West Liberty Nursing and Rehabilitation

Nursing Home, Hospice Care, Respite Care & Skilled Nursing · West Liberty, KY

CMS overall rating

774 Liberty Road, West Liberty, KY 41472 View map

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West Liberty Nursing and Rehabilitation accepts Medicare, Medicaid, and private pay.

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West Liberty Nursing and Rehabilitation accepts Medicare, Medicaid, and private pay.

Overview of West Liberty Nursing and Rehabilitation

West Liberty Nursing and Rehabilitation is a nursing home at 774 Liberty Road in West Liberty, Kentucky. The facility was newly opened, having begun operating within the past year. The 50-bed community currently has an 88% occupancy rate, with 44 of 50 beds occupied. Medicare, Medicaid, and private pay are accepted, giving families multiple ways to cover short-term rehabilitation and longer-term nursing care.

The facility focuses on post-acute rehabilitation and respite care. Residents stay an average of 126 days due to its role in supporting people recovering from surgery, illness, or hospital stays who need skilled nursing and therapy before returning home or transitioning to a different care setting. Other core offerings are rehabilitation services and outpatient therapy, making it a great choice for families seeking focused clinical support during recovery.

Daily nurse staffing averages 2 hours and 47 minutes per resident. A registered nurse on staff provides 36 minutes of direct care per day; nurse aides provide 2 hours and 7 minutes; and licensed practical or vocational nurses provide 23 minutes. The home has 24-hour staffing, which is essential in a post-acute setting where residents mostly require frequent support and monitoring during the healing process.

West Liberty has a Walk Score of 45, making it somewhat walkable. However, transportation is still required for most errands and outings. Families will find the location accessible and can conveniently visit from the surrounding region.

Facility Direct Line (606) 743-3846

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

2h 47m per day

vs avg

6 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
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.	36m per day	▼ 22% State avg: 46m per day · National avg: 41m per day
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.	23m per day	▼ 52% State avg: 49m per day · National avg: 52m per day
Nurse Aide 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.	2h 7m per day	▼ 13% State avg: 2h 26m per day · National avg: 2h 20m per day
Weekend Total Nursing 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 56m per day	▼ 16% State avg: 3h 30m per day · National avg: 3h 26m per day
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.	2m per day	▼ 49% State avg: 4m per day · National avg: 4m per day
Weekend RN 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.	27m per day	▼ 13% State avg: 31m per day · National avg: 28m per day

Capacity and availability

126 days

50-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 45 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

95%

Higher than the Kentucky average: 81.3%

Occupied beds

47 / 50

Average occupied beds in Kentucky homes 80 beds

Facility TypeLong Term Care (nursing Facility, Personal Care)

StatusActive

IssuanceJune 1, 2025

CountyMorgan

License Number100340

CMS Certification Number185274

West Liberty Nursing and Rehabilitation is administered by Angelena Ratliff.

Owner NameWest Liberty Nursing And Rehabilitation, LLC

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Pets not allowed

Since 2020 · 6 years of data 15 deficiencies 3 inspections

Inspection Scorecard 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 2020 vs. Kentucky state average

Overall vs. KY average

Latest Inspection August 26, 2025 Annual Inspection

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	KY Average	vs. KY Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	15	6	This facility has 150% more total deficiencies than a typical Kentucky assisted living residence (15 vs. KY avg 6).↑ 150% worse
Deficiencies per year Average deficiencies per year since 2020.	2.5	1	This facility has 150% more deficiencies per year than a typical Kentucky assisted living residence (2.5 vs. KY avg 1).↑ 150% worse
Deficiencies per inspection Average deficiencies per inspection.	5	1.5	This facility has 233% more deficiencies per inspection than a typical Kentucky assisted living residence (5 vs. KY avg 1.5).↑ 233% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	KY Average	vs. KY Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	3	4	This facility has had 25% fewer total inspections than the Kentucky average (3 vs. KY avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↓ 25% fewer

