• Home
  • Nursing Home in Kentucky
Grand Haven Nursing Home
Nursing Home & Assisted Living · Cynthiana, KY
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.

Grand Haven Nursing Home

Nursing Home & Assisted Living · Cynthiana, KY
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.
Calculator: See prices in your area
Grand Haven Nursing Home accepts Medicare, Medicaid, and private pay.

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 2025 · 1 year of data 15 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 2025 vs. Kentucky state average
Overall vs. KY average 2 Worse Metrics worse than Kentucky average:
• Total deficiencies (150% above)
• Deficiencies per year (150% above)
0 Better No metrics in this bucket.
Latest Inspection January 24, 2025 Complaint Investigation

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

This FacilityKY Averagevs. KY Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 156 This facility has 150% more total deficiencies than a typical Kentucky assisted living residence (15 vs. KY avg 6).↑ 150% worse
Deficiencies per year Info Average deficiencies per year since 2025. 156 This facility has 150% more deficiencies per year than a typical Kentucky assisted living residence (15 vs. KY avg 6).↑ 150% worse

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

  • January 24, 2025 inspection found 15 deficiencies including failure to protect resident dignity, expired medications in use, and lack of an effective infection prevention and control program.
  • The facility failed to ensure residents’ rights to privacy and mail delivery, proper respiratory care, medication labeling, and oxygen flow rate management.
  • Complaint investigations substantiated multiple breaches in care quality, infection control, medication management, and inadequate documentation of immunizations and water safety protocols.

Health Inspection History

Inspections since 2022
Total health inspections 4

State average N/A


Last Health inspection on Jan 2025

Total health citations
26 Rank #172 / 195Health citations — State benchmarkedThis home is ranked 172nd 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
6.5 Rank #162 / 195Citations per inspection — State benchmarkedThis home is ranked 162nd 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.

21 of 26 citations resulted from standard inspections; 2 of 26 resulted from complaint investigations; and 3 of 26 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
6
In line with State average

State average: N/A

0 critical citations State average: N/A

6 serious citations State average: N/A

20 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 4 years)
Administration moderate citation Jan 24, 2025
Corrected

Infection Control moderate citation Jan 24, 2025
Corrected

Infection Control moderate citation Jan 24, 2025
Corrected

Infection Control moderate citation Jan 24, 2025
Corrected

Staffing Data

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

Total staff 81
Employees 64
Contractors 17
Staff to resident ratio 1.65 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 27
Average shift 8.4 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 20,875

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 11 total: 10 full-time employees and 1 contractor. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 8 total: 6 full-time employees and 2 contractors. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 25 CNA Staff are full-time employees. No contractors work on this role. 25
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 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

9.2%

1,919 contractor hours this quarter

Physical Therapy Assistant: 4 Qualified Social Worker: 3 Licensed Practical Nurse: 2 Respiratory Therapy Technician: 2 Medical Director: 1 Registered Nurse: 1 Speech Language Pathologist: 1 Occupational Therapy Aide: 1 Physical Therapy Aide: 1 Occupational Therapy Assistant: 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 Assistant250258,49192100%9.4
Physical Therapist7072,90292100%9.3
Licensed Practical Nurse6282,19892100%9.8
Registered Nurse101111,8799098%8.8
Clinical Nurse Specialist2029456975%7.9
RN Director of Nursing3035874145%7.6
Medication Aide/Technician3035876773%7.2
Speech Language Pathologist0114856368%7.7
Administrator1014725964%8
Physical Therapy Aide0113875762%6.8
Nurse Practitioner1013844852%8
Mental Health Service Worker1013744852%7.8
Nurse Aide in Training1012553942%6.5
Dietitian2022483235%7.8
Other Dietary Services Staff2022403437%7.1
Qualified Social Worker0331533437%4.5
Physical Therapy Assistant0441134347%2.5
Occupational Therapy Aide011911314%7
Respiratory Therapy Technician022362022%1.8
Medical Director011301516%2
Occupational Therapy Assistant0111833%6
25 Certified Nursing Assistant
% of Days 100%
7 Physical Therapist
% of Days 100%
8 Licensed Practical Nurse
% of Days 100%
11 Registered Nurse
% of Days 98%
2 Clinical Nurse Specialist
% of Days 75%
3 RN Director of Nursing
% of Days 45%
3 Medication Aide/Technician
% of Days 73%
1 Speech Language Pathologist
% of Days 68%
1 Administrator
% of Days 64%
1 Physical Therapy Aide
% of Days 62%
1 Nurse Practitioner
% of Days 52%
1 Mental Health Service Worker
% of Days 52%
1 Nurse Aide in Training
% of Days 42%
2 Dietitian
% of Days 35%
2 Other Dietary Services Staff
% of Days 37%
3 Qualified Social Worker
% of Days 37%
4 Physical Therapy Assistant
% of Days 47%
1 Occupational Therapy Aide
% of Days 14%
2 Respiratory Therapy Technician
% of Days 22%
1 Medical Director
% of Days 16%
1 Occupational Therapy Assistant
% of Days 3%

