1/5
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.
1/5
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.
Mountain Ridge Health and Rehabilitation is a 60-bed facility at 1901 West Highway 90 in Monticello, Kentucky. Serving Wayne County, the center is operated by Monticello, KY Opco LLC and accepts Medicare and Medicaid.
The facility currently has no displayed CMS star rating. Staffing levels show significant gaps: RN hours are 18 minutes per resident per day (61% below the state average), and physical therapy hours are 75% below the Kentucky benchmark. While LPN hours are a relative strength at 14% above the state average, weekend RN coverage drops to 13 minutes per day. Long-stay quality measures indicate an emergency department visit rate of 4.86 per 1,000 resident days, which is 122% higher than the Kentucky average.
The Kentucky Cabinet for Health and Family Services oversees inspections. Mountain Ridge maintains a citations-per-inspection rate of zero based on its most recent abbreviated complaint survey in January 2025. No civil money penalties or license suspensions have been recorded in the past three years. Current occupancy aligns with the Kentucky average of 81.3%.
Service programs include short-term and long-term rehabilitation, memory care, and respiratory care. The facility provides 24/7 therapy evaluations, wound care, and psychiatric services. Amenities include private rehabilitation suites, a communal courtyard, and WiFi. Since specific monthly pricing is not provided in public records, families should request a current fee schedule during a facility tour.
Those seeking a smaller facility with a broad clinical menu and strong LPN presence may find this environment appropriate. Due to the high long-stay emergency department visit rate and significant RN staffing gaps, an in-person visit is recommended to evaluate clinical oversight and emergency protocols before making a placement decision.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
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.
| 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.
| 20m per day | ▼ 56% 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.
| 53m per day | ▲ 9% 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.
| 1h 56m per day | ▼ 21% 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 43m per day | ▼ 22% 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.
| 1m per day | ▼ 68% 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.
| 12m per day | ▼ 60% State avg: 31m per day · National avg: 28m per day |
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.
Mountain Ridge Health and Rehabilitation is administered by Jessica Metcalf.
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.
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
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 0 | 6 | This facility has 100% fewer total deficiencies than a typical Kentucky assisted living residence (0 vs. KY avg 6).↓ 100% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
1.89
In line with State averageState average: 1.87
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.86
122% worse than State averageState average: 2.19
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
29% of new residents, usually for short-term rehab.
16% of new residents, often for short stays.
55% of new residents, often for long-term daily care.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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."
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."
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."
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."
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.
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 #178 / 194Payroll — State benchmarkedThis home is ranked 178th 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.
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 #63 / 194Payroll % — State benchmarkedThis home is ranked 63rd 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.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (55% of admissions), and a typical Medicaid stay runs around 2 - 3 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Monticello's city center to Mountain Ridge Health 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 |
Mountain Ridge Health and Rehabilitation is legally operated by Monticello Ky Opco LLC, and administered by Jessica Metcalf.
Mountain Ridge Health and Rehabilitation has a walk score of 43. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to KY state health department records, Mountain Ridge Health and Rehabilitation's license number is 100485.
According to KY state health department records, Mountain Ridge Health and Rehabilitation's license expires on November 30, 2026.
Mountain Ridge Health and Rehabilitation's occupancy is 93.8%.
No, Mountain Ridge Health and Rehabilitation has a no-pet policy.
Mountain Ridge Health and Rehabilitation is registered as a for-profit in KY.
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