Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
69
51 employees · 18 contractors · 22 on an average day Shady Lawn Nursing and Rehabilitation Center
Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Cadiz, KY
ALM Inspection Grade
A
ALM's inspection grade is 94 / 100, an A — 11 points above the Kentucky average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 94 / 100, an A — 11 points above the Kentucky average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
4/5
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.
4/5
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.
Shady Lawn Nursing and Rehabilitation Center
Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Cadiz, KY
ALM Inspection Grade
A
ALM's inspection grade is 94 / 100, an A — 11 points above the Kentucky average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 94 / 100, an A — 11 points above the Kentucky average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
4/5
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.
4/5
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.
Shady Lawn Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.
Overview of Shady Lawn Nursing and Rehabilitation Center
Shady Lawn Nursing and Rehabilitation Center in Cadiz, Kentucky, offers skilled nursing, long-term care, hospice care, palliative services, and temporary respite stays. Licensed nursing staff supports individuals recovering from hospitalizations, managing chronic illnesses, or requiring end-of-life care. On-site rehabilitation programs provide physical, occupational, and speech therapies to aid functional recovery, while temporary respite stays give primary home caregivers routine breaks.
Supervised by administrator Dana Radford and operator Shady Lawn Opco, the 50-bed residence includes a staff physician on its care team. Reported data indicates total nurse staffing averages 3 hours and 6 minutes per resident daily. Facility highlights feature hair salon and barber services, structured group outings, and a pet-friendly policy that allows residents to keep animals. Accepted financial arrangements include Medicare for post-acute care, Medicaid for long-term stays, and private payment.
Families seeking short-term rehabilitation or long-term nursing support can contact Shady Lawn Nursing and Rehabilitation Center to ask about room availability, review financial options, or arrange an in-person visit.
Quality ratings
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.
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.
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.
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
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 121st out of 188 nursing homes we track in Kentucky for nurse hours. 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 6m
This nursing home is ranked 121st out of 188 nursing homes we track in Kentucky for nurse hours. 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 6m6 of 6 metrics below Kentucky average
Daily care time per resident, by role
Registered nurse (RN)
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. All 6 are the facility's own employees; no agency contractors work in this role.
6 staff · 9.4-hour shifts
36m
↓ 22% · KY 46mThis facility: 36m per resident per day, 22% below the Kentucky average of 46m (among Kentucky facilities reporting a recent figure).
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. All 6 are the facility's own employees; no agency contractors work in this role.
6 staff · 9.4-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
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. All 7 are the facility's own employees; no agency contractors work in this role.
7 staff · 9.8-hour shifts
40m
↓ 18% · KY 49mThis facility: 40m per resident per day, 18% below the Kentucky average of 49m (among Kentucky facilities reporting a recent figure).
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. All 7 are the facility's own employees; no agency contractors work in this role.
7 staff · 9.8-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 30 are the facility's own employees; no agency contractors work in this role.
30 staff · 9.1-hour shifts
1h 50m
↓ 25% · KY 2h 26mThis facility: 1h 50m per resident per day, 25% below the Kentucky average of 2h 26m (among Kentucky facilities reporting a recent figure).
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. All 30 are the facility's own employees; no agency contractors work in this role.
30 staff · 9.1-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
Physical therapist
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
↓ 85% · KY 4mThis facility: 1m per resident per day, 85% below the Kentucky average of 4m (among Kentucky facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
3h 2m
↓ 13% · KY 3h 30mThis facility: 3h 2m per resident per day, 13% below the Kentucky average of 3h 30m (among Kentucky facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
30m
↓ 3% · KY 31mThis facility: 30m per resident per day, 3% below the Kentucky average of 31m (among Kentucky facilities reporting a recent figure).
