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Bedford Springs Health and Rehabilitation
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Bedford Springs Health and Rehabilitation

CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Bedford Springs Health and Rehabilitation accepts Medicare, Medicaid, and private pay.

Overview of Bedford Springs Health and Rehabilitation

Clearview Healthcare Management runs Bedford Springs Health and Rehabilitation, a 60-bed nursing home operating out of Shepherd Lane in Bedford, Kentucky. To handle ongoing billing, the business office processes private pay alongside standard Medicare and Medicaid options. The immediate neighborhood context scores a 27 on the Walk Score scale, pointing to a car-dependent setup where visitors will generally need a transit vehicle, though a few local services can be reached on foot.

Daily records show that the facility operates at an 83 percent occupancy rate across its 60 beds, with residents staying for an average of 119 days. This timeline shows a standard operational blend of long-term medical housing and short-term post-hospital rehabilitation. To manage these health needs, the 24-hour nursing team averages 3 hours and 9 minutes of direct care per resident each day, with registered nurses, licensed practical nurses, and nurse aides sharing the shifts to handle general wound care, physical therapy rotations, and recovery schedules.

Prospective residents can coordinate a building walkthrough to review the therapy rooms, check out the bedroom layouts, and evaluate the nursing schedules firsthand. The administrative team handles these property visits while providing updates on standard clinical admissions, domestic housekeeping routines, and recent life safety or emergency preparedness checks, which show the facility resolved prior notes to maintain compliance with state regulations.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 9m per day
Rank #117 / 193Nurse hours — State benchmarkedThis home is ranked 117th out of 193 homes in Kentucky. Shows adjusted nurse hours per resident per day benchmarked to the Kentucky average, with a ranking across 193 Kentucky facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

5 of 6 metrics below state avg

Standout metric LPN / LVN is +9% above state avg
Staff type Hours / Day / Resident vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 34m per day ▼ 27% State avg: 46m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 53m per day ▲ 9% State avg: 49m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 1h 42m per day ▼ 30% State avg: 2h 26m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 2h 44m per day ▼ 22% State avg: 3h 30m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 1m per day ▼ 77% State avg: 4m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 22m per day ▼ 31% State avg: 31m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
119 days
Bed community size
60-bed community Rank #223 / 341Bed count — State benchmarkedThis home is ranked 223rd out of 341 homes in Kentucky. Shows this facility's certified or reported bed count compared to other Kentucky facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 27 / 100 Rank #303 / 423Walk Score — State benchmarkedThis home is ranked 303rd out of 423 homes in Kentucky. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Kentucky facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
83%
Rank #124 / 209Occupancy rate — State benchmarkedThis home is ranked 124th out of 209 homes in Kentucky. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 209. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the Kentucky average: 81.3%
Occupied beds
50 / 60
Average occupied beds in Kentucky homes 80 beds

License Details

Facility TypeLong Term Care (nursing Facility)
StatusActive
IssuanceSeptember 1, 2025
CountyTrimble
License Number100506
CMS Certification Number185358

Ownership & Operating Entity

Bedford Springs Health and Rehabilitation is administered by Kaijon Hawley.

Owner NameBedford Ky Opco, LLC

Therapy & Rehabilitation

1 service
Rehabilitation Services

Contact Bedford Springs Health and Rehabilitation

Inspection History

In Kentucky, the Cabinet for Health and Family Services, Office of Inspector General is the regulatory authority that conducts inspections and investigates complaints in all long-term care homes.

Since 2018 · 8 years of data 13 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Kentucky state average
Overall vs. KY average 2 Worse Metrics worse than Kentucky average:
• Total deficiencies (117% above)
• Deficiencies per year (100% above)
0 Better No metrics in this bucket.
Latest Inspection April 10, 2025 Annual Inspection

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This Facility KY Average vs. KY Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 13 6 This facility has 117% more total deficiencies than a typical Kentucky assisted living residence (13 vs. KY avg 6).↑ 117% worse
Deficiencies per year Info Average deficiencies per year since 2018. 1.6 0.8 This facility has 100% more deficiencies per year than a typical Kentucky assisted living residence (1.6 vs. KY avg 0.8).↑ 100% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • April 9, 2025 inspection found 5 deficiencies in emergency preparedness and life safety, including outdated plans and noncompliant space heaters.
  • Facility lacked audible alarms on delayed egress doors and failed to update emergency communication and hazard risk assessments as required.
  • Plan of correction submitted and substantial compliance with Life Safety Code achieved by May 5, 2025.

Health Inspection History

Inspections since 2018
Total health inspections 2

State average N/A


Last Health inspection on Nov 2019

Total health citations
8 Rank #49 / 195Health citations — State benchmarkedThis home is ranked 49th out of 195 homes in Kentucky. Shows this facility's total health deficiency citations benchmarked to the Kentucky State average, with a ranking across all 195 KY facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
4 Rank #92 / 195Citations per inspection — State benchmarkedThis home is ranked 92nd out of 195 homes in Kentucky. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 195 facilities with citation data. Lower is better.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 8 citations resulted from standard inspections.

