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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 133rd 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.
| 44m per day | ▼ 5% 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.
| 1h 23m per day | ▲ 70% State avg: 49m 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 20m per day | ▼ 4% State avg: 2h 26m 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.
| 4h 4m per day | ▲ 16% State avg: 3h 30m per day · National avg: 3h 26m 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.
| 3m per day | ▼ 21% 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.
| 45m per day | ▲ 44% State avg: 31m per day · National avg: 28m per day |
Lower than the Kentucky average: 81.3%Richwood Nursing &Amp; Rehab is administrated 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, 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.
| 14 | 6 | This facility has 133% more total deficiencies than a typical Kentucky nursing home (14 vs. KY avg 6).↑ 133% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 1.8 | 0.8 | This facility has 125% more deficiencies per year than a typical Kentucky nursing home (1.8 vs. KY avg 0.8).↑ 125% 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 Mar 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.
12 of 13 citations resulted from standard inspections; and 1 of 13 resulted from complaint investigations.
100% better than Kentucky averageKentucky average: 1.1
67% 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.
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 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 #26 / 188Payroll — State benchmarkedThis home is ranked 26th 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.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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
Richwood Nursing &Amp; Rehab is located in LA GRANGE, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.
The information below is reported by the Louisiana Department of Health, Health Standards Section.
| 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 | ||||
| Richwood Nursing &Amp; Rehab |
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. | La Grange | 120
Facility
120
KY AVG
82
Rank
#52 / 341 |
27.5%
Facility
27.5%
KY AVG
81.3%
Rank
#202 / 202 | -66% | 3.08
Facility
3.08
KY AVG
3.75
Rank
#133 / 184 | +56% | -18% | $8.8k
Facility
$8.8k
KY AVG
$65.4k
Rank
#138 / 190 | 13
Facility
13
KY AVG
13.5
Rank
#103 / 186 | 3.3
Facility
3.3
KY AVG
4.4
Rank
#64 / 186 | 1 | 33 | - |
80
Facility
80
KY AVG
41
Rank
#12 / 423 | Blair Einfeldt | $16.8M
Facility
$16.8M
KY AVG
$10.5M
Rank
#25 / 188 | $7.8M
Facility
$7.8M
KY AVG
$4.0M
Rank
#26 / 188 | 46.3%
Facility
46.3%
KY AVG
40.7%
Rank
#88 / 188 | 185438 | ||||
| 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 |
The legal owner and operator of Richwood Nursing &Amp; Rehab is Richwoodidence Opco, Llc.
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 28%.
Blair Einfeldt is the administrator of Richwood Nursing &Amp; Rehab.
Richwood Nursing &Amp; Rehab has 120 beds.
Yes — there are 10 photos of Richwood Nursing &Amp; Rehab in the photo gallery on this page.
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