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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.
Christian Heights Nursing and Rehabilitation Center is a 60-bed facility at 124 West Nashville Street in Pembroke, Kentucky. Operated by Pembroke Operating Company, LLC (License #100069), the center serves Christian County and the Hopkinsville area, accepting both Medicare and Medicaid.
The facility reports direct care staffing levels that exceed state averages in some categories, though clinical oversight remains below par. LPN hours are 58 minutes per resident per day (18% above the Kentucky average) and nurse aide hours are 2 hours and 33 minutes (5% above average). However, RN hours are 24 minutes per day—48% below the state average of 46 minutes—and weekend RN hours are 13 minutes, 58% below the state benchmark. Physical therapy hours are recorded at 1 minute per day, which is 75% below the state average.
Quality measures indicate significant clinical concerns regarding acute care utilization. Long-stay hospitalizations are 3.73 per 1,000 resident days—99% worse than the Kentucky average of 1.87. Long-stay emergency department (ED) visits are 4.70 per 1,000 days, 115% worse than the state average of 2.19. These figures represent residents being hospitalized or sent to the ED at approximately double the state rate.
The Kentucky Cabinet for Health and Family Services oversees inspections. Christian Heights maintains a citations-per-inspection rate of 2.0, which is 57% better than the Kentucky average of 4.7. A February 21, 2025, recertification survey identified two deficiencies involving food storage safety and physical environment issues, such as peeling paint and malfunctioning toilets. A November 25, 2025 survey found the facility in full compliance with zero deficiencies, indicating these issues were resolved. No civil money penalties or enforcement actions have been recorded for the 2024–2026 period. Occupancy is 93%, well above the state average of 81.3%.
Service programs include short-term and long-term rehabilitation, memory care, wound care, and medication management. Amenities feature activities programming and 24-hour staffing in a city-center location with a Walk Score of 31. Since specific monthly pricing for nursing care is not provided in public records, request a current fee schedule during a facility tour.
Prospective residents seeking high-occupancy care with an improving compliance record should carefully weigh the severely elevated hospitalization and emergency department visit rates. It is recommended that individuals ask the administrator directly about clinical initiatives to reduce acute care utilization and observe the physical plant repairs during an in-person visit 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.
This home is ranked 35th out of 184 homes in Kentucky for nurse hours. 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.
| 25m per day | ▼ 45% 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.
| 57m per day | ▲ 16% 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 7m per day | ▼ 13% 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 46m per day | ▼ 21% 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 | ▼ 83% 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.
| 14m per day | ▼ 56% State avg: 31m per day · National avg: 28m per day |
Higher than the Kentucky average: 81.3%Christian Heights Nursing and Rehabilitation Center is administrated by Tyler Rummage.
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, citation, 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.
| 8 | 6 | This facility has 33% more total deficiencies than a typical Kentucky nursing home (8 vs. KY avg 6).↑ 33% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 1 | 0.8 | This facility has 25% more deficiencies per year than a typical Kentucky nursing home (1 vs. KY avg 0.8).↑ 25% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Kentucky average 2.9
Last Health inspection on Feb 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.
2 of 4 citations resulted from standard inspections; and 2 of 4 came from combined inspections (standard and complaint).
9% better than Kentucky averageKentucky average: 1.1
100% better than Kentucky averageKentucky average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
11% fewer staff per resident than Kentucky average
0% compared with Kentucky average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
6 total: 3 full-time employees and 3 contractors.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.9 hoursAssists with medical care and medications.
All 17 LPN Staff are full-time employees. No contractors work on this role.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursHelps with daily care and mobility.
All 31 CNA Staff are full-time employees. No contractors work on this role.
