Federal inspection record · CMS data as of October 1, 2026
West Liberty Nursing and Rehabilitation
774 Liberty Road, West Liberty, KY · (606) 743-3846
- Certified beds
- 48
- Residents per day
- 46
- Ownership
- For-Profit
- Chain
- David Marx
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 17, 1991
1
How this home got 3 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.
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Staffing
★★★★★no change
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
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kentucky homes
West Liberty Nursing and Rehabilitation carries 55.25 inspection points. That is fewer than 15% 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
14 health citations on record since 2020. 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.
Harm and immediate-jeopardy citations (2)
-
J
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Nutrition and Dietary3D
- D
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.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Rights2D
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
Nursing and Physician Services1D
- D
Post nurse staffing information every day.
Pharmacy Service1D
- D
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.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Assessment and Care Planning1D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care1D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspection history
2025-08-26
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2023-01-25
5 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2020-01-30
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 19 min of nursing staff time a day, 39 min of it from a registered nurse.
This home
3 h 19 min
Kentucky average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 38% of registered nurses left in the past year.
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.2 pts worse | 3.1 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.8 | 2.0 | 1.7 |
| 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 assessed and appropriately given the seasonal influenza vaccine3.8 pts better | 100.0% | 96.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better | 2.9% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.7 pts better | 16.2% | 18.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.8 pts worse | 10.4% | 6.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.5 pts better | 19.4% | 29.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.8 pts better | 2.4% | 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 ability to walk independently worsened8.5 pts better | 3.8% | 12.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.3 pts better | 5.9% | 13.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts worse | 1.7% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.6 pts better | 17.7% | 18.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 3.5% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.4 pts better | 95.9% | 84.5% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better | 0.0% | 1.6% | 1.5% |
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Who owns and runs it
29 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 |
|---|---|---|---|
| West Liberty Nursing And Rehabilitation Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| 744 Liberty Road SNF Realty Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| 774 Liberty Road SNF Realty LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| 774 Liberty Road SNF Realty LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Alexander, David | Operational/Managerial Control · Individual | 0% | 26 facilities |
| Alexander, David | Adp Of The SNF · Individual | 0% | 26 facilities |
| Bluegrass Consulting Group LLC | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Bluegrass Consulting Group LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Brondhaver, Tanner | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Brondhaver, Tanner | Adp Of The SNF · Individual | 0% | 1 facilities |
| Chamberlain, Margaret | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Chamberlain, Margaret | Adp Of The SNF · Individual | 0% | 32 facilities |
| Kentucky SNF Realty Holdings LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Marx, David | Operational/Managerial Control · Individual | 0% | 30 facilities |
| Marx, David | Adp Of The SNF · Individual | 0% | 30 facilities |
| Mdg Real Estate Global Limited | Adp Of The SNF · Organization | 0% | 22 facilities |
| Pruitt, Paul | Managing Control - Governing Body · Individual | 0% | 32 facilities |
| Pruitt, Paul | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Pruitt, Paul | Adp Of The SNF · Individual | 0% | 32 facilities |
| Ratliff, Angelena | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ratliff, Angelena | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rewa, Angela | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Rewa, Angela | Adp Of The SNF · Individual | 0% | 32 facilities |
| Russell, Robert | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Russell, Robert | Adp Of The SNF · Individual | 0% | 32 facilities |
| Shatrov, Anzhelika | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Shatrov, Anzhelika | Adp Of The SNF · Individual | 0% | 32 facilities |
| Wolfe, Eric | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Wolfe, Eric | Adp Of The SNF · Individual | 0% | 32 facilities |
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Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Have properly installed hallway dispensers for alcohol-based hand rub.
- E
Install corridor and hallway doors that block smoke.
- D
Install an approved automatic sprinkler system.
- E
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Gas, Vacuum, and Electrical Systems3F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
Egress2F
- F
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.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
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Other homes nearby
-
Elliott Nursing and Rehabilitation
Sandy Hook, KY · David Marx
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 11 min
- Fines
- $12,844
-
Salyersville Nursing and Rehabilitation Center
Salyersville, KY · Benjamin Landa · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 4 h 10 min
- Fines
- $447,485
-
Wolfe County Health & Rehabilitation Center
Campton, KY · Seky Holding Co.
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 22 min
- Fines
- $0