Show Inspection Reports

Inspections since 2019

Total health inspections 4

State average N/A

Last Health inspection on Aug 2025

Total health citations

State average N/A

Citations per inspection

4.25

State average N/A

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

14 of 17 citations resulted from standard inspections; 1 of 17 resulted from complaint investigations; and 2 of 17 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 7 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

2 critical citations State average: N/A

2 serious citations State average: N/A

13 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 7 years)

Nutrition moderate citation Aug 26, 2025

Corrected

Infection Control moderate citation Jan 25, 2023

Corrected

Quality of Care critical citation Jan 25, 2023

Corrected

Care Planning critical citation Jan 25, 2023

Corrected

Total staff 64

Employees 51

Contractors 13

Staff to resident ratio 1.52 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 18

Average shift 9.1 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 15,033

Nursing staff breakdown

10.3 hours

10.4 hours

9.5 hours

Contractor staffing

787 contractor hours this quarter

Feeding Assistant: 3 Physical Therapy Assistant: 3 Licensed Practical Nurse: 2 Respiratory Therapy Technician: 2 Mental Health Service Worker: 1 Medical Director: 1 Physician Assistant: 1

Staff by category


Certified Nursing Assistant	22	0	22	7,271	92	100%	9.5
Licensed Practical Nurse	4	2	6	1,612	87	95%	10.4
Medication Aide/Technician	3	0	3	1,566	91	99%	9
Registered Nurse	3	0	3	1,096	89	97%	10.3
Clinical Nurse Specialist	5	0	5	891	84	91%	8.2
Mental Health Service Worker	2	1	3	528	64	70%	7.9
Nurse Practitioner	1	0	1	512	64	70%	8
Administrator	1	0	1	496	62	67%	8
Dietitian	1	0	1	484	62	67%	7.8
Other Dietary Services Staff	1	0	1	165	33	36%	5
Respiratory Therapy Technician	2	2	4	141	28	30%	4.7
Medical Director	0	1	1	67	13	14%	5.2
Speech Language Pathologist	2	0	2	67	13	14%	5.1
Physical Therapy Assistant	2	3	5	51	16	17%	3
Occupational Therapy Aide	1	0	1	44	11	12%	4
RN Director of Nursing	1	0	1	16	2	2%	8
Feeding Assistant	0	3	3	16	3	3%	5.3
Physician Assistant	0	1	1	11	2	2%	5.5

