Federal inspection record · CMS data as of October 1, 2026
Rockcastle Regional Hospital and Respiratory Care
145 Newcomb Avenue, Mount Vernon, KY · (606) 256-2195
- CMS high-performer trophy
- Certified beds
- 143
- Residents per day
- 114
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 25, 1980
1
How this home got 5 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.
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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.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kentucky homes
Rockcastle Regional Hospital and Respiratory Care carries 3 inspection points. That is fewer than 86% of Kentucky's 265 rated homes.
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
3 health citations on record since 2025. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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
Resident Rights1D
- D
Keep residents' personal and medical records private and confidential.
Nursing and Physician Services1D
- D
Post nurse staffing information every day.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2026-04-10
0 health deficiencies · 2 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2025-03-26
3 health deficiencies · 9 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2019-10-11
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 7 h 5 min of nursing staff time a day, 2 h 20 min of it from a registered nurse.
This home
7 h 5 min
Kentucky average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 26% of nursing staff and 12% 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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.1 pts better | 0.8 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2 pts better | 0 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.4 pts better | 97.5% | 94.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 99.2% | 96.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.6 pts better | 0.2% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms16 pts better | 2.9% | 18.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.7 pts better | 2.9% | 6.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication19.4 pts worse | 49.3% | 29.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.7 pts better | 8.5% | 16.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts worse | 0.4% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.7 pts better | 10.5% | 13.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder9.6 pts worse | 10.1% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3 pts worse | 4.5% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence15.8 pts better | 2.5% | 18.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.9 pts worse | 9.6% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.3 pts worse | 72.2% | 84.5% | 82.3% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.6 pts better | 91.3% | 83.7% | 80.1% |
·
Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bastin, Christopher | Corporate Officer · Individual | 0% | 1 facilities |
| Burdette, Jeffrey | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Burdette, Jeffrey | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Estes, Stephen | Corporate Officer · Individual | 0% | 1 facilities |
| Estes, Stephen | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Estes, Stephen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lambert, Debra | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Lambert, Debra | Trustee Of The SNF · Individual | 0% | 2 facilities |
| Lambert, Joseph | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Lambert, Joseph | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Saylor, Karen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Towery, Bige | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Towery, Bige | Trustee Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4E
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install an approved automatic sprinkler system.
- D
Install corridor and hallway doors that block smoke.
Emergency Preparedness4F
- F
Develop Emergency Preparedness policies and procedures.
- F
Develop a communication plan.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
Gas, Vacuum, and Electrical Systems2E
- E
Ensure proper usage of power strips and extension cords.
- D
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Miscellaneous1D
- D
Have restrictions on the use of portable space heaters.
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Other homes nearby
-
Rockcastle Health & Rehabilitation Center
Brodhead, KY · Signature Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 32 min
- Fines
- $15,646
-
The Terrace Nursing and Rehabilitation Center
Berea, KY · Bluegrass Health Ky
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 46 min
- Fines
- $0
-
Berea Health and Rehabilitation
Berea, KY · Bluegrass Health Ky
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 42 min
- Fines
- $16,801