Cycle 1
Health 2025-02-28 · Fire 2025-02-28
3 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Covington, KY
The Pavilion At Kenton
1-star overall rating with 2-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
401 East 20th Street, Covington, KY
(859) 283-6600
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
82
Certified beds
Average residents
75
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Pavilion Group
Operator or chain grouping
Approved since
1967-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 3 overall / 3 health / 2 staffing / 5 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
0.49
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.74
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
1.74
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
2.97
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.23
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
2.77
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
0.03
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
2.76
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
63%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,036
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
14.24
Composite VBP score used to determine payment impact.
Payment multiplier
0.9813
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.39
Baseline 22.26% · Performance 21.27% · Measure score 1.39 · Achievement 0 · Improvement 1.39
Healthcare-associated infections
2.93
Baseline 6.79% · Performance 6.96% · Measure score 2.93 · Achievement 2.93 · Improvement 0
Total nurse turnover
1.37
Baseline 58.33% · Performance 58.06% · Measure score 1.37 · Achievement 1.37 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.16 hours · Performance 2.71 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.83% |
10.72%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 66 · Observed rate 21.21% · Lower 95% interval 9.51% |
| Discharge to community | 31.88% |
50.57%
18.7 pts worse
|
Worse than the National Rate · Eligible stays 32 · Observed rate 15.63% · Lower 95% interval 20.94% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 61 · Denominator 61 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 61 |
| Discharge self-care score | 63.04% |
53.69%
9.4 pts better
|
Numerator 29 · Denominator 46 |
| Discharge mobility score | 56.52% |
50.94%
5.6 pts better
|
Numerator 26 · Denominator 46 |
| Pressure ulcers or injuries, new or worsened | 3.28% |
2.29%
1 pts worse
|
Numerator 2 · Denominator 61 · Adjusted rate 2.72% |
| Healthcare-associated infections requiring hospitalization | 6.96% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 43 · Observed rate 6.98% · Lower 95% interval 3.79% |
| Staff COVID-19 vaccination coverage | 1.1% |
8.2%
7.1 pts worse
|
Numerator 1 · Denominator 91 |
| Staff flu vaccination coverage | 0.85% |
42%
41.1 pts worse
|
Numerator 1 · Denominator 117 |
| Discharge function score | 69.57% |
56.45%
13.1 pts better
|
Numerator 32 · Denominator 46 |
| Transfer of health information to provider | 92.31% |
95.95%
3.6 pts worse
|
Numerator 24 · Denominator 26 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 6.9% |
25.2%
18.3 pts worse
|
Numerator 2 · Denominator 29 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.7 |
1.9
1.8 pts worse
|
1.9
1.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 3.3 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.5 |
2.2
0.3 pts worse
|
1.8
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.5 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 85.9% |
94.3%
8.4 pts worse
|
93.4%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 78.4% · Q2 70.6% · Q3 97.2% · Q4 97.2% · 4Q avg 85.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.8% |
96.2%
5.4 pts worse
|
95.5%
4.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% |
3.8%
1 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.5% · Q3 4.2% · Q4 4.2% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 29.3% |
15.2%
14.1 pts worse
|
11.4%
17.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.3% · Q2 19.0% · Q3 35.4% · Q4 27.7% · 4Q avg 29.3% |
| Percentage of long-stay residents who lose too much weight | 6.6% |
6.7%
0.1 pts better
|
5.4%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 4.8% · Q3 8.2% · Q4 7.5% · 4Q avg 6.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.7% |
29.6%
1.9 pts better
|
19.6%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 29.2% · Q3 31.3% · Q4 23.2% · 4Q avg 27.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.3% |
17.6%
4.7 pts worse
|
16.7%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 24.5% · Q3 20.4% · Q4 23.1% · 4Q avg 22.3% · 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 | 11.4% |
17.3%
5.9 pts better
|
16.3%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.7% |
15.6%
9.9 pts better
|
14.9%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 2.2% · Q3 4.3% · Q4 10.0% · 4Q avg 5.7% · 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 | 0.4% |
1.7%
1.3 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.1% |
19.8%
12.7 pts better
|
19.8%
12.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.3% · Q3 14.8% · Q4 7.9% · 4Q avg 7.1% |
| Percentage of long-stay residents with pressure ulcers | 2.9% |
5.5%
2.6 pts better
|
5.1%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 4.3% · Q3 3.9% · Q4 1.3% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 66.8% |
83.8%
17 pts worse
|
81.7%
14.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 65.2% · Q2 66.1% · Q3 63.6% · Q4 73.2% · 4Q avg 66.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.1% |
13.9%
3.2 pts worse
|
12.0%
5.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.1% · Observed 20.0% · Expected 13.1% · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 54.5% |
83.6%
29.1 pts worse
|
79.7%
25.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 54.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.0% |
24.5%
3.5 pts better
|
23.9%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.0% · Observed 25.0% · Expected 28.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-07-15 · Fire 2021-07-15
3 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2019-11-21 · Fire 2019-11-21
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-02-28
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-18
F · Potential for more than minimal harm
2025-02-28
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-04-18
F · Potential for more than minimal harm
2025-02-28
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-04-18
D · Potential for more than minimal harm
2021-07-15
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 2021-07-30
D · Potential for more than minimal harm
2021-07-15
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-07-30
D · Potential for more than minimal harm
2021-07-15
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 2021-07-30
D · Potential for more than minimal harm
2021-07-15
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2021-07-30
F · Potential for more than minimal harm
2019-11-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-12-20
D · Potential for more than minimal harm
2019-11-21
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2019-12-20
D · Potential for more than minimal harm
2019-11-21
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-12-20
D · Potential for more than minimal harm
2019-11-21
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-12-20
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-02-28
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 2025-04-03
F · Potential for more than minimal harm
2025-02-28
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-03
E · Potential for more than minimal harm
2025-02-28
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 2025-04-03
E · Potential for more than minimal harm
2021-07-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-09-09
D · Potential for more than minimal harm
2021-07-15
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 2021-08-07
D · Potential for more than minimal harm
2021-07-15
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 2021-08-07
E · Potential for more than minimal harm
2019-11-21
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 2019-12-20
E · Potential for more than minimal harm
2019-11-21
F807 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2019-12-20
Penalties and ownership
What sits behind the stars
Ownership
Berger, David
5% Or Greater Indirect Ownership Interest · Individual
Frey, Christina
Operational/Managerial Control · Individual
Klein, Chaim
5% Or Greater Indirect Ownership Interest · Individual
Klein, Gershon
5% Or Greater Indirect Ownership Interest · Individual
Klein, Yisrael
5% Or Greater Indirect Ownership Interest · Individual
Krieser, Akiva
Operational/Managerial Control · Individual
Lieberman, Nechemia
5% Or Greater Indirect Ownership Interest · Individual
Moerman, Rafael
5% Or Greater Indirect Ownership Interest · Individual
Moerman, Rafael
Operational/Managerial Control · Individual
Moerman, Rafael
Corporate Officer · Individual
Nielk Equities LLC
5% Or Greater Indirect Ownership Interest · Organization
Rainland Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
The Pavilion At Kenton Property LLC
5% Or Greater Mortgage Interest · Organization
Wild Cat Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Wildcat Holding LLC
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Other facilities in reach
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3-star overall rating with 3-star inspections with 1 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Highlandspring Of Ft Thomas
Fort Thomas, KY
4-star overall rating with 3-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
St Elizabeth Ft Thomas SNF
Fort Thomas, KY
5-star overall rating with 5-star inspections
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