3 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Henderson, KY
3-star overall rating with 3-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
851 Kimsey Lane, Henderson, KY
(270) 826-6436
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
222
Certified beds
Average residents
137
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1973-05-01
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
Staffing
RN hours / resident day
0.55
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.68
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
3.30
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
4.53
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.23
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.30
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.48
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
4.37
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
10,281
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.89
Composite VBP score used to determine payment impact.
Payment multiplier
0.9825
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.26% · Performance 22.78% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.90% · Performance 11.29% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.65
Baseline 57.23% · Performance 48.75% · Measure score 3.65 · Achievement 3.65 · Improvement 2.12
Adjusted total nurse staffing
4.71
Baseline 4.29 hours · Performance 4.42 hours · Measure score 4.71 · Achievement 4.71 · Improvement 0.38
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.08% |
10.72%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 190 · Observed rate 13.16% · Lower 95% interval 9.08% |
| Discharge to community | 46.42% |
50.57%
4.1 pts worse
|
No Different than the National Rate · Eligible stays 151 · Observed rate 41.06% · Lower 95% interval 39.9% |
| Medicare spending per beneficiary | 1.17 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 155 · Denominator 155 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 155 |
| Discharge self-care score | 37.96% |
53.69%
15.7 pts worse
|
Numerator 41 · Denominator 108 |
| Discharge mobility score | 39.81% |
50.94%
11.1 pts worse
|
Numerator 43 · Denominator 108 |
| Pressure ulcers or injuries, new or worsened | 3.23% |
2.29%
0.9 pts worse
|
Numerator 5 · Denominator 155 · Adjusted rate 2.42% |
| Healthcare-associated infections requiring hospitalization | 11.29% |
7.12%
4.2 pts worse
|
Worse than the National Rate · Eligible stays 123 · Observed rate 15.45% · Lower 95% interval 7.54% |
| Staff COVID-19 vaccination coverage | 2.03% |
8.2%
6.2 pts worse
|
Numerator 4 · Denominator 197 |
| Staff flu vaccination coverage | 22.45% |
42%
19.6 pts worse
|
Numerator 66 · Denominator 294 |
| Discharge function score | 45.37% |
56.45%
11.1 pts worse
|
Numerator 49 · Denominator 108 |
| Transfer of health information to provider | 96.97% |
95.95%
1 pts better
|
Numerator 32 · Denominator 33 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 50 · Denominator 50 |
| Resident COVID-19 vaccinations up to date | 15.71% |
25.2%
9.5 pts worse
|
Numerator 11 · Denominator 70 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
1.9
0.8 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.6 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
2.2
0.1 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.2 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 76.2% |
94.3%
18.1 pts worse
|
93.4%
17.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 73.1% · Q2 72.5% · Q3 75.7% · Q4 83.3% · 4Q avg 76.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 68.2% |
96.2%
28 pts worse
|
95.5%
27.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 68.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
3.8%
1.5 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.5% · Q3 2.6% · Q4 2.5% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
15.2%
12.7 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.8% · Q3 4.7% · Q4 2.7% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 5.4% |
6.7%
1.3 pts better
|
5.4%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 9.7% · Q3 4.5% · Q4 3.5% · 4Q avg 5.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 45.5% |
29.6%
15.9 pts worse
|
19.6%
25.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 54.5% · Q2 47.6% · Q3 43.4% · Q4 36.9% · 4Q avg 45.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.1% |
17.6%
6.5 pts worse
|
16.7%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.0% · Q2 26.8% · Q3 20.0% · Q4 23.9% · 4Q avg 24.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.4% |
0.2%
0.2 pts worse
|
0.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 0.4% |
| Percentage of long-stay residents whose ability to walk independently worsened | 34.2% |
17.3%
16.9 pts worse
|
16.3%
17.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.0% · Q2 45.7% · Q3 31.3% · Q4 23.2% · 4Q avg 34.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.2% |
15.6%
10.6 pts worse
|
14.9%
11.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.4% · Q2 21.2% · Q3 23.6% · Q4 29.7% · 4Q avg 26.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.7%
0.5 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.9% · Q3 0.0% · Q4 1.4% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.4% |
1.7%
0.7 pts worse
|
1.7%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.7% · Q3 4.8% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.7% |
19.8%
9.9 pts worse
|
19.8%
9.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.9% · Q2 27.1% · Q3 27.3% · Q4 31.4% · 4Q avg 29.7% |
| Percentage of long-stay residents with pressure ulcers | 5.3% |
5.5%
0.2 pts better
|
5.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 7.6% · Q3 3.8% · Q4 2.5% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.1% |
83.8%
4.7 pts worse
|
81.7%
2.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 83.2% · Q2 82.9% · Q3 76.9% · Q4 74.4% · 4Q avg 79.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.5% |
13.9%
6.4 pts better
|
12.0%
4.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.5% · Observed 7.2% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.6% |
1.8%
0.8 pts worse
|
1.6%
1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.7% · Q3 4.0% · Q4 2.7% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.1% |
83.6%
1.5 pts worse
|
79.7%
2.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.7% |
24.5%
4.8 pts better
|
23.9%
4.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.7% · Observed 20.1% · Expected 24.3% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-07-25
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-25
Health
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.
Corrected 2025-07-25
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-25
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-04-24
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 2020-04-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-04-24
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2019-02-18
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-02-18
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-02-18
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2019-02-18
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2019-02-18
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-02-18
Health
Provide and implement an infection prevention and control program.
Corrected 2019-02-18
Penalties and ownership
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Nearby options
Henderson, KY
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Evansville, IN
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
Evansville, IN
1-star overall rating with 1-star inspections with Special Focus status with $10,224 in total fines with 30 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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