Breakdown of citation severity (last 8 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

8 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 8 years)
Nutrition moderate citation Nov 08, 2019
Corrected

Pharmacy moderate citation Nov 08, 2019
Corrected

Resident Rights moderate citation Nov 08, 2019
Corrected

Infection Control moderate citation Sep 13, 2018
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 67
Employees 60
Contractors 7
Staff to resident ratio 1.46 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 23
Average shift 7.9 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 16,618

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 12 LPN Staff are full-time employees. No contractors work on this role. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 28 CNA Staff are full-time employees. No contractors work on this role. 28
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

6.8%

1,130 contractor hours this quarter

Physical Therapy Aide: 2 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 1 Speech Language Pathologist: 1 Qualified Social Worker: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant 28 0 28 6,477 92 100% 7.9
Licensed Practical Nurse 12 0 12 4,128 92 100% 8.6
Medication Aide/Technician 4 0 4 1,411 84 91% 8
Registered Nurse 8 0 8 1,263 82 89% 8.6
Clinical Nurse Specialist 4 0 4 953 67 73% 7.4
Administrator 1 0 1 448 56 61% 8
Physical Therapy Aide 0 2 2 448 59 64% 7.6
Other Dietary Services Staff 2 0 2 413 57 62% 7.1
Nurse Practitioner 1 0 1 397 52 57% 7.6
Speech Language Pathologist 0 1 1 340 64 70% 5.3
Physical Therapy Assistant 0 2 2 269 52 57% 5.2
Respiratory Therapy Technician 0 1 1 73 36 39% 2
Qualified Social Worker 0 1 1 1 2 2% 0.4
28 Certified Nursing Assistant
% of Days 100%
12 Licensed Practical Nurse
% of Days 100%
4 Medication Aide/Technician
% of Days 91%
8 Registered Nurse
% of Days 89%
4 Clinical Nurse Specialist
% of Days 73%
1 Administrator
% of Days 61%
2 Physical Therapy Aide
% of Days 64%
2 Other Dietary Services Staff
% of Days 62%
1 Nurse Practitioner
% of Days 57%
1 Speech Language Pathologist
% of Days 70%
2 Physical Therapy Assistant
% of Days 57%
1 Respiratory Therapy Technician
% of Days 39%
1 Qualified Social Worker
% of Days 2%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 4.5
57% better than State average

State average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 10.0
47% better than State average

State average: 18.9

Long-stay resident measures
Significantly above average State avg: 3.5 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 6.6%
61% better than State average

State average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 2.9%
85% better than State average

State average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 20.4%
In line with State average

State average: 20.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.1%
37% worse than State average

State average: 3.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.5%
56% better than State average

State average: 5.8%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.4%
20% better than State average

State average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 1.9%
88% better than State average

State average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than State average

State average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with State average

State average: 96.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.5%
16% better than State average

State average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 97.0%
16% better than State average

State average: 83.6%

Breakdown by payment type

Medicare

20% of new residents, usually for short-term rehab.

Typical stay 16 days

Private pay

44% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

35% of new residents, often for long-term daily care.

Typical stay 8 - 9 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 46
Medicare
1
2.2% of residents
Medicaid
45
97.8% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$100.2K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.7M Rank #183 / 197Revenue — State benchmarkedThis home is ranked 183rd out of 197 homes in Kentucky. Shows this facility's annual revenue compared to the Kentucky average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$100.2K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$842
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #188 / 197Payroll — State benchmarkedThis home is ranked 188th out of 197 homes in Kentucky. Shows total annual staff payroll benchmarked to the Kentucky average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.2M 46.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #106 / 197Payroll % — State benchmarkedThis home is ranked 106th out of 197 homes in Kentucky. Shows payroll as a percentage of revenue versus the Kentucky average. Well-run Kentucky facilities typically land around 51–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.6M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.8M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under private pay (44% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
153 total

Coverage residents most often arrive under.

Medicare 20%
Private pay 44%
Medicaid 35%
Discharges
151 total

Coverage residents most often leave under.

Medicare 11%
Private pay 50%
Medicaid 38%

Places of interest near Bedford Springs Health and Rehabilitation

Address 0.0 miles from city center Info Estimated distance in miles from Bedford's city center to Bedford Springs Health and Rehabilitation's address, calculated via Google Maps.

Calculate Travel Distance to Bedford Springs Health and Rehabilitation

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Address

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Frequently Asked Questions about Bedford Springs Health and Rehabilitation

Who is the owner of Bedford Springs Health and Rehabilitation?

Bedford Springs Health and Rehabilitation is legally operated by Bedford Ky Opco, Llc, and administered by Kaijon Hawley.

Is Bedford Springs Health and Rehabilitation in a walkable area?

Bedford Springs Health and Rehabilitation has a walk score of 27. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Bedford Springs Health and Rehabilitation?

According to KY state health department records, Bedford Springs Health and Rehabilitation's license number is 100506.

What is the occupancy rate at Bedford Springs Health and Rehabilitation?

Bedford Springs Health and Rehabilitation's occupancy is 83%.

Does Bedford Springs Health and Rehabilitation operate as a for-profit or non-profit?

Bedford Springs Health and Rehabilitation is registered as a for-profit in KY.

Who is the administrator of Bedford Springs Health and Rehabilitation?

Kaijon Hawley is the administrator of Bedford Springs Health and Rehabilitation.

How many beds does Bedford Springs Health and Rehabilitation have?

Bedford Springs Health and Rehabilitation has 60 beds.

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