Elkton Nursing and Rehabilitation Center

Nursing Home, Hospice Care, Memory Care, Palliative Care & Skilled Nursing · Elkton, KY

CMS overall rating

506 Allensville Road, Elkton, KY 42220 View map

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Elkton Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

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Elkton Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Overview of Elkton Nursing and Rehabilitation Center

Valarie Carter owns Elkton Nursing and Rehabilitation Center, a 60-bed skilled nursing facility located on Allensville Road in Elkton, Kentucky. The property routes its billing through typical payment paths, accepting Medicare, Medicaid, and private pay options. The local geographic area carries a Walk Score of 50, indicating a moderate setup where visitors and residents can complete a few minor errands on foot, though most regional transit requires a brief drive.

State files show an average length of stay tracking at 335 days across the 60 beds, pointing to a combination of short-term recovery tracks and extended residential housing. Daily floor schedules are built around the LifeWorks Rehab and HeartWorks Recovery programs to assist individuals transitioning from hospital surgeries or illnesses. To manage these clinical needs, the 24-hour nursing team averages 3 hours and 43 minutes of direct care per resident daily, which is backed by nurse aides providing 3 hours and 11 minutes of hands-on daily assistance with personal mobility.

Families can arrange an in-person tour to evaluate the private or semi-private bedroom options, see the restaurant-style dining area, and discuss the specialized recovery programs with the care team. The administrative staff manages these visits alongside inquiries regarding daily amenities like independent room HVAC controls, Wi-Fi access, the on-site beauty salon, and concierge support.

Facility Direct Line (270) 265-5321

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Kentucky state averages

Total nursing care / resident

3h 43m per day

This facility Kentucky avg (3h 45m per day)

vs Kentucky avg

-1%

5 of 6 metrics below state avg

Standout metric Physical Therapist is +47% above state avg

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.	20m per day	▼ 56% 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.	44m per day	▼ 9% State avg: 48m 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 5m per day	▼ 14% State avg: 2h 24m 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 55m per day	▼ 18% State avg: 3h 32m per day · National avg: 3h 27m 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.	6m per day	▲ 47% 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.	22m per day	▼ 28% State avg: 31m per day · National avg: 29m per day

Capacity and availability

335 days

60-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 50 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

92%

Higher than the Kentucky average: 81.3%

Occupied beds

55 / 60

Average occupied beds in Kentucky homes 80 beds

Facility TypeLong Term Care (nursing Facility)

StatusActive

IssuanceJune 1, 2025

CountyTodd

License Number100395

CMS Certification Number185400

Elkton Nursing and Rehabilitation Center is administered by Eric Ross.

Owner NameElkton Opco LLC

Rehabilitation Services

Short-Term Rehab

Pets not allowed

Private & Semi-Private Rooms

Housekeeping & Laundry Services

Individual Hvac Controls

Personalized Concierge Services

Tv In Every Room

Wifi

Family Conferencing & Video Chats

Restaurant-Style Dining Room

Family Lounges

Spacious Dining Areas & Private Dining Options

On-Site Beauty Salon

Touring HoursMon - Sat | 9:00 - 5:00

Since 2019 · 7 years of data 14 deficiencies

Inspection Scorecard 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 2019 vs. Kentucky state average

Overall vs. KY average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	KY Average	vs. KY Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	14	6	This facility has 133% more total deficiencies than a typical Kentucky nursing home (14 vs. KY avg 6).↑ 133% worse

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

July 25, 2025 annual inspection found 3 deficiencies including untimely call light responses for 7 of 15 residents, unsanitary handrails, and expired COVID-19 vaccine syringes in medication storage.
September 12, 2024 routine inspection cited 7 deficiencies including medication errors above 7%, failure to initiate PASARR screening, inadequate ADL assistance, and poor infection control practices.
July 25, 2025 complaint investigation substantiated call lights being inaccessible and unanswered timely for 7 residents, requiring staff education and in-services.

