Cycle 1
Health 2022-04-14 · Fire 2022-04-14
7 health deficiencies
Top issue: Administration (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Hodgenville, KY
Sunrise Manor Nursing Home
1-star overall rating with 1-star inspections with 7 recent health deficiencies
717 North Lincoln Boulevard, Hodgenville, KY
(270) 358-3103
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
137
Certified beds
Average residents
128
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Signature Healthcare
Operator or chain grouping
Approved since
1967-11-14
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
Yes
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
0.51
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.16
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
1.33
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.19
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.58
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.81
CMS adjusted RN staffing hours
Adjusted total hours
3.44
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,291
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
6.85
Composite VBP score used to determine payment impact.
Payment multiplier
0.9806
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.30% · Performance 21.77% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.17% · Performance 8.67% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.74
Baseline 52.89% · Performance 52.48% · Measure score 2.74 · Achievement 2.74 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.83 hours · Performance 2.87 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.49% |
10.72%
2.8 pts worse
|
No Different than the National Rate · Eligible stays 199 · Observed rate 16.58% · Lower 95% interval 9.97% |
| Discharge to community | 46.39% |
50.57%
4.2 pts worse
|
No Different than the National Rate · Eligible stays 177 · Observed rate 39.55% · Lower 95% interval 39.48% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.14% |
95.27%
3.9 pts better
|
Numerator 115 · Denominator 116 |
| Falls with major injury | 2.59% |
0.77%
1.8 pts worse
|
Numerator 3 · Denominator 116 |
| Discharge self-care score | 41.3% |
53.69%
12.4 pts worse
|
Numerator 38 · Denominator 92 |
| Discharge mobility score | 39.13% |
50.94%
11.8 pts worse
|
Numerator 36 · Denominator 92 |
| Pressure ulcers or injuries, new or worsened | 4.31% |
2.29%
2 pts worse
|
Numerator 5 · Denominator 116 · Adjusted rate 4.14% |
| Healthcare-associated infections requiring hospitalization | 8.67% |
7.12%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 121 · Observed rate 9.92% · Lower 95% interval 5.7% |
| Staff COVID-19 vaccination coverage | 4.13% |
8.2%
4.1 pts worse
|
Numerator 5 · Denominator 121 |
| Staff flu vaccination coverage | 17.14% |
42%
24.9 pts worse
|
Numerator 36 · Denominator 210 |
| Discharge function score | 43.48% |
56.45%
13 pts worse
|
Numerator 40 · Denominator 92 |
| Transfer of health information to provider | 95.24% |
95.95%
0.7 pts worse
|
Numerator 20 · Denominator 21 |
| Transfer of health information to patient | 90.2% |
96.28%
6.1 pts worse
|
Numerator 46 · Denominator 51 |
| Resident COVID-19 vaccinations up to date | 21.67% |
25.2%
3.5 pts worse
|
Numerator 13 · Denominator 60 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.9
0.6 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.8 · 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 1.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
94.3%
3.2 pts better
|
93.4%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.4% · Q2 96.3% · Q3 98.2% · Q4 99.1% · 4Q avg 97.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.5% |
96.2%
1.3 pts better
|
95.5%
2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.1% |
3.8%
0.3 pts worse
|
3.3%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 2.8% · Q3 2.8% · Q4 4.3% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.7% |
15.2%
7.5 pts better
|
11.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 4.1% · Q3 7.7% · Q4 17.3% · 4Q avg 7.7% |
| Percentage of long-stay residents who lose too much weight | 8.9% |
6.7%
2.2 pts worse
|
5.4%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 8.1% · Q3 8.8% · Q4 6.4% · 4Q avg 8.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 36.9% |
29.6%
7.3 pts worse
|
19.6%
17.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.4% · Q2 34.6% · Q3 35.8% · Q4 37.5% · 4Q avg 36.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.1% |
17.6%
0.5 pts better
|
16.7%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 17.5% · Q3 19.0% · Q4 14.8% · 4Q avg 17.1% · 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 | 20.8% |
17.3%
3.5 pts worse
|
16.3%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.1% · Q2 18.6% · Q3 13.3% · Q4 10.0% · 4Q avg 20.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.2% |
15.6%
5.6 pts worse
|
14.9%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.4% · Q2 14.4% · Q3 17.2% · Q4 13.0% · 4Q avg 21.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.7%
0.3 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
1.7%
0.8 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 1.9% · Q4 0.9% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.4% |
19.8%
1.4 pts better
|
19.8%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 15.4% · Q3 15.9% · Q4 18.9% · 4Q avg 18.4% |
| Percentage of long-stay residents with pressure ulcers | 4.2% |
5.5%
1.3 pts better
|
5.1%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 4.9% · Q3 4.6% · Q4 2.5% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.4% |
83.8%
11.6 pts better
|
81.7%
13.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 96.6% · Q3 96.6% · Q4 92.8% · 4Q avg 95.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.8% |
13.9%
4.9 pts worse
|
12.0%
6.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.8% · Observed 18.2% · Expected 10.8% · 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 | 88.1% |
83.6%
4.5 pts better
|
79.7%
8.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.8% |
24.5%
4.7 pts better
|
23.9%
4.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.8% · Observed 19.3% · Expected 23.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-01-24 · Fire 2019-01-24
11 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2017-11-21 · Fire 2017-11-21
6 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2019-01-24
K361 · Smoke Deficiencies
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2019-03-09
E · Potential for more than minimal harm
2019-01-24
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-03-09
D · Potential for more than minimal harm
2019-01-24
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2019-03-09
D · Potential for more than minimal harm
2019-01-24
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-03-09
F · Potential for more than minimal harm
2017-11-21
K322 · Smoke Deficiencies
Fire Safety
Ensure that laboratories employing quantities of flammable, combustible, or hazardous materials have fire resistant walls and automatic sprinkler system.
