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Prestonsburg Health Care Center

Nursing Home, Hospice Care, Memory Care & Palliative Care · Prestonsburg, KY

CMS overall rating

147 North Highland Avenue, Prestonsburg, KY 41653 View map

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Prestonsburg Health Care Center accepts Medicaid, Medicare, and private pay.

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Prestonsburg Health Care Center accepts Medicaid, Medicare, and private pay.

Overview of Prestonsburg Health Care Center

Operated under Lynn Watts’ ownership, Prestonsburg Health Care Center is an SNF on North Highland Avenue in Prestonsburg, Kentucky. It is newly established, having opened roughly one year ago, and serves Medicare, Medicaid, and private-pay residents seeking short-term rehabilitation or longer-term nursing care. It’s a smaller community with 56 beds, currently at 82 percent occupancy, creating a modest setting where staff-to-resident ratios tend to be more intimate than larger facilities.

Prestonsburg Health Care Center is built around rehabilitation and acute nursing care. Total daily nursing support averages 3 hours 21 minutes per resident, which includes registered nurse time, licensed practical nurses, and certified nurse aides. The home offers short-term rehabilitation following surgery or hospitalization, respite care for temporary stays, and a doctor on staff available to occupants. It also provides specialized care for residents with Alzheimer’s and other dementias, reflecting a dedication to memory-care needs. The typical resident stay is around 108 days, suggesting a turnover of people moving through post-acute rehabilitation or those transitioning to other settings over time. Everyday medical support is boosted by an on-site 24-hour pharmacy, dental and optometry services, and on-site podiatry, which can reduce the logistical burden of coordinating outside appointments. The car-dependent neighborhood has limited walkable options nearby, so residents and visiting families will want to plan for transportation. Amenities include a beauty shop, multi-denominational religious services led by a full-time chaplain, complimentary transportation for physician appointments, satellite television in every room, facility-wide Wi-Fi, and a volunteer program. Such supports aim to sustain daily comfort and connection.

State inspections have consistently found Prestonsburg Health Care Center complying with infection control practices and regulatory standards, with no deficiencies documented. During the recent review, a complaint investigated was found to be unsubstantiated with no violations cited.

Facility Direct Line (606) 886-2378

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

3h 21m per day

vs avg

1 of 6 metrics below state avg

Standout metric Physical Therapist is +100% above 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.	57m per day	▲ 24% 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.	33m per day	▼ 32% 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 28m per day	■ Avg 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.	3h 29m per day	■ Avg 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.	8m per day	▲ 100% 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.	31m per day	■ Avg State avg: 31m per day · National avg: 28m per day

Capacity and availability

108 days

56-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: 7 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

82%

Similar to the Kentucky average: 81.3%

Occupied beds

46 / 56

Average occupied beds in Kentucky homes 80 beds

Facility TypeLong Term Care (nursing Facility)

StatusActive

IssuanceJanuary 1, 2025

CountyFloyd

License Number100126

CMS Certification Number185304

Prestonsburg Health Care Center is administered by Lynn Watts.

Owner NameLP Prestonsburg, LLC

Accept Medicaid

Accept Medicare

Rehabilitation Services

Respite Care

Short-Term Rehab

Doctor on Staff

24-Hour Staffing

Alzheimer’s/Dementia Care

Satellite Television

Concierge Services

Complimentary Transportation For Physician Appointments

24-Hour Pharmacy

Tvs And Satellite/Cable In Every Room

Annual Hall Of Fame Café® Event

Quality Of Life Program

Full-Time Chaplain

Multi-Denominational Weekly Religious Services

Facility-Wide Wifi™

Lifeline Personal Emergency Response System Distributor

Onsite Podiatry

Dental And Optometry Services

Facility Van

Beauty Shop

Volunteer Program

24-Hour Visitation

Bereavement Accommodations

Facility Pet

Religious Services

Volunteer Program

Touring HoursMonday-Friday: 9:00 AM - 9:00 PM, Saturday & Sunday: 10:00 AM - 6:30 PM

Since 2019 · 7 years of data 4 deficiencies

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 2019 vs. Kentucky state average

Overall vs. KY average

Latest Inspection August 7, 2025 Complaint Investigation

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.	4	6	This facility has 33% fewer total deficiencies than a typical Kentucky assisted living residence (4 vs. KY avg 6).↓ 33% better
Deficiencies per year Average deficiencies per year since 2019.	0.6	0.9	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 An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

August 7, 2025 inspection found no deficiencies and confirmed compliance with infection control and CDC practices.
February 10, 2025 abbreviated survey found no deficient practices or regulatory violations.
Complaint #688556 investigated in August 2025 was unsubstantiated with no deficiencies cited.