31
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,904 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 31 | 0 | 31 | 10,661 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 17 | 0 | 17 | 4,098 | 92 | 100% | 9.3 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,180 | 85 | 92% | 6.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 892 | 70 | 76% | 7.7 |
| RN Director of Nursing | 2 | 0 | 2 | 790 | 60 | 65% | 8 |
| Registered Nurse | 3 | 3 | 6 | 784 | 64 | 70% | 10.9 |
| Speech Language Pathologist | 0 | 4 | 4 | 734 | 72 | 78% | 6.2 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 64 | 70% | 7.8 |
| Qualified Social Worker | 0 | 3 | 3 | 481 | 68 | 74% | 7.1 |
| Administrator | 1 | 0 | 1 | 452 | 57 | 62% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 429 | 58 | 63% | 7.4 |
| Physical Therapy Aide | 0 | 4 | 4 | 415 | 66 | 72% | 6.2 |
| Medication Aide/Technician | 2 | 0 | 2 | 305 | 39 | 42% | 7.8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 70 | 29 | 32% | 2.4 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 59 | 22 | 24% | 2.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 53 | 7 | 8% | 7.5 |
| Medical Director | 0 | 1 | 1 | 12 | 3 | 3% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 8 | 1 | 1% | 8 |
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.
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 Kentucky averageKentucky average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.0
63% worse 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
32.2%
91% worse than Kentucky averageKentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
30.7%
57% worse than Kentucky averageKentucky average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.0%
46% worse than Kentucky averageKentucky average: 20.5%
Percent of long-stay residents experiencing one or more falls with major injury
5.1%
34% worse than Kentucky averageKentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
8.8%
52% worse than Kentucky averageKentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
0.9%
50% better than Kentucky averageKentucky average: 1.9%
Percent of long-stay residents who lose too much weight
4.8%
30% better than Kentucky averageKentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
12.4%
13% better than Kentucky averageKentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
31.4%
102% worse than Kentucky averageKentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
5% better than Kentucky averageKentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
In line with Kentucky averageKentucky average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
3.73
99% worse than Kentucky averageKentucky average: 1.87
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.70
115% worse than Kentucky averageKentucky average: 2.19
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.0%
In line with 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
85.7%
In line with Kentucky averageKentucky average: 83.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
22% of new residents, usually for short-term rehab.
32% of new residents, often for short stays.
46% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
56Residents 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.
Historical financial and operational data for Christian Heights Nursing and Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #122 / 188Payroll — State benchmarkedThis home is ranked 122nd out of 188 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
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.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Pembroke's city center to Christian Heights Nursing and Rehabilitation Center's address, calculated via Google Maps.
Add your location
Christian Heights Nursing and Rehabilitation Center is located in PEMBROKE, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.
The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
| Twin Rivers Nursing And Rehab 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).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NC Nursing Care
PC Palliative Care
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Owensboro | 132
Facility
132
KY AVG
82
Rank
#36 / 341 |
72.7%
Facility
72.7%
KY AVG
81.3%
Rank
#167 / 202 | -11% | 3.39
Facility
3.39
KY AVG
3.75
Rank
#74 / 184 | -6% | -10% | $0
Facility
$0
KY AVG
$65.4k
Rank
#144 / 190 | 18
Facility
18
KY AVG
13.5
Rank
#139 / 186 | 9.0
Facility
9.0
KY AVG
4.4
Rank
#181 / 186 | - | 93 | A+ |
52
Facility
52
KY AVG
41
Rank
#147 / 423 | Myra Raymer | $9.2M
Facility
$9.2M
KY AVG
$10.5M
Rank
#119 / 188 | $6.5M
Facility
$6.5M
KY AVG
$4.0M
Rank
#47 / 188 | 71.2%
Facility
71.2%
KY AVG
40.7%
Rank
#6 / 188 | 185087 | ||||
| Carespring – Barrington of Fort Thomas |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Fort Thomas | 110
Facility
110
KY AVG
82
Rank
#70 / 341 |
85.2%
Facility
85.2%
KY AVG
81.3%
Rank
#110 / 202 | +5% | 3.16
Facility
3.16
KY AVG
3.75
Rank
#111 / 184 | -23% | -16% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 190 | 10
Facility
10
KY AVG
13.5
Rank
#77 / 186 | 3.3
Facility
3.3
KY AVG
4.4
Rank
#64 / 186 | - | 134 | A+ |
48
Facility
48
KY AVG
41
Rank
#176 / 423 | Carespring Health Care Holdings LP | $18.5M
Facility
$18.5M
KY AVG
$10.5M
Rank
#15 / 188 | $8.2M
Facility
$8.2M
KY AVG
$4.0M
Rank
#23 / 188 | 44.4%
Facility
44.4%
KY AVG
40.7%
Rank
#101 / 188 | 185383 | ||||
| The Willows at Springhurst |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Louisville | 62
Facility
62
KY AVG
82
Rank
#218 / 341 |
83.7%
Facility
83.7%
KY AVG
81.3%
Rank
#116 / 202 | +3% | 3.32
Facility
3.32
KY AVG
3.75
Rank
#90 / 184 | -24% | -12% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 190 | 17
Facility
17
KY AVG
13.5
Rank
#131 / 186 | 5.7
Facility
5.7
KY AVG
4.4
Rank
#143 / 186 | - | 48 | A+ |
34
Facility
34
KY AVG
41
Rank
#261 / 423 | Carla Sieckert | $14.5M
Facility
$14.5M
KY AVG
$10.5M
Rank
#39 / 188 | $8.3M
Facility
$8.3M
KY AVG
$4.0M
Rank
#22 / 188 | 57%
Facility
57%
KY AVG
40.7%
Rank
#40 / 188 | 185305 | ||||
| Sayre Christian Village |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Lexington (Belleau Wood) | 164
Facility
164
KY AVG
82
Rank
#15 / 341 |
98.8%
Facility
98.8%
KY AVG
81.3%
Rank
#11 / 202 | +22% | 4.42
Facility
4.42
KY AVG
3.75
Rank
#20 / 184 | -17% | +18% | $7.9k
Facility
$7.9k
KY AVG
$65.4k
Rank
#134 / 190 | 20
Facility
20
KY AVG
13.5
Rank
#151 / 186 | 5.0
Facility
5.0
KY AVG
4.4
Rank
#123 / 186 | 2 | 155 | - |
43
Facility
43
KY AVG
41
Rank
#206 / 423 | Christian Benevolent Outreach, Inc. | $19.0M
Facility
$19.0M
KY AVG
$10.5M
Rank
#13 / 188 | $11.8M
Facility
$11.8M
KY AVG
$4.0M
Rank
#7 / 188 | 61.8%
Facility
61.8%
KY AVG
40.7%
Rank
#16 / 188 | 185248 | ||||
| Christian Heights 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).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
PC Palliative Care
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Pembroke | 60
Facility
60
KY AVG
82
Rank
#223 / 341 |
93.3%
Facility
93.3%
KY AVG
81.3%
Rank
#46 / 202 | +15% | 3.93
Facility
3.93
KY AVG
3.75
Rank
#35 / 184 | -35% | +5% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 190 | 4
Facility
4
KY AVG
13.5
Rank
#11 / 186 | 1.3
Facility
1.3
KY AVG
4.4
Rank
#7 / 186 | 1 | 56 | - |
31
Facility
31
KY AVG
41
Rank
#277 / 423 | Tyler Rummage | $5.6M
Facility
$5.6M
KY AVG
$10.5M
Rank
#170 / 188 | $4.0M
Facility
$4.0M
KY AVG
$4.0M
Rank
#122 / 188 | 70.6%
Facility
70.6%
KY AVG
40.7%
Rank
#7 / 188 | 185338 |
The legal owner and operator of Christian Heights Nursing and Rehabilitation Center is Pembroke Operating Company, Llc.
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.
According to KY state health department records, Christian Heights Nursing and Rehabilitation Center's license number is 100069.
According to KY state health department records, Christian Heights Nursing and Rehabilitation Center's license expires on May 31, 2026.
Christian Heights Nursing and Rehabilitation Center's occupancy is 93%.
Tyler Rummage is the administrator of Christian Heights Nursing and Rehabilitation Center.
Christian Heights Nursing and Rehabilitation Center has 60 beds.
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