Cycle 1
Health 2025-01-09 · Fire 2025-01-09
2 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
5 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Greenville, KY
Owensboro Health Muhlenberg Community Hospital Ltc
4-star overall rating with 3-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
440 Hopkinsville Street, Greenville, KY
(270) 338-8433
Overall
4 / 5
CMS overall stars
Health inspections
3 / 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
45
Certified beds
Average residents
38
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
1.31
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
1.34
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
3.13
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
5.78
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
2.65
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.93
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.55
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
1.54
CMS adjusted RN staffing hours
Adjusted total hours
6.79
CMS adjusted total nurse staffing hours
Case-mix index
1.16
Higher values indicate more complex resident acuity
RN turnover
13%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
30%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,066
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
60.30
Composite VBP score used to determine payment impact.
Payment multiplier
1.0155
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.68
Baseline 19.52% · Performance 21.12% · Measure score 0.68 · Achievement 0.68 · Improvement 0
Healthcare-associated infections
6.30
Baseline 5.08% · Performance 5.95% · Measure score 6.30 · Achievement 6.30 · Improvement 0
Total nurse turnover
7.14
Performance 34.48% · Measure score 7.14 · Achievement 7.14 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
10
Baseline 5.91 hours · Performance 6.13 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.9% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 91 · Observed rate 9.89% · Lower 95% interval 7.52% |
| Discharge to community | 54.85% |
50.57%
4.3 pts better
|
No Different than the National Rate · Eligible stays 85 · Observed rate 54.12% · Lower 95% interval 47.33% |
| Medicare spending per beneficiary | 0.54 |
1.02
0.5 pts better
|
|
| Drug regimen review with follow-up | 93.1% |
95.27%
2.2 pts worse
|
Numerator 54 · Denominator 58 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 58 |
| Discharge self-care score | 25% |
53.69%
28.7 pts worse
|
Numerator 12 · Denominator 48 |
| Discharge mobility score | 10.42% |
50.94%
40.5 pts worse
|
Numerator 5 · Denominator 48 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 58 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.95% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 41 · Observed rate 0% · Lower 95% interval 2.94% |
| Staff COVID-19 vaccination coverage | 2.33% |
8.2%
5.9 pts worse
|
Numerator 10 · Denominator 429 |
| Staff flu vaccination coverage | 78.97% |
42%
37 pts better
|
Numerator 477 · Denominator 604 |
| Discharge function score | 31.25% |
56.45%
25.2 pts worse
|
Numerator 15 · Denominator 48 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 35 · Denominator 35 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 3.23% |
25.2%
22 pts worse
|
Numerator 1 · Denominator 31 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0 |
1.9
1.9 pts better
|
1.9
1.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0 · Observed 0 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
2.2
1.6 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.6 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 79.4% |
94.3%
14.9 pts worse
|
93.4%
14 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 83.3% · Q2 79.3% · Q3 76.5% · Q4 78.8% · 4Q avg 79.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.3% |
96.2%
2.9 pts worse
|
95.5%
2.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% |
3.8%
0.6 pts better
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.4% · Q3 2.9% · Q4 3.0% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.8% |
15.2%
10.4 pts better
|
11.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 7.1% · Q3 5.9% · Q4 3.0% · 4Q avg 4.8% |
| Percentage of long-stay residents who lose too much weight | 6.3% |
6.7%
0.4 pts better
|
5.4%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 6.9% · Q3 5.9% · Q4 9.1% · 4Q avg 6.3% |
| 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 36.7% · Q2 27.6% · Q3 32.4% · Q4 30.3% · 4Q avg 31.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.5% |
17.6%
5.9 pts worse
|
16.7%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 21.4% · Q3 22.6% · Q4 26.7% · 4Q avg 23.5% · 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 | 24.6% |
17.3%
7.3 pts worse
|
16.3%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.4% |
15.6%
7.8 pts worse
|
14.9%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.1% · Q2 24.0% · Q3 13.8% · Q4 24.1% · 4Q avg 23.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.4% |
0.7%
3.7 pts worse
|
