Paducah, KY

Stonecreek Health And Rehabilitation

1-star overall rating with 2-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

4747 Alben Barkley Drive, Paducah, KY

(270) 444-9661

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 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

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Simcha Hyman & Naftali Zanziper

Operator or chain grouping

Approved since

1991-12-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

94 facilities

Chain averages 2 overall / 3 health / 2 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

0.37

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.79

Licensed practical nurse staffing · state 0.81 · national 0.87

Aide hours / resident day

2.34

Nurse aide staffing · state 2.43 · national 2.35

Total nurse hours

3.50

All reported nurse hours · state 4.01 · national 3.89

Licensed hours

1.16

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

3.29

Weekend nurse staffing · state 3.50 · national 3.43

Weekend RN hours

0.26

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

0.36

CMS adjusted RN staffing hours

Adjusted total hours

3.40

CMS adjusted total nurse staffing hours

Case-mix index

1.41

Higher values indicate more complex resident acuity

RN turnover

73%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

60%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,681

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

Performance score

1.75

Composite VBP score used to determine payment impact.

Payment multiplier

0.9804

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.01% · Performance 21.76% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 5.82% · Performance 7.96% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Baseline 56.41% · Performance 64.05% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

0.70

Baseline 3.48 hours · Performance 3.28 hours · Measure score 0.70 · Achievement 0.70 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.37%	10.72% 2.6 pts worse	No Different than the National Rate · Eligible stays 169 · Observed rate 16.57% · Lower 95% interval 10.29%
Discharge to community	40.68%	50.57% 9.9 pts worse	Worse than the National Rate · Eligible stays 146 · Observed rate 33.56% · Lower 95% interval 33.75%
Medicare spending per beneficiary	1.1	1.02 0.1 pts worse
Drug regimen review with follow-up	92.06%	95.27% 3.2 pts worse	Numerator 58 · Denominator 63
Falls with major injury	4.76%	0.77% 4 pts worse	Numerator 3 · Denominator 63
Discharge self-care score	59.38%	53.69% 5.7 pts better	Numerator 19 · Denominator 32
Discharge mobility score	40.63%	50.94% 10.3 pts worse	Numerator 13 · Denominator 32
Pressure ulcers or injuries, new or worsened	1.59%	2.29% 0.7 pts better	Numerator 1 · Denominator 63 · Adjusted rate 1.16%
Healthcare-associated infections requiring hospitalization	7.96%	7.12% 0.8 pts worse	No Different than the National Rate · Eligible stays 85 · Observed rate 9.41% · Lower 95% interval 4.87%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 77
Staff flu vaccination coverage	23.44%	42% 18.6 pts worse	Numerator 15 · Denominator 64
Discharge function score	56.25%	56.45% 0.2 pts worse	Numerator 18 · Denominator 32
Transfer of health information to provider	80.77%	95.95% 15.2 pts worse	Numerator 21 · Denominator 26
Transfer of health information to patient	85.71%	96.28% 10.6 pts worse	Numerator 18 · Denominator 21
Resident COVID-19 vaccinations up to date	43.33%	25.2% 18.1 pts better	Numerator 13 · Denominator 30

