Salyersville, KY

Salyersville Nursing and Rehabilitation Center

1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $447,485 in total fines with 22 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

662 Parkway Drive, Salyersville, KY

(606) 349-6181

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

142

Certified beds

Average residents

113

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Benjamin Landa

Operator or chain grouping

Approved since

1990-12-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

54 facilities

Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars

Changed ownership

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

0.65

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.47

Licensed practical nurse staffing · state 0.81 · national 0.87

Aide hours / resident day

2.43

Nurse aide staffing · state 2.43 · national 2.35

Total nurse hours

3.55

All reported nurse hours · state 4.01 · national 3.89

Licensed hours

1.12

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

3.11

Weekend nurse staffing · state 3.50 · national 3.43

Weekend RN hours

0.47

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

0.57

CMS adjusted RN staffing hours

Adjusted total hours

3.13

CMS adjusted total nurse staffing hours

Case-mix index

1.55

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

38%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,030

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

28.02

Composite VBP score used to determine payment impact.

Payment multiplier

0.9848

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.29% · Performance 22.24% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.57

Baseline 7.06% · Performance 7.07% · Measure score 2.57 · Achievement 2.57 · Improvement 0

Total nurse turnover

8.64

Baseline 55.00% · Performance 28.36% · Measure score 8.64 · Achievement 8.64 · Improvement 8.34

Adjusted total nurse staffing

Baseline 3.16 hours · Performance 2.67 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.57%	10.72% 1.8 pts worse	No Different than the National Rate · Eligible stays 59 · Observed rate 20.34% · Lower 95% interval 7.62%
Discharge to community	44.33%	50.57% 6.2 pts worse	No Different than the National Rate · Eligible stays 39 · Observed rate 35.9% · Lower 95% interval 32.39%
Medicare spending per beneficiary	1.37	1.02 0.4 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 57 · Denominator 57
Falls with major injury	3.51%	0.77% 2.7 pts worse	Numerator 2 · Denominator 57
Discharge self-care score	13.79%	53.69% 39.9 pts worse	Numerator 4 · Denominator 29
Discharge mobility score	20.69%	50.94% 30.2 pts worse	Numerator 6 · Denominator 29
Pressure ulcers or injuries, new or worsened	1.75%	2.29% 0.5 pts better	Numerator 1 · Denominator 57 · Adjusted rate 1.28%
Healthcare-associated infections requiring hospitalization	7.07%	7.12% About the same	No Different than the National Rate · Eligible stays 41 · Observed rate 7.32% · Lower 95% interval 3.71%
Staff COVID-19 vaccination coverage	16.67%	8.2% 8.5 pts better	Numerator 20 · Denominator 120
Staff flu vaccination coverage	20.49%	42% 21.5 pts worse	Numerator 25 · Denominator 122
Discharge function score	20.69%	56.45% 35.8 pts worse	Numerator 6 · Denominator 29
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 25 · Denominator 25
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	8%	25.2% 17.2 pts worse	Numerator 2 · Denominator 25

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	1.9 0.3 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.0 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	2.2 0.2 pts better	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.2 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.2%	94.3% 3.9 pts better	93.4% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 100.0% · Q3 100.0% · Q4 93.9% · 4Q avg 98.2%
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	3.2%	3.8% 0.6 pts better	3.3% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.6% · Q3 2.8% · Q4 1.8% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.5%	15.2% 14.7 pts better	11.4% 10.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5%
Percentage of long-stay residents who lose too much weight	7.2%	6.7% 0.5 pts worse	5.4% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 26.4% · 4Q avg 7.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.2%	29.6% 0.6 pts worse	19.6% 10.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 31.2% · Q3 30.8% · Q4 29.5% · 4Q avg 30.2%
Percentage of long-stay residents who received an antipsychotic medication	22.5%	17.6% 4.9 pts worse	16.7% 5.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 22.9% · Q3 20.9% · Q4 22.1% · 4Q avg 22.5% · 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	7.4%	17.3% 9.9 pts better	16.3% 8.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 10.6% · Q3 6.7% · Q4 4.9% · 4Q avg 7.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.2%	15.6% 5.4 pts better	14.9% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 15.1% · Q3 14.0% · Q4 3.4% · 4Q avg 10.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	0.7% 0.2 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 1.3% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.2%	1.7% 1.5 pts better	1.7% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.7%	19.8% 3.9 pts worse	19.8% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 26.7% · Q3 33.3% · Q4 17.0% · 4Q avg 23.7%
Percentage of long-stay residents with pressure ulcers	11.0%	5.5% 5.5 pts worse	5.1% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 12.2% · Q3 12.0% · Q4 10.2% · 4Q avg 11.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.4%	83.8% 10.6 pts better	81.7% 12.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 94.2% · Q2 96.6% · Q3 96.3% · Q4 86.7% · 4Q avg 94.4%
Percentage of short-stay residents who had an outpatient emergency department visit	16.1%	13.9% 2.2 pts worse	12.0% 4.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 16.1% · Observed 18.0% · Expected 12.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.8% 1.8 pts better	1.6% 1.6 pts better	Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.0%	83.6% 11.4 pts better	79.7% 15.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	35.4%	24.5% 10.9 pts worse	23.9% 11.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 35.4% · Observed 38.0% · Expected 25.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-17 · Fire 2025-05-17

23 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2021-04-08 · Fire 2021-04-08

2 health deficiencies

Top issue: Environmental (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2019-02-06 · Fire 2019-02-06

12 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-04

D · Potential for more than minimal harm 2025-05-17

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-06-04

D · Potential for more than minimal harm 2025-05-17

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-06-04

D · Potential for more than minimal harm 2025-05-17

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2025-06-04

F · Potential for more than minimal harm 2019-02-06

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2019-03-04

F · Potential for more than minimal harm 2019-02-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2019-03-04

F · Potential for more than minimal harm 2019-02-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-03-04

D · Potential for more than minimal harm 2019-02-06

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2019-03-04

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-01

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-08-22

D · Potential for more than minimal harm 2025-08-01

F657 · Resident Assessment and Care Planning Deficiencies

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 2025-08-22

D · Potential for more than minimal harm 2025-08-01

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 2025-08-22

D · Potential for more than minimal harm 2025-08-01

F836 · Administration Deficiencies

Health

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Corrected 2025-08-22

D · Potential for more than minimal harm 2025-07-19

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-08-22

D · Potential for more than minimal harm 2025-07-19

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-08-22

D · Potential for more than minimal harm 2025-07-19

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-08-22

D · Potential for more than minimal harm 2025-07-19

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-08-22

K · Immediate jeopardy 2025-05-29

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-06-25

K · Immediate jeopardy 2025-05-17

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-06-25

K · Immediate jeopardy 2025-05-17

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-08-22

K · Immediate jeopardy 2025-05-17

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-08-22

K · Immediate jeopardy 2025-05-17