3/5
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.
3/5
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.
Richwood Nursing & Rehab operates a 120-bed building on a street layout scoring an 80 for walkability in La Grange, Kentucky. Blair Einfeldt owns this community, which accepts typical financial pathways like private pay, Medicare, and Medicaid. Because of the high neighborhood walk score, family members and visiting guests can easily manage most errands and short outdoor walks entirely on foot.
The facility runs at an 89 percent occupancy rate, with individual stays averaging about 180 days. Having this timeframe means the daily routine balances short-term post-hospital physical therapy with standard long-term housing and clinical care. The nursing crew covers the building around the clock, averaging 3 hours and 5 minutes of direct medical monitoring per resident each day through a structured rotation of registered nurses, practical nurses, and nurse aides.
The interior layout features a large rehabilitation gym alongside specialized units for palliative care and memory support tailored for residents with Alzheimer’s or dementia. General daily operations pair regular house maintenance, laundry, and dietary programs with open common spaces and outdoor courtyards. For families reviewing the building’s historical files, past state inspections tracked a resident transport van accident that was fully corrected, and the most recent survey documented zero new deficiencies.
Interested residents can look into how the facility manages its daily nursing schedules, specialized memory care units, and recent safety compliance records.
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.
Staffing hours
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.
Hours per resident per day vs Kentucky averages
Total nursing care
This home is ranked 137th out of 189 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.
3h 5m
18% below state avg
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.
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.
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.
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.
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.
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.
3 of 6 metrics below state avg
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Higher than the Kentucky average: 81.3%Richwood Nursing &Amp; Rehab is administered by Blair Einfeldt.
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, 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
| 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 |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3.5 | 1.5 | This facility has 133% more deficiencies per inspection than a typical Kentucky nursing home (3.5 vs. KY avg 1.5).↑ 133% worse |
Inspections
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 4 | 4 | This facility has total inspections in line with the Kentucky average (4 vs. KY avg 4).— At avg |
State average 2.9
Last Health inspection on Mar 2025
State average 13.5
State average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 13 citations resulted from standard inspections; and 1 of 13 resulted from complaint investigations.
100% better than State averageState average: 1.1
67% worse than State averageState average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
36% more staff per resident than Kentucky average
5% better than Kentucky average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
47 total: 13 full-time employees and 34 contractors.
47
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
55 total: 26 full-time employees and 29 contractors.
55
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursHelps with daily care and mobility.
154 total: 46 full-time employees and 108 contractors.
154
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
9,339 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 46 | 108 | 154 | 22,141 | 92 | 100% | 9.5 |
| Licensed Practical Nurse | 26 | 29 | 55 | 12,880 | 92 | 100% | 9.4 |
| Registered Nurse | 13 | 34 | 47 | 6,021 | 92 | 100% | 8.9 |
| Physical Therapy Assistant | 4 | 0 | 4 | 1,197 | 72 | 78% | 7.4 |
| Dietitian | 2 | 0 | 2 | 930 | 65 | 71% | 7.7 |
| RN Director of Nursing | 1 | 0 | 1 | 527 | 78 | 85% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 511 | 67 | 73% | 6.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 502 | 56 | 61% | 9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 458 | 62 | 67% | 7.4 |
| Physical Therapy Aide | 1 | 0 | 1 | 426 | 60 | 65% | 7.1 |
| Speech Language Pathologist | 1 | 0 | 1 | 403 | 57 | 62% | 7.1 |
| Medication Aide/Technician | 3 | 0 | 3 | 352 | 39 | 42% | 8.8 |
| Administrator | 1 | 0 | 1 | 256 | 64 | 70% | 4 |
| Other Dietary Services Staff | 1 | 0 | 1 | 245 | 47 | 51% | 5.2 |
Includes penalties issued in 2025
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)
86% lower than Kentucky averageKentucky average: $63K
57% fewer fines than Kentucky averageKentucky average: 2.3
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Kentucky averageKentucky average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jan 31, 2025 · $9K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 31, 2025Last 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.
7.6
28% better than Kentucky averageKentucky average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.4
35% better than Kentucky averageKentucky average: 18.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
12.3%
27% better than Kentucky averageKentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
10.6%
46% better than Kentucky averageKentucky average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.3%
30% better than Kentucky averageKentucky average: 20.5%
Percent of long-stay residents experiencing one or more falls with major injury
5.1%
35% worse than Kentucky averageKentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
2.4%
59% better than Kentucky averageKentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
0.5%
72% better than Kentucky averageKentucky average: 1.9%
Percent of long-stay residents who lose too much weight
7.5%
11% worse than Kentucky averageKentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
52.4%
267% worse than Kentucky averageKentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
13.8%
12% better than Kentucky averageKentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
5% better than Kentucky averageKentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Kentucky averageKentucky average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.39
26% better than Kentucky averageKentucky average: 1.87
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.13
In line with Kentucky averageKentucky average: 2.19
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.9%
12% better than Kentucky averageKentucky average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
24% better than Kentucky averageKentucky average: 1.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.4%
6% better than Kentucky averageKentucky average: 83.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
16.6%
32% better than Kentucky averageKentucky average: 24.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
25.4%
83% worse than Kentucky averageKentucky average: 13.9%
Percentage of SNF residents who experience falls with major injury during their stay.
