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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 74th out of 184 homes in Kentucky for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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.
| 42m per day | ▼ 8% 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.
| 36m per day | ▼ 25% 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 2m per day | ▼ 15% 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 58m per day | ▼ 16% 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.
| 0m per day | ▼ 88% 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.
| 29m per day | ▼ 6% State avg: 31m per day · National avg: 29m per day |
Higher than the Kentucky average: 81.3%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.
This scorecard compares key inspection, citation, 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
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 15 | 6 | This facility has 150% more total deficiencies than a typical Kentucky nursing home (15 vs. KY avg 6).↑ 150% worse |
|
Deficiencies per year
Average deficiencies per year since 2025.
| 15 | 6 | This facility has 150% more deficiencies per year than a typical Kentucky nursing home (15 vs. KY avg 6).↑ 150% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Kentucky average 2.9
Last Health inspection on Jan 2025
Kentucky average 13.5
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).
100% better than Kentucky averageKentucky average: 1.1
900% worse than Kentucky averageKentucky average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Kentucky average
0% compared with Kentucky average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
11 total: 10 full-time employees and 1 contractor.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursAssists with medical care and medications.
8 total: 6 full-time employees and 2 contractors.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursHelps with daily care and mobility.
All 25 CNA Staff are full-time employees. No contractors work on this role.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,919 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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)
45% lower than Kentucky averageKentucky average: $63K
117% more fines than Kentucky averageKentucky 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 averageKentucky average: 0.3
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.
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, 2024Last updated: Jan 2026
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 averageKentucky average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.2
54% worse than Kentucky averageKentucky average: 18.9
Percent of long-stay residents whose need for help with daily activities has increased
24.5%
46% worse than Kentucky averageKentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
41.8%
113% worse than Kentucky averageKentucky average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.4%
In line with Kentucky averageKentucky average: 20.5%
Percent of long-stay residents experiencing one or more falls with major injury
3.3%
13% better than Kentucky averageKentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
4.6%
20% better than Kentucky averageKentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
1.7%
10% better than Kentucky averageKentucky average: 1.9%
Percent of long-stay residents who lose too much weight
4.2%
37% better than Kentucky averageKentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
4.1%
71% better than Kentucky averageKentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
25.8%
66% worse than Kentucky averageKentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
5% better than Kentucky averageKentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
78.4%
19% worse than Kentucky averageKentucky average: 96.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.3%
In line with Kentucky averageKentucky average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
Total residents
49Residents 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.
