Cycle 1
Health 2024-10-24 · Fire 2024-10-24
7 health deficiencies
Top issue: Infection Control (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Williamsburg, KY
Williamsburg Health & Rehabilitation Center
3-star overall rating with 3-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
287 North 11th Street, Williamsburg, KY
(606) 549-4321
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
125
Certified beds
Average residents
104
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Seky Holding Co.
Operator or chain grouping
Approved since
1978-04-12
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 3 overall / 3 health / 4 staffing / 1 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
0.73
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.69
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
3.99
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
5.40
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.41
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.64
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.53
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.68
CMS adjusted RN staffing hours
Adjusted total hours
5.05
CMS adjusted total nurse staffing hours
Case-mix index
1.46
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,890
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.43
Composite VBP score used to determine payment impact.
Payment multiplier
0.9865
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.68
Baseline 17.67% · Performance 19.73% · Measure score 3.68 · Achievement 3.68 · Improvement 0
Healthcare-associated infections
0
Baseline 6.41% · Performance 7.99% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.57
Baseline 43.81% · Performance 45.00% · Measure score 4.57 · Achievement 4.57 · Improvement 0
Adjusted total nurse staffing
4.33
Baseline 4.17 hours · Performance 4.31 hours · Measure score 4.33 · Achievement 4.33 · Improvement 0.36
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.27% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 71 · Observed rate 8.45% · Lower 95% interval 7.05% |
| Discharge to community | 49.51% |
50.57%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 51 · Observed rate 43.14% · Lower 95% interval 38.52% |
| Medicare spending per beneficiary | 1.33 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 40 · Denominator 40 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 40 |
| Discharge self-care score | 42.86% |
53.69%
10.8 pts worse
|
Numerator 9 · Denominator 21 |
| Discharge mobility score | 28.57% |
50.94%
22.4 pts worse
|
Numerator 6 · Denominator 21 |
| Pressure ulcers or injuries, new or worsened | 2.5% |
2.29%
0.2 pts worse
|
Numerator 1 · Denominator 40 · Adjusted rate 2.05% |
| Healthcare-associated infections requiring hospitalization | 7.99% |
7.12%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 51 · Observed rate 9.8% · Lower 95% interval 4.6% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 164 |
| Staff flu vaccination coverage | 6.99% |
42%
35 pts worse
|
Numerator 13 · Denominator 186 |
| Discharge function score | 38.1% |
56.45%
18.4 pts worse
|
Numerator 8 · Denominator 21 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 15 · 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 | 18.18% |
25.2%
7 pts worse
|
Numerator 4 · Denominator 22 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.9
0.4 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.2 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
2.2
0.4 pts worse
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.2 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% |
94.3%
3.1 pts better
|
93.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 94.7% · Q3 99.0% · Q4 99.0% · 4Q avg 97.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.0% |
96.2%
2.8 pts better
|
95.5%
3.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
3.8%
1.5 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.1% · Q3 2.1% · Q4 2.9% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.5% |
15.2%
10.7 pts better
|
11.4%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.6% · Q3 4.8% · Q4 5.7% · 4Q avg 4.5% |
| Percentage of long-stay residents who lose too much weight | 9.3% |
6.7%
2.6 pts worse
|
5.4%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 11.2% · Q3 8.6% · Q4 8.2% · 4Q avg 9.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 36.7% |
29.6%
7.1 pts worse
|
19.6%
17.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.2% · Q2 39.1% · Q3 36.8% · Q4 35.6% · 4Q avg 36.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 32.3% |
17.6%
14.7 pts worse
|
16.7%
15.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 35.4% · Q3 29.5% · Q4 30.8% · 4Q avg 32.3% · 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 | 14.4% |
17.3%
2.9 pts better
|
16.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 10.4% · Q3 24.3% · Q4 8.4% · 4Q avg 14.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.4% |
15.6%
1.8 pts worse
|
14.9%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 15.6% · Q3 16.2% · Q4 17.1% · 4Q avg 17.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.7%
0.2 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 7.2% |
1.7%
5.5 pts worse
|
1.7%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 6.6% · Q3 4.2% · Q4 13.7% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.7% |
19.8%
3.9 pts worse
|
19.8%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 24.9% · Q3 31.1% · Q4 20.6% · 4Q avg 23.7% |
| Percentage of long-stay residents with pressure ulcers | 15.6% |
5.5%
10.1 pts worse
|
5.1%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 13.8% · Q3 19.8% · Q4 15.9% · 4Q avg 15.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.4% |
83.8%
8.6 pts better
|
81.7%
10.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 89.5% · Q3 90.0% · Q4 93.9% · 4Q avg 92.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.7% |
13.9%
5.8 pts worse
|
12.0%
7.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.7% · Observed 18.2% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.2% |
1.8%
0.4 pts worse
|
1.6%
0.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.2% · Q3 0.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.2% |
83.6%
11.6 pts better
|
79.7%
15.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.0% |
24.5%
6.5 pts worse
|
23.9%
7.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.0% · Observed 31.8% · Expected 24.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-07-18 · Fire 2019-07-18
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2018-04-19 · Fire 2018-04-19
1 health deficiencies
Top issue: Resident Assessment and Care Planning (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
2024-10-24
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-20
E · Potential for more than minimal harm
2024-10-24
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2024-11-20
E · Potential for more than minimal harm
2024-10-24
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-12-31
E · Potential for more than minimal harm
2024-10-24
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-11-20
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-10
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-01-07
D · Potential for more than minimal harm
2024-10-24
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 2024-12-06
D · Potential for more than minimal harm
2024-10-24
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 2024-12-06
D · Potential for more than minimal harm
2024-10-24
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-12-06
D · Potential for more than minimal harm
2024-10-24
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 2024-12-06
D · Potential for more than minimal harm
2024-10-24
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-06
D · Potential for more than minimal harm
2024-10-24
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-12-06
D · Potential for more than minimal harm
2018-04-19
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-05-10
Penalties and ownership
What sits behind the stars
Ownership
Seky Holding Co
5% Or Greater Direct Ownership Interest · Organization
Alsip, Roger
Corporate Director · Individual
Alsip, Roger
Corporate Officer · Individual
Atienza, Maria
Contracted Managing Employee · Individual
Creekmore, Laura
Operational/Managerial Control · Individual
Creekmore, Laura
W-2 Managing Employee · Individual
Dailey, John
Operational/Managerial Control · Individual
Fcltc Holdings Inc
5% Or Greater Indirect Ownership Interest · Organization
Forcht, Terry
5% Or Greater Indirect Ownership Interest · Individual
Tipton, Wesley
Corporate Director · Individual
Tipton, Wesley
Corporate Officer · Individual
Willis, Jackie
Corporate Officer · Individual
Witt, David
Corporate Director · Individual
Witt, David
Corporate Officer · Individual
Nearby options
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1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $138,802 in total fines with 17 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Corbin Health and Rehabilitation Center
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2-star overall rating with 2-star inspections with $15,593 in total fines with 2 fire-safety deficiencies in the latest cycle
#3
The Heritage
Corbin, KY
3-star overall rating with 4-star inspections with 2 recent health deficiencies
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