Robertson County Health Care Facility

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

50.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 29 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.33 therapist hours per resident per day in 2026Q1 — more than 55% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 60 beds and averages 53.7 residents a day — about 90% occupied, or roughly 6 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.91 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.85 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.42 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.55 hrs/resident/day on weekends vs 4.05 on weekdays — 12% thinner on weekends. RN hours go from 0.97 to 0.53 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

• Actual harm · G2025-04-01 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and review of the facility's investigation and policy, it was determined the facility failed to protect 2 of 15 sampled residents from resident-to-resident abuse, Resident (R) 2 and R5. 1. On 10/13/2024, R2 entered R5's room uninvited and R5 was heard by staff yelling get out of my room. R2 was care planned for wandering, cussing at staff, and physical behaviors. When the State Registered Nurse Aide (SRNA) 5 responded to R5's call for help, she found R2 with her foot on R5's wheelchair. R5 reported R2 swung at her and hit her on the arm causing a skin tear and a bruise. 2. On 10/21/2024, a second incident occurred between R2 and R5. Staff observed R5 following R2 earlier that day [on 10/21/2024] and told the resident to stop. Later that same day, R5 and R2 were observed in a physical altercation in which R5 grabbed R2's arm and two facility staff had to assist with separating the residents. R5 was observed to have twisted R2's arm which resulted in R2 sustaining a broken wrist. The findings include: Review of the facility's policy titled, Reporting…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-02 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, review of manufacturer's instructions for use, and review of the facility's policy, it was determined the facility failed to ensure insulin pens that required refrigeration were stored in the refrigerator for 1 of 5 medication carts. The findings include: Review of the facility's policy titled, Medication Storage, dated 08/04/2024, revealed medications requiring refrigeration were stored in the refrigerator. Review of the manufacturer's instructions for the Basaglar KwikPen (insulin glargine, used to decrease blood sugar) at www.insulins.lilly.com/basaglar revealed to store the unopened pen in the refrigerator at 36 degrees Fahrenheit (F) to 46 degrees F until the expiration date and at room temperature for 28 days. It also stated to discard the opened pen after 28 days, even if all the insulin had not been used. Review of the manufacturer's instructions for the insulin glargine pen at www.medlineplus.gov/druginfo/med, revealed to store unopened pens in the refrigerator at 36 degrees F to 46 degrees F until the expiration date and at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-02 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and review of the facility's policy, the facility failed to ensure a system for controlling infections and communicable diseases for all residents, staff, volunteers, visitors, and other individuals providing services was maintained for 1 of 5 sampled employees, Assistant Director of Nursing/Registered Nurse (ADON/RN) 2. Review of the [State] Department for Public Health Tuberculosis (TB) Risk Assessment for ADON/RN2 revealed she had not had a TB risk assessment or tuberculin skin test since 06/19/2024. The findings include: Review of the undated facility's policy titled, Tuberculosis Screening for Employees, taken from the Infection Prevention Manual for Long Term Care, revealed its purpose was to promote resident and employee safety and well being by screening employees for tuberculosis and initiating appropriate follow-up. Further review of the policy revealed the frequency of repeat skin testing of the employee would depend on the facility's annual TB risk assessment for the employee. Review of the [State] Department for Public Health…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-01 · tag F0625 — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, document review, and review of the facility's policy, the facility failed to offer the resident and her representative an offer, in writing, of a bed hold before transferring and subsequently discharging Resident (R) 5 from the facility. In addition, the facility failed to recognize the resident's right to have access to a bed hold during her hospital stay for up to 14 days, regardless of the bed hold agreement. The findings include: Review of the facility's document Transfer and Discharge, undated, revealed the bed reservation and bed-hold policy that explained the rights of a resident up to 14 calendar days for hospital admissions. When a resident or responsible party were notified of the exhaustion of the bed hold days, they must specify at the time of their notification whether or not they wished to continue reserving the bed. The document stated both Medicaid and private pay patients [residents] would be notified within 24 hours of the time that payment stopped. Review of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2020-10-29 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to ensure the Comprehensive Care Plan was revised as determined by the resident's needs after each fall for three (3) of seventeen (17) sampled residents, Resident #13, #22, and #28. Resident #13's Comprehensive Care Plan was not revised to reflect new interventions after falls that occurred, on 09/11/2020, 09/12/2020, 09/18/2020, 10/05/2020, 10/09/2020, 10/14/2020, and 10/16/2020. Resident #22's Comprehensive Care Plan was not revised to reflect new interventions for a fall that occurred, on 10/01/2020. Resident #28's Comprehensive Care Plan was not revised to reflect new interventions for falls that occurred, on 07/03/2020, and 08/09/2020. The findings include: Review of the facility's policy, Care Plans - Comprehensive, dated 08/13/2013, revealed the individualized comprehensive care plan included measurable objectives and timetables to meet the resident's medical, nursing, mental, and psychological needs and was developed for each resident. 1. Review of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2020-10-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to have a systemic approach with consistent application of implementation of individualized, resident-centered interventions, to reduce individual risks related to hazards in the environment to prevent accidents for three (3) of seventeen (17) sampled residents (Resident #13, #22, and #28). Resident #13 sustained falls on 09/11/2020, 09/12/2020, 09/18/2020, 10/05/2020, 10/09/2020, 10/14/2020, and 10/16/2020. Review of the Comprehensive Care Plan (CCP) revealed the facility did not implement individualized, resident-centered interventions after each fall. Resident #22 had a fall on 10/01/2020. Review of the Comprehensive Care Plan (CCP) revealed the facility did not update the CCP to reflect new interventions after the fall, until 10/05/2020. Resident #28 sustained two (2) falls, on 07/03/2020, and 08/09/2020. Review of the Comprehensive Care Plan (CCP) revealed the facility did not update it to reflect new interventions after each fall. The findings include:…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2019-04-25 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review and review of the facility's Policy, it was determined the facility failed to ensure PRN (as needed) orders for psychotropic drugs were limited to fourteen (14) days except when extended by the physician or prescribing practitioner beyond fourteen (14) days with documented rationale in the resident's medical record for one (1) out of nineteen (19) sampled residents (Resident #157). Record Review revealed no documented evidence of duration or rationale for the use of a PRN Lorazepam order for Resident #157. The findings include: Review of the facility's Policy, titled Medication Monitoring and Management, undated, revealed the policy is to optimize the therapeutic benefit of medication therapy and minimize or prevent potential adverse consequences. Continued review revealed, as needed (PRN) orders would include an indication for use. Per the policy, if the PRN medication is used to modify a behavior, the indication(s) for use is clearly defined in objective terms, e.g., what specific symptom(s) is being addressed. Further review revealed the resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

Fines & penalties

$8,788 in federal fines across 1 penalty.

• $8,788 — penalty dated 2025-04-01

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to BLUEGRASS HEALTH KY — 15 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 55 rows in the source record cover these 28 parties — each is shown once here with every role it holds. Nothing is omitted.

6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 71% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $694K paid to related parties — landlords or management companies under common ownership — equal to about 11% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in KY