Show Inspection Reports

Inspections since 2019

Total health inspections 3

State average 2.9

Last Health inspection on Jul 2025

Total health citations

State average 13.5

Citations per inspection

4.33

State average 4.4

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

11 of 13 citations resulted from standard inspections; 1 of 13 resulted from complaint investigations; and 1 of 13 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 7 years)

Critical health citations

100% better than State average

State average: 1.1

Serious health citations

100% better than State average

State average: 0.6

0 critical citations State average: 1.1

0 serious citations State average: 0.6

13 moderate citations State average: 11.6

0 minor citations State average: 0.1

Citations history (last 7 years)

Pharmacy moderate citation Jul 25, 2025

Corrected

Resident Rights moderate citation Jul 25, 2025

Corrected

Resident Rights moderate citation Jul 25, 2025

Corrected

Abuse/Neglect moderate citation Sep 12, 2024

Corrected

Total staff 113

Employees 86

Contractors 27

Staff to resident ratio 2.31 : 1

34% more staff per resident than Kentucky average

Avg staff/day 30

Average shift 8.1 hours

5% worse than Kentucky average

Total staff hours (quarter) 22,361

Nursing staff breakdown

10.1 hours

9 hours

8.6 hours

Contractor staffing

1,887 contractor hours this quarter

Licensed Practical Nurse: 8 Certified Nursing Assistant: 7 Registered Nurse: 6 Medication Aide/Technician: 1 Administrator: 1 Nurse Practitioner: 1 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	34	7	41	9,201	92	100%	8.6
Physical Therapist	12	0	12	3,666	92	100%	6.8
Licensed Practical Nurse	10	8	18	3,516	92	100%	9
Medication Aide/Technician	4	1	5	1,309	87	95%	9.4
Registered Nurse	8	6	14	1,193	81	88%	10.1
Dietitian	1	0	1	548	67	73%	8.2
Physical Therapy Assistant	2	0	2	511	65	71%	6.3
Respiratory Therapy Technician	1	0	1	479	61	66%	7.8
Administrator	2	1	3	472	59	64%	8
Nurse Practitioner	3	1	4	399	46	50%	7.4
Mental Health Service Worker	1	0	1	299	41	45%	7.3
RN Director of Nursing	2	0	2	199	32	35%	6.2
Qualified Social Worker	2	0	2	182	65	71%	2.8
Speech Language Pathologist	2	0	2	157	26	28%	5.8
Clinical Nurse Specialist	1	0	1	102	13	14%	7.8
Occupational Therapy Aide	0	1	1	52	13	14%	4
Medical Director	0	1	1	39	13	14%	3
Respiratory Therapist	1	0	1	26	3	3%	8.7
Occupational Therapy Assistant	0	1	1	13	2	2%	6.5