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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
69
51 employees · 18 contractors · 22 on an average day
69 total staff / 43 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.60 : 1
↓ 4% · KY 1.67This facility: 1.60 staff per resident, 4% below the Kentucky average of 1.67 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
69 staff ÷ 43 residents
See full Kentucky ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.1 h
↓ 5% · KY 8.5 hThis facility: 8.1 h, 5% below the Kentucky average of 8.5 h (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
16,476 staff hours this quarter
See full Kentucky ranking →91.2% of staff hours were worked by the facility's own employees
Kentucky average: 92.7% · Contractors this quarter: Physical Therapy Aide (3), Qualified Social Worker (3), Occupational Therapy Assistant (3), Speech Language Pathologist (2), Respiratory Therapy Technician (2), Physical Therapy Assistant (2), Medical Director (2), Occupational Therapy Aide (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
50
Rank #177 / 194Bed count — State benchmarked This nursing home is ranked 177th out of 194 nursing homes we track in Kentucky for bed count. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
50
Rank #177 / 194Bed count — State benchmarked This nursing home is ranked 177th out of 194 nursing homes we track in Kentucky for bed count. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Years of operating
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #16 / 144Years in operation — State benchmarked This nursing home is ranked 16th out of 144 nursing homes we track in Kentucky for years in operation. Shows how long this facility has been in operation compared to other Kentucky facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #16 / 144Years in operation — State benchmarked This nursing home is ranked 16th out of 144 nursing homes we track in Kentucky for years in operation. Shows how long this facility has been in operation compared to other Kentucky facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
1
year
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #141 / 204Walk Score — State benchmarked This nursing home is ranked 141st out of 204 nursing homes we track in Kentucky for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Kentucky facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #141 / 204Walk Score — State benchmarked This nursing home is ranked 141st out of 204 nursing homes we track in Kentucky for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Kentucky facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
35
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #129 / 162Occupancy rate — State benchmarked This nursing home is ranked 129th out of 162 nursing homes we track in Kentucky for occupancy. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 162. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #129 / 162Occupancy rate — State benchmarked This nursing home is ranked 129th out of 162 nursing homes we track in Kentucky for occupancy. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 162. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
84%
This home usually has availability
Based on 42 residents and 50 beds. Source: CMS Provider Information, average daily residents
Similar to the Kentucky average: 85.1%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
162
days
About This Community
Facility TypeLong Term Care (Nursing Facility)
StatusActive
IssuanceMarch 1, 2025
CountyTrigg
License Number100396
CMS Certification Number185252
Certified Wound NurseA specialty credential or certification held by the community or its staff, indicating training or standards beyond basic state licensure.
Restore and Rejuvenate Program (respite care program)A branded program developed by this community's operator or its partners - a named approach to programming or care, rather than an independent external certification.
Shady Lawn Nursing and Rehabilitation Center is administered by Dana Radford.
Owner NameShady Lawn Opco, LLC
Resident Council
Short-Term Rehabilitation
Restorative Rehabilitation
Orthopedic Recovery
Physical Therapy
Occupational Therapy
Speech Therapy
Doctor on Staff
Wound CareCare for wounds such as pressure sores, surgical wounds, or ulcers, including assessment, dressing changes, and monitoring for infection.
Nutritional Counseling
Disease Management and Early Intervention
Hospital Readmission Reduction Program
On-Site Physician Services
Diabetes Management
IV Therapy
Peritoneal Dialysis
Post-Surgical Care
Certified Wound Nurse
Palliative CareCare focused on relieving pain, symptoms, and stress while supporting quality of life. It can be provided alongside treatment for a serious illness.
Psychological Services
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Daily Living Assistance
Discharge Planning
Nail Care (Pretty Nails)
Housekeeping
Laundry & Linen
Pets AllowedVaccination records required.
Wi-Fi
Beauty Salon
Waffle Bar
Activities
Puzzle Packets
Noodle BallA seated group game in which residents use pool noodles to tap a balloon back and forth. It supports gentle movement, hand-eye coordination, laughter, and social connection.
