Dawson Springs, KY

Tradewater Pointe

3-star overall rating with 4-star inspections with 5 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

100 West Ramsey, Dawson Springs, KY

(270) 797-8131

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

43

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1981-07-14

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.48

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

1.17

Licensed practical nurse staffing · state 0.81 · national 0.87

Aide hours / resident day

2.85

Nurse aide staffing · state 2.43 · national 2.35

Total nurse hours

4.51

All reported nurse hours · state 4.01 · national 3.89

Licensed hours

1.65

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

3.80

Weekend nurse staffing · state 3.50 · national 3.43

Weekend RN hours

0.40

Weekend registered nurse coverage · state 0.52 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.47

CMS adjusted RN staffing hours

Adjusted total hours

4.42

CMS adjusted total nurse staffing hours

Case-mix index

1.40

Higher values indicate more complex resident acuity

RN turnover

82%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

75%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,726

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

Performance score

0

Composite VBP score used to determine payment impact.

Payment multiplier

0.9803

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

0

Baseline 6.03% · Performance 7.92% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

0

Performance 100.00% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

0

Baseline 4.01 hours · Performance 2.65 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.56%	10.72% 0.8 pts worse	No Different than the National Rate · Eligible stays 43 · Observed rate 18.6% · Lower 95% interval 8.17%
Discharge to community	38.72%	50.57% 11.9 pts worse	No Different than the National Rate · Eligible stays 29 · Observed rate 24.14% · Lower 95% interval 24.1%
Medicare spending per beneficiary	1.54	1.02 0.5 pts worse
Drug regimen review with follow-up	95.83%	95.27% 0.6 pts better	Numerator 23 · Denominator 24
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 24
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	16.67%	2.29% 14.4 pts worse	Numerator 4 · Denominator 24 · Adjusted rate 13.76%
Healthcare-associated infections requiring hospitalization	7.92%	7.12% 0.8 pts worse	No Different than the National Rate · Eligible stays 31 · Observed rate 12.9% · Lower 95% interval 3.9%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 59
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 72
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 7 · 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	2.0	1.9 0.1 pts worse	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.9 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.8	2.2 0.6 pts worse	1.8 1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.6 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	89.2%	94.3% 5.1 pts worse	93.4% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 90.7% · Q3 76.7% · Q4 90.2% · 4Q avg 89.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.6%	96.2% 0.6 pts worse	95.5% 0.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.6%
Percentage of long-stay residents experiencing one or more falls with major injury	2.4%	3.8% 1.4 pts better	3.3% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.3% · Q3 2.3% · Q4 2.4% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.1%	15.2% 10.1 pts better	11.4% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.4% · Q3 5.7% · Q4 8.3% · 4Q avg 5.1%
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 10.3% · Q2 7.9% · Q3 12.8% · Q4 2.7% · 4Q avg 8.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.2%	29.6% 7.4 pts better	19.6% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 22.0% · Q3 22.0% · Q4 20.0% · 4Q avg 22.2%
Percentage of long-stay residents who received an antipsychotic medication	25.0%	17.6% 7.4 pts worse	16.7% 8.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 27.3% · Q3 27.6% · Q4 32.3% · 4Q avg 25.0% · 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	32.8%	17.3% 15.5 pts worse	16.3% 16.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 32.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	26.3%	15.6% 10.7 pts worse	14.9% 11.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 43.2% · Q2 23.1% · Q3 12.8% · Q4 27.0% · 4Q avg 26.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.2%	0.7% 0.5 pts worse	1.0% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.6% · Q3 1.5% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	6.9%	1.7% 5.2 pts worse	1.7% 5.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 7.5% · Q3 2.4% · Q4 2.6% · 4Q avg 6.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.2%	19.8% 2.4 pts worse	19.8% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 31.2% · Q3 9.8% · Q4 34.2% · 4Q avg 22.2%
Percentage of long-stay residents with pressure ulcers	8.3%	5.5% 2.8 pts worse	5.1% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 8.7% · Q3 5.8% · Q4 10.7% · 4Q avg 8.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	43.6%	83.8% 40.2 pts worse	81.7% 38.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q4 72.0% · 4Q avg 43.6%
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

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-24 · Fire 2025-01-24

5 health deficiencies

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

7 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 2 Health 2022-10-19 · Fire 2022-10-19

0 health deficiencies

No concentrated health issue counts in this cycle.

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2019-06-06 · Fire 2019-06-06

2 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-24

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2025-01-29

F · Potential for more than minimal harm 2025-01-24

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-02-17

F · Potential for more than minimal harm 2025-01-24

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-01-29

F · Potential for more than minimal harm 2025-01-24

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-01-29

F · Potential for more than minimal harm 2025-01-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-02-17

E · Potential for more than minimal harm 2025-01-24

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 2025-02-07

E · Potential for more than minimal harm 2025-01-24

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-01-24

F · Potential for more than minimal harm 2022-10-19

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-12-02

F · Potential for more than minimal harm 2022-10-19

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-11-18

F · Potential for more than minimal harm 2022-10-19

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 2022-11-18

F · Potential for more than minimal harm 2022-10-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-11-18

E · Potential for more than minimal harm 2022-10-19

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 2022-11-18

Inspection history