Nursing Home

Elkhorn Health & Rehabiliation

Nursing Home

Elkhorn Health & Rehabiliation

ELKHORN CITY, KY 41522 View map
Overview of Elkhorn Health & Rehabiliation
Elkhorn Health & Rehabilitation offers an advanced approach to short-term rehab and long-term care. The facility focuses on personalized care plans and state-of-the-art treatments in a supportive environment. It is committed to helping residents reach their full recovery potential.
(606) 754-4134

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
3/5
Kentucky average: 2.8/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
5/5
Kentucky average: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Kentucky average: 2.4/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
1/5
Kentucky average: 2.9/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
2h 18m per day

This home provides 33% less nursing time per resident than the Kentucky average.

Kentucky average: 3h 27m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 106

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Kentucky average
Occupancy rate 91.7%
Residents per day (avg) 99
Occupancy rate
91.7%
Residents per day (avg)
99

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

33% of new residents, usually for short-term rehab.

Typical stay 2 - 3 years

Private pay

27% of new residents, often for short stays.

Typical stay 3 - 4 years

Medicaid

40% of new residents, often for long-term daily care.

Typical stay 11 - 12 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$14.0M
Profit
$1.5M
Privately-owned community Operated by a business corporation.
Home revenue
$13,993,079.00
Profit
$1,535,581.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.5M
24.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$9.0M
Total costs $12.5M
Bed community size
106-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

License details

Facility type
Long Term Care (nursing Facility)
Status Active
Issuance December 1, 2025
County: PIKE

Additional licensing details

License number: 100521
CMS Certification Number: 185230

Ownership & operating entity

Elkhorn Health & Rehabiliation is administrated by TONYA ROSSER.

Owner name: ELKHORN SNF OPERATIONS LLC

Care Services

Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

Programs & Activities

Specific Programs
Short-Term Rehab, Long-Term Care, 24/7 Nursing Care, Assistance with Daily Living, Respite Care, Speech Therapy, Physical Therapy, Occupational Therapy, Wound Care, Tracheostomy Care, Orthopedic Rehab, Post-Surgical Care, Pulmonary Care, Bariatric Care, Oncology Care, Hospice Care

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.

1 visit/inspection

Latest inspection

Date:April 2, 2025
Type:Follow Up

Inspection Report Summary for Elkhorn Health & Rehabiliation

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.

Health Inspection History

Inspections
Total health inspections 1

Kentucky average 2.9


Last Health inspection on Mar 2020

Total health citations 4
Citations per inspection
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.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Kentucky average

Kentucky average: 1.1


Serious Health citations More info 0
100% better than Kentucky average

Kentucky average: 0.6

0 critical citations More info Kentucky average: 1.1

0 serious citations More info Kentucky average: 0.6

4 moderate citations More info Kentucky average: 11.6

0 minor citations More info Kentucky average: 0.1
Citations history (last 3 years)
Quality of Care moderate citation Mar 11, 2020
Corrected

Care Planning moderate citation Mar 11, 2020
Corrected

Care Planning moderate citation Mar 11, 2020
Corrected

Resident Rights moderate citation Mar 11, 2020
Corrected

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The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
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Nursing Home 24/7 care needed

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Places of interest near Elkhorn Health & Rehabiliation

Address 198.7 miles from city center

Address ELKHORN CITY, KY 41522

Calculate Travel Distance to Elkhorn Health & Rehabiliation

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

103
Total Staff
103
Employees
0
Contractors
32,236
Total Hours (Quarter)
40
Avg Staff/Day
8.9
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse128.9 No
Licensed Practical Nurse1310.1 No
Certified Nursing Assistant479.7 No
Staff by Category
Administration
1 staff
7.9hs shift avg
Nursing Staff
76 staff
9.5hs shift avg
Physicians & Practitioners
3 staff
8hs shift avg
Therapy Services
12 staff
6.8hs shift avg
Activities & Recreation
1 staff
8.1hs shift avg
Social Services
2 staff
7.2hs shift avg
Dietary Services
7 staff
7.3hs shift avg
Other Services
1 staff
8hs shift avg
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant4704714,80891100%9.7
Licensed Practical Nurse130135,01491100%10.1
Registered Nurse120123,26291100%8.9
RN Director of Nursing4042,0237785%8.2
Speech Language Pathologist5051,3957987%7.7
Physical Therapy Aide5051,0748088%6.8
Other Dietary Services Staff6069618897%6.9
Clinical Nurse Specialist2025266268%8
Dietitian1015106167%8.4
Nurse Practitioner1015046369%8
Qualified Activities Professional1014856066%8.1
Qualified Social Worker2024846571%7.2
Administrator1014675965%7.9
Mental Health Service Worker1014145257%8
Respiratory Therapy Technician1012845560%5.2
Physical Therapy Assistant101251415%1.8

Facility Characteristics

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

Total census
97 residents
Residents by payment source
Medicare
29 residents (29.9%)
Medicaid
52 residents (53.6%)
Private pay or other
16 residents (16.5%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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. 9.2
12% better than Kentucky average

Kentucky average: 10.5

Functional decline score Info 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

Long-stay resident measures
Need for Help with Daily Activities Increased Info 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%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 11.4%
42% better than Kentucky average

Kentucky 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 11.5%
44% better than Kentucky average

Kentucky average: 20.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.4%
71% worse than Kentucky average

Kentucky average: 3.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.5%
13% worse than Kentucky average

Kentucky average: 5.8%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Kentucky average

Kentucky average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 9.8%
45% worse than Kentucky average

Kentucky average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 55.3%
287% worse than Kentucky average

Kentucky average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 13.0%
16% better than Kentucky average

Kentucky average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
6% better than Kentucky average

Kentucky average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.1%
In line with Kentucky average

Kentucky average: 96.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.5%
18% better than Kentucky average

Kentucky average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 6.9%
257% worse than Kentucky average

Kentucky average: 1.9%

Guides for Better Senior Living

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Financial Aid for Kentucky Seniors

Get financial aid guidance

Home and Community Based Waiver

Kentucky Medicaid HCB Waiver

Age 65+ or disabled, Kentucky resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Hart-Supported Living Program

KY Hart-Supported Living

Age 65+ or disabled, Kentucky resident.

No strict limit; prioritizes low-income.

Not applicable.

Competitive grants; limited availability.

Kentucky Homecare Program

Kentucky Homecare Program

Age 60+, Kentucky resident, at risk of nursing home placement, not eligible for Medicaid waivers.

No strict limit; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based focus.

15 AAAs; rural focus; not in nursing homes.

Medicare Savings Program (MSP)

Kentucky Medicare Savings Program

Age 65+ or disabled, Kentucky resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; auto Extra Help for Part D.

National Family Caregiver Support Program (NFCSP) Respite

Kentucky NFCSP Respite Care

Caregivers of 60+ needing care or 55+ caregivers of others; Kentucky resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

15 AAAs; prioritizes low-income, rural caregivers.

Kentucky Family Caregiver Program

Kentucky Family Caregiver Program

Grandparents (often 55+) as primary caregivers to grandchildren under 18, Kentucky resident, not on Kinship Care.

~$31,225/year (individual); varies by AAA.

Not strictly assessed; need-based.

Max $1,500/year; statewide via AAAs.

Senior Community Service Employment Program (SCSEP)

Kentucky SCSEP

Age 55+, unemployed, low-income, Kentucky resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Kentucky VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Kentucky resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.