West Liberty, KY

West Liberty Nursing And Rehabilitation

3-star overall rating with 2-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

774 Liberty Road, West Liberty, KY

(606) 743-3846

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

48

Certified beds

Average residents

46

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

David Marx

Operator or chain grouping

Approved since

1991-06-17

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 2 overall / 3 health / 2 staffing / 3 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

0.79

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.39

Licensed practical nurse staffing · state 0.81 · national 0.87

Aide hours / resident day

2.36

Nurse aide staffing · state 2.43 · national 2.35

Total nurse hours

3.54

All reported nurse hours · state 4.01 · national 3.89

Licensed hours

1.18

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

3.21

Weekend nurse staffing · state 3.50 · national 3.43

Weekend RN hours

0.56

Weekend registered nurse coverage · state 0.52 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.72

CMS adjusted RN staffing hours

Adjusted total hours

3.19

CMS adjusted total nurse staffing hours

Case-mix index

1.52

Higher values indicate more complex resident acuity

RN turnover

36%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

58%

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

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0

Baseline 65.12% · Performance 77.78% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

0

Baseline 3.18 hours · Performance 2.75 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.17%	10.72% 1.4 pts worse	No Different than the National Rate · Eligible stays 25 · Observed rate 24% · Lower 95% interval 7.58%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.24	1.02 0.2 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 14 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 12 · 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 33
Staff flu vaccination coverage	19.7%	42% 22.3 pts worse	Numerator 13 · Denominator 66
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 6 · 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 1.5 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.0	2.2 0.8 pts worse	1.8 1.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.5 · Expected 1.4 · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.7%	96.2% 1.5 pts better	95.5% 2.2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.8% 3.8 pts better	3.3% 3.3 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 who have depressive symptoms	27.9%	15.2% 12.7 pts worse	11.4% 16.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 52.8% · Q2 38.9% · Q3 9.8% · Q4 14.6% · 4Q avg 27.9%
Percentage of long-stay residents who lose too much weight	5.8%	6.7% 0.9 pts better	5.4% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 10.8% · Q3 4.8% · Q4 5.3% · 4Q avg 5.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.5%	29.6% 14.1 pts better	19.6% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 10.8% · Q3 16.7% · Q4 7.9% · 4Q avg 15.5%
Percentage of long-stay residents who received an antipsychotic medication	4.9%	17.6% 12.7 pts better	16.7% 11.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 3.4% · Q3 2.9% · Q4 3.2% · 4Q avg 4.9% · 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	13.9%	17.3% 3.4 pts better	16.3% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 13.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.6%	15.6% 8 pts better	14.9% 7.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 6.7% · Q3 5.6% · Q4 8.6% · 4Q avg 7.6% · 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	2.4%	1.7% 0.7 pts worse	1.7% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.5% · Q3 2.3% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.8%	19.8% 2 pts better	19.8% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 17.9% · Q3 26.1% · Q4 7.6% · 4Q avg 17.8%
Percentage of long-stay residents with pressure ulcers	1.6%	5.5% 3.9 pts better	5.1% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	86.0%	83.8% 2.2 pts better	81.7% 4.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 88.2% · Q2 78.9% · Q3 82.8% · Q4 100.0% · 4Q avg 86.0%
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 · Q1 0.0% · Q2 0.0% · Q3 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	81.6%	83.6% 2 pts worse	79.7% 1.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 81.6%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-26 · Fire 2025-08-26

7 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2023-01-25 · Fire 2023-01-25

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2020-01-30 · Fire 2020-01-30

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-26

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 2025-09-19

D · Potential for more than minimal harm 2025-08-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-19

F · Potential for more than minimal harm 2023-01-25

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-03-04

F · Potential for more than minimal harm 2023-01-25

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2023-03-04

F · Potential for more than minimal harm 2023-01-25

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-03-04

E · Potential for more than minimal harm 2023-01-25

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2023-03-04

E · Potential for more than minimal harm 2023-01-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-04

E · Potential for more than minimal harm 2023-01-25

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-03-04

D · Potential for more than minimal harm 2023-01-25

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-03-04

E · Potential for more than minimal harm 2020-01-30

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 2020-03-06

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-26

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-09-19

D · Potential for more than minimal harm 2025-08-26

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 2025-09-19

D · Potential for more than minimal harm 2025-08-26

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-09-19

D · Potential for more than minimal harm 2025-08-26

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-09-19

D · Potential for more than minimal harm 2025-08-26

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-09-19

D · Potential for more than minimal harm 2025-08-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-19

D · Potential for more than minimal harm 2025-08-26

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-09-19

J · Immediate jeopardy 2023-01-25

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 2023-03-04

J · Immediate jeopardy 2023-01-25

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 2023-03-04

D · Potential for more than minimal harm 2023-01-25

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-03-04

D · Potential for more than minimal harm 2023-01-25

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2023-03-04

D · Potential for more than minimal harm 2023-01-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-04

D · Potential for more than minimal harm 2020-01-30

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 2020-03-06

D · Potential for more than minimal harm 2020-01-30

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 2020-03-06

Penalties and ownership

What sits behind the stars

Ownership

Marx, David

5% Or Greater Indirect Ownership Interest · Individual

100% 30 facilities 2019-07-25

West Liberty Nursing And Rehabilitation Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2019-07-25

774 Liberty Road SNF Realty LLC

Operational/Managerial Control · Organization

0% 1 facilities 2019-09-01

Alexander, James