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.2	1.9 1.3 pts worse	1.9 1.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 3.2 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.3	2.2 1.1 pts worse	1.8 1.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.2 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	92.2%	94.3% 2.1 pts worse	93.4% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 90.5% · Q2 97.3% · Q3 91.8% · Q4 89.3% · 4Q avg 92.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	86.8%	96.2% 9.4 pts worse	95.5% 8.7 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 86.8%
Percentage of long-stay residents experiencing one or more falls with major injury	2.7%	3.8% 1.1 pts better	3.3% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.4% · Q3 2.7% · Q4 4.0% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.7%	15.2% 14.5 pts better	11.4% 10.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.1% · 4Q avg 0.7%
Percentage of long-stay residents who lose too much weight	8.5%	6.7% 1.8 pts worse	5.4% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 3.3% · Q3 9.1% · Q4 7.4% · 4Q avg 8.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.7%	29.6% 6.9 pts better	19.6% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 22.7% · Q3 22.5% · Q4 23.6% · 4Q avg 22.7%
Percentage of long-stay residents who received an antipsychotic medication	10.6%	17.6% 7 pts better	16.7% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 4.4% · Q3 12.7% · Q4 15.1% · 4Q avg 10.6% · 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	42.3%	17.3% 25 pts worse	16.3% 26 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 53.4% · 4Q avg 42.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	27.0%	15.6% 11.4 pts worse	14.9% 12.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 45.9% · Q2 32.2% · Q3 19.0% · Q4 13.0% · 4Q avg 27.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.7%	0.7% About the same	1.0% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	1.7% 1 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.4%	19.8% 4.6 pts worse	19.8% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 30.1% · Q3 28.1% · Q4 16.1% · 4Q avg 24.4%
Percentage of long-stay residents with pressure ulcers	5.5%	5.5% About the same	5.1% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 6.9% · Q3 2.4% · Q4 7.6% · 4Q avg 5.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	76.9%	83.8% 6.9 pts worse	81.7% 4.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 76.4% · Q2 87.0% · Q3 76.2% · Q4 65.3% · 4Q avg 76.9%
Percentage of short-stay residents who had an outpatient emergency department visit	8.8%	13.9% 5.1 pts better	12.0% 3.2 pts better	Short Stay · 20240701-20250630 · Adjusted 8.8% · Observed 10.0% · Expected 12.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.5%	1.8% 1.3 pts better	1.6% 1.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	77.7%	83.6% 5.9 pts worse	79.7% 2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 77.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.8%	24.5% 3.3 pts worse	23.9% 3.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.8% · Observed 28.3% · Expected 24.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-06 · Fire 2025-12-06

7 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-08-01 · Fire 2024-08-01

8 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2021-09-02 · Fire 2021-09-02

16 health deficiencies

Top issue: Resident Assessment and Care Planning (7 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-06

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2025-12-20

E · Potential for more than minimal harm 2025-12-06

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 2025-12-20

E · Potential for more than minimal harm 2025-12-06

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-12-20

E · Potential for more than minimal harm 2025-12-06

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-12-20

F · Potential for more than minimal harm 2024-08-01

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-08-28

F · Potential for more than minimal harm 2024-08-01

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-08-28

E · Potential for more than minimal harm 2024-08-01

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-08-28

E · Potential for more than minimal harm 2024-08-01

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-08-28

E · Potential for more than minimal harm 2024-08-01

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 2024-08-28

E · Potential for more than minimal harm 2024-08-01

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-08-28

E · Potential for more than minimal harm 2024-08-01

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-08-28

D · Potential for more than minimal harm 2024-08-01

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-08-28

D · Potential for more than minimal harm 2024-08-01

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-08-28

F · Potential for more than minimal harm 2021-09-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-10-22

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-06

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 2026-01-13

D · Potential for more than minimal harm 2025-12-06

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2026-01-13

D · Potential for more than minimal harm 2025-12-06

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 2026-01-13

D · Potential for more than minimal harm 2025-12-06

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 2026-01-13

D · Potential for more than minimal harm 2025-12-06

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-13

D · Potential for more than minimal harm 2025-12-06

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-01-13

D · Potential for more than minimal harm 2025-12-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-13

F · Potential for more than minimal harm 2024-08-01

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 2024-08-28

F · Potential for more than minimal harm 2024-08-01

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-08-28

D · Potential for more than minimal harm 2024-08-01

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 2024-08-28

D · Potential for more than minimal harm 2024-08-01

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-08-28

D · Potential for more than minimal harm 2024-08-01

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 2024-08-28

D · Potential for more than minimal harm 2024-08-01

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 2024-08-28

D · Potential for more than minimal harm 2024-08-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-28

C · Minimal harm 2024-08-01

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2024-08-28

D · Potential for more than minimal harm 2023-11-22

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-11-17

D · Potential for more than minimal harm 2023-09-21

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 2023-10-11

D · Potential for more than minimal harm 2023-09-21

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-10-11

D · Potential for more than minimal harm 2023-09-21

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 2023-10-11

D · Potential for more than minimal harm 2023-09-21

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-10-11

F · Potential for more than minimal harm 2021-09-02

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 2021-10-22

E · Potential for more than minimal harm 2021-09-02