Wheel of Fortune Game
Movie and Popcorn
Resident Independent Activities
Games
Art Classes
Classic Tv Game Shows
Bingo
Culinary Experiences
Trivia
Live Music (Amish Singers)
Table Hockey
Social Gatherings with Friends and Family
Social Outings Including Church
Room Types
Private Room
In-Room Features
Television With Cable Package In Each Room
CMS Health Inspection History
ALM Inspection Grade
94 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
11 points above the Kentucky average for CMS-certified facilities (83/100)
Category breakdown
Citations
Strong
12 severity-weighted points (8 deficiencies) · 3× lower than the typical CMS-certified KY facility (median: 30)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Typical
34 days to fix issues · slower than the typical CMS-certified KY facility (median: 32)
Total health inspections
2
↓ 31% · KY 2.9This facility: 2, 31% below the KY average of 2.9 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
8
Rank #59 / 189Health citations — State benchmarked This nursing home is ranked 59th out of 189 nursing homes we track in Kentucky for health citations. Shows this facility's total health deficiency citations benchmarked to the Kentucky State average, with a ranking across all 189 KY facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 36% · KY 12.5This facility: 8, 36% below the KY average of 12.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4
Rank #92 / 189Citations per inspection — State benchmarked This nursing home is ranked 92nd out of 189 nursing homes we track in Kentucky for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 189 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 4% · KY 4.18This facility: 4, 4% below the KY average of 4.18 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
8 of 8 citations corrected
Critical
J–L
0
↓ 100% · KY 1This facility: 0, 100% below the KY average of 1 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · KY 0.6This facility: 0, 100% below the KY average of 0.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
8
↓ 26% · KY 10.8This facility: 8, 26% below the KY average of 10.8 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · KY 0.1This facility: 0, 100% below the KY average of 0.1 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Nov 17, 2021 · 1 citation (Infection Control, moderate), corrected
Most cited category: Resident Assessment & Care Planning, 3 of 8 citations · 5 categories in total
Citations history
Most recent first
Nov 17, 2021
1 citation
Infection Control moderate citation
Corrected
Corrected
Jan 17, 2019
7 citations
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Top deficiency categories
Share of 8 citations
Resident Assessment & Care Planning
3 deficiencies (38%)
Quality of Life & Care
2 deficiencies (25%)
Infection Control
1 deficiency (13%)
Nutrition & Dietary
1 deficiency (13%)
Pharmacy Services
1 deficiency (13%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 8 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
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 · Data as of Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Total fines
$0
KY avg $49KKentucky average: $48,846. Average among the 91 Kentucky facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0
KY avg 2.14Kentucky average: 2.14. Average among the 91 Kentucky facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
KY avg 0.29Kentucky average: 0.29. Average among the 91 Kentucky facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Kentucky average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
3
/ 5
Average
↓ 15% · KY 3.5This facility: 3.0, 15% below the KY average of 3.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
↓ 9% · KY 2.2This facility: 2.0, 9% below the KY average of 2.2 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
7.0
Score · lower is better
↓ 18% · KY 8.6This facility: 7.0, 18% below the KY average of 8.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
8.7
Score · lower is better
↓ 45% · KY 15.6This facility: 8.7, 45% below the KY average of 15.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 7 better, 4 worse, 2 near KY average
5 short-stay measures: 2 better, 3 worse
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
13.5%
↓ 3% · KY 13.8This facility: 13.5, 3% below the KY average of 13.8 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
13.5%
↓ 3% · KY 13.8This facility: 13.5, 3% below the KY average of 13.8 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
10.6%