Historical financial and operational data for Grand Haven Nursing Home based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #171 / 188Payroll — State benchmarkedThis home is ranked 171st out of 188 homes in Kentucky. Shows total annual staff payroll benchmarked to the Kentucky average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
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.
Add your location
Grand Haven Nursing Home is located in CYNTHIANA, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.
The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
| Twin Rivers Nursing And Rehab 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.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Owensboro | 132
Facility
132
KY AVG
82
Rank
#36 / 341 |
72.7%
Facility
72.7%
KY AVG
81.3%
Rank
#167 / 202 | -11% | 3.39
Facility
3.39
KY AVG
3.75
Rank
#74 / 184 | -6% | -10% | $0
Facility
$0
KY AVG
$65.4k
Rank
#144 / 190 | 18
Facility
18
KY AVG
13.5
Rank
#139 / 186 | 9.0
Facility
9.0
KY AVG
4.4
Rank
#181 / 186 | - | 96 | A+ |
52
Facility
52
KY AVG
41
Rank
#147 / 423 | Myra Raymer | $9.2M
Facility
$9.2M
KY AVG
$10.5M
Rank
#119 / 188 | $6.5M
Facility
$6.5M
KY AVG
$4.0M
Rank
#47 / 188 | 71.2%
Facility
71.2%
KY AVG
40.7%
Rank
#6 / 188 | 185087 | ||||
| Signature Healthcare at Hillcrest |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Owensboro | 156
Facility
156
KY AVG
82
Rank
#17 / 341 |
81.4%
Facility
81.4%
KY AVG
81.3%
Rank
#132 / 202 | 0% | 3.57
Facility
3.57
KY AVG
3.75
Rank
#52 / 184 | +47% | -5% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 190 | 7
Facility
7
KY AVG
13.5
Rank
#38 / 186 | 3.5
Facility
3.5
KY AVG
4.4
Rank
#76 / 186 | - | 128 | - |
1
Facility
1
KY AVG
41
Rank
#404 / 423 | William Conley | $20.2M
Facility
$20.2M
KY AVG
$10.5M
Rank
#11 / 188 | $7.2M
Facility
$7.2M
KY AVG
$4.0M
Rank
#36 / 188 | 35.8%
Facility
35.8%
KY AVG
40.7%
Rank
#164 / 188 | 185120 | ||||
| Wellington Parc of Owensboro |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Owensboro | 80
Facility
80
KY AVG
82
Rank
#168 / 341 |
52.5%
Facility
52.5%
KY AVG
81.3%
Rank
#190 / 202 | -35% | 7.74
Facility
7.74
KY AVG
3.75
Rank
#2 / 184 | -8% | +106% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 190 | 14
Facility
14
KY AVG
13.5
Rank
#110 / 186 | 4.7
Facility
4.7
KY AVG
4.4
Rank
#116 / 186 | - | 42 | - |
52
Facility
52
KY AVG
41
Rank
#147 / 423 | Jack T Wells Estate | $7.5M
Facility
$7.5M
KY AVG
$10.5M
Rank
#141 / 188 | $3.7M
Facility
$3.7M
KY AVG
$4.0M
Rank
#128 / 188 | 49.8%
Facility
49.8%
KY AVG
40.7%
Rank
#71 / 188 | 185436 | ||||
| Sayre Christian Village |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Lexington (Belleau Wood) | 164
Facility
164
KY AVG
82
Rank
#15 / 341 |
98.8%
Facility
98.8%
KY AVG
81.3%
Rank
#11 / 202 | +22% | 4.42
Facility
4.42
KY AVG
3.75
Rank
#20 / 184 | -17% | +18% | $7.9k
Facility
$7.9k
KY AVG
$65.4k
Rank
#134 / 190 | 20
Facility
20
KY AVG
13.5
Rank
#151 / 186 | 5.0
Facility
5.0
KY AVG
4.4
Rank
#123 / 186 | 2 | 155 | - |
43
Facility
43
KY AVG
41
Rank
#206 / 423 | Christian Benevolent Outreach, Inc. | $19.0M
Facility
$19.0M
KY AVG
$10.5M
Rank
#13 / 188 | $11.8M
Facility
$11.8M
KY AVG
$4.0M
Rank
#7 / 188 | 61.8%
Facility
61.8%
KY AVG
40.7%
Rank
#16 / 188 | 185248 | ||||
| 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
Facility
54
KY AVG
82
Rank
#253 / 341 |
90.7%
Facility
90.7%
KY AVG
81.3%
Rank
#65 / 202 | +12% | 3.39
Facility
3.39
KY AVG
3.75
Rank
#74 / 184 | +26% | -10% | $34.4k
Facility
$34.4k
KY AVG
$65.4k
Rank
#171 / 190 | 26
Facility
26
KY AVG
13.5
Rank
#165 / 186 | 6.5
Facility
6.5
KY AVG
4.4
Rank
#156 / 186 | 6 | 49 | - |
68
Facility
68
KY AVG
41
Rank
#61 / 423 | James A Brown Tua | $9.5M
Facility
$9.5M
KY AVG
$10.5M
Rank
#114 / 188 | $2.5M
Facility
$2.5M
KY AVG
$4.0M
Rank
#171 / 188 | 26.7%
Facility
26.7%
KY AVG
40.7%
Rank
#188 / 188 | 185332 |
The legal owner and operator of Grand Haven Nursing Home is Martin's Rest Home, Inc..
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%.
Ashlee Gaunce is the administrator of Grand Haven Nursing Home.
Grand Haven Nursing Home has 54 beds.
Grand Haven Nursing Home is located at 105 RODGERS PARK.
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