Elkhorn Health & Rehabiliation
Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Elkhorn City, 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.

Elkhorn Health & Rehabiliation

Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Elkhorn City, 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.
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Elkhorn Health & Rehabiliation 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 2019 · 7 years of data 4 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 2019 vs. Kentucky state average
Overall vs. KY average 0 Worse No metrics in this bucket. 2 Better Metrics better than Kentucky average:
• Total deficiencies (33% below)
• Deficiencies per year (33% below)
Latest Inspection April 9, 2025 Annual Inspection

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. 46 This facility has 33% fewer total deficiencies than a typical Kentucky assisted living residence (4 vs. KY avg 6).↓ 33% better
Deficiencies per year Info Average deficiencies per year since 2019. 0.60.9 This facility has 33% fewer deficiencies per year than a typical Kentucky assisted living residence (0.6 vs. KY avg 0.9).↓ 33% better

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

  • April 2, 2025 follow-up survey confirmed all prior deficiencies were corrected by February 25, 2025 with an acceptable plan of correction.
  • No new deficiencies or complaints were found during the April 2025 revisit survey conducted from March 31 to April 3.
  • The facility demonstrated compliance with all previously cited issues, indicating improvement and resolution of prior concerns.

Health Inspection History

Inspections since 2020
Total health inspections 1

State average N/A


Last Health inspection on Mar 2020

Total health citations
4 Rank #11 / 193Health citations — State benchmarkedThis home is ranked 11th out of 193 homes in Kentucky for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Kentucky State average, with a ranking across all 193 KY facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
4 Rank #91 / 193Citations per inspection — State benchmarkedThis home is ranked 91st out of 193 homes in Kentucky for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 193 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same 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


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

All 4 citations resulted from standard inspections.

Breakdown of citation severity (last 6 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

4 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 6 years)
Quality of Care moderate citation Mar 11, 2020
Corrected

Care Planning moderate citation Mar 11, 2020
Corrected

Care Planning moderate citation Mar 11, 2020
Corrected

Resident Rights moderate citation Mar 11, 2020
Corrected

Staffing Data

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

Total staff 114
Employees 114
Contractors 0
Staff to resident ratio 1.18 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 44
Average shift 8.9 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 35,836

Nursing staff breakdown

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

Manages medical care and health needs.

RN Staff Info All 12 RN Staff are full-time employees. No contractors work on this role. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 16 LPN Staff are full-time employees. No contractors work on this role. 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 47 CNA Staff are full-time employees. No contractors work on this role. 47
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 0% — all staff are direct employees this quarter

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 Assistant4704716,26692100%9.4
Licensed Practical Nurse160164,87892100%10.1
Registered Nurse120123,60892100%8.9
Physical Therapist7072,53092100%8.1
RN Director of Nursing4041,9937582%8.1
Speech Language Pathologist5051,4078795%7.5
Other Dietary Services Staff8081,1018997%6.8
Physical Therapy Aide4049857986%7.3
Dietitian1015095964%8.6
Administrator1014976368%7.9
Nurse Practitioner2024806065%8
Clinical Nurse Specialist2024515661%7.9
Mental Health Service Worker1014385661%7.8
Qualified Social Worker2024137177%5.8
Respiratory Therapy Technician1012745155%5.4
Physical Therapy Assistant101633%2
47 Certified Nursing Assistant
% of Days 100%
16 Licensed Practical Nurse
% of Days 100%
12 Registered Nurse
% of Days 100%
7 Physical Therapist
% of Days 100%
4 RN Director of Nursing
% of Days 82%
5 Speech Language Pathologist
% of Days 95%
8 Other Dietary Services Staff
% of Days 97%
4 Physical Therapy Aide
% of Days 86%
1 Dietitian
% of Days 64%
1 Administrator
% of Days 68%
2 Nurse Practitioner
% of Days 65%
2 Clinical Nurse Specialist
% of Days 61%
1 Mental Health Service Worker
% of Days 61%
2 Qualified Social Worker
% of Days 77%
1 Respiratory Therapy Technician
% of Days 55%
1 Physical Therapy Assistant
% of Days 3%