↓ 24% · KY 14.0This facility: 10.6, 24% below the KY average of 14.0 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
10.6%
↓ 24% · KY 14.0This facility: 10.6, 24% below the KY average of 14.0 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
1.9%
↓ 90% · KY 19.0This facility: 1.9, 90% below the KY average of 19.0 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
1.9%
↓ 90% · KY 19.0This facility: 1.9, 90% below the KY average of 19.0 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
2.8%
↑ 76% · KY 1.6This facility: 2.8, 76% above the KY average of 1.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.8%
↑ 76% · KY 1.6This facility: 2.8, 76% above the KY average of 1.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
↓ 51% · KY 3.9This facility: 1.9, 51% below the KY average of 3.9 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
↓ 51% · KY 3.9This facility: 1.9, 51% below the KY average of 3.9 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
9.2%
↑ 93% · KY 4.8This facility: 9.2, 93% above the KY average of 4.8 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
9.2%
↑ 93% · KY 4.8This facility: 9.2, 93% above the KY average of 4.8 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
0.0%
↓ 100% · KY 6.6This facility: 0.0, 100% below the KY average of 6.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
0.0%
↓ 100% · KY 6.6This facility: 0.0, 100% below the KY average of 6.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
11.7%
↓ 34% · KY 17.7This facility: 11.7, 34% below the KY average of 17.7 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
11.7%
↓ 34% · KY 17.7This facility: 11.7, 34% below the KY average of 17.7 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
18.0%
↑ 12% · KY 16.1This facility: 18.0, 12% above the KY average of 16.1 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
18.0%
↑ 12% · KY 16.1This facility: 18.0, 12% above the KY average of 16.1 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 6% · KY 94.3This facility: 100.0, 6% above the KY average of 94.3 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 6% · KY 94.3This facility: 100.0, 6% above the KY average of 94.3 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 4% · KY 96.2This facility: 100.0, 4% above the KY average of 96.2 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 4% · KY 96.2This facility: 100.0, 4% above the KY average of 96.2 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.74
↓ 7% · KY 1.87This facility: 1.74, 7% below the KY average of 1.87 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.74
↓ 7% · KY 1.87This facility: 1.74, 7% below the KY average of 1.87 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.19
↑ 46% · KY 2.19This facility: 3.19, 46% above the KY average of 2.19 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.19
↑ 46% · KY 2.19This facility: 3.19, 46% above the KY average of 2.19 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 5 measures
Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
6.7%
↑ 290% · KY 1.7This facility: 6.7, 290% above the KY average of 1.7 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
6.7%
↑ 290% · KY 1.7This facility: 6.7, 290% above the KY average of 1.7 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 19% · KY 84.0This facility: 100.0, 19% above the KY average of 84.0 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 19% · KY 84.0This facility: 100.0, 19% above the KY average of 84.0 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 20% · KY 83.5This facility: 100.0, 20% above the KY average of 83.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 20% · KY 83.5This facility: 100.0, 20% above the KY average of 83.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
34.8%
↑ 42% · KY 24.5This facility: 34.8, 42% above the KY average of 24.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
34.8%
↑ 42% · KY 24.5This facility: 34.8, 42% above the KY average of 24.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
15.3%
↑ 10% · KY 13.9This facility: 15.3, 10% above the KY average of 13.9 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
15.3%
↑ 10% · KY 13.9This facility: 15.3, 10% above the KY average of 13.9 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Shady Lawn Nursing and Rehabilitation Center’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 186 Kentucky nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Profitable on care
12.8% operating margin
+2.7 pts vs prior year
Positive margin in 4 of the last 8 reported years. Net income $0.7M after other income.
Does it invest in staff?