41 Certified Nursing Assistant

% of Days 100%

12 Physical Therapist

% of Days 100%

18 Licensed Practical Nurse

% of Days 100%

5 Medication Aide/Technician

% of Days 95%

14 Registered Nurse

% of Days 88%

1 Dietitian

% of Days 73%

2 Physical Therapy Assistant

% of Days 71%

1 Respiratory Therapy Technician

% of Days 66%

3 Administrator

% of Days 64%

4 Nurse Practitioner

% of Days 50%

1 Mental Health Service Worker

% of Days 45%

2 RN Director of Nursing

% of Days 35%

2 Qualified Social Worker

% of Days 71%

2 Speech Language Pathologist

% of Days 28%

1 Clinical Nurse Specialist

% of Days 14%

1 Occupational Therapy Aide

% of Days 14%

1 Medical Director

% of Days 14%

1 Respiratory Therapist

% of Days 3%

1 Occupational Therapy Assistant

% of Days 2%

View All Staffing Data

Total fines amount $31K

51% lower than Kentucky average

Kentucky average: $63K

Number of fines 7

204% more fines than Kentucky average

Kentucky average: 2.3

Payment Denials 1

206% more payment denials than Kentucky average

Kentucky average: 0.3

Fines amount comparison

This facility $31K

Kentucky average $63K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

8 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Sep 12, 2024

$4K

Civil Money Penalty Sep 12, 2024

$5K

Civil Money Penalty Sep 12, 2024

$5K

Civil Money Penalty Sep 12, 2024

$5K

Last updated: Jan 2026

High-risk clinical events score 21.2

102% worse than Kentucky average

Kentucky average: 10.5

Functional decline score 37.6

99% worse than Kentucky average

Kentucky average: 18.9

Long-stay resident measures

Need for Help with Daily Activities Increased 39.6%

136% worse than Kentucky average

Kentucky average: 16.8%

Walking Ability Worsened 50.2%

156% worse than Kentucky average

Kentucky average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence 22.9%

12% worse than Kentucky average

Kentucky average: 20.5%

Falls with Major Injury 3.2%

16% better than Kentucky average

Kentucky average: 3.8%

High Risk Residents with Pressure Ulcers 6.5%

13% worse than Kentucky average

Kentucky average: 5.8%

Urinary Tract Infection 2.2%

18% worse than Kentucky average

Kentucky average: 1.9%

Lost Too Much Weight 6.2%

9% better than Kentucky average

Kentucky average: 6.8%

Depressive Symptoms 1.8%

87% better than Kentucky average

Kentucky average: 14.3%

Antipsychotic Use 10.2%

34% better than Kentucky average

Kentucky average: 15.6%

Pneumococcal Vaccine 95.3%

In line with Kentucky average

Kentucky average: 93.9%

Influenza Vaccine 92.2%

In line with Kentucky average

Kentucky average: 96.2%

Short-stay resident measures

Pneumococcal Vaccine 58.0%

31% worse than Kentucky average

Kentucky average: 83.7%

Antipsychotic medication increase 4.2%

116% worse than Kentucky average

Kentucky average: 1.9%

Influenza Vaccine 56.0%

33% worse than Kentucky average

Kentucky average: 83.6%

Breakdown by payment type

Medicare

47% 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 2 - 3 months

Medicaid

21% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Total residents 49

Medicare

4.1% of residents

Medicaid

87.8% of residents

Private pay or other

8.2% of residents

Programs & Services

Residents Group

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

Nurse Aide Training

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

Active Resident Council

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

Financial Trends

Historical financial and operational data for Elkton Nursing and Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 78.1% ↑ 19.0pp vs 2022

