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Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
May offer a more intimate, personalized care environment.
Occupancy is moderate, suggesting balanced demand.
Most residents stay for extended periods and receive ongoing daily care.
40% of new residents, usually for short-term rehab.
21% 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.
In line with Kentucky average
Grand Haven Nursing Home is administrated by ASHLEE GAUNCE.
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.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
The most recent inspection on January 24, 2025, identified deficiencies related to resident rights, care planning, medication management, respiratory care, and infection control. Earlier inspections also noted issues with expired medications, infection prevention, documentation, and quality assurance processes. Inspectors cited problems with dignity and privacy, mail delivery rights, medication labeling and storage, oxygen therapy, and infection control compliance. Complaint investigations were substantiated, confirming deficiencies affecting multiple residents, but enforcement actions such as fines or license suspensions were not listed in the available reports. The pattern of findings suggests ongoing challenges in care and safety practices without clear improvement over time.
Kentucky average 2.9
Last Health inspection on Jan 2025
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
21 of 26 citations resulted from standard inspections; 2 of 26 resulted from complaint investigations; and 3 of 26 came from combined inspections (standard and complaint).
0
100% better than Kentucky average
Kentucky average: 1.1
6
900% worse than Kentucky average
Kentucky average: 0.6
Corrected
Corrected
Corrected
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 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-36% -14% 
+2% Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-49% -62% -24% Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-7% +4% Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-45% -10% +7% Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-36%
-14%
+2%
-49%
-62%
-24%
Beaver Dam Nursing and Rehab Center, Inc
-7%
+4%
Grand Haven Nursing Home
-45%
-10%
+7%
0.0 miles from city center
CYNTHIANA, KY 41031
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Source: CMS Payroll-Based Journal (Q2 2025)
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 8 | 10.6 | No |
| Licensed Practical Nurse | 21 | 9.8 | Yes |
| Certified Nursing Assistant | 42 | 9.5 | No |
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 42 | 0 | 42 | 7,668 | 91 | 100% | 9.5 |
| Licensed Practical Nurse | 18 | 3 | 21 | 2,827 | 91 | 100% | 9.8 |
| Physical Therapist | 7 | 0 | 7 | 1,899 | 61 | 67% | 9.2 |
| Registered Nurse | 8 | 0 | 8 | 1,887 | 87 | 96% | 10.6 |
| Medication Aide/Technician | 6 | 0 | 6 | 1,119 | 66 | 73% | 9.3 |
| RN Director of Nursing | 4 | 0 | 4 | 1,046 | 70 | 77% | 8.6 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 622 | 44 | 48% | 7.9 |
| Nurse Aide in Training | 5 | 0 | 5 | 609 | 78 | 86% | 6.3 |
| Administrator | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| Physical Therapy Aide | 0 | 5 | 5 | 264 | 45 | 49% | 5.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 259 | 32 | 35% | 8.1 |
| Physical Therapy Assistant | 0 | 11 | 11 | 240 | 54 | 59% | 3.6 |
| Speech Language Pathologist | 0 | 5 | 5 | 238 | 35 | 38% | 6.8 |
| Dental Services Staff | 1 | 0 | 1 | 174 | 21 | 23% | 8.3 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 148 | 51 | 56% | 2.6 |
| Other Dietary Services Staff | 2 | 0 | 2 | 126 | 18 | 20% | 5.4 |
| Qualified Social Worker | 0 | 4 | 4 | 110 | 42 | 46% | 2.6 |
| Occupational Therapy Aide | 0 | 2 | 2 | 48 | 13 | 14% | 3.7 |
| Dietitian | 2 | 0 | 2 | 25 | 3 | 3% | 8.3 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 17 | 5 | 5% | 3.3 |
| Feeding Assistant | 0 | 1 | 1 | 16 | 8 | 9% | 2 |
| Medical Director | 0 | 2 | 2 | 12 | 3 | 3% | 4 |
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
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.
15.7
50% worse than Kentucky average
Kentucky average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.2
54% worse than Kentucky average
Kentucky average: 18.9
Percent of long-stay residents whose need for help with daily activities has increased
24.5%
46% worse than Kentucky average
Kentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
41.8%
113% worse than Kentucky average
Kentucky average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.4%
In line with Kentucky average
Kentucky average: 20.5%
Percent of long-stay residents experiencing one or more falls with major injury
3.3%
13% better than Kentucky average
Kentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
4.6%
20% better than Kentucky average
Kentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
1.7%
10% better than Kentucky average
Kentucky average: 1.9%
Percent of long-stay residents who lose too much weight
4.2%
37% better than Kentucky average
Kentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
4.1%
71% better than Kentucky average
Kentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
25.8%
66% worse than Kentucky average
Kentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
5% better than Kentucky average
Kentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
78.4%
19% worse than Kentucky average
Kentucky average: 96.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.3%
In line with Kentucky average
Kentucky average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better 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.
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 (Data as of Jan 2026)
45% lower than Kentucky average
Kentucky average: $63K
117% more fines than Kentucky average
Kentucky average: 2.3
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
206% more payment denials than Kentucky average
Kentucky average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 11, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 11, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 11, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 11, 2024
Last updated: Jan 2026
Historical financial and operational data for Grand Haven Nursing Home based on CMS SNF Cost Reports.
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