Cycle 1
Health 2025-12-18 · Fire 2025-12-18
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Paducah, KY
Providence Pointe Healthcare
4-star overall rating with 4-star inspections with 1 recent health deficiencies
100 Marshall Court, Paducah, KY
(270) 442-6884
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
108
Certified beds
Average residents
104
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ecc Trust
Operator or chain grouping
Approved since
1990-12-07
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
4 facilities
Chain averages 4 overall / 4 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.71
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
2.37
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
4.07
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.71
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.56
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.44
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.72
CMS adjusted RN staffing hours
Adjusted total hours
4.11
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
41%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,980
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
9.26
Composite VBP score used to determine payment impact.
Payment multiplier
0.9808
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.69% · Performance 23.40% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 5.04% · Performance 7.69% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1
Baseline 58.82% · Performance 59.57% · Measure score 1 · Achievement 1 · Improvement 0
Adjusted total nurse staffing
2.70
Baseline 4.08 hours · Performance 3.85 hours · Measure score 2.70 · Achievement 2.70 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.41% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 338 · Observed rate 8.88% · Lower 95% interval 8.77% |
| Discharge to community | 56.48% |
50.57%
5.9 pts better
|
Better than the National Rate · Eligible stays 344 · Observed rate 57.85% · Lower 95% interval 51.37% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 223 · Denominator 223 |
| Falls with major injury | 0.45% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 223 |
| Discharge self-care score | 53.95% |
53.69%
0.3 pts better
|
Numerator 82 · Denominator 152 |
| Discharge mobility score | 51.97% |
50.94%
1 pts better
|
Numerator 79 · Denominator 152 |
| Pressure ulcers or injuries, new or worsened | 2.69% |
2.29%
0.4 pts worse
|
Numerator 6 · Denominator 223 · Adjusted rate 2.19% |
| Healthcare-associated infections requiring hospitalization | 7.69% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 218 · Observed rate 6.42% · Lower 95% interval 4.69% |
| Staff COVID-19 vaccination coverage | 0.88% |
8.2%
7.3 pts worse
|
Numerator 1 · Denominator 114 |
| Staff flu vaccination coverage | 3.33% |
42%
38.7 pts worse
|
Numerator 5 · Denominator 150 |
| Discharge function score | 56.58% |
56.45%
0.1 pts better
|
Numerator 86 · Denominator 152 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 171 · Denominator 171 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 11.4% |
25.2%
13.8 pts worse
|
Numerator 13 · Denominator 114 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.9
0.6 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.5 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
2.2
0.7 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.5 · Expected 1.8 · 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 | 98.4% |
96.2%
2.2 pts better
|
95.5%
2.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.4% |
3.8%
1.4 pts better
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 1.8% · Q3 0.0% · Q4 2.7% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.2% |
15.2%
14 pts better
|
11.4%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.9% · Q3 1.7% · Q4 0.0% · 4Q avg 1.2% |
| Percentage of long-stay residents who lose too much weight | 8.8% |
6.7%
2.1 pts worse
|
5.4%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 14.0% · Q3 13.6% · Q4 3.1% · 4Q avg 8.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 34.0% |
29.6%
4.4 pts worse
|
19.6%
14.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.4% · Q2 27.3% · Q3 38.7% · Q4 38.0% · 4Q avg 34.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.8% |
17.6%
7.8 pts better
|
16.7%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 8.9% · Q3 9.6% · Q4 8.2% · 4Q avg 9.8% · 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 | 27.2% |
17.3%
9.9 pts worse
|
16.3%
10.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 40.6% · Q3 17.5% · Q4 18.9% · 4Q avg 27.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.1% |
15.6%
0.5 pts better
|
14.9%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 16.7% · Q3 14.8% · Q4 8.6% · 4Q avg 15.1% · 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 | 1.3% |
1.7%
0.4 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.6% · Q4 3.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.0% |
19.8%
12.2 pts worse
|
19.8%
12.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.3% · Q2 34.6% · Q3 27.6% · Q4 34.8% · 4Q avg 32.0% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
5.5%
0.5 pts better
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 3.0% · Q3 5.0% · Q4 2.2% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
83.8%
15.1 pts better
|
81.7%
17.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 100.0% · Q3 99.0% · Q4 97.7% · 4Q avg 98.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.6% |
13.9%
3.3 pts better
|
12.0%
1.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.6% · Observed 10.1% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.8%
0.8 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.7% · Q3 0.8% · Q4 0.8% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.7% |
83.6%
10.1 pts better
|
79.7%
14 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.6% |
24.5%
1.9 pts better
|
23.9%
1.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.6% · Observed 18.8% · Expected 19.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-16 · Fire 2024-08-16
4 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Cycle 3
Health 2019-08-16 · Fire 2019-08-16
4 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-08-16
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-09-09
F · Potential for more than minimal harm
2024-08-16
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-09-09
F · Potential for more than minimal harm
2024-08-16
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2024-09-09
F · Potential for more than minimal harm
2024-08-16
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-09-09
E · Potential for more than minimal harm
2019-08-16
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-09-17
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-06-12
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-08
F · Potential for more than minimal harm
2024-08-16
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 2024-09-09
D · Potential for more than minimal harm
2024-08-16
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-09-09
D · Potential for more than minimal harm
2024-08-16
F841 · Nursing and Physician Services Deficiencies
Health
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected 2024-09-09
D · Potential for more than minimal harm
2024-08-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-09
F · Potential for more than minimal harm
2019-08-16
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 2019-09-27
D · Potential for more than minimal harm
2019-08-16
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2019-09-27
D · Potential for more than minimal harm
2019-08-16
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-09-17
D · Potential for more than minimal harm
2019-08-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-09-27
Penalties and ownership
What sits behind the stars
Ownership
Ecc Trust
5% Or Greater Direct Ownership Interest · Organization
Brown, Ervin
5% Or Greater Indirect Ownership Interest · Individual
Cox, Gretchen
5% Or Greater Indirect Ownership Interest · Individual
Cox, Christopher
Operational/Managerial Control · Individual
Mitchell, Gregory
Operational/Managerial Control · Individual
Shelton, Jason
Operational/Managerial Control · Individual
Stockton, Eddy
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Stonecreek Health And Rehabilitation
Paducah, KY
1-star overall rating with 2-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Parkview Nursing & Rehabilitation Center
Paducah, KY
3-star overall rating with 3-star inspections with $5,519 in total fines with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
River Haven Nursing And Rehabilitation Center
Paducah, KY
1-star overall rating with 1-star inspections with $1,398 in total fines with 11 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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