Wurtland, KY

Wurtland Nursing and Rehabilitation

1-star overall rating with 1-star inspections with $69,908 in total fines with 13 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

100 Wurtland Avenue, Wurtland, KY

(606) 836-0931

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

126

Certified beds

Average residents

113

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

David Marx

Operator or chain grouping

Approved since

1991-03-08

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

0.35

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.70

Licensed practical nurse staffing · state 0.81 · national 0.87

Aide hours / resident day

2.65

Nurse aide staffing · state 2.43 · national 2.35

Total nurse hours

3.70

All reported nurse hours · state 4.01 · national 3.89

Licensed hours

1.05

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

3.23

Weekend nurse staffing · state 3.50 · national 3.43

Weekend RN hours

0.20

Weekend registered nurse coverage · state 0.52 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.33

CMS adjusted RN staffing hours

Adjusted total hours

3.48

CMS adjusted total nurse staffing hours

Case-mix index

1.46

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

46%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,902

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

38.17

Composite VBP score used to determine payment impact.

Payment multiplier

0.9913

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6

Baseline 21.80% · Performance 18.70% · Measure score 6 · Achievement 5.90 · Improvement 6

Healthcare-associated infections

4.86

Baseline 7.28% · Performance 6.38% · Measure score 4.86 · Achievement 4.86 · Improvement 3.42

Total nurse turnover

4.41

Baseline 37.66% · Performance 45.65% · Measure score 4.41 · Achievement 4.41 · Improvement 0

Adjusted total nurse staffing

0

Baseline 3 hours · Performance 2.94 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.33%	10.72% 1.4 pts better	No Different than the National Rate · Eligible stays 66 · Observed rate 6.06% · Lower 95% interval 6.54%
Discharge to community	34.11%	50.57% 16.5 pts worse	Worse than the National Rate · Eligible stays 46 · Observed rate 19.57% · Lower 95% interval 23.64%
Medicare spending per beneficiary	1.11	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 54 · Denominator 54
Falls with major injury	3.7%	0.77% 2.9 pts worse	Numerator 2 · Denominator 54
Discharge self-care score	15.38%	53.69% 38.3 pts worse	Numerator 4 · Denominator 26
Discharge mobility score	30.77%	50.94% 20.2 pts worse	Numerator 8 · Denominator 26
Pressure ulcers or injuries, new or worsened	3.7%	2.29% 1.4 pts worse	Numerator 2 · Denominator 54 · Adjusted rate 2.63%
Healthcare-associated infections requiring hospitalization	6.38%	7.12% 0.7 pts better	No Different than the National Rate · Eligible stays 33 · Observed rate 3.03% · Lower 95% interval 3.37%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 84
Staff flu vaccination coverage	29.63%	42% 12.4 pts worse	Numerator 32 · Denominator 108
Discharge function score	34.62%	56.45% 21.8 pts worse	Numerator 9 · Denominator 26
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 31 · Denominator 31
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	28%	25.2% 2.8 pts better	Numerator 7 · Denominator 25

