Christian Heights Nursing and Rehabilitation Center
Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Pembroke, 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.

Christian Heights Nursing and Rehabilitation Center

Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Pembroke, 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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Christian Heights Nursing and Rehabilitation Center 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 2018 · 8 years of data 8 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 2018 vs. Kentucky state average
Overall vs. KY average 2 Worse Metrics worse than Kentucky average:
• Total deficiencies (33% above)
• Deficiencies per year (25% above)
0 Better No metrics in this bucket.
Latest Inspection November 25, 2025 Abbreviated Survey

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. 86 This facility has 33% more total deficiencies than a typical Kentucky assisted living residence (8 vs. KY avg 6).↑ 33% worse
Deficiencies per year Info Average deficiencies per year since 2018. 10.8 This facility has 25% more deficiencies per year than a typical Kentucky assisted living residence (1 vs. KY avg 0.8).↑ 25% worse

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

  • November 25, 2025 inspection found no deficiencies and confirmed substantial compliance with federal regulations.
  • February 21, 2025 survey cited two deficiencies for food safety violations and unsafe, unsanitary environmental conditions affecting up to 56 residents.
  • Deficiency themes in early 2025 included improper food storage temperatures and facility maintenance issues like broken floor tiles and malfunctioning toilets.

Health Inspection History

Inspections since 2018
Total health inspections 3

State average N/A


Last Health inspection on Feb 2025

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
1.33 Rank #7 / 193Citations per inspection — State benchmarkedThis home is ranked 7th 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.

2 of 4 citations resulted from standard inspections; and 2 of 4 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 8 years)
Critical health citations
1
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

1 critical citation State average: N/A

0 serious citations State average: N/A

3 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 8 years)
Environmental moderate citation Feb 21, 2025
Corrected

Nutrition moderate citation Feb 21, 2025
Corrected

Quality of Care critical citation Jan 09, 2020
Corrected

Care Planning moderate citation Nov 01, 2018
Corrected

Staffing Data

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

Total staff 86
Employees 63
Contractors 23
Staff to resident ratio 1.54 : 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) 21,919

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 6 total: 3 full-time employees and 3 contractors. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 17 LPN Staff are full-time employees. No contractors work on this role. 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 31 CNA Staff are full-time employees. No contractors work on this role. 31
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 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

8.7%

1,904 contractor hours this quarter

Speech Language Pathologist: 4 Physical Therapy Aide: 4 Respiratory Therapy Technician: 3 Qualified Social Worker: 3 Registered Nurse: 3 Physical Therapy Assistant: 3 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1

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 Assistant3103110,66192100%9.1
Licensed Practical Nurse170174,09892100%9.3
Other Dietary Services Staff3031,1808592%6.7
Clinical Nurse Specialist2028927076%7.7
RN Director of Nursing2027906065%8
Registered Nurse3367846470%10.9
Speech Language Pathologist0447347278%6.2
Nurse Practitioner1014966470%7.8
Qualified Social Worker0334816874%7.1
Administrator1014525762%7.9
Mental Health Service Worker1014295863%7.4
Physical Therapy Aide0444156672%6.2
Medication Aide/Technician2023053942%7.8
Physical Therapy Assistant033702932%2.4
Respiratory Therapy Technician033592224%2.7
Occupational Therapy Aide0115378%7.5
Medical Director0111233%4
Occupational Therapy Assistant011811%8
31 Certified Nursing Assistant
% of Days 100%
17 Licensed Practical Nurse
% of Days 100%
3 Other Dietary Services Staff
% of Days 92%
2 Clinical Nurse Specialist
% of Days 76%
2 RN Director of Nursing
% of Days 65%
6 Registered Nurse
% of Days 70%
4 Speech Language Pathologist
% of Days 78%
1 Nurse Practitioner
% of Days 70%
3 Qualified Social Worker
% of Days 74%
1 Administrator
% of Days 62%
1 Mental Health Service Worker
% of Days 63%
4 Physical Therapy Aide
% of Days 72%
2 Medication Aide/Technician
% of Days 42%
3 Physical Therapy Assistant
% of Days 32%
3 Respiratory Therapy Technician
% of Days 24%
1 Occupational Therapy Aide
% of Days 8%
1 Medical Director
% of Days 3%
1 Occupational Therapy Assistant
% of Days 1%

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. 16.3
55% worse 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. 31.0
63% worse than State average

State average: 18.9

Long-stay resident measures
Significantly below average 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 32.2%
91% worse than State average

State average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 30.7%
57% worse 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 30.0%
46% worse 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 5.1%
34% 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 8.8%
52% worse than State average

State average: 5.8%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.9%
50% better than State average

State average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.8%
30% better than State average

State average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 12.4%
13% better than State average

State average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 31.4%
102% worse than State average

State average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.6%
5% better than State average

State average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.6%
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. 3.73
99% 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. 4.70
115% worse than State average

State average: 2.19

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 80.0%
In line with State average

State average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 85.7%
In line with State average

State average: 83.6%

Breakdown by payment type

Medicare

22% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

32% of new residents, often for short stays.

Typical stay 1 months

Medicaid

46% of new residents, often for long-term daily care.

Typical stay 7 - 8 months

Facility Characteristics

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

Total residents 56
Medicare
4
7.1% of residents
Medicaid
51
91.1% of residents
Private pay or other
1
1.8% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, 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."
$6.0M
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."
-$260.0K
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."
$6.0M Rank #177 / 194Revenue — State benchmarkedThis home is ranked 177th 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."
-$260.0K
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.
$151.0K
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 #127 / 194Payroll — State benchmarkedThis home is ranked 127th 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.
$2.8M 47.2% 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 #9 / 194Payroll % — State benchmarkedThis home is ranked 9th 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).
$3.4M
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).
$6.3M

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 (46% of admissions), and a typical Medicaid stay runs around 7 - 8 months.

Admissions
154 total

Coverage residents most often arrive under.

Medicare 22%
Private pay 32%
Medicaid 46%
Discharges
153 total

Coverage residents most often leave under.

Medicare 15%
Private pay 25%
Medicaid 60%

Places of interest near Christian Heights Nursing and Rehabilitation Center

Address 0.0 miles from city center Info Estimated distance in miles from Pembroke's city center to Christian Heights Nursing and Rehabilitation Center's address, calculated via Google Maps.

Calculate Travel Distance to Christian Heights Nursing and Rehabilitation Center

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Frequently Asked Questions about Christian Heights Nursing and Rehabilitation Center

Who is the owner of Christian Heights Nursing and Rehabilitation Center?

Christian Heights Nursing and Rehabilitation Center is legally operated by Pembroke Operating Company, LLC, and administered by Tyler Rummage.

Is Christian Heights Nursing and Rehabilitation Center in a walkable area?

Christian Heights Nursing and Rehabilitation Center has a walk score of 31. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Christian Heights Nursing and Rehabilitation Center?

According to KY state health department records, Christian Heights Nursing and Rehabilitation Center's license number is 100069.

When does Christian Heights Nursing and Rehabilitation Center's license expire?

According to KY state health department records, Christian Heights Nursing and Rehabilitation Center's license expires on May 31, 2026.

What is the occupancy rate at Christian Heights Nursing and Rehabilitation Center?

Christian Heights Nursing and Rehabilitation Center's occupancy is 93%.

Are pets allowed at Christian Heights Nursing and Rehabilitation Center?

No, Christian Heights Nursing and Rehabilitation Center has a no-pet policy.

Does Christian Heights Nursing and Rehabilitation Center operate as a for-profit or non-profit?

Christian Heights Nursing and Rehabilitation Center is registered as a for-profit in KY.

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