Show Inspection Reports

Inspections since 2019

Total health inspections 2

State average N/A

Last Health inspection on Aug 2022

Total health citations

State average N/A

Citations per inspection

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 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

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 7 years)

Administration moderate citation Aug 26, 2022

Corrected

Infection Control moderate citation Sep 27, 2019

Corrected

Care Planning moderate citation Sep 27, 2019

Corrected

Care Planning moderate citation Sep 27, 2019

Corrected

Total staff 79

Employees 76

Contractors 3

Staff to resident ratio 1.72 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 28

Average shift 8.5 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 21,974

Nursing staff breakdown

8.7 hours

10.3 hours

9.2 hours

Contractor staffing

65 contractor hours this quarter

Registered Nurse: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	35	0	35	10,840	92	100%	9.2
Licensed Practical Nurse	6	0	6	2,589	92	100%	10.3
Registered Nurse	12	1	13	2,340	92	100%	8.7
Clinical Nurse Specialist	7	0	7	1,584	66	72%	8.1
Medication Aide/Technician	3	0	3	678	53	58%	9.4
Respiratory Therapy Technician	2	0	2	622	68	74%	6.6
Dietitian	1	0	1	541	64	70%	8.5
Nurse Practitioner	1	0	1	504	63	68%	8
Dental Services Staff	1	0	1	502	62	67%	8.1
Administrator	1	0	1	488	61	66%	8
Other Dietary Services Staff	1	0	1	438	60	65%	7.3
Physical Therapy Assistant	3	0	3	430	68	74%	6.3
Qualified Social Worker	2	0	2	353	66	72%	5.4
Medical Director	0	1	1	30	26	28%	1.2
Occupational Therapy Assistant	0	1	1	30	16	17%	1.9
Speech Language Pathologist	1	0	1	6	1	1%	5.5

35 Certified Nursing Assistant

% of Days 100%

6 Licensed Practical Nurse

% of Days 100%

13 Registered Nurse

% of Days 100%

7 Clinical Nurse Specialist

% of Days 72%

3 Medication Aide/Technician

% of Days 58%

2 Respiratory Therapy Technician

% of Days 74%

1 Dietitian

% of Days 70%

1 Nurse Practitioner

% of Days 68%

1 Dental Services Staff

% of Days 67%

1 Administrator

% of Days 66%

1 Other Dietary Services Staff

% of Days 65%

3 Physical Therapy Assistant

% of Days 74%

2 Qualified Social Worker

% of Days 72%

1 Medical Director

% of Days 28%

1 Occupational Therapy Assistant

% of Days 17%

1 Speech Language Pathologist

% of Days 1%

View All Staffing Data

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 17.1

63% worse than State average

State average: 10.5

Functional decline score 31.2

65% worse 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 22.1%

31% worse than State average

State average: 16.8%

Walking Ability Worsened 46.4%

136% worse than State average

State average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence 25.3%

23% worse than State average

State average: 20.5%

Falls with Major Injury 5.5%

47% worse than State average

State average: 3.8%

High Risk Residents with Pressure Ulcers 3.6%

38% better than State average

State average: 5.8%

Urinary Tract Infection 2.5%

32% worse than State average

State average: 1.9%

Lost Too Much Weight 7.9%

17% worse than State average

State average: 6.8%

Depressive Symptoms 7.0%

51% better than State average

State average: 14.3%

Antipsychotic Use 5.0%

68% better than State average

State average: 15.6%

Pneumococcal Vaccine 98.2%

5% better than State average

State average: 93.9%

Influenza Vaccine 100.0%

In line with State average

State average: 96.2%

Hospitalizations per 1,000 days 0.95

49% better than State average

State average: 1.87

ED visits per 1,000 days 0.86

61% better than State average

State average: 2.19

Short-stay resident measures

Above average State avg: 2.2

Pneumococcal Vaccine 91.3%

9% better than State average

State average: 83.7%

Antipsychotic medication increase 0.7%

65% better than State average

State average: 1.9%

Influenza Vaccine 93.2%

12% better than State average

State average: 83.6%

Re-hospitalized after SNF stay 33.6%

37% worse than State average

State average: 24.5%

Emergency department visits 7.6%

45% better than State average

State average: 13.9%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 73.9%

38% better than State average

State average: 53.7%

Successful return to home or community 44.2%

13% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

27% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

65% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

7% of new residents, often for long-term daily care.

Typical stay 2 years

Total residents 46

Medicare

2.2% of residents

Medicaid

65.2% of residents

Private pay or other

32.6% of residents

Programs & Services

Residents Group

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

Nurse Aide Training

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

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 Prestonsburg Health Care Center from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 82.3% ↓ 1.1pp vs 2022