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 1.7 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.1	2.2 1.1 pts better	1.8 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.7%	94.3% 4.4 pts better	93.4% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 94.8% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 98.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.1%	96.2% 1.9 pts better	95.5% 2.6 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.1%
Percentage of long-stay residents experiencing one or more falls with major injury	2.0%	3.8% 1.8 pts better	3.3% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 1.1% · Q3 2.0% · Q4 1.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	26.0%	15.2% 10.8 pts worse	11.4% 14.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.6% · Q2 30.6% · Q3 28.3% · Q4 13.2% · 4Q avg 26.0%
Percentage of long-stay residents who lose too much weight	7.3%	6.7% 0.6 pts worse	5.4% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 5.7% · Q3 6.5% · Q4 8.2% · 4Q avg 7.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	39.0%	29.6% 9.4 pts worse	19.6% 19.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.5% · Q2 37.8% · Q3 41.1% · Q4 38.8% · 4Q avg 39.0%
Percentage of long-stay residents who received an antipsychotic medication	3.7%	17.6% 13.9 pts better	16.7% 13 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 6.9% · Q3 0.0% · Q4 3.0% · 4Q avg 3.7% · 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	5.6%	17.3% 11.7 pts better	16.3% 10.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 7.2% · Q4 13.4% · 4Q avg 5.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.1%	15.6% 10.5 pts better	14.9% 9.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 6.7% · Q4 10.9% · 4Q avg 5.1% · 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	0.3%	1.7% 1.4 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.2%	19.8% 1.6 pts better	19.8% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 16.0% · Q3 22.5% · Q4 16.9% · 4Q avg 18.2%
Percentage of long-stay residents with pressure ulcers	3.0%	5.5% 2.5 pts better	5.1% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 4.6% · Q3 1.3% · Q4 3.4% · 4Q avg 3.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	90.2%	83.8% 6.4 pts better	81.7% 8.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 88.3% · Q2 85.3% · Q3 91.6% · Q4 97.4% · 4Q avg 90.2%
Percentage of short-stay residents who had an outpatient emergency department visit	27.2%	13.9% 13.3 pts worse	12.0% 15.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.2% · Observed 35.7% · Expected 14.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.2%	1.8% 0.6 pts better	1.6% 0.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 2.6% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	82.4%	83.6% 1.2 pts worse	79.7% 2.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 82.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.1%	24.5% 2.6 pts worse	23.9% 3.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.1% · Observed 40.5% · Expected 35.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-11 · Fire 2025-02-11

13 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2019-10-24 · Fire 2019-10-24

4 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2018-09-06 · Fire 2018-09-06

1 health deficiencies

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

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-02-11

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-02-02

E · Potential for more than minimal harm 2025-02-11

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-02-05

E · Potential for more than minimal harm 2025-02-11

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-02-01

D · Potential for more than minimal harm 2025-02-11

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-02-02

D · Potential for more than minimal harm 2025-02-11

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2025-03-04

F · Potential for more than minimal harm 2019-10-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-11-18

F · Potential for more than minimal harm 2018-09-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-10-18

E · Potential for more than minimal harm 2018-09-06

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 2018-10-18

D · Potential for more than minimal harm 2018-09-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2018-10-18

Inspection history

Recent health citations

G · Actual harm 2025-02-11

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 2025-03-08

G · Actual harm 2025-02-11

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-03-08

G · Actual harm 2025-02-11

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-08

G · Actual harm 2025-02-11

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-03-08

F · Potential for more than minimal harm 2025-02-11

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-03-08

E · Potential for more than minimal harm 2025-02-11

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-03-08

E · Potential for more than minimal harm 2025-02-11

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 2025-03-08

E · Potential for more than minimal harm 2025-02-11

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 2025-03-08

E · Potential for more than minimal harm 2025-02-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-11

D · Potential for more than minimal harm 2025-02-11

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-03-08

D · Potential for more than minimal harm 2025-02-11

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-03-08

D · Potential for more than minimal harm 2025-02-11

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-03-08

D · Potential for more than minimal harm 2025-02-11

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-03-08

D · Potential for more than minimal harm 2025-02-11

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-03-08

E · Potential for more than minimal harm 2019-10-24

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 2019-11-18

D · Potential for more than minimal harm 2019-10-24

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 2019-12-07

D · Potential for more than minimal harm 2019-10-24

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2019-12-07

D · Potential for more than minimal harm 2018-09-06

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2018-10-19

Penalties and ownership

What sits behind the stars

$69,908 2025-02-11

Fine

Fine · fine $69,908

Fine

$0 2025-02-11

Payment Denial

Payment Denial · denial start 2025-03-13 · 29 days

29 day denial

Ownership

Marx, David

5% Or Greater Indirect Ownership Interest · Individual

100% 30 facilities 2019-07-25

Wurtland Nursing And Rehabilitation Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2019-07-25

100 Wurtland Ave SNF Realty LLC

Operational/Managerial Control · Organization

0% 1 facilities 2019-09-01

Alexander, James