22 Certified Nursing Assistant

% of Days 100%

6 Licensed Practical Nurse

% of Days 95%

3 Medication Aide/Technician

% of Days 99%

3 Registered Nurse

% of Days 97%

5 Clinical Nurse Specialist

% of Days 91%

3 Mental Health Service Worker

% of Days 70%

1 Nurse Practitioner

% of Days 70%

1 Administrator

% of Days 67%

1 Dietitian

% of Days 67%

1 Other Dietary Services Staff

% of Days 36%

4 Respiratory Therapy Technician

% of Days 30%

1 Medical Director

% of Days 14%

2 Speech Language Pathologist

% of Days 14%

5 Physical Therapy Assistant

% of Days 17%

1 Occupational Therapy Aide

% of Days 12%

1 RN Director of Nursing

% of Days 2%

3 Feeding Assistant

% of Days 3%

1 Physician Assistant

% of Days 2%

View All Staffing Data

Total fines amount $9K

85% lower than State average

State average: $63K

Number of fines 1

57% fewer fines than State average

State average: 2.3

Payment Denials 0

100% fewer payment denials than State average

State average: 0.3

Fines amount comparison

This facility $9K

State average $63K

No penalties in the past 3 years

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

High-risk clinical events score 6.0

43% better than State average

State average: 10.5

Functional decline score 14.7

22% better than State average

State average: 18.9

Long-stay resident measures

Significantly above average State avg: 3.5

Need for Help with Daily Activities Increased 8.6%

49% better than State average

State average: 16.8%

Walking Ability Worsened 11.8%

40% better than State average

State average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence 23.8%

16% worse than State average

State average: 20.5%

Falls with Major Injury 0.0%

100% better than State average

State average: 3.8%

High Risk Residents with Pressure Ulcers 3.0%

48% better than State average

State average: 5.8%

Urinary Tract Infection 3.0%

62% worse than State average

State average: 1.9%

Lost Too Much Weight 6.5%

5% better than State average

State average: 6.8%

Depressive Symptoms 31.8%

123% worse than State average

State average: 14.3%

Antipsychotic Use 1.4%

91% better than State average

State average: 15.6%

Pneumococcal Vaccine 99.4%

6% better than State average

State average: 93.9%

Influenza Vaccine 97.7%

In line with State average

State average: 96.2%

Hospitalizations per 1,000 days 1.97

5% worse than State average

State average: 1.87

ED visits per 1,000 days 3.02

38% worse than State average

State average: 2.19

Short-stay resident measures

Pneumococcal Vaccine 82.9%

In line with State average

State average: 83.7%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.9%

Influenza Vaccine 81.6%

In line with State average

State average: 83.6%

Breakdown by payment type

Medicare

24% of new residents, usually for short-term rehab.

Typical stay 27 days

Private pay

37% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

39% of new residents, often for long-term daily care.

Typical stay 8 - 9 months

Total residents 42

Medicare

4.8% of residents

Medicaid

90.5% of residents

Private pay or other

4.8% 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.

Financial Trends

Historical financial and operational data for West Liberty Nursing and Rehabilitation from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 88.0% ↓ 2.7pp vs 2022

Net Patient Income -$26.7K ↓ ~$693.6K vs 2022

Payroll Costs $1.5M ↓ ~$254.9K vs 2022

Operating Margin -0.6% ↓ 14.0pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2020	2021	2022	2023
Occupancy %	95.4%	95.6%	96.6%	94.7%	95.3%	92.1%	93.0%	92.1%	92.9%	89.5%	90.7%	88.0%
Beds	50	50	50	50	50	50	50	50	50	50	50	50
Net Income	$14,287	-$26,861	-$39,550	-$148,424	$1,422	-$184,862	$95,571	$171,022	$720,876	$1,625,012	$667,152	-$25,745
Gross Revenue	$3,933,722	$4,000,576	$4,129,358	$4,587,480	$4,365,105	$4,475,132	$4,618,116	$4,818,584	$4,696,773	$5,430,163	$5,371,145	$4,824,301
Operating Expenses	$3,387,717	$3,521,399	$3,688,346	$3,946,674	$3,722,818	$3,897,124	$3,744,290	$3,749,821	$3,958,113	$3,948,237	$4,296,291	$4,546,608
Net Patient Income	$9,041	-$31,189	-$39,977	-$146,196	$5,572	-$181,119	$97,074	$174,447	$338,949	$1,067,978	$666,879	-$26,711
Net Patient Revenue	$3,396,758	$3,490,210	$3,648,369	$3,800,478	$3,728,390	$3,716,005	$3,841,364	$3,924,268	$4,297,062	$5,016,215	$4,963,170	$4,519,897
Payroll Costs	$1,927,263	$1,787,264	$1,699,311	$1,647,985	$1,671,681	$1,657,832	$1,744,954	$1,624,170	$1,714,999	$1,671,386	$1,717,034	$1,462,140
Operating Margin %	0.3%	-0.9%	-1.1%	-3.9%	0.2%	-4.9%	2.5%	4.5%	7.9%	21.3%	13.4%	-0.6%
Medicare %	11.1%	8.3%	5.9%	11.3%	9.7%	13.4%	12.6%	12.3%	11.4%	13.6%	13.7%	5.0%
Medicaid %	76.4%	79.4%	76.7%	70.8%	79.9%	76.3%	75.8%	68.7%	80.0%	75.9%	67.5%	76.5%
Private %	12.5%	12.3%	17.4%	17.9%	10.4%	10.2%	11.6%	19.0%	8.6%	10.5%	18.8%	18.5%
Net Patient Revenue/Day	$195	$199	$207	$220	$214	$221	$226	$234	$253	$307	$300	$281
Cost/Day	$195	$201	$209	$228	$214	$231	$221	$223	$233	$242	$259	$283
Avg Length of Stay	246.2 days	312.3 days	385.0 days	319.1 days	321.6 days	162.8 days	198.2 days	141.5 days	199.5 days	133.1 days	102.8 days	125.5 days

