Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicare (40% of admissions), and a typical Medicare stay runs around 17 days.
Cynthiana, Kentucky, serves as the location for Grand Haven Nursing Home, a 54-bed skilled nursing facility operated by James A Brown Tua under the administration of Ashlee Gaunce. The billing office processes resident accounts through standard regional tracks, accepting Medicare, Medicaid, and private pay. The immediate geographic area carries a Walk Score of 68, indicating a moderately walkable layout where visitors can manage several local tasks on foot without always relying on a vehicle.
The building maintains a 91 percent occupancy rate across its 54 beds, housing roughly 49 residents with an average length of stay tracking at 181 days. Daily floor schedules focus on a blend of extended residential care and functional post-hospital recovery. Shift logs show that the 24-hour nursing team averages 3 hours and 23 minutes of direct daily care per resident, utilizing on-site physical therapy, speech-language pathology, and occupational therapy services to manage clinical rehabilitation.
Prospective representatives can schedule a time to walk the facility’s ground plan, evaluate the therapy rooms, and learn how the Resident Council and Family Council participate in facility operations. The administrative team coordinates these property tours alongside inquiries regarding daily care routines, group alignment meetings, and open bed spaces.
Grand Haven Nursing Home is administered 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
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total deficiencies
| 15 | 6 | This facility has 150% more total deficiencies than a typical Kentucky assisted living residence (15 vs. KY avg 6).↑ 150% worse |
|
Deficiencies per year
| 15 | 6 | This facility has 150% more deficiencies per year than a typical Kentucky assisted living residence (15 vs. KY avg 6).↑ 150% worse |
State average N/A
Last Health inspection on Jan 2025
State average N/A
State average N/A
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).
State average: N/A
State average: N/A
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
1,919 contractor hours this quarter
| Certified Nursing Assistant | 25 | 0 | 25 | 8,491 | 92 | 100% | 9.4 |
| Physical Therapist | 7 | 0 | 7 | 2,902 | 92 | 100% | 9.3 |
| Licensed Practical Nurse | 6 | 2 | 8 | 2,198 | 92 | 100% | 9.8 |
| Registered Nurse | 10 | 1 | 11 | 1,879 | 90 | 98% | 8.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 945 | 69 | 75% | 7.9 |
| RN Director of Nursing | 3 | 0 | 3 | 587 | 41 | 45% | 7.6 |
| Medication Aide/Technician | 3 | 0 | 3 | 587 | 67 | 73% | 7.2 |
| Speech Language Pathologist | 0 | 1 | 1 | 485 | 63 | 68% | 7.7 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Physical Therapy Aide | 0 | 1 | 1 | 387 | 57 | 62% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 384 | 48 | 52% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 374 | 48 | 52% | 7.8 |
| Nurse Aide in Training | 1 | 0 | 1 | 255 | 39 | 42% | 6.5 |
| Dietitian | 2 | 0 | 2 | 248 | 32 | 35% | 7.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 240 | 34 | 37% | 7.1 |
| Qualified Social Worker | 0 | 3 | 3 | 153 | 34 | 37% | 4.5 |
| Physical Therapy Assistant | 0 | 4 | 4 | 113 | 43 | 47% | 2.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 91 | 13 | 14% | 7 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 36 | 20 | 22% | 1.8 |
| Medical Director | 0 | 1 | 1 | 30 | 15 | 16% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 18 | 3 | 3% | 6 |
Includes penalties issued in 2024
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
6 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive 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.
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.
Historical financial and operational data for Grand Haven Nursing Home from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicare (40% of admissions), and a typical Medicare stay runs around 17 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Cynthiana's city center to Grand Haven Nursing Home's address, calculated via Google Maps.
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The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
| Grand Haven Nursing Home | NH AL | Cynthiana | - | 54 | - | 68 | - |
| Sayre Christian Village | NH AL IL MC RC | Lexington (Belleau Wood) | - | 164 | - | 43 | 1 Bed / 2 Bed |
| Carespring – Barrington of Fort Thomas | NH AL IL RC | Fort Thomas | - | 110 | A+ | 48 | Studio / 1 Bed / 2 Bed |
| The Willows at Springhurst | NH AL IL MC RC | Louisville | - | 62 | A+ | 34 | Studio / 1 Bed / 2 Bed |
| The Springs at Stony Brook | NH ADC AL IL MC | Louisville | - | 106 | - | 28 | Studio / 1 Bed / 2 Bed |
Grand Haven Nursing Home is legally operated by Martin's Rest Home, Inc., and administered by Ashlee Gaunce.
Grand Haven Nursing Home has a walk score of 68. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to KY state health department records, Grand Haven Nursing Home's license number is 100522.
Grand Haven Nursing Home's occupancy is 91%.
Grand Haven Nursing Home is registered as a for-profit in KY.
Ashlee Gaunce is the administrator of Grand Haven Nursing Home.
Grand Haven Nursing Home has 54 beds.
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