4.3%
453% worse than Kentucky averageKentucky average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.4%
5% better than Kentucky averageKentucky average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
46.4%
8% worse than Kentucky averageKentucky average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
23% of new residents, usually for short-term rehab.
57% of new residents, often for short stays.
19% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
120Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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 Richwood Nursing &Amp; Rehab from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #28 / 184Payroll costs — State benchmarkedThis home is ranked 28th out of 184 homes in Kentucky. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Kentucky average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #65 / 184Payroll % of net patient revenue — State benchmarkedThis home is ranked 65th out of 184 homes in Kentucky. Shows payroll as a percentage of net patient revenue versus the Kentucky average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (57% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from La Grange's city center to Richwood Nursing &Amp; Rehab's address, calculated via Google Maps.
Add your location
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.
| Redbanks Colonial Terrace | NH IL MC SNF | Sebree | 87
Facility
87
KY AVG
82
Rank
#149 / 341 |
92.0%
Facility
92.0%
KY AVG
84.3
Rank
#58 / 168 | +9% | 3.91
Facility
3.91
KY AVG
3.75
Rank
#35 / 189 | -17% | +4% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 195 | 6
Facility
6
KY AVG
13.5
Rank
#28 / 191 | 3.0
Facility
3.0
KY AVG
4.4
Rank
#47 / 191 | - | 80 | A+ |
41
Facility
41
KY AVG
43
Rank
#220 / 403 | Henderson County Health Care Corporation | $5.8MFiscal year ending 06/2024
Facility
$5.8MFiscal year ending 06/2024
KY AVG
$9.8M
Rank
#157 / 184 | $3.6MFiscal year ending 06/2024
Facility
$3.6MFiscal year ending 06/2024
KY AVG
$4.8M
Rank
#114 / 184 | 62.3%Fiscal year ending 06/2024
Facility
62.3%Fiscal year ending 06/2024
KY AVG
48.9%
Rank
#13 / 184 | 185291 | ||||
| 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
43
Rank
#88 / 403 | Melissa Robbins | $10.6MFiscal year ending 12/2023
Facility
$10.6MFiscal year ending 12/2023
KY AVG
$9.8M
Rank
#71 / 184 | $4.6MFiscal year ending 12/2023
Facility
$4.6MFiscal year ending 12/2023
KY AVG
$4.8M
Rank
#76 / 184 | 43.5%Fiscal year ending 12/2023
Facility
43.5%Fiscal year ending 12/2023
KY AVG
48.9%
Rank
#130 / 184 | 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
43
Rank
#126 / 403 | - | $13.3MFiscal year ending 12/2023
Facility
$13.3MFiscal year ending 12/2023
KY AVG
$9.8M
Rank
#35 / 184 | $6.0MFiscal year ending 12/2023
Facility
$6.0MFiscal year ending 12/2023
KY AVG
$4.8M
Rank
#37 / 184 | 45.2%Fiscal year ending 12/2023
Facility
45.2%Fiscal year ending 12/2023
KY AVG
48.9%
Rank
#112 / 184 | 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
43
Rank
#170 / 403 | - | - | - | - | 185157 | ||||
| Richwood Nursing &Amp; Rehab | NH MC PC SNF | La Grange | 120
Facility
120
KY AVG
82
Rank
#52 / 341 | - | - | 3.08
Facility
3.08
KY AVG
3.75
Rank
#137 / 189 | +56% | -18% | $8.8k
Facility
$8.8k
KY AVG
$65.4k
Rank
#142 / 195 | 13
Facility
13
KY AVG
13.5
Rank
#103 / 191 | 3.3
Facility
3.3
KY AVG
4.4
Rank
#63 / 191 | 1 | 129 | - |
80
Facility
80
KY AVG
43
Rank
#12 / 403 | Blair Einfeldt | $13.5MFiscal year ending 12/2023
Facility
$13.5MFiscal year ending 12/2023
KY AVG
$9.8M
Rank
#30 / 184 | $6.8MFiscal year ending 12/2023
Facility
$6.8MFiscal year ending 12/2023
KY AVG
$4.8M
Rank
#28 / 184 | 50.2%Fiscal year ending 12/2023
Facility
50.2%Fiscal year ending 12/2023
KY AVG
48.9%
Rank
#65 / 184 | 185438 |
Richwood Nursing &Amp; Rehab is legally operated by Richwoodidence Opco, LLC, and administered by Blair Einfeldt.
Richwood Nursing &Amp; Rehab has a walk score of 80. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to KY state health department records, Richwood Nursing &Amp; Rehab's license number is 100818.
Richwood Nursing &Amp; Rehab's occupancy is 100%.
No, Richwood Nursing &Amp; Rehab has a no-pet policy.
Richwood Nursing &Amp; Rehab is registered as a for-profit in KY.
Blair Einfeldt is the administrator of Richwood Nursing &Amp; Rehab.
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