Federal inspection record · CMS data as of October 1, 2026

Pikeville Nursing and Rehab Center, LLC

260 South Mayo Trail, Pikeville, KY · (606) 437-7327

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
106
Residents per day
93
Ownership
For-Profit
Chain
Emerald Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 1, 1970

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Kentucky homes

Pikeville Nursing and Rehab Center, LLC carries 40 inspection points. That is fewer than 24% of Kentucky's 265 rated homes.

5★4★3★2★1★+8 homes above 204.505102550100200inspection points → fewer is better on the leftThis home · 40 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kentucky: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–2 pts
  • 4★ 2–11 pts
  • 3★ 11–22 pts
  • 2★ 22–45 pts
  • 1★ over 45 pts

Bars show every rated home in Kentucky by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

9 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 6 4 pts
E 1 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Infection Control2F
  1. F

    Provide and implement an infection prevention and control program.

    January 8, 2026 · Standard · F880 · Corrected February 17, 2026

  2. D

    Provide and implement an infection prevention and control program.

    October 30, 2024 · Standard · F880 · Corrected December 18, 2024

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

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

    January 8, 2026 · Complaint · F600 · Corrected February 17, 2026

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    January 8, 2026 · Complaint · F609 · Corrected February 17, 2026

Pharmacy Service2D
  1. D

    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.

    January 8, 2026 · Standard · F761 · Corrected February 17, 2026

  2. D

    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.

    October 30, 2024 · Standard · F761 · Corrected December 18, 2024

Nutrition and Dietary1F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 8, 2026 · Standard · F812 · Corrected February 17, 2026

Resident Rights1D
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    January 8, 2026 · Standard · F550 · Corrected February 17, 2026

Environmental1E
  1. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    October 30, 2024 · Standard · F921 · Corrected December 18, 2024

Inspection history

  1. 2026-01-08

    6 health deficiencies · 3 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

  2. 2024-10-30

    3 health deficiencies · 4 fire-safety deficiencies

    Top issue: Environmental (1 deficiency)

  3. 2019-08-22

    0 health deficiencies · 0 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 3 h 4 min of nursing staff time a day, 39 min of it from a registered nurse.

This home

3 h 4 min

Kentucky average

3 h 59 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 24% of nursing staff and 14% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts worse2.11.91.8
Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better1.02.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts better100.0%94.1%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.7 pts better98.9%96.2%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts worse4.9%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms18.9 pts better0.0%18.9%13.5%
Percentage of long-stay residents who lose too much weight3.3 pts better3.3%6.6%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1 pts better28.9%29.9%19.5%
Percentage of long-stay residents who received an antipsychotic medication2.3 pts better13.9%16.2%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.4 pts worse18.7%12.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.7 pts worse13.9%13.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better0.0%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts worse1.6%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.4 pts worse19.7%18.3%18.3%
Percentage of long-stay residents with pressure ulcers1.7 pts worse6.4%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.5 pts better100.0%84.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit7.1 pts better6.1%13.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better1.0%1.6%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.3 pts better100.0%83.7%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1.2 pts worse25.1%23.9%23.4%

·

Who owns and runs it

39 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Chafetz, YisroelIndirect Ownership Interest · Individual0%16 facilities
Chafetz, YisroelOperational/Managerial Control · Individual0%16 facilities
Chafetz, YisroelAdp Of The SNF · Individual0%16 facilities
Emerald Healthcare LLCOperational/Managerial Control · Organization0%10 facilities
Emerald Healthcare LLCAdp Of The SNF · Organization0%10 facilities
Evolve Therapy Services LLCOperational/Managerial Control · Organization0%11 facilities
Evolve Therapy Services LLCAdp Of The SNF · Organization0%11 facilities
Eyy Pikeville Operations LLCDirect Ownership Interest · Organization0%1 facilities
Fleischmann, DavidOperational/Managerial Control · Individual0%11 facilities
Fleischmann, DavidAdp Of The SNF · Individual0%11 facilities
Franklin, BrendaOperational/Managerial Control · Individual0%6 facilities
Franklin, BrendaAdp Of The SNF · Individual0%6 facilities
Gopin, BrianOperational/Managerial Control · Individual0%12 facilities
Gopin, BrianAdp Of The SNF · Individual0%12 facilities
Keathley, AmyOperational/Managerial Control · Individual0%1 facilities
Keathley, AmyAdp Of The SNF · Individual0%1 facilities
Limestone Fiscal Services LLCOperational/Managerial Control · Organization0%11 facilities
Limestone Fiscal Services LLCAdp Of The SNF · Organization0%11 facilities
Merch Pay IncOperational/Managerial Control · Organization0%9 facilities
Merch Pay IncAdp Of The SNF · Organization0%9 facilities
Pierce, BarbaraOperational/Managerial Control · Individual0%2 facilities
Pierce, BarbaraAdp Of The SNF · Individual0%2 facilities
Private Bancorp IncOperational/Managerial Control · Organization0%6 facilities
Private Bancorp IncAdp Of The SNF · Organization0%6 facilities
Roberts, LannaOperational/Managerial Control · Individual0%1 facilities
Roberts, LannaAdp Of The SNF · Individual0%1 facilities
Saul N Friedman & CompanyOperational/Managerial Control · Organization0%13 facilities
Saul N Friedman & CompanyAdp Of The SNF · Organization0%13 facilities
Sroczynski, MarkOperational/Managerial Control · Individual0%2 facilities
Sroczynski, MarkAdp Of The SNF · Individual0%2 facilities
Tovar, JesusOperational/Managerial Control · Individual0%1 facilities
Tovar, JesusAdp Of The SNF · Individual0%1 facilities
Walden, JacobIndirect Ownership Interest · Individual0%9 facilities
Walden, JacobOperational/Managerial Control · Individual0%9 facilities
Walden, JacobAdp Of The SNF · Individual0%9 facilities
Wellsky CorporationOperational/Managerial Control · Organization0%8 facilities
Wellsky CorporationAdp Of The SNF · Organization0%8 facilities
Zimmet Healthcare Services Group LLCOperational/Managerial Control · Organization0%15 facilities
Zimmet Healthcare Services Group LLCAdp Of The SNF · Organization0%15 facilities

·

Fire safety

7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems4F
  1. E

    Ensure proper usage of power strips and extension cords.

    January 8, 2026 · K920 · Corrected February 17, 2026

  2. F

    Ensure that testing and maintenance of electrical equipment is performed.

    October 30, 2024 · K921 · Corrected December 18, 2024

  3. E

    Ensure proper usage of power strips and extension cords.

    October 30, 2024 · K920 · Corrected December 18, 2024

  4. E

    Have proper medical gas storage and administration areas.

    October 30, 2024 · K923 · Corrected December 18, 2024

Smoke2D
  1. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    January 8, 2026 · K321 · Corrected February 17, 2026

  2. D

    Inspect, test, and maintain automatic sprinkler systems.

    January 8, 2026 · K353 · Corrected February 17, 2026

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    October 30, 2024 · K712 · Corrected December 18, 2024

·

Other homes nearby

  1. Worst citation, 3 yrs
    none
    Nursing / resident / day
    2 h 59 min
    Fines
    $0
  2. Riverview Health Care Center

    Prestonsburg, KY · Signature Healthcare

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 26 min
    Fines
    $0
  3. Prestonsburg Health Care Center

    Prestonsburg, KY · Signature Healthcare

    Worst citation, 3 yrs
    none
    Nursing / resident / day
    4 h 11 min
    Fines
    $0