Spends less on payroll than most Kentucky homes
36.9% payroll share of revenue
KY average 45.8%Rank #152 / 186Payroll % of net patient revenue — State benchmarked This nursing home is ranked 152nd out of 186 nursing homes we track in Kentucky for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Kentucky average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll fell $0.2M while revenue rose $1.1M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Kentucky homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | KY median | Compared with KY homesRank in KY | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $5.8M | +$1.1M | Trend 20162024 | KY median $10.7M | Rank in KY Rank #171 / 186Net patient revenue — State benchmarked This nursing home is ranked 171st out of 186 nursing homes we track in Kentucky for net patient revenue. Shows this facility's net patient revenue compared to the Kentucky average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 8% of homes | Below KY median Higher net patient revenue than 8% of KY homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $5.1M | +$0.8M | Trend 20162024 | KY median — | Rank in KY Not ranked | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.7M | +$0.3M | Trend 20162024 | KY median — | Rank in KY Not ranked | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 12.8% | +2.7 pts | Trend 20162024 | KY median — | Rank in KY Not ranked | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | KY median — | Rank in KY Not ranked | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.7M | +$0.1M | Trend — | KY median — | Rank in KY Not ranked | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Kentucky homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | KY median | Compared with KY homesRank in KY | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $2.1M | −$0.2M | Trend 20162024 | KY median $4.7M | Rank in KY Rank #180 / 186Payroll costs — State benchmarked This nursing home is ranked 180th out of 186 nursing homes we track in Kentucky for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Kentucky average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 3% of homes | Below KY median Higher payroll than 3% of KY homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 36.9% | −12.3 pts | Trend 20162024 | KY median 45.7% | Rank in KY Rank #152 / 186Payroll % of net patient revenue — State benchmarked This nursing home is ranked 152nd out of 186 nursing homes we track in Kentucky for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Kentucky average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 18% of homes | 8.9 pts under KY average The KY average is 45.8% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · KY benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Kentucky payroll average.
% of net patient revenue
Payroll share Operating margin KY payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017 | 2018no report | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $2.7M | $3.1M | $3.6M | $3.8M | $4.4M | $4.3M | $4.7M | $5.8M | |
| Operating expenses | $3.4M | $3.6M | $3.9M | $4.3M | $4.2M | $4.1M | $4.2M | $5.1M | |
| Net patient income | −$0.7M | −$0.5M | −$0.3M | −$0.6M | $0.2M | $0.2M | $0.5M | $0.7M | |
| Operating margin | −23.9% | −17.5% | −8.3% | −15.1% | 4.9% | 3.9% | 10.1% | 12.8% | |
| Net income | −$0.7M | −$0.5M | −$0.3M | −$0.5M | $0.5M | $0.4M | $0.6M | $0.7M | |
| Payroll costs | $1.5M | $1.6M | $1.9M | $2.2M | $2.3M | $2.2M | $2.3M | $2.1M | |
| Payroll share of revenue | 54.2% | 50.9% | 52.6% | 59.1% | 52.2% | 50.6% | 49.2% | 36.9% | |
| Beds | 50 | 50 | 50 | 50 | 50 | 50 | 50 | 50 | |
| Gross revenue | $4.0M | $5.1M | $4.4M | $3.8M | $4.2M | $4.3M | $4.5M | $5.6M | |
| Salaries | $1.3M | $1.4M | $1.6M | $2.0M | $2.0M | $1.9M | $2.1M | $1.9M | |
| Wage-related costs | $0.2M | $0.2M | $0.3M | $0.3M | $0.3M | $0.2M | $0.2M | $0.3M | |
| Contract labor | $0.2M | $0.2M | — | — | — | — | $0.3M | $0.5M | |
| Other operating costs | $1.9M | $2.1M | $2.0M | $2.1M | $1.9M | $1.9M | $1.9M | $2.9M | |
| Net patient revenue per day | $210 | $252 | $271 | $267 | $282 | $296 | $308 | $359 | |
| Cost per day | $260 | $296 | $294 | $307 | $268 | $285 | $277 | $313 | |
| Average length of stay | 136.4 days | 114.2 days | 294.8 days | 198.2 days | 181.8 days | 130.9 days | 120.6 days | 162.5 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
94 admissions · FY2024
Residents admitted during the year.
Medicare
26 · 28%
Medicaid
44 · 47%
Private pay & other
24 · 26%
Resident snapshot
43 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
1 · 2%
Medicaid
37 · 86%
Private pay & other
5 · 12%
Leaving
100 discharges · FY2024
Residents discharged during the year.