Penalties and fines

Includes penalties issued in 2024

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 (Data as of Jan 2026)

Total fines amount $34K Rank #178 / 199Federal fines — State benchmarkedThis home is ranked 178th out of 199 homes in Kentucky. Shows this facility's cumulative CMS federal fine dollars versus the Kentucky average among facilities with fines, and where it ranks among 199 facilities in the pool. Lower total dollars mean 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.
45% lower than State average

State average: $63K

Number of fines 5
117% more fines than State average

State average: 2.3

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
206% more payment denials than State average

State average: 0.3

Fines amount comparison
Fines amount comparison
This facility $34K
State average $63K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

6 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 11, 2024
$4K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 11, 2024
$4K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 11, 2024
$4K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 11, 2024
$4K

Last updated: Jan 2026

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. 15.7
50% worse 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. 29.2
54% worse than State average

State average: 18.9

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 24.5%
46% worse than State average

State average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 41.8%
113% worse 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 21.4%
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 3.3%
13% better than State average

State average: 3.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.6%
20% better than State average

State average: 5.8%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.7%
10% better than State average

State average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.2%
37% better than State average

State average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.1%
71% better than State average

State average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 25.8%
66% worse than State average

State average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.4%
5% better than State average

State average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 78.4%
19% worse than 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 82.3%
In line with 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%

Breakdown by payment type

Medicare

40% of new residents, usually for short-term rehab.

Typical stay 17 days

Private pay

21% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

40% of new residents, often for long-term daily care.

Typical stay 11 - 12 months

Facility Characteristics

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

Total residents 49
Medicare
1
2% of residents
Medicaid
34
69.4% of residents
Private pay or other
14
28.6% of residents
Programs & Services
Residents Group

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

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, 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."
$4.3M
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."
-$68.3K
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."
$4.3M Rank #118 / 197Revenue — State benchmarkedThis home is ranked 118th 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."
-$68.3K
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.
$17.6K
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 #180 / 197Payroll — State benchmarkedThis home is ranked 180th 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.
$2.5M 59% 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 #197 / 197Payroll % — State benchmarkedThis home is ranked 197th 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).
$1.8M
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).
$4.4M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicare (40% of admissions), and a typical Medicare stay runs around 17 days.

Admissions
101 total

Coverage residents most often arrive under.

Medicare 40%
Private pay 21%
Medicaid 40%
Discharges
95 total

Coverage residents most often leave under.

Medicare 20%
Private pay 29%
Medicaid 51%

Places of interest near Grand Haven Nursing Home

Address 0.0 miles from city center Info Estimated distance in miles from Cynthiana's city center to Grand Haven Nursing Home's address, calculated via Google Maps.

Calculate Travel Distance to Grand Haven Nursing Home

Add your location

Address

Compare Nursing Homes around the area

The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.

Grand Haven Nursing Home
NH
AL
Cynthiana -54 - 68 -
Sayre Christian Village
NH
AL
IL
MC
RC
Lexington (Belleau Wood) -164 - 43 1 Bed / 2 Bed
Carespring – Barrington of Fort Thomas
NH
AL
IL
RC
Fort Thomas -110 A+ 48 Studio / 1 Bed / 2 Bed
The Willows at Springhurst
NH
AL
IL
MC
RC
Louisville -62 A+ 34 Studio / 1 Bed / 2 Bed
The Springs at Stony Brook
NH
ADC
AL
IL
MC
Louisville -106 - 28 Studio / 1 Bed / 2 Bed

Frequently Asked Questions about Grand Haven Nursing Home

Who is the owner of Grand Haven Nursing Home?

Grand Haven Nursing Home is legally operated by Martin's Rest Home, Inc., and administered by Ashlee Gaunce.

Is Grand Haven Nursing Home in a walkable area?

Grand Haven Nursing Home has a walk score of 68. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Grand Haven Nursing Home?

According to KY state health department records, Grand Haven Nursing Home's license number is 100522.

What is the occupancy rate at Grand Haven Nursing Home?

Grand Haven Nursing Home's occupancy is 91%.

Does Grand Haven Nursing Home operate as a for-profit or non-profit?

Grand Haven Nursing Home is registered as a for-profit in KY.

Who is the administrator of Grand Haven Nursing Home?

Ashlee Gaunce is the administrator of Grand Haven Nursing Home.

How many beds does Grand Haven Nursing Home have?

Grand Haven Nursing Home has 54 beds.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance