Cycle 1
Health 2024-11-21 · Fire 2024-11-21
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Prestonsburg, KY
Riverview Health Care Center
5-star overall rating with 5-star inspections
79 Sparrow Lane, Prestonsburg, KY
(606) 886-9178
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
121
Certified beds
Average residents
101
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Signature Healthcare
Operator or chain grouping
Approved since
1978-12-08
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
71 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
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
Hours and turnover
RN hours / resident day
1.02
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.26
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.09
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
3.37
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.28
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
2.87
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.61
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.85
CMS adjusted RN staffing hours
Adjusted total hours
2.79
CMS adjusted total nurse staffing hours
Case-mix index
1.65
Higher values indicate more complex resident acuity
RN turnover
24%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
23%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,450
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
12.19
Composite VBP score used to determine payment impact.
Payment multiplier
0.9811
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.02% · Performance 21.57% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 8.26% · Performance 8.70% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.88
Baseline 48.98% · Performance 43.75% · Measure score 4.88 · Achievement 4.88 · Improvement 1.67
Adjusted total nurse staffing
0
Baseline 2.98 hours · Performance 2.71 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.03% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 100 · Observed rate 14% · Lower 95% interval 8.1% |
| Discharge to community | 47.16% |
50.57%
3.4 pts worse
|
No Different than the National Rate · Eligible stays 86 · Observed rate 34.88% · Lower 95% interval 34.91% |
| Medicare spending per beneficiary | 1.22 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 87.5% |
95.27%
7.8 pts worse
|
Numerator 91 · Denominator 104 |
| Falls with major injury | 0.96% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 104 |
| Discharge self-care score | 31.58% |
53.69%
22.1 pts worse
|
Numerator 18 · Denominator 57 |
| Discharge mobility score | 47.37% |
50.94%
3.6 pts worse
|
Numerator 27 · Denominator 57 |
| Pressure ulcers or injuries, new or worsened | 1.92% |
2.29%
0.4 pts better
|
Numerator 2 · Denominator 104 · Adjusted rate 1.16% |
| Healthcare-associated infections requiring hospitalization | 8.7% |
7.12%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 69 · Observed rate 13.04% · Lower 95% interval 5.54% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 127 |
| Staff flu vaccination coverage | 26.09% |
42%
15.9 pts worse
|
Numerator 36 · Denominator 138 |
| Discharge function score | 45.61% |
56.45%
10.8 pts worse
|
Numerator 26 · Denominator 57 |
| Transfer of health information to provider | 97.67% |
95.95%
1.7 pts better
|
Numerator 42 · Denominator 43 |
| Transfer of health information to patient | 92% |
96.28%
4.3 pts worse
|
Numerator 23 · Denominator 25 |
| Resident COVID-19 vaccinations up to date | 27.78% |
25.2%
2.6 pts better
|
Numerator 15 · Denominator 54 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
1.9
0.6 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.9 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
2.2
0.4 pts better
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.2 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% |
94.3%
4.2 pts better
|
93.4%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.5% · Q2 98.8% · Q3 100.0% · Q4 100.0% · 4Q avg 98.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.2%
3.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% |
3.8%
0.5 pts better
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 3.6% · Q3 2.5% · Q4 1.2% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 19.2% |
15.2%
4 pts worse
|
11.4%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 13.4% · Q3 22.4% · Q4 24.7% · 4Q avg 19.2% |
| Percentage of long-stay residents who lose too much weight | 12.2% |
6.7%
5.5 pts worse
|
5.4%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 15.7% · Q3 10.4% · Q4 13.3% · 4Q avg 12.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.1% |
29.6%
5.5 pts better
|
19.6%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 21.4% · Q3 27.5% · Q4 20.5% · 4Q avg 24.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.7% |
17.6%
0.1 pts worse
|
16.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 19.0% · Q3 16.9% · Q4 16.7% · 4Q avg 17.7% · 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 | 4.0% |
17.3%
13.3 pts better
|
16.3%
12.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.5% · Q3 5.9% · Q4 3.0% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.7% |
15.6%
7.9 pts better
|
14.9%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 5.3% · Q3 7.1% · Q4 6.8% · 4Q avg 7.7% · 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 | 0.6% |
1.7%
1.1 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 1.3% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.0% |
19.8%
0.8 pts better
|
19.8%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 12.9% · Q3 23.3% · Q4 22.1% · 4Q avg 19.0% |
| Percentage of long-stay residents with pressure ulcers | 6.6% |
5.5%
1.1 pts worse
|
5.1%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 6.9% · Q3 3.7% · Q4 5.6% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.4% |
83.8%
1.4 pts worse
|
81.7%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 49.6% · Q2 82.3% · Q3 93.8% · Q4 98.5% · 4Q avg 82.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.0% |
13.9%
2.9 pts better
|
12.0%
1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.0% · Observed 11.8% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.8%
0.7 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 2.8% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.7% |
83.6%
4.1 pts better
|
79.7%
8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.4% |
24.5%
0.9 pts worse
|
23.9%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.4% · Observed 32.9% · Expected 30.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-10-03 · Fire 2019-10-03
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2018-07-26 · Fire 2018-07-26
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
Penalties and ownership
What sits behind the stars
Ownership
Lp O Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Agemo Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Brainard, Hope
W-2 Managing Employee · Individual
Harrison, John
Corporate Officer · Individual
Jjla LLC
5% Or Greater Indirect Ownership Interest · Organization
Lpsnf Ii LLC
5% Or Greater Indirect Ownership Interest · Organization
Signature Healthcare LLC
Operational/Managerial Control · Organization
Smedra, Ira
5% Or Greater Indirect Ownership Interest · Individual
Steier Iii, Elmer
5% Or Greater Indirect Ownership Interest · Individual
Wheaten LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Prestonsburg Health Care Center
Prestonsburg, KY
5-star overall rating with 5-star inspections
#2
Mountain Manor of Paintsville
Paintsville, KY
1-star overall rating with 2-star inspections with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Pikeville Nursing And Rehab Center
Pikeville, KY
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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