Medicare
14 · 14%
Medicaid
56 · 56%
Private pay & other
30 · 30%
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Places of interest near Shady Lawn Nursing and Rehabilitation Center
0.0 miles from city center
Estimated distance in miles from Cadiz's city center to Shady Lawn Nursing and Rehabilitation Center's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the KY Cabinet for Health & Family Services (CHFS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Kentucky average is: 45.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hermitage Care & Rehabilitation Center | NH SNF | Owensboro | 92
Facility
92
KY AVG
98
Rank
#110 / 194 | A+ |
96.4%
Facility
96.4%
KY AVG
85.1%
Rank
#95 / 162 | +13% | 3.90
Facility
3.90
KY AVG
3.76
Rank
#28 / 188 | +14% | +4% | $0
Facility
$0
KY AVG
$48.8k
Rank
#1 / 192 | 1
Facility
1
KY AVG
12.5
Rank
#1 / 189 | 1.0
Facility
1.0
KY AVG
4.2
Rank
#1 / 189 | - | 89 | A+ |
49
Facility
49
KY AVG
46
Rank
#96 / 204 | LP Owensboro, LLC | $12.6MFiscal year ending 12/2024
Facility
$12.6MFiscal year ending 12/2024
KY AVG
$11.4M
Rank
#58 / 186 | $5.2MFiscal year ending 12/2024
Facility
$5.2MFiscal year ending 12/2024
KY AVG
$5.2M
Rank
#73 / 186 | 41.6%Fiscal year ending 12/2024
Facility
41.6%Fiscal year ending 12/2024
KY AVG
45.8%
Rank
#123 / 186 | 185346 | ||||
| Middlesboro Nursing and Rehabilitation Facility | NH SNF | Middlesboro | 95
Facility
95
KY AVG
98
Rank
#100 / 194 | A+ |
96.7%
Facility
96.7%
KY AVG
85.1%
Rank
#22 / 162 | +14% | 3.37
Facility
3.37
KY AVG
3.76
Rank
#81 / 188 | -26% | -10% | $0
Facility
$0
KY AVG
$48.8k
Rank
#1 / 192 | 2
Facility
2
KY AVG
12.5
Rank
#4 / 189 | 1.0
Facility
1.0
KY AVG
4.2
Rank
#1 / 189 | - | 92 | - |
62
Facility
62
KY AVG
46
Rank
#54 / 204 | Middlesboro Operations, LLC | $11.6MFiscal year ending 12/2024
Facility
$11.6MFiscal year ending 12/2024
KY AVG
$11.4M
Rank
#77 / 186 | $4.9MFiscal year ending 12/2024
Facility
$4.9MFiscal year ending 12/2024
KY AVG
$5.2M
Rank
#88 / 186 | 41.7%Fiscal year ending 12/2024
Facility
41.7%Fiscal year ending 12/2024
KY AVG
45.8%
Rank
#121 / 186 | 185240 | ||||
| Maysville Nursing and Rehabilitation Facility | NH SNF | Maysville | 130
Facility
130
KY AVG
98
Rank
#32 / 194 | A |
94.9%
Facility
94.9%
KY AVG
85.1%
Rank
#90 / 162 | +12% | 2.94
Facility
2.94
KY AVG
3.76
Rank
#121 / 188 | -49% | -22% | $0
Facility
$0
KY AVG
$48.8k
Rank
#1 / 192 | 4
Facility
4
KY AVG
12.5
Rank
#18 / 189 | 4.0
Facility
4.0
KY AVG
4.2
Rank
#92 / 189 | - | 123 | - |
55
Facility
55
KY AVG
46
Rank
#71 / 204 | Maysville Operations, LLC | $15.9MFiscal year ending 12/2024
Facility
$15.9MFiscal year ending 12/2024
KY AVG
$11.4M
Rank
#29 / 186 | $6.7MFiscal year ending 12/2024
Facility
$6.7MFiscal year ending 12/2024
KY AVG
$5.2M
Rank
#38 / 186 | 42.3%Fiscal year ending 12/2024
Facility
42.3%Fiscal year ending 12/2024
KY AVG
45.8%
Rank
#117 / 186 | 185207 | ||||
| Redbanks Colonial Terrace | NH IL MC SNF | Sebree | 87
Facility
87
KY AVG
98
Rank
#120 / 194 | A+ |
87.1%
Facility
87.1%
KY AVG
85.1%
Rank
