Federal inspection record · CMS data as of October 1, 2026
Tug Valley ARH Skilled Nursing Facility
260 Hospital Drive, South Williamson, KY · (606) 237-1725
- Certified beds
- 34
- Residents per day
- 22
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 5, 1984
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kentucky homes
Tug Valley ARH Skilled Nursing Facility carries 19 inspection points. That is fewer than 46% of Kentucky's 265 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kentucky: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–2 pts
- 4★ 2–11 pts
- 3★ 11–22 pts
- 2★ 22–45 pts
- 1★ over 45 pts
Bars show every rated home in Kentucky by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
12 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning3E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Administration2D
- D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- D
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.
Quality of Life and Care2E
- E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Environmental2D
- D
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
- D
Have policies on smoking.
Resident Rights1D
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Nursing and Physician Services1F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspection history
2025-06-18
1 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2023-03-03
11 health deficiencies · 1 fire-safety deficiencies
Top issue: Administration (2 deficiencies)
2019-10-17
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 6 h 11 min of nursing staff time a day, 2 h 1 min of it from a registered nurse.
This home
6 h 11 min
Kentucky average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 31% of nursing staff and 11% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts better | 100.0% | 94.1% | 93.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.8 pts better | 0.0% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.9 pts better | 0.0% | 18.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight6.3 pts worse | 12.9% | 6.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.4 pts worse | 41.3% | 29.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.2 pts better | 7.0% | 16.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.1 pts worse | 16.3% | 13.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder3.9 pts worse | 4.4% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection17.9 pts worse | 19.4% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.9 pts worse | 22.2% | 18.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.9 pts worse | 9.6% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.5 pts better | 100.0% | 84.5% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 1.0% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.3 pts better | 100.0% | 83.7% | 80.1% |
·
Who owns and runs it
26 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Allman, Ken | Corporate Director · Individual | 0% | 1 facilities |
| Anderson, Joann | Corporate Director · Individual | 0% | 1 facilities |
| Bergman, Sonya | Corporate Officer · Individual | 0% | 1 facilities |
| Braman, Maria | Corporate Officer · Individual | 0% | 1 facilities |
| Campbell, Dustin | Corporate Director · Individual | 0% | 1 facilities |
| Coley, Jennifer | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Coley, Jennifer | Adp Of The SNF · Individual | 0% | 1 facilities |
| Couch, Gregory | Corporate Director · Individual | 0% | 1 facilities |
| Dunn, Samuel | Corporate Director · Individual | 0% | 1 facilities |
| Ellis, Martha | Corporate Director · Individual | 0% | 1 facilities |
| Evans, Randall | Corporate Director · Individual | 0% | 1 facilities |
| Francis, Garett | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Francis, Garett | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gabbard, Byron | Corporate Officer · Individual | 0% | 1 facilities |
| Harris, Hollie | Corporate Officer · Individual | 0% | 1 facilities |
| Harris, Hollie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hollon, Jeffrey | Corporate Director · Individual | 0% | 1 facilities |
| Johnson, Vanessa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lee, Christi | Corporate Officer · Individual | 0% | 1 facilities |
| Lee, Christi | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Massey, Andrea | Corporate Director · Individual | 0% | 1 facilities |
| Newman, Karen | Corporate Director · Individual | 0% | 1 facilities |
| Rust, Michael | Corporate Director · Individual | 0% | 1 facilities |
| Sizemore, Onzie | Corporate Director · Individual | 0% | 1 facilities |
| Vaughn, Paula | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Vaughn, Paula | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous1E
- E
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1E
- E
Ensure proper usage of power strips and extension cords.
Egress1E
- E
Install proper backup exit lighting.
·
Other homes nearby
-
Trinity Health Care Of Mingo
Williamson, WV
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 49 min
- Fines
- $25,237
-
Good Shepherd Health and Rehabilitation
Phelps, KY · Plainview Healthcare Partners
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 32 min
- Fines
- $29,852
-
Martin County Health Care Facility
Inez, KY · Bluegrass Health Ky
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 41 min
- Fines
- $0