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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.
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.
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.
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Offers a balance of services and community atmosphere.
Occupancy is moderate, suggesting balanced demand.
Most residents stay for extended periods and receive ongoing daily care.
33% of new residents, usually for short-term rehab.
27% of new residents, often for short stays.
40% 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Elkhorn Health & Rehabiliation is administrated by Tonya Rosser.
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.
The most recent inspection on April 2, 2025, found no deficiencies, confirming that previously identified issues had been corrected. Earlier inspections had noted deficiencies, but these were addressed by February 25, 2025, as verified during the follow-up survey. There were no complaint investigations or enforcement actions listed in the available reports. Prior deficiencies were resolved through an acceptable plan of correction. This indicates an improvement in compliance over time.
Kentucky average 2.9
Last Health inspection on Mar 2020
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 4 citations resulted from standard inspections.
0
100% better than Kentucky average
Kentucky average: 1.1
0
100% better than Kentucky average
Kentucky average: 0.6
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 11, 2020
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 11, 2020
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 11, 2020
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Mar 11, 2020
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.
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).
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.
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).
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.
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).
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.
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).
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.
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).
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.
198.7 miles from city center
945 WEST RUSSELL STREET, ELKHORN CITY, KY 41522
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
39% worse than Kentucky average
Kentucky average ratio: 1.75:1
5% better than Kentucky average
Kentucky 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.
8.9 hours
No 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.
10.1 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
No contractors work on this role.
Total hours from contractors
0 contractor hours this quarter
No contractor roles were reported this quarter.
| Certified Nursing Assistant | 47 | 0 | 47 | 14,808 | 91 | 100% | 9.7 |
| Licensed Practical Nurse | 13 | 0 | 13 | 5,014 | 91 | 100% | 10.1 |
| Registered Nurse | 12 | 0 | 12 | 3,262 | 91 | 100% | 8.9 |
| RN Director of Nursing | 4 | 0 | 4 | 2,023 | 77 | 85% | 8.2 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,395 | 79 | 87% | 7.7 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,074 | 80 | 88% | 6.8 |
| Other Dietary Services Staff | 6 | 0 | 6 | 961 | 88 | 97% | 6.9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 526 | 62 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 510 | 61 | 67% | 8.4 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Qualified Activities Professional | 1 | 0 | 1 | 485 | 60 | 66% | 8.1 |
| Qualified Social Worker | 2 | 0 | 2 | 484 | 65 | 71% | 7.2 |
| Administrator | 1 | 0 | 1 | 467 | 59 | 65% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 414 | 52 | 57% | 8 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 284 | 55 | 60% | 5.2 |
| Physical Therapy Assistant | 1 | 0 | 1 | 25 | 14 | 15% | 1.8 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of family members that meets regularly to discuss facility policies, resident care, 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.
9.2
12% better than Kentucky average
Kentucky average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.5
39% better than Kentucky average
Kentucky average: 18.9
Percent of long-stay residents whose need for help with daily activities has increased
11.7%
31% better than Kentucky average
Kentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
11.4%
42% better than Kentucky average
Kentucky average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.5%
44% better than Kentucky average
Kentucky average: 20.5%
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
71% worse than Kentucky average
Kentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
6.5%
13% worse than Kentucky average
Kentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Kentucky average
Kentucky average: 1.9%
Percent of long-stay residents who lose too much weight
9.8%
45% worse than Kentucky average
Kentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
55.3%
287% worse than Kentucky average
Kentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
13.0%
16% better than Kentucky average
Kentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
6% better than Kentucky average
Kentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.1%
In line with Kentucky average
Kentucky average: 96.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
18% better than Kentucky average
Kentucky average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
6.9%
257% worse than Kentucky average
Kentucky average: 1.9%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Historical financial and operational data for Elkhorn Health & Rehabiliation based on CMS SNF Cost Reports.
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