1.0%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.6% · Q3 5.7% · Q4 4.4% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 11.9% |
1.7%
10.2 pts worse
|
1.7%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 10.3% · Q3 11.8% · Q4 15.2% · 4Q avg 11.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.7% |
19.8%
3.1 pts better
|
19.8%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 25.4% · Q3 15.5% · Q4 15.6% · 4Q avg 16.7% |
| Percentage of long-stay residents with pressure ulcers | 1.7% |
5.5%
3.8 pts better
|
5.1%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 0.0% · Q3 3.0% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.2% |
83.8%
6.4 pts better
|
81.7%
8.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.9% · Q2 91.7% · Q3 89.5% · Q4 84.2% · 4Q avg 90.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 0.0% |
13.9%
13.9 pts better
|
12.0%
12 pts better
|
Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 11.7% · Used in QM five-star |
| 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 · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 62.7% |
83.6%
20.9 pts worse
|
79.7%
17 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 62.7% |
| 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 20.5% · Expected 20.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-17 · Fire 2023-11-17
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Cycle 3
Health 2022-10-12 · Fire 2022-10-12
2 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-09
E24 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2025-01-16
F · Potential for more than minimal harm
2025-01-09
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2025-01-15
E · Potential for more than minimal harm
2025-01-09
K342 · Smoke Deficiencies
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2025-01-24
D · Potential for more than minimal harm
2025-01-09
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-01-13
D · Potential for more than minimal harm
2025-01-09
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-01-09
F · Potential for more than minimal harm
2023-11-17
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-11-20
E · Potential for more than minimal harm
2023-11-17
K221 · Egress Deficiencies
Fire Safety
Provide rooms that can be unlocked from inside without a key.
Corrected 2023-12-08
E · Potential for more than minimal harm
2023-11-17
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-11-15
F · Potential for more than minimal harm
2022-10-12
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-12-01
E · Potential for more than minimal harm
2022-10-12
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-12-01
E · Potential for more than minimal harm
2022-10-12
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-12-01
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-01-09
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-02-03
F · Potential for more than minimal harm
2025-01-09
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 2025-02-03
E · Potential for more than minimal harm
2023-11-17
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 2024-01-17
D · Potential for more than minimal harm
2023-11-17
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-01-17
D · Potential for more than minimal harm
2023-11-17
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 2024-01-17
D · Potential for more than minimal harm
2023-11-17
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 2024-01-17
D · Potential for more than minimal harm
2023-11-17
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-01-17
D · Potential for more than minimal harm
2022-10-12
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-12-02
D · Potential for more than minimal harm
2022-10-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-02
Penalties and ownership
What sits behind the stars
Ownership
Brake, Candace
Corporate Director · Individual
Dufrayne, Francis
Corporate Director · Individual
Gardner, Teresa
Corporate Director · Individual
Heath, Edward
Corporate Officer · Individual
Heath, Edward
W-2 Managing Employee · Individual
Marsh, Mark
Corporate Officer · Individual
Mcbride, Anthony
Corporate Director · Individual
Mitchell, Kathleen
Corporate Officer · Individual
Mitchell, Kathleen
W-2 Managing Employee · Individual
Owensboro Health, Inc
Operational/Managerial Control · Organization
Pollock, Archie
Corporate Director · Individual
Prunty, Marshall
Corporate Director · Individual
Ranallo, Russell
Corporate Officer · Individual
Roberts, David
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Maple Health and Rehabilitation
Greenville, KY
5-star overall rating with 5-star inspections with 4 fire-safety deficiencies in the latest cycle
#2
Greenville Nursing and Rehabilitation
Greenville, KY
5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle
#3
Brighton Cornerstone Group, LLC
Madisonville, KY
3-star overall rating with 3-star inspections with $3,387 in total fines with 4 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
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