Net Patient Income -$154.1K ↑ ~$172.1K vs 2022

Payroll Costs $2.4M ↑ ~$35.2K vs 2022

Operating Margin -3.4% ↑ 4.2pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	80.7%	75.8%	67.0%	58.2%	51.4%	52.7%	77.1%	84.3%	89.6%	61.1%	43.2%	59.1%	78.1%
Beds	112	112	112	112	112	60	60	60	60	110	110	60	60
Net Income	$230,287	-$277,732	-$272,008	$150,846	-$239,132	-$195,224	-$208,125	$66,197	$20,324	$723,386	$156,908	-$116,101	-$100,649
Gross Revenue	$5,242,434	$5,119,345	$4,861,636	$4,731,342	$4,379,852	$4,390,524	$4,617,601	$5,077,762	$5,101,228	$5,037,259	$4,406,191	$4,613,132	$4,447,948
Operating Expenses	$4,596,030	$4,607,646	$4,421,679	$3,974,897	$3,912,156	$3,905,170	$3,924,584	$3,982,205	$4,152,974	$4,583,317	$4,467,507	$4,623,431	$4,694,502
Net Patient Income	$219,658	-$286,989	-$279,861	$141,801	-$244,757	-$201,830	-$215,732	$62,048	$18,334	$96,096	-$154,648	-$326,194	-$154,123
Net Patient Revenue	$4,815,688	$4,320,657	$4,141,818	$4,116,698	$3,667,399	$3,703,340	$3,708,852	$4,044,253	$4,171,308	$4,679,413	$4,312,859	$4,297,237	$4,540,379
Payroll Costs	$2,633,352	$2,711,046	$2,484,018	$2,229,725	$2,266,882	$2,222,907	$2,089,570	$2,005,264	$2,133,709	$2,378,282	$2,260,147	$2,400,028	$2,435,244
Operating Margin %	4.6%	-6.6%	-6.8%	3.4%	-6.7%	-5.5%	-5.8%	1.5%	0.4%	2.1%	-3.6%	-7.6%	-3.4%
Medicare %	10.8%	8.9%	11.3%	11.8%	11.5%	11.6%	11.5%	12.2%	10.4%	12.9%	10.6%	8.7%	8.6%
Medicaid %	40.0%	42.8%	41.9%	49.4%	52.0%	60.5%	78.9%	70.2%	79.3%	80.2%	83.1%	88.7%	83.1%
Private %	49.1%	48.3%	46.8%	38.8%	36.5%	27.9%	9.6%	17.6%	10.3%	6.9%	6.3%	2.6%	8.3%
Net Patient Revenue/Day	$146	$139	$151	$173	$174	$186	$220	$219	$213	$242	$249	$244	$266
Cost/Day	$139	$148	$161	$167	$186	$196	$232	$216	$212	$237	$258	$263	$275
Avg Length of Stay	114.9 days	164.0 days	149.5 days	154.2 days	138.3 days	171.0 days	134.0 days	145.3 days	190.5 days	227.3 days	234.4 days	399.8 days	335.3 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$4.5M

Net patient income

-$154.1K

For-profit LLC

Net patient revenue

$4.5M

Net patient income

-$154.1K

Other income

$53.5K

Payroll costs

$2.4M 53.6% of net patient revenue

Other operating costs

$2.3M

Total costs

$4.7M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (47% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 47%

Private pay 32%

Medicaid 21%

Coverage residents most often leave under.

Medicare 49%

Private pay 29%

Medicaid 22%

0.0 miles from city center Estimated distance in miles from Elkton's city center to Elkton Nursing and Rehabilitation Center's address, calculated via Google Maps.

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Info below is compiled from CMS reports & the KY Cabinet for Health & Family Services (CHFS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


