Cycle 1
Health 2025-06-18 · Fire 2025-06-18
5 health deficiencies
Top issue: Administration (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
South Williamson, KY
Tug Valley ARH Skilled Nursing Facility
4-star overall rating with 3-star inspections with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
260 Hospital Drive, South Williamson, KY
(606) 237-1725
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
34
Certified beds
Average residents
20
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1984-06-05
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
1.94
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
2.11
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.30
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
6.34
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
4.05
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
5.79
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
1.33
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
2.23
CMS adjusted RN staffing hours
Adjusted total hours
7.29
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
13%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 47% · national 46%
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.72% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 42 · Observed rate 16.67% · Lower 95% interval 7.53% |
| Discharge to community | 45.54% |
50.57%
5 pts worse
|
No Different than the National Rate · Eligible stays 47 · Observed rate 36.17% · Lower 95% interval 35.8% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 91.3% |
95.27%
4 pts worse
|
Numerator 42 · Denominator 46 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 46 |
| Discharge self-care score | 32.35% |
53.69%
21.3 pts worse
|
Numerator 11 · Denominator 34 |
| Discharge mobility score | 44.12% |
50.94%
6.8 pts worse
|
Numerator 15 · Denominator 34 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 46 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 42 |
| Staff flu vaccination coverage | 92.86% |
42%
50.9 pts better
|
Numerator 39 · Denominator 42 |
| Discharge function score | 29.41% |
56.45%
27 pts worse
|
Numerator 10 · Denominator 34 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 37 · Denominator 37 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.3%
5.7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.1% |
3.8%
0.7 pts better
|
3.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
15.2%
15.2 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 21.5% |
6.7%
14.8 pts worse
|
5.4%
16.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 21.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 47.7% |
29.6%
18.1 pts worse
|
19.6%
28.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 47.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.5% |
17.6%
7.1 pts better
|
16.7%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.5% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.9% |
17.3%
4.4 pts better
|
16.3%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.0% |
15.6%
3.6 pts better
|
14.9%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 10.6% |
0.7%
9.9 pts worse
|
1.0%
9.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 9.2% |
1.7%
7.5 pts worse
|
1.7%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.6% |
19.8%
2.8 pts worse
|
19.8%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 22.6% |
| Percentage of long-stay residents with pressure ulcers | 5.2% |
5.5%
0.3 pts better
|
5.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
83.8%
16.2 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 · 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 | 100.0% |
83.6%
16.4 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-03-03 · Fire 2023-03-03
7 health deficiencies
Top issue: Environmental (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2019-10-17 · Fire 2019-10-17
0 health deficiencies
No concentrated health issue counts in this cycle.
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
2025-06-18
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-07-03
F · Potential for more than minimal harm
2025-06-18
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-03
E · Potential for more than minimal harm
2025-06-18
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-07-03
E · Potential for more than minimal harm
2025-06-18
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-07-03
D · Potential for more than minimal harm
2025-06-18
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 2025-07-03
D · Potential for more than minimal harm
2025-06-18
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-03
E · Potential for more than minimal harm
2023-03-03
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2023-04-11
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-06-27
F568 · Resident Rights Deficiencies
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2025-07-30
D · Potential for more than minimal harm
2025-06-27
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-07-30
D · Potential for more than minimal harm
2025-06-27
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-07-30
D · Potential for more than minimal harm
2025-06-27
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 2025-07-30
D · Potential for more than minimal harm
2025-06-18
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 2025-07-03
F · Potential for more than minimal harm
2023-03-03
F727 · Nursing and Physician Services Deficiencies
Health
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.
Corrected 2023-04-27
E · Potential for more than minimal harm
2023-03-03
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 2023-04-27
E · Potential for more than minimal harm
2023-03-03
F700 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2023-04-27
D · Potential for more than minimal harm
2023-03-03
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 2023-04-27
D · Potential for more than minimal harm
2023-03-03
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 2023-04-27
D · Potential for more than minimal harm
2023-03-03
F909 · Environmental Deficiencies
Health
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.
Corrected 2023-04-27
D · Potential for more than minimal harm
2023-03-03
F926 · Environmental Deficiencies
Health
Have policies on smoking.
Corrected 2023-04-27
Penalties and ownership
What sits behind the stars
Ownership
Allman, Ken
Corporate Director · Individual
Anderson, Joann
Corporate Director · Individual
Bergman, Sonya
Corporate Officer · Individual
Braman, Maria
Corporate Officer · Individual
Campbell, Dustin
Corporate Director · Individual
Coley, Jennifer
Operational/Managerial Control · Individual
Couch, Gregory
Corporate Director · Individual
Dunn, Samuel
Corporate Director · Individual
Ellis, Martha
Corporate Director · Individual
Evans, Randall
Corporate Director · Individual
Francis, Garett
Operational/Managerial Control · Individual
Gabbard, Byron
Corporate Officer · Individual
Harris, Hollie
Operational/Managerial Control · Individual
Harris, Hollie
Corporate Officer · Individual
Hollon, Jeffrey
Corporate Director · Individual
Johnson, Vanessa
Operational/Managerial Control · Individual
Lee, Christi
Operational/Managerial Control · Individual
Lee, Christi
Corporate Officer · Individual
Massey, Andrea
Corporate Director · Individual
Newman, Karen
Corporate Director · Individual
Rust, Michael
Corporate Director · Individual
Sizemore, Onzie
Corporate Director · Individual
Vaughn, Paula
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
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Trinity Health Care Of Mingo
Williamson, WV
3-star overall rating with 4-star inspections with $25,237 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Good Shepherd Health and Rehabilitation
Phelps, KY
1-star overall rating with 1-star inspections with $43,646 in total fines with 2 recent health deficiencies
#3
Martin County Health Care Facility
Inez, KY
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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