Penalties and fines

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

Source: CMS Penalties Database

No penalties in the past 3 years

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

Quality of care over time

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

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.2
12% better than State average

State average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 11.5
39% better than State average

State average: 18.9

Long-stay resident measures
Above average State avg: 3.5 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 11.7%
31% better than State average

State average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 11.4%
42% better than State average

State average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 11.5%
44% better than State average

State average: 20.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.4%
71% worse than State average

State average: 3.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.5%
13% worse than State average

State average: 5.8%

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

State average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 9.8%
45% worse than State average

State average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 55.3%
287% worse than State average

State average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 13.0%
16% better than State average

State average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
6% better than State average

State average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.1%
In line with State average

State average: 96.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.08
11% worse than State average

State average: 1.87

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.84
16% better than State average

State average: 2.19

Short-stay resident measures
Significantly below average State avg: 2.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.5%
18% better than State average

State average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 6.9%
257% worse than State average

State average: 1.9%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 45.9%
87% worse than State average

State average: 24.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 13.3%
In line with State average

State average: 13.9%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 6.3%
712% worse than State average

State average: 0.8%

Breakdown by payment type

Medicare

33% of new residents, usually for short-term rehab.

Typical stay 2 - 3 years

Private pay

27% of new residents, often for short stays.

Typical stay 3 - 4 years

Medicaid

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

Typical stay 11 - 12 years

Facility Characteristics

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

Total residents 97
Medicare
29
29.9% of residents
Medicaid
52
53.6% of residents
Private pay or other
16
16.5% 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

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

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."
$10.8M
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."
$1.5M
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."
$10.8M Rank #45 / 194Revenue — State benchmarkedThis home is ranked 45th out of 194 homes in Kentucky for Revenue. Shows this facility's annual revenue compared to the Kentucky average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same 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.
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."
$1.5M
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.
$8.0K
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 #119 / 194Payroll — State benchmarkedThis home is ranked 119th out of 194 homes in Kentucky for Payroll. 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.Facilities with the same value for a metric share the same 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.
$4.1M 38.1% 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 #190 / 194Payroll % — State benchmarkedThis home is ranked 190th out of 194 homes in Kentucky for Payroll %. Shows payroll as a percentage of revenue versus the Kentucky average. Well-run Kentucky facilities typically land around 50–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same 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.
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).
$5.2M
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).
$9.3M

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 Medicaid (40% of admissions), and a typical Medicaid stay runs around 11 - 12 years.

Admissions
15 total

Coverage residents most often arrive under.

Medicare 33%
Private pay 27%
Medicaid 40%
Discharges
46 total

Coverage residents most often leave under.

Medicare 80%
Private pay 15%
Medicaid 4%

Places of interest near Elkhorn Health & Rehabiliation

Address 0.0 miles from city center Info Estimated distance in miles from Elkhorn City's city center to Elkhorn Health & Rehabiliation's address, calculated via Google Maps.

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Frequently Asked Questions about Elkhorn Health & Rehabiliation

Who is the owner of Elkhorn Health & Rehabiliation?

Elkhorn Health & Rehabiliation is legally operated by Elkhorn Snf Operations LLC, and administered by Tonya Rosser.

Is Elkhorn Health & Rehabiliation in a walkable area?

Elkhorn Health & Rehabiliation has a walk score of 35. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Elkhorn Health & Rehabiliation?

According to KY state health department records, Elkhorn Health & Rehabiliation's license number is 100521.

What is the occupancy rate at Elkhorn Health & Rehabiliation?

Elkhorn Health & Rehabiliation's occupancy is 37%.

Are pets allowed at Elkhorn Health & Rehabiliation?

No, Elkhorn Health & Rehabiliation has a no-pet policy.

Does Elkhorn Health & Rehabiliation operate as a for-profit or non-profit?

Elkhorn Health & Rehabiliation is registered as a for-profit in KY.

Who is the administrator of Elkhorn Health & Rehabiliation?

Tonya Rosser is the administrator of Elkhorn Health & Rehabiliation.

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