Finances and operations

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

Net patient revenue

$4.5M

Net patient income

-$26.7K

For-profit Corporation

Net patient revenue

$4.5M

Net patient income

-$26.7K

Other income

$966

Payroll costs

$1.5M 32.3% of net patient revenue

Other operating costs

$3.1M

Total costs

$4.5M

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 Medicaid (39% of admissions), and a typical Medicaid stay runs around 8 - 9 months.

Coverage residents most often arrive under.

Medicare 24%

Private pay 37%

Medicaid 39%

Coverage residents most often leave under.

Medicare 16%

Private pay 39%

Medicaid 45%

0.0 miles from city center Estimated distance in miles from West Liberty's city center to West Liberty Nursing and Rehabilitation's address, calculated via Google Maps.

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


Westport Place Health Campus	NH AL RC SNF	Louisville	-	22	-	47	Studio
Hermitage Care & Rehabilitation Center	NH SNF	Owensboro	-	92	A+	49	-
Twin Rivers Nursing And Rehab Center	NH HOS PC RC SNF	Owensboro	-	132	-	52	Private Rooms / Semi-Private Rooms
Hopkins Center	NH SNF	Woodburn	-	50	-	7	Private Rooms / Semi-Private Rooms
West Liberty Nursing and Rehabilitation	NH HOS RC SNF	West Liberty	-	50	-	45	-

Nursing Home Explorer

Is West Liberty Nursing and Rehabilitation in a walkable area?

West Liberty Nursing and Rehabilitation has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of West Liberty Nursing and Rehabilitation?

According to KY state health department records, West Liberty Nursing and Rehabilitation's license number is 100340.

What is the occupancy rate at West Liberty Nursing and Rehabilitation?

West Liberty Nursing and Rehabilitation's occupancy is 95%.

Are pets allowed at West Liberty Nursing and Rehabilitation?

No, West Liberty Nursing and Rehabilitation has a no-pet policy.

Does West Liberty Nursing and Rehabilitation operate as a for-profit or non-profit?

West Liberty Nursing and Rehabilitation is registered as a for-profit in KY.

Who is the administrator of West Liberty Nursing and Rehabilitation?

Angelena Ratliff is the administrator of West Liberty Nursing and Rehabilitation.

How many beds does West Liberty Nursing and Rehabilitation have?

West Liberty Nursing and Rehabilitation has 50 beds.

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West Liberty Nursing and Rehabilitation

Overview of West Liberty Nursing and Rehabilitation

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Amenities & Lifestyle

Contact West Liberty Nursing and Rehabilitation

Inspection History

Inspection Scorecard 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

22 Certified Nursing Assistant

6 Licensed Practical Nurse

3 Medication Aide/Technician

3 Registered Nurse

5 Clinical Nurse Specialist

3 Mental Health Service Worker

1 Nurse Practitioner

1 Administrator

1 Dietitian

1 Other Dietary Services Staff

4 Respiratory Therapy Technician

1 Medical Director

2 Speech Language Pathologist

5 Physical Therapy Assistant

1 Occupational Therapy Aide

1 RN Director of Nursing

3 Feeding Assistant

1 Physician Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

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