South Shore, KY

South Shore Nursing and Rehabilitation

3-star overall rating with 4-star inspections with 2 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

405 SM Roberson Drive, South Shore, KY

(606) 932-3127

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

56

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

David Marx

Operator or chain grouping

Approved since

1991-07-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 2 overall / 3 health / 2 staffing / 3 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

0.65

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.37

Licensed practical nurse staffing · state 0.81 · national 0.87

Aide hours / resident day

2.02

Nurse aide staffing · state 2.43 · national 2.35

Total nurse hours

3.04

All reported nurse hours · state 4.01 · national 3.89

Licensed hours

1.02

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

2.46

Weekend nurse staffing · state 3.50 · national 3.43

Weekend RN hours

0.36

Weekend registered nurse coverage · state 0.52 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.57

CMS adjusted RN staffing hours

Adjusted total hours

2.64

CMS adjusted total nurse staffing hours

Case-mix index

1.57

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

51%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,666

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

Performance score

15.79

Composite VBP score used to determine payment impact.

Payment multiplier

0.9815

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

3.16

Baseline 51.85% · Performance 50.77% · Measure score 3.16 · Achievement 3.16 · Improvement 0

Adjusted total nurse staffing

0

Baseline 3.41 hours · Performance 3.05 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.73%	10.72% About the same	No Different than the National Rate · Eligible stays 29 · Observed rate 10.34% · Lower 95% interval 6.83%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.41	1.02 0.4 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 20 · Denominator 20
Falls with major injury	5%	0.77% 4.2 pts worse	Numerator 1 · Denominator 20
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 20 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 78
Staff flu vaccination coverage	46.43%	42% 4.4 pts better	Numerator 52 · Denominator 112
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 13 · 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	2.4	1.9 0.5 pts worse	1.9 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.4 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.9	2.2 0.7 pts worse	1.8 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.8 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.1%	94.3% 1.8 pts better	93.4% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.2% · Q3 94.3% · Q4 94.1% · 4Q avg 96.1%
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	4.9%	3.8% 1.1 pts worse	3.3% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 5.7% · Q3 5.7% · Q4 2.0% · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	31.5%	15.2% 16.3 pts worse	11.4% 20.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 7.0% · Q3 41.9% · Q4 62.2% · 4Q avg 31.5%
Percentage of long-stay residents who lose too much weight	10.8%	6.7% 4.1 pts worse	5.4% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 14.9% · Q3 10.4% · Q4 4.4% · 4Q avg 10.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	34.7%	29.6% 5.1 pts worse	19.6% 15.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 39.1% · Q2 34.0% · Q3 38.8% · Q4 27.1% · 4Q avg 34.7%
Percentage of long-stay residents who received an antipsychotic medication	10.2%	17.6% 7.4 pts better	16.7% 6.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 16.1% · Q3 3.2% · Q4 12.1% · 4Q avg 10.2% · 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	5.5%	17.3% 11.8 pts better	16.3% 10.8 pts better	Long Stay · 2024Q4-2025Q3 · Q3 4.4% · 4Q avg 5.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.2%	15.6% 10.4 pts better	14.9% 9.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.5% · Q3 6.7% · Q4 4.7% · 4Q avg 5.2% · 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	17.3%	19.8% 2.5 pts better	19.8% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 17.8% · Q3 18.7% · Q4 17.9% · 4Q avg 17.3%
Percentage of long-stay residents with pressure ulcers	4.8%	5.5% 0.7 pts better	5.1% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 5.3% · Q3 5.4% · Q4 2.1% · 4Q avg 4.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	80.5%	83.8% 3.3 pts worse	81.7% 1.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 76.5% · Q2 79.3% · Q3 83.3% · Q4 84.0% · 4Q avg 80.5%
Percentage of short-stay residents who had an outpatient emergency department visit	15.1%	13.9% 1.2 pts worse	12.0% 3.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.1% · Observed 17.4% · Expected 12.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	4.0%	1.8% 2.2 pts worse	1.6% 2.4 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 4.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	79.3%	83.6% 4.3 pts worse	79.7% 0.4 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 79.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.0%	24.5% 0.5 pts better	23.9% 0.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.0% · Observed 30.4% · Expected 30.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-31 · Fire 2025-07-31

2 health deficiencies

Top issue: Administration (1 deficiency)

8 fire-safety deficiencies

Top issue: Miscellaneous (3 deficiencies)

Cycle 2 Health 2021-11-10 · Fire 2021-11-10

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2019-02-21 · Fire 2019-02-21

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-07-31

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-07-31

F · Potential for more than minimal harm 2025-07-31

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-09-10

F · Potential for more than minimal harm 2025-07-31

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-09-10

E · Potential for more than minimal harm 2025-07-31

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-08-07

E · Potential for more than minimal harm 2025-07-31

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-08-04

D · Potential for more than minimal harm 2025-07-31

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 2025-09-16

D · Potential for more than minimal harm 2025-07-31

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2025-08-22

D · Potential for more than minimal harm 2025-07-31

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-09-25

F · Potential for more than minimal harm 2019-02-21

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-04-01

D · Potential for more than minimal harm 2019-02-21

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2019-04-01

D · Potential for more than minimal harm 2019-02-21

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-04-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-31

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-09-10

D · Potential for more than minimal harm 2025-07-31

F774 · Administration Deficiencies

Health

Help the resident with transportation to and from laboratory services outside of the facility.

Corrected 2025-09-10

E · Potential for more than minimal harm 2021-11-10

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 2021-12-15

E · Potential for more than minimal harm 2021-11-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-12-15

D · Potential for more than minimal harm 2021-11-10

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 2021-12-15

D · Potential for more than minimal harm 2021-11-10

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2021-12-15

D · Potential for more than minimal harm 2021-11-10

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2021-12-15

E · Potential for more than minimal harm 2019-02-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2019-04-01

D · Potential for more than minimal harm 2019-02-21

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2019-04-01

D · Potential for more than minimal harm 2019-02-21

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 2019-04-01

D · Potential for more than minimal harm 2019-02-21

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2019-04-01

D · Potential for more than minimal harm 2019-02-21

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2019-04-01

Penalties and ownership

What sits behind the stars

Ownership

Marx, David

5% Or Greater Indirect Ownership Interest · Individual

100% 30 facilities 2019-07-25

South Shore Nursing And Rehabilitation Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2019-07-25

405 Sm Roberson Dr SNF Realty LLC

Operational/Managerial Control · Organization

0% 1 facilities 2019-09-01

Alexander, James