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Nursing Home in Kentucky

CMS overall rating Info 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.

Grand Haven Nursing Home

Nursing Home in Kentucky

CMS overall rating Info 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.

Grand Haven Nursing Home

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 January 24, 2025
Complaint Investigation

15 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Kentucky average: 6 deficiencies

Inspection Report Summary for Grand Haven Nursing Home

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.

Health Inspection History

Inspections
Total health inspections 4

Kentucky average 2.9


Last Health inspection on Jan 2025

Total health citations 26

Kentucky average 13.5

Citations per inspection
6.5

Kentucky average 4.4


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).

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 6
900% worse than Kentucky average

Kentucky average: 0.6

0 critical citations More info Kentucky average: 1.1

6 serious citations More info Kentucky average: 0.6

20 moderate citations More info Kentucky average: 11.6

0 minor citations More info Kentucky average: 0.1
Citations history (last 3 years)
Administration moderate citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Jan 24, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jan 24, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jan 24, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jan 24, 2025
Corrected

Compare Nursing Homes around Kentucky The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.

5 facilities compared · CMS & KY Dept. of Health data · Updated Apr 2026

Filter by care type
Barren County Nursing and Rehabilitation
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.

Glasgow
94
82.7%
+2%
3.22
-36%
-14%
1
11
3.7
0
88
Herbstman, Moshe
$8.6M
$2.8M
32.7%
185229
Auburn 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).

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.

Auburn
66
62.0%
-24%
1.44
-49%
-62%
0
13
3.3
0
50
Bolster, Nancy
$4.0M
$1.8M
44.9%
185049
Beaver Dam Nursing and Rehab Center, Inc
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.

Beaver Dam
71
84.3%
+4%
-
-7%
-
0
9
3.0
0
54
-
$7.0M
$3.4M
47.9%
185334
Grand Haven Nursing Home
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.

Cynthiana
54
87.3%
+7%
3.39
-45%
-10%
5
26
6.5
6
48
James A Brown Tua
$9.4M
$2.2M
23.4%
185332
Bardstown Heatlh & Rehabilitation
-
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.

Bardstown
100
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 141
Employees 102
Contractors 39
Staff to resident ratio 2.88:1
64% better than Kentucky average

Kentucky average ratio: 1.75:1

Avg staff/day 26
Average shift 8.6 hours
0% compared with Kentucky average

Kentucky average: 8.5 hours

Total staff hours (quarter) 20,378
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.6 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 21
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 42
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

6.6%

1,353 contractor hours this quarter

Physical Therapy Assistant: 11 Physical Therapy Aide: 5 Speech Language Pathologist: 5 Qualified Social Worker: 4 Respiratory Therapy Technician: 4 Licensed Practical Nurse: 3 Occupational Therapy Aide: 2 Medical Director: 2 Occupational Therapy Assistant: 2 Feeding Assistant: 1
Staff by category
Certified Nursing Assistant420427,66891100%9.5
Licensed Practical Nurse183212,82791100%9.8
Physical Therapist7071,8996167%9.2
Registered Nurse8081,8878796%10.6
Medication Aide/Technician6061,1196673%9.3
RN Director of Nursing4041,0467077%8.6
Clinical Nurse Specialist2026224448%7.9
Nurse Aide in Training5056097886%6.3
Administrator2025126470%8
Nurse Practitioner2025126470%8
Physical Therapy Aide0552644549%5.9
Mental Health Service Worker1012593235%8.1
Physical Therapy Assistant011112405459%3.6
Speech Language Pathologist0552383538%6.8
Dental Services Staff1011742123%8.3
Respiratory Therapy Technician0441485156%2.6
Other Dietary Services Staff2021261820%5.4
Qualified Social Worker0441104246%2.6
Occupational Therapy Aide022481314%3.7
Dietitian2022533%8.3
Occupational Therapy Assistant0221755%3.3
Feeding Assistant0111689%2
Medical Director0221233%4
42 Certified Nursing Assistant
% of Days 100%
21 Licensed Practical Nurse
% of Days 100%
7 Physical Therapist
% of Days 67%
8 Registered Nurse
% of Days 96%
6 Medication Aide/Technician
% of Days 73%
4 RN Director of Nursing
% of Days 77%
2 Clinical Nurse Specialist
% of Days 48%
5 Nurse Aide in Training
% of Days 86%
2 Administrator
% of Days 70%
2 Nurse Practitioner
% of Days 70%
5 Physical Therapy Aide
% of Days 49%
1 Mental Health Service Worker
% of Days 35%
11 Physical Therapy Assistant
% of Days 59%
5 Speech Language Pathologist
% of Days 38%
1 Dental Services Staff
% of Days 23%
4 Respiratory Therapy Technician
% of Days 56%
2 Other Dietary Services Staff
% of Days 20%
4 Qualified Social Worker
% of Days 46%
2 Occupational Therapy Aide
% of Days 14%
2 Dietitian
% of Days 3%
2 Occupational Therapy Assistant
% of Days 5%
1 Feeding Assistant
% of Days 9%
2 Medical Director
% of Days 3%

Facility Characteristics

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

Total census
49 residents
Residents by payment source
Medicare
1 resident (2%)
Medicaid
34 residents (69.4%)
Private pay or other
14 residents (28.6%)
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

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. 15.7
50% worse 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. 29.2
54% worse 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 24.5%
46% worse than Kentucky average

Kentucky average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 41.8%
113% worse 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 21.4%
In line with Kentucky average

Kentucky average: 20.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.3%
13% better than Kentucky average

Kentucky average: 3.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.6%
20% better than Kentucky average

Kentucky average: 5.8%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.7%
10% better than Kentucky average

Kentucky average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.2%
37% better than Kentucky average

Kentucky average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.1%
71% better than Kentucky average

Kentucky average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 25.8%
66% worse than Kentucky average

Kentucky average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.4%
5% better than Kentucky average

Kentucky average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 78.4%
19% worse than 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 82.3%
In line with Kentucky average

Kentucky average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Kentucky average

Kentucky average: 1.9%

Penalties and fines

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)

Total fines amount $34K
45% lower than Kentucky average

Kentucky average: $63K

Number of fines 5
117% more fines than Kentucky average

Kentucky average: 2.3

Payment Denials Info 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

Fines amount comparison
Fines amount comparison
This facility $34K
Kentucky average $63K
Penalty History

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

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 11, 2024
$4K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 11, 2024
$4K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 11, 2024
$4K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 11, 2024
$4K

Last updated: Jan 2026

Guides for Better Senior Living

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

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.

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