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

Compare this facility

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

Staffing

Hours and turnover

RN hours / resident day

1.31

Registered nurse staffing

LPN hours / resident day

1.34

Licensed practical nurse staffing

Aide hours / resident day

3.13

Nurse aide staffing

Weekend hours

4.93

Weekend nurse staffing

RN turnover

13%

Annual RN turnover

Total nurse turnover

30%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

Survey summary

Recent inspection cycles

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)

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

0% 2 facilities 2022-11-01
Dufrayne, Francis

Corporate Director · Individual

0% 2 facilities 2021-11-01
Gardner, Teresa

Corporate Director · Individual

0% 2 facilities 2021-11-01
Heath, Edward

Corporate Officer · Individual

0% 1 facilities 2015-07-01
Heath, Edward

W-2 Managing Employee · Individual

0% 1 facilities 2015-07-01
Marsh, Mark

Corporate Officer · Individual

0% 2 facilities 2021-06-07
Mcbride, Anthony

Corporate Director · Individual

0% 2 facilities 2022-11-01
Mitchell, Kathleen

Corporate Officer · Individual

0% 1 facilities 2017-06-01
Mitchell, Kathleen

W-2 Managing Employee · Individual

0% 1 facilities 2017-06-01
Owensboro Health, Inc

Operational/Managerial Control · Organization

0% 1 facilities 2014-05-01
Pollock, Archie

Corporate Director · Individual

0% 1 facilities 2021-11-01
Prunty, Marshall

Corporate Director · Individual

0% 1 facilities 2021-11-01
Ranallo, Russell

Corporate Officer · Individual

0% 2 facilities 2022-06-20
Roberts, David

Corporate Director · Individual

0% 2 facilities 2022-11-01

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#3

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Health
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Staffing
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Fines
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