Cycle 1
Health 2025-05-07 · Fire 2025-05-07
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Pine Knot, KY
Signature Healthcare of McCreary County Rehab and
1-star overall rating with 1-star inspections
58 Cal Hill Spur, Pine Knot, KY
(606) 354-3155
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
52
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Signature Healthcare
Operator or chain grouping
Approved since
1990-09-04
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
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.83
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.84
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
1.96
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
3.63
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.67
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.22
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.39
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
0.81
CMS adjusted RN staffing hours
Adjusted total hours
3.53
CMS adjusted total nurse staffing hours
Case-mix index
1.41
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
Value-based purchasing
Program rank
5,092
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.42
Composite VBP score used to determine payment impact.
Payment multiplier
0.9907
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.50
Baseline 19.14% · Performance 18.42% · Measure score 6.50 · Achievement 6.50 · Improvement 2.90
Healthcare-associated infections
2.33
Baseline 6.05% · Performance 7.14% · Measure score 2.33 · Achievement 2.33 · Improvement 0
Total nurse turnover
4.55
Baseline 52.83% · Performance 45.10% · Measure score 4.55 · Achievement 4.55 · Improvement 2.26
Adjusted total nurse staffing
1.59
Baseline 3.67 hours · Performance 3.53 hours · Measure score 1.59 · Achievement 1.59 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.52% |
10.72%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 64 · Observed rate 18.75% · Lower 95% interval 7.52% |
| Discharge to community | 49.04% |
50.57%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 44 · Observed rate 38.64% · Lower 95% interval 35.64% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 97.44% |
95.27%
2.2 pts better
|
Numerator 38 · Denominator 39 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 39 |
| Discharge self-care score | 60% |
53.69%
6.3 pts better
|
Numerator 18 · Denominator 30 |
| Discharge mobility score | 40% |
50.94%
10.9 pts worse
|
Numerator 12 · Denominator 30 |
| Pressure ulcers or injuries, new or worsened | 5.13% |
2.29%
2.8 pts worse
|
Numerator 2 · Denominator 39 · Adjusted rate 3.34% |
| Healthcare-associated infections requiring hospitalization | 7.14% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 51 · Observed rate 7.84% · Lower 95% interval 4.35% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 57 |
| Staff flu vaccination coverage | 6.33% |
42%
35.7 pts worse
|
Numerator 5 · Denominator 79 |
| Discharge function score | 43.33% |
56.45%
13.1 pts worse
|
Numerator 13 · Denominator 30 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
1.9
0.4 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.7 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.4 |
2.2
1.2 pts worse
|
1.8
1.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 4.1 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 85.5% |
94.3%
8.8 pts worse
|
93.4%
7.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 73.3% · Q2 76.1% · Q3 95.7% · Q4 97.6% · 4Q avg 85.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.9% |
96.2%
1.7 pts better
|
95.5%
2.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
3.8%
2.1 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.2% · Q3 0.0% · Q4 2.4% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.3% |
15.2%
8.9 pts better
|
11.4%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.0% · Q3 16.2% · Q4 2.6% · 4Q avg 6.3% |
| Percentage of long-stay residents who lose too much weight | 9.2% |
6.7%
2.5 pts worse
|
5.4%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 4.7% · Q3 12.5% · Q4 5.4% · 4Q avg 9.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 46.4% |
29.6%
16.8 pts worse
|
19.6%
26.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 44.4% · Q2 45.5% · Q3 46.3% · Q4 50.0% · 4Q avg 46.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.8% |
17.6%
1.2 pts worse
|
16.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 18.4% · Q3 17.2% · Q4 9.4% · 4Q avg 18.8% · 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 | 11.3% |
17.3%
6 pts better
|
16.3%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.7% |
15.6%
3.9 pts better
|
14.9%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 19.0% · Q3 12.2% · Q4 8.1% · 4Q avg 11.7% · 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 | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 11.3% |
19.8%
8.5 pts better
|
19.8%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 14.3% · Q3 4.7% · Q4 11.3% · 4Q avg 11.3% |
| Percentage of long-stay residents with pressure ulcers | 13.1% |
5.5%
7.6 pts worse
|
5.1%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 13.3% · Q3 15.9% · Q4 8.6% · 4Q avg 13.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.3% |
83.8%
6.5 pts better
|
81.7%
8.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.2% · Q2 88.7% · Q3 90.6% · Q4 89.9% · 4Q avg 90.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.6% |
13.9%
6.7 pts worse
|
12.0%
8.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.6% · Observed 20.5% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.8%
0.6 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 2.6% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.2% |
83.6%
9.6 pts better
|
79.7%
13.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.4% |
24.5%
2.1 pts better
|
23.9%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 25.0% · Expected 26.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-10-01 · Fire 2020-10-01
10 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2019-05-02 · Fire 2019-05-02
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2020-10-01
K771 · Miscellaneous Deficiencies
Fire Safety
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
Corrected 2020-10-23
F · Potential for more than minimal harm
2019-05-02
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-05-23
Inspection history
Recent health citations
J · Immediate jeopardy
2020-10-01
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 2020-11-28
J · Immediate jeopardy
2020-10-01
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 2020-11-28
J · Immediate jeopardy
2020-10-01
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-11-28
J · Immediate jeopardy
2020-10-01
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2020-11-28
E · Potential for more than minimal harm
2020-10-01
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 2020-11-28
D · Potential for more than minimal harm
2020-10-01
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 2020-11-28
D · Potential for more than minimal harm
2020-10-01
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2020-11-28
D · Potential for more than minimal harm
2020-10-01
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2020-11-28
D · Potential for more than minimal harm
2020-10-01
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2020-11-28
D · Potential for more than minimal harm
2020-10-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-11-28
E · Potential for more than minimal harm
2019-05-02
F761 · Pharmacy Service Deficiencies
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 2019-05-13
D · Potential for more than minimal harm
2019-05-02
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-05-08
D · Potential for more than minimal harm
2019-05-02
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 2019-05-11
D · Potential for more than minimal harm
2019-05-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-05-04
Penalties and ownership
What sits behind the stars
Ownership
Shc LP Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Asbr Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Boyatt, Stacey
W-2 Managing Employee · Individual
Harrison, John
Corporate Officer · Individual
Jjla LLC
5% Or Greater Indirect Ownership Interest · Organization
Lpsnf LLC
5% Or Greater Indirect Ownership Interest · 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
Oneida Nursing And Rehab Center
Oneida, TN
1-star overall rating with 1-star inspections with Special Focus status with $52,111 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Williamsburg Health & Rehabilitation Center
Williamsburg, KY
3-star overall rating with 3-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Huntsville Post-Acute And Rehabilitation Center
Huntsville, TN
1-star overall rating with 2-star inspections with $9,062 in total fines with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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