Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (54% of admissions), and a typical Medicaid stay runs around 6 - 7 months.
River Haven Nursing and Rehabilitation Center is a 103-bed facility at 867 McGuire Avenue in Paducah, Kentucky. Serving McCracken County, the center is operated by Paducah Operating Company, LLC and accepts Medicare and Medicaid.
The facility holds a 1-star overall CMS rating. Staffing figures show several gaps against Kentucky benchmarks: RN hours are 41 minutes per resident per day (11% below average), and weekend nursing coverage is 2 hours and 42 minutes per day (23% below average). Long-stay quality measures are currently rated 1 star, indicating significant clinical performance challenges compared to state and national norms.
The Kentucky Cabinet for Health and Family Services oversees inspections. River Haven maintains a citations-per-inspection rate of 2.0. An August 2025 complaint survey substantiated an abuse finding and cited deficiencies for mold in shower rooms and inadequate housekeeping. However, a follow-up survey in November 2025 found no deficiencies, indicating that the facility has addressed previous regulatory issues. Current occupancy is approximately 74%, which is slightly below the Kentucky average.
Service programs include skilled nursing, short-term and long-term rehabilitation, memory care, and respite care. The facility is located in a very walkable city-center area, allowing residents and visitors to access local amenities on foot. Amenities include on-site physician visits, wound care, and activity programming. Since specific monthly pricing is not provided in public records, families should request a current fee schedule during a facility tour.
Families seeking a conveniently located facility with an improving compliance record may find this environment appropriate. Those evaluating the center should weigh the low long-stay quality measures, the staffing gaps, particularly on weekends, and the August 2025 substantiated abuse finding alongside an in-person visit before making a placement decision.
River Haven Nursing and Rehabilitation Center is administered by Teresa Belt.
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.
Deficiencies
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total deficiencies
| 30 | 6 | This facility has 400% more total deficiencies than a typical Kentucky assisted living residence (30 vs. KY avg 6).↑ 400% worse |
|
Deficiencies per year
| 4.3 | 0.9 | This facility has 378% more deficiencies per year than a typical Kentucky assisted living residence (4.3 vs. KY avg 0.9).↑ 378% worse |
Kentucky average 2.9
Last Health inspection on Aug 2025
Kentucky average 13.5
Kentucky average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
26 of 29 citations resulted from standard inspections; and 3 of 29 resulted from complaint investigations.
Kentucky average: 1.1
Kentucky average: 0.6
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
3,738 contractor hours this quarter
| Certified Nursing Assistant | 48 | 0 | 48 | 13,182 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 12 | 3 | 15 | 3,671 | 92 | 100% | 8.4 |
| Registered Nurse | 9 | 6 | 15 | 3,404 | 92 | 100% | 9.8 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,782 | 88 | 96% | 8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,160 | 67 | 73% | 7.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 858 | 85 | 92% | 7.2 |
| Speech Language Pathologist | 0 | 3 | 3 | 765 | 69 | 75% | 6.6 |
| RN Director of Nursing | 2 | 0 | 2 | 659 | 63 | 68% | 7.9 |
| Dietitian | 1 | 0 | 1 | 582 | 69 | 75% | 8.4 |
| Physical Therapy Assistant | 0 | 2 | 2 | 528 | 70 | 76% | 7 |
| Physical Therapy Aide | 0 | 5 | 5 | 519 | 65 | 71% | 6.2 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 478 | 59 | 64% | 7.9 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 477 | 66 | 72% | 7.2 |
| Dental Services Staff | 1 | 0 | 1 | 461 | 64 | 70% | 7.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 448 | 57 | 62% | 7.9 |
| Qualified Social Worker | 0 | 2 | 2 | 430 | 66 | 72% | 6.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 112 | 14 | 15% | 8 |
| Medical Director | 0 | 2 | 2 | 112 | 13 | 14% | 7.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
Includes penalties issued in 2023
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 Jan 2026)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Nov 6, 2023 · $1K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
26% of new residents, usually for short-term rehab.
20% of new residents, often for short stays.
54% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for River Haven Nursing and Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (54% of admissions), and a typical Medicaid stay runs around 6 - 7 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Paducah's city center to River Haven Nursing and Rehabilitation Center's address, calculated via Google Maps.
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River Haven Nursing and Rehabilitation Center is located in PADUCAH, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.
River Haven Nursing and Rehabilitation Center is legally operated by Paducah Operating Company, LLC, and administered by Teresa Belt.
River Haven Nursing and Rehabilitation Center has a walk score of 70. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to KY state health department records, River Haven Nursing and Rehabilitation Center's license number is 100306.
According to KY state health department records, River Haven Nursing and Rehabilitation Center's license expires on May 31, 2026.
River Haven Nursing and Rehabilitation Center's occupancy is 74%.
River Haven Nursing and Rehabilitation Center is registered as a for-profit in KY.
Teresa Belt is the administrator of River Haven Nursing and Rehabilitation Center.
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