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Middlesboro Nursing and Rehabilitation Facility	NH SNF	Middlesboro	95 Facility 95 KY AVG 82 Rank #116 / 341	96.6% Facility 96.6% KY AVG 84.3 Rank #17 / 168	+15%	3.34 Facility 3.34 KY AVG 3.75 Rank #91 / 189	-26%	-11%	$0 Facility $0 KY AVG $65.4k Rank #1 / 195	1 Facility 1 KY AVG 13.5 Rank #1 / 191	1.0 Facility 1.0 KY AVG 4.4 Rank #1 / 191	-	92	-	62 Facility 62 KY AVG 41 Rank #88 / 423	Melissa Robbins	$10.6MFiscal year ending 12/2023 Facility $10.6MFiscal year ending 12/2023 KY AVG $10.5M Rank #68 / 192	$4.6MFiscal year ending 12/2023 Facility $4.6MFiscal year ending 12/2023 KY AVG $4.0M Rank #98 / 192	43.5%Fiscal year ending 12/2023 Facility 43.5%Fiscal year ending 12/2023 KY AVG 40.7% Rank #161 / 192	185240
Maysville Nursing and Rehabilitation Facility	NH SNF	Maysville	130 Facility 130 KY AVG 82 Rank #37 / 341	88.5% Facility 88.5% KY AVG 84.3 Rank #87 / 168	+5%	3.07 Facility 3.07 KY AVG 3.75 Rank #137 / 189	-49%	-18%	$0 Facility $0 KY AVG $65.4k Rank #1 / 195	4 Facility 4 KY AVG 13.5 Rank #10 / 191	4.0 Facility 4.0 KY AVG 4.4 Rank #89 / 191	-	115	-	55 Facility 55 KY AVG 41 Rank #126 / 423	-	$13.3MFiscal year ending 12/2023 Facility $13.3MFiscal year ending 12/2023 KY AVG $10.5M Rank #37 / 192	$6.0MFiscal year ending 12/2023 Facility $6.0MFiscal year ending 12/2023 KY AVG $4.0M Rank #57 / 192	45.2%Fiscal year ending 12/2023 Facility 45.2%Fiscal year ending 12/2023 KY AVG 40.7% Rank #137 / 192	185207
Rockcastle Regional Hospital and Respiratory Care	NH SNF	Mount Vernon	143 Facility 143 KY AVG 82 Rank #26 / 341	82.5% Facility 82.5% KY AVG 84.3 Rank #122 / 168	-2%	2.36 Facility 2.36 KY AVG 3.75 Rank #181 / 189	+103%	-37%	$0 Facility $0 KY AVG $65.4k Rank #1 / 195	4 Facility 4 KY AVG 13.5 Rank #10 / 191	2.0 Facility 2.0 KY AVG 4.4 Rank #16 / 191	-	118	-	49 Facility 49 KY AVG 41 Rank #170 / 423	-	-	-	-	185157
Elkton Nursing and Rehabilitation Center	NH HOS MC PC SNF	Elkton	60 Facility 60 KY AVG 82 Rank #223 / 341	91.5% Facility 91.5% KY AVG 84.3 Rank #62 / 168	+9%	3.71 Facility 3.71 KY AVG 3.75 Rank #44 / 189	+15%	-1%	$30.6k Facility $30.6k KY AVG $65.4k Rank #172 / 195	13 Facility 13 KY AVG 13.5 Rank #103 / 191	4.3 Facility 4.3 KY AVG 4.4 Rank #101 / 191	-	55	-	50 Facility 50 KY AVG 41 Rank #164 / 423	Valarie Carter	$4.5MFiscal year ending 12/2023 Facility $4.5MFiscal year ending 12/2023 KY AVG $10.5M Rank #188 / 192	$2.4MFiscal year ending 12/2023 Facility $2.4MFiscal year ending 12/2023 KY AVG $4.0M Rank #178 / 192	53.6%Fiscal year ending 12/2023 Facility 53.6%Fiscal year ending 12/2023 KY AVG 40.7% Rank #55 / 192	185400

Nursing Home Explorer

Who is the owner of Elkton Nursing and Rehabilitation Center?

Elkton Nursing and Rehabilitation Center is legally operated by Elkton Opco LLC, and administered by Eric Ross.

Is Elkton Nursing and Rehabilitation Center in a walkable area?

Elkton Nursing and Rehabilitation Center has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Elkton Nursing and Rehabilitation Center?

According to KY state health department records, Elkton Nursing and Rehabilitation Center's license number is 100395.

What is the occupancy rate at Elkton Nursing and Rehabilitation Center?

Elkton Nursing and Rehabilitation Center's occupancy is 92%.

How long has Elkton Nursing and Rehabilitation Center been in business?

Elkton Nursing and Rehabilitation Center has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Elkton Nursing and Rehabilitation Center?

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

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

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

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Elkton Nursing and Rehabilitation Center

Overview of Elkton Nursing and Rehabilitation Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Additional Policies & Features

Amenities & Lifestyle

Contact Elkton Nursing and Rehabilitation Center

Inspection History

Inspection Scorecard 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

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

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

41 Certified Nursing Assistant

12 Physical Therapist

18 Licensed Practical Nurse

5 Medication Aide/Technician

14 Registered Nurse

1 Dietitian

2 Physical Therapy Assistant

1 Respiratory Therapy Technician

3 Administrator

4 Nurse Practitioner

1 Mental Health Service Worker

2 RN Director of Nursing

2 Qualified Social Worker

2 Speech Language Pathologist

1 Clinical Nurse Specialist

1 Occupational Therapy Aide

1 Medical Director

1 Respiratory Therapist

1 Occupational Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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