#110 / 162 | +2% | 3.98
Facility
3.98
KY AVG
3.76
Rank
#28 / 188 | -17% | +6% | $0
Facility
$0
KY AVG
$48.8k
Rank
#1 / 192 | 3
Facility
3
KY AVG
12.5
Rank
#8 / 189 | 3.0
Facility
3.0
KY AVG
4.2
Rank
#51 / 189 | - | 76 | A+ |
41
Facility
41
KY AVG
46
Rank
#123 / 204 | Redbanks Colonial Terrace, Inc | $8.0MFiscal year ending 06/2025
Facility
$8.0MFiscal year ending 06/2025
KY AVG
$11.4M
Rank
#137 / 186 | $4.1MFiscal year ending 06/2025
Facility
$4.1MFiscal year ending 06/2025
KY AVG
$5.2M
Rank
#111 / 186 | 51.3%Fiscal year ending 06/2025
Facility
51.3%Fiscal year ending 06/2025
KY AVG
45.8%
Rank
#42 / 186 | 185291 | ||||
| Shady Lawn Nursing and Rehabilitation Center | NH HOS PC RC SNF | Cadiz | 50
Facility
50
KY AVG
98
Rank
#177 / 194 | A |
84.0%
Facility
84.0%
KY AVG
85.1%
Rank
#129 / 162 | -1% | 3.10
Facility
3.10
KY AVG
3.76
Rank
#121 / 188 | -19% | -18% | $0
Facility
$0
KY AVG
$48.8k
Rank
#1 / 192 | 8
Facility
8
KY AVG
12.5
Rank
#59 / 189 | 4.0
Facility
4.0
KY AVG
4.2
Rank
#92 / 189 | - | 42 | - |
35
Facility
35
KY AVG
46
Rank
#141 / 204 | Shady Lawn Opco, LLC | $5.8MFiscal year ending 12/2024
Facility
$5.8MFiscal year ending 12/2024
KY AVG
$11.4M
Rank
#171 / 186 | $2.1MFiscal year ending 12/2024
Facility
$2.1MFiscal year ending 12/2024
KY AVG
$5.2M
Rank
#180 / 186 | 36.9%Fiscal year ending 12/2024
Facility
36.9%Fiscal year ending 12/2024
KY AVG
45.8%
Rank
#152 / 186 | 185252 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other KY nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Know before you visit
Frequently Asked Questions about Shady Lawn Nursing and Rehabilitation Center
Quick answers from public records and the community's own listing.01 Who is the owner of Shady Lawn Nursing and Rehabilitation Center?
Shady Lawn Nursing and Rehabilitation Center is legally operated by Shady Lawn Opco, LLC, and administered by Dana Radford.
02 Is Shady Lawn Nursing and Rehabilitation Center in a walkable area?
Shady Lawn Nursing and Rehabilitation Center has a walk score of 35. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
03 What is the license number of Shady Lawn Nursing and Rehabilitation Center?
According to KY state health department records, Shady Lawn Nursing and Rehabilitation Center's license number is 100396.
04 What is the occupancy rate at Shady Lawn Nursing and Rehabilitation Center?
Shady Lawn Nursing and Rehabilitation Center's occupancy is 84%.
05 How long has Shady Lawn Nursing and Rehabilitation Center been in business?
Shady Lawn Nursing and Rehabilitation Center has been operating for approximately 1 year, based on available licensing and registration records.
06 Are pets allowed at Shady Lawn Nursing and Rehabilitation Center?
Yes, Shady Lawn Nursing and Rehabilitation Center allows residents to bring their pets.
07 Does Shady Lawn Nursing and Rehabilitation Center operate as a for-profit or non-profit?
Shady Lawn Nursing and Rehabilitation Center is registered as a for-profit in KY.
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