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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
This home is ranked 103rd out of 170 homes in Kentucky.| Staff type | Hours / day | 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.
| 38m per day | ▼ 17% 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.
| 47m per day | ▼ 4% 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 48m per day | ▼ 26% State avg: 2h 26m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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 36m per day | ▼ 26% 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 | ▼ 75% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 26m per day | ▼ 16% State avg: 31m per day · National avg: 28m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
20% of new residents, usually for short-term rehab.
44% of new residents, often for short stays.
35% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #160 / 173Payroll — state benchmarkedThis home is ranked 160th out of 173 homes in Kentucky.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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Similar to the Kentucky average: 81.3%Bedford Springs Health and Rehabilitation is administrated by Kaijon Hawley.
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.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Kentucky average: 6 deficiencies
The most recent inspection on April 9, 2025, identified deficiencies related to emergency preparedness and life safety code compliance. Earlier inspections were not provided for comparison, so it is unclear if these issues represent a new or ongoing pattern. The main deficiencies involved failure to maintain and update emergency preparedness plans and communication, as well as life safety concerns including delayed egress door alarms and noncompliant portable space heaters. No complaint investigations or enforcement actions such as fines or license suspensions were listed in the available reports. The facility achieved substantial compliance shortly after this inspection, indicating corrective actions were implemented.
Kentucky average 2.9
Last Health inspection on Nov 2019
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.
All 8 citations resulted from standard inspections.
100% better than Kentucky averageKentucky average: 1.1
0
100% better than Kentucky averageKentucky average: 0.6
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 08, 2019
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 08, 2019
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Nov 08, 2019
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 13, 2018
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Bedford Springs Health and Rehabilitation is located in BEDFORD, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.
0.0 miles from city center
Estimated distance in miles from BEDFORD's city center to Bedford Springs Health and Rehabilitation's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with Kentucky averageKentucky average ratio: 1.75:1
5% worse than Kentucky averageKentucky average: 8.5 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Total hours from contractors
1,335 contractor hours this quarter
| Certified Nursing Assistant | 31 | 1 | 32 | 6,490 | 91 | 100% | 8.5 |
| Licensed Practical Nurse | 9 | 2 | 11 | 3,128 | 91 | 100% | 9.1 |
| Registered Nurse | 9 | 0 | 9 | 1,388 | 88 | 97% | 7.7 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,099 | 68 | 75% | 7.9 |
| Medication Aide/Technician | 4 | 0 | 4 | 864 | 53 | 58% | 8.7 |
| RN Director of Nursing | 2 | 0 | 2 | 542 | 63 | 69% | 8 |
| Physical Therapy Aide | 0 | 2 | 2 | 504 | 65 | 71% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 442 | 56 | 62% | 7.9 |
| Administrator | 1 | 0 | 1 | 424 | 53 | 58% | 8 |
| Speech Language Pathologist | 0 | 1 | 1 | 362 | 60 | 66% | 6 |
| Physical Therapy Assistant | 0 | 3 | 3 | 254 | 52 | 57% | 4.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 236 | 31 | 34% | 7.6 |
| Dietitian | 1 | 0 | 1 | 233 | 26 | 29% | 9 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 104 | 44 | 48% | 2.4 |
| Qualified Social Worker | 0 | 3 | 3 | 76 | 36 | 40% | 2.1 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
46Residents 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.5
57% better than Kentucky averageKentucky average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.0
47% better than Kentucky averageKentucky average: 18.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
6.6%
61% better than Kentucky averageKentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
2.9%
85% better than Kentucky averageKentucky average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.4%
In line with Kentucky averageKentucky average: 20.5%
Percent of long-stay residents experiencing one or more falls with major injury
5.1%
37% worse than Kentucky averageKentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
2.5%
56% better than Kentucky averageKentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Percent of long-stay residents who lose too much weight
5.4%
20% better than Kentucky averageKentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Kentucky averageKentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
1.9%
88% better than Kentucky averageKentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Kentucky averageKentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Kentucky averageKentucky average: 96.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
16% better than Kentucky averageKentucky average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.0%
16% better than Kentucky averageKentucky average: 83.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
| Bedford Springs Health and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bedford | 60 | 82.1% | +1% | 3.16 | +13% | -16% | 0 | 8 | 4.0 | 0 | 48 | - | Hawley, Kaijon | $4.9M | $1.9M | 39.1% | 185358 | ||||
| Barren County Nursing and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Glasgow | 94 | 82.7% | +2% | 3.22 | -36% | -14% | 1 | 11 | 3.7 | 0 | 88 | - | Herbstman, Moshe | $8.6M | $2.8M | 32.7% | 185229 | ||||
| Auburn Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Auburn | 66 | 62.0% | -24% | 1.44 | -49% | -62% | 0 | 13 | 3.3 | 0 | 50 | - | Bolster, Nancy | $4.0M | $1.8M | 44.8% | 185049 | ||||
| Beaver Dam Nursing and Rehab Center, Inc |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Beaver Dam | 71 | 84.3% | +4% | - | -7% | - | 0 | 9 | 3.0 | 0 | 54 | - | - | $7.0M | $3.4M | 47.7% | 185334 | ||||
| Bardstown Heatlh & Rehabilitation | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bardstown | 100 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - |
Historical financial and operational data for Bedford Springs Health and Rehabilitation based on CMS SNF Cost Reports.
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