Corrected 2017-12-29
F · Potential for more than minimal harm
2017-11-21
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2017-12-29
Inspection history
Recent health citations
K · Immediate jeopardy
2022-04-14
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2022-06-03
K · Immediate jeopardy
2022-04-14
F837 · Administration Deficiencies
Health
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected 2022-06-03
K · Immediate jeopardy
2022-04-14
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2022-06-03
J · Immediate jeopardy
2022-04-14
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 2022-06-03
F · Potential for more than minimal harm
2022-04-14
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 2022-06-03
E · Potential for more than minimal harm
2022-04-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-06-03
D · Potential for more than minimal harm
2022-04-14
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-06-03
G · Actual harm
2019-01-24
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 2019-03-09
E · Potential for more than minimal harm
2019-01-24
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-03-09
E · Potential for more than minimal harm
2019-01-24
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2019-03-09
E · Potential for more than minimal harm
2019-01-24
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2019-03-09
E · Potential for more than minimal harm
2019-01-24
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2019-03-09
E · Potential for more than minimal harm
2019-01-24
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 2019-03-09
D · Potential for more than minimal harm
2019-01-24
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 2019-03-09
D · Potential for more than minimal harm
2019-01-24
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 2019-03-09
D · Potential for more than minimal harm
2019-01-24
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 2019-03-09
D · Potential for more than minimal harm
2019-01-24
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-03-09
D · Potential for more than minimal harm
2019-01-24
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2019-03-09
D · Potential for more than minimal harm
2017-11-21
F221 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Keep each resident free from physical restraints, unless needed for medical treatment.
Corrected 2017-12-29
D · Potential for more than minimal harm
2017-11-21
F222 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Keep each resident free from drugs that restrain them, unless needed for medical treatment.
Corrected 2017-12-29
D · Potential for more than minimal harm
2017-11-21
F309 · Quality of Life and Care Deficiencies
Health
Provide necessary care and services to maintain or improve the highest well being of each resident .
Corrected 2017-12-29
D · Potential for more than minimal harm
2017-11-21
F367 · Nutrition and Dietary Deficiencies
Health
Make sure that special or therapeutic diets are ordered by the attending doctor.
Corrected 2017-12-29
D · Potential for more than minimal harm
2017-11-21
F425 · Pharmacy Service Deficiencies
Health
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Corrected 2017-12-29
D · Potential for more than minimal harm
2017-11-21
F441 · Environmental Deficiencies
Health
Have a program that investigates, controls and keeps infection from spreading.
Corrected 2017-12-29
Penalties and ownership
What sits behind the stars
Ownership
Distinct Group Holdings, LLC
5% Or Greater Direct Ownership Interest · Organization
Durbin, Amy
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
Signature Healthcare LLC
Operational/Managerial Control · Organization
Smedra, Ira
5% Or Greater Indirect Ownership Interest · Individual
Steier Iii, Elmer
5% Or Greater Indirect Ownership Interest · Individual
Steier Iii, Elmer
Operational/Managerial Control · Individual
Steier Iii, Elmer
Corporate Officer · Individual
Wheaten LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Kensington Nursing and Rehabilitation Center
Elizabethtown, KY
2-star overall rating with 2-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Helmwood Healthcare
Elizabethtown, KY
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
#3
Elizabethtown Nursing and Rehabilitation Center
Elizabethtown, KY
1-star overall rating with 2-star inspections with $4,893 in total fines with 8 recent health deficiencies
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