.8 pts worse
|
11.4%
29.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 44.4% · Q2 44.4% · Q3 31.7% · Q4 42.6% · 4Q avg 41.0% |
| Percentage of long-stay residents who lose too much weight | 2.8% |
6.7%
3.9 pts better
|
5.4%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 6.5% · Q4 2.0% · 4Q avg 2.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.8% |
29.6%
10.8 pts better
|
19.6%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 13.6% · Q3 21.7% · Q4 24.0% · 4Q avg 18.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.6% |
17.6%
4 pts better
|
16.7%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 8.6% · Q3 13.5% · Q4 16.7% · 4Q avg 13.6% · 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 | 5.0% |
17.3%
12.3 pts better
|
16.3%
11.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.8% |
15.6%
4.8 pts better
|
14.9%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 12.8% · Q3 4.9% · Q4 13.3% · 4Q avg 10.8% · 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 | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 20.6% |
19.8%
0.8 pts worse
|
19.8%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 29.8% · Q3 10.1% · Q4 19.9% · 4Q avg 20.6% |
| Percentage of long-stay residents with pressure ulcers | 6.6% |
5.5%
1.1 pts worse
|
5.1%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 9.5% · Q3 4.8% · Q4 4.3% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.1% |
83.8%
13.3 pts better
|
81.7%
15.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.3% · Q3 92.6% · 4Q avg 97.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.9% |
13.9%
2 pts better
|
12.0%
0.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.9% · Observed 10.8% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.3% |
1.8%
1.5 pts worse
|
1.6%
1.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 10.0% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.6% |
83.6%
9 pts better
|
79.7%
12.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 11.4% |
24.5%
13.1 pts better
|
23.9%
12.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.4% · Observed 10.8% · Expected 22.6% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Environmental (1 deficiency)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-08-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-08-05
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-08-01
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-08-05
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-12
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-08-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-05-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-05-16
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2020-05-16
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2020-05-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-05-16
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-05-16
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2020-05-16
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-05-16
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-01-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-01-15
Inspection history
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2020-03-31
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2019-01-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-01-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-01-15
Health
Provide and implement an infection prevention and control program.
Corrected 2019-01-15
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Contracted Managing Employee · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
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