Net Patient Income $1.5M ↑ ~$242.5K vs 2022

Payroll Costs $2.4M ↓ ~$57.7K vs 2022

Operating Margin 21.2% ↑ 2.9pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	89.4%	89.7%	90.3%	90.9%	88.3%	90.5%	91.4%	91.0%	88.7%	82.0%	79.7%	83.4%	82.3%
Beds	56	56	56	56	56	56	56	56	56	56	56	56	56
Net Income	$676,941	$630,387	$316,864	$48,493	-$263,839	$12,121	-$514,481	$297,368	$132,755	$558,647	$880,029	$1,411,523	$1,459,329
Gross Revenue	$5,047,111	$5,686,216	$6,451,309	$6,429,728	$6,437,844	$6,368,909	$5,975,845	$5,795,865	$6,259,185	$5,960,253	$5,820,318	$6,010,201	$6,058,868
Operating Expenses	$4,340,534	$4,375,174	$4,654,211	$4,923,253	$5,137,018	$4,939,400	$5,159,224	$4,594,209	$4,687,663	$5,101,715	$5,146,199	$5,413,967	$5,397,471
Net Patient Income	$674,167	$627,539	$314,632	$46,653	-$265,676	-$3,315	-$517,916	-$16,817	$132,599	$520,501	$652,959	$1,207,884	$1,450,356
Net Patient Revenue	$5,014,701	$5,002,713	$4,968,843	$4,969,906	$4,871,342	$4,936,085	$4,641,308	$4,577,392	$4,820,262	$5,622,216	$5,799,158	$6,621,851	$6,847,827
Payroll Costs	$2,106,753	$2,449,494	$2,111,170	$2,066,921	$2,242,773	$2,111,706	$2,212,246	$2,209,508	$2,169,114	$2,194,472	$2,275,695	$2,455,748	$2,398,006
Operating Margin %	13.4%	12.5%	6.3%	0.9%	-5.5%	-0.1%	-11.2%	-0.4%	2.8%	9.3%	11.3%	18.2%	21.2%
Medicare %	30.4%	27.9%	24.8%	23.6%	22.8%	26.7%	18.2%	17.1%	17.0%	20.2%	13.5%	13.5%	8.5%
Medicaid %	64.4%	67.9%	67.7%	71.6%	71.8%	67.4%	76.1%	75.7%	67.9%	58.7%	45.2%	39.9%	48.9%
Private %	5.1%	4.2%	7.5%	4.7%	5.4%	5.9%	5.8%	7.2%	15.1%	21.1%	41.3%	46.5%	42.6%
Net Patient Revenue/Day	$275	$272	$269	$268	$270	$266	$249	$246	$266	$334	$356	$388	$407
Cost/Day	$238	$238	$252	$265	$285	$266	$276	$247	$259	$303	$316	$318	$321
Avg Length of Stay	113.4 days	125.1 days	179.3 days	218.5 days	149.1 days	178.4 days	219.7 days	177.2 days	82.8 days	71.8 days	84.8 days	99.7 days	107.8 days

Finances and operations

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

Net patient revenue

$6.8M

Net patient income

$1.5M

For-profit Operated by a single business entity.

Net patient revenue

$6.8M

Net patient income

$1.5M

Other income

$9.0K

Payroll costs

$2.4M 35% of net patient revenue

Other operating costs

$3.0M

Total costs

$5.4M

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (65% of admissions), and a typical private pay stay runs around 2 - 3 months.

Coverage residents most often arrive under.

Medicare 27%

Private pay 65%

Medicaid 7%

Coverage residents most often leave under.

Medicare 26%

Private pay 58%

Medicaid 17%

3.6 miles from city center Estimated distance in miles from Prestonsburg's city center to Prestonsburg Health Care Center'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.


Prestonsburg Health Care Center	NH HC MC PC	Prestonsburg	-	56	-	7	-
Madonna Manor	NH AL IL MC	Villa Hills	-	64	-	4	1 Bed / 2 Bed
Berea Health and Rehabilitation	NH	Berea	-	84	-	57	-
Signature Healthcare of Monroe County Rehab and Well	NH HC PC RC	Tompkinsville	-	104	-	53	-
Lee County Care and Rehabilitation Center	NH HC MC PC RC	Beattyville	-	109	-	42	-

Nursing Home Explorer

Who is the owner of Prestonsburg Health Care Center?

Prestonsburg Health Care Center is legally operated by Lp Prestonsburg, Llc, and administered by Lynn Watts.

Is Prestonsburg Health Care Center in a walkable area?

Prestonsburg Health Care Center has a walk score of 7. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Prestonsburg Health Care Center?

According to KY state health department records, Prestonsburg Health Care Center's license number is 100126.

What is the occupancy rate at Prestonsburg Health Care Center?

Prestonsburg Health Care Center's occupancy is 82%.

Does Prestonsburg Health Care Center operate as a for-profit or non-profit?

Prestonsburg Health Care Center is registered as a for-profit in KY.

Who is the administrator of Prestonsburg Health Care Center?

Lynn Watts is the administrator of Prestonsburg Health Care Center.

How many beds does Prestonsburg Health Care Center have?

Prestonsburg Health Care Center has 56 beds.

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Prestonsburg Health Care Center

Overview of Prestonsburg Health Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Amenities & Lifestyle

Contact Prestonsburg Health Care Center

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.

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

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

35 Certified Nursing Assistant

6 Licensed Practical Nurse

13 Registered Nurse

7 Clinical Nurse Specialist

3 Medication Aide/Technician

2 Respiratory Therapy Technician

1 Dietitian

1 Nurse Practitioner

1 Dental Services Staff

1 Administrator

1 Other Dietary Services Staff

3 Physical Therapy Assistant

2 Qualified Social Worker

1 Medical Director

1 Occupational Therapy Assistant

1 Speech Language Pathologist

Penalties and fines

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

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

Places of interest near Prestonsburg Health Care Center

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