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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.
River Haven Nursing and Rehabilitation Center is a 103-bed facility at 867 McGuire Avenue in Paducah, Kentucky. Serving McCracken County, the center is operated by Paducah Operating Company, LLC and accepts Medicare and Medicaid.
The facility holds a 1-star overall CMS rating. Staffing figures show several gaps against Kentucky benchmarks: RN hours are 41 minutes per resident per day (11% below average), and weekend nursing coverage is 2 hours and 42 minutes per day (23% below average). Long-stay quality measures are currently rated 1 star, indicating significant clinical performance challenges compared to state and national norms.
The Kentucky Cabinet for Health and Family Services oversees inspections. River Haven maintains a citations-per-inspection rate of 2.0. An August 2025 complaint survey substantiated an abuse finding and cited deficiencies for mold in shower rooms and inadequate housekeeping. However, a follow-up survey in November 2025 found no deficiencies, indicating that the facility has addressed previous regulatory issues. Current occupancy is approximately 74%, which is slightly below the Kentucky average.
Service programs include skilled nursing, short-term and long-term rehabilitation, memory care, and respite care. The facility is located in a very walkable city-center area, allowing residents and visitors to access local amenities on foot. Amenities include on-site physician visits, wound care, and activity programming. Since specific monthly pricing is not provided in public records, families should request a current fee schedule during a facility tour.
Families seeking a conveniently located facility with an improving compliance record may find this environment appropriate. Those evaluating the center should weigh the low long-stay quality measures, the staffing gaps, particularly on weekends, and the August 2025 substantiated abuse finding alongside an in-person visit before making a placement decision.
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 66th 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 | ▼ 4% 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.
| 38m per day | ▼ 23% 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 11m per day | ▼ 10% 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.
| 3h 0m per day | ▼ 14% 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.
| 4m per day | ▲ 5% 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.
| 30m per day | ▼ 4% State avg: 31m per day · National avg: 28m per day |
Lower than the Kentucky average: 81.3%River Haven Nursing and Rehabilitation Center is administrated by Teresa Belt.
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.
| 30 | 6 | This facility has 400% more total deficiencies than a typical Kentucky nursing home (30 vs. KY avg 6).↑ 400% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 4.3 | 0.9 | This facility has 378% more deficiencies per year than a typical Kentucky nursing home (4.3 vs. KY avg 0.9).↑ 378% 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 Aug 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.
26 of 29 citations resulted from standard inspections; and 3 of 29 resulted from complaint investigations.
173% worse than Kentucky averageKentucky average: 1.1
100% better 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.
25% fewer staff per resident than Kentucky average
8% worse 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.
15 total: 9 full-time employees and 6 contractors.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursAssists with medical care and medications.
15 total: 12 full-time employees and 3 contractors.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursHelps with daily care and mobility.
All 48 CNA Staff are full-time employees. No contractors work on this role.
48
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,738 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 48 | 0 | 48 | 13,182 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 12 | 3 | 15 | 3,671 | 92 | 100% | 8.4 |
| Registered Nurse | 9 | 6 | 15 | 3,404 | 92 | 100% | 9.8 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,782 | 88 | 96% | 8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,160 | 67 | 73% | 7.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 858 | 85 | 92% | 7.2 |
| Speech Language Pathologist | 0 | 3 | 3 | 765 | 69 | 75% | 6.6 |
| RN Director of Nursing | 2 | 0 | 2 | 659 | 63 | 68% | 7.9 |
| Dietitian | 1 | 0 | 1 | 582 | 69 | 75% | 8.4 |
| Physical Therapy Assistant | 0 | 2 | 2 | 528 | 70 | 76% | 7 |
| Physical Therapy Aide | 0 | 5 | 5 | 519 | 65 | 71% | 6.2 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 478 | 59 | 64% | 7.9 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 477 | 66 | 72% | 7.2 |
| Dental Services Staff | 1 | 0 | 1 | 461 | 64 | 70% | 7.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 448 | 57 | 62% | 7.9 |
| Qualified Social Worker | 0 | 2 | 2 | 430 | 66 | 72% | 6.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 112 | 14 | 15% | 8 |
| Medical Director | 0 | 2 | 2 | 112 | 13 | 14% | 7.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
Includes penalties issued in 2023
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)
98% 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
Nov 6, 2023 · $1K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 6, 2023Last 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.
11.3
8% worse than Kentucky averageKentucky average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.7
9% worse 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
18.8%
11% worse than Kentucky averageKentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
19.5%
In line with Kentucky averageKentucky average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.8%
16% worse than Kentucky averageKentucky average: 20.5%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
16% better than Kentucky averageKentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
9.6%
66% worse than Kentucky averageKentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
2.9%
54% worse than Kentucky averageKentucky average: 1.9%
Percent of long-stay residents who lose too much weight
5.6%
17% better than Kentucky averageKentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
13.2%
8% better than Kentucky averageKentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
16.5%
6% worse than Kentucky averageKentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
64.8%
31% worse than Kentucky averageKentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
75.0%
22% worse than Kentucky averageKentucky average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.18
17% worse than Kentucky averageKentucky average: 1.87
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.64
25% better than 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
53.1%
37% worse than Kentucky averageKentucky average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
32% better than Kentucky averageKentucky average: 1.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
71.4%
15% worse than Kentucky averageKentucky average: 83.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.5%
8% worse than Kentucky averageKentucky average: 24.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.1%
9% worse than Kentucky averageKentucky average: 13.9%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Kentucky averageKentucky average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
25.5%
52% worse than Kentucky averageKentucky average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
42.5%
16% 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.
26% of new residents, usually for short-term rehab.
20% of new residents, often for short stays.
54% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
88Residents meet regularly to discuss policies, care quality, 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 River Haven Nursing and Rehabilitation Center 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 #95 / 188Payroll — State benchmarkedThis home is ranked 95th 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 Paducah's city center to River Haven Nursing and Rehabilitation Center's address, calculated via Google Maps.
Add your location
River Haven Nursing and Rehabilitation Center is located in PADUCAH, 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 | ||||
| River Haven 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. | Paducah | 103
Facility
103
KY AVG
82
Rank
#91 / 341 |
73.8%
Facility
73.8%
KY AVG
81.3%
Rank
#165 / 202 | -9% | 3.45
Facility
3.45
KY AVG
3.75
Rank
#66 / 184 | +23% | -8% | $1.4k
Facility
$1.4k
KY AVG
$65.4k
Rank
#127 / 190 | 29
Facility
29
KY AVG
13.5
Rank
#171 / 186 | 7.3
Facility
7.3
KY AVG
4.4
Rank
#163 / 186 | 3 | 74 | - |
70
Facility
70
KY AVG
41
Rank
#50 / 423 | Sharon Link | $8.5M
Facility
$8.5M
KY AVG
$10.5M
Rank
#127 / 188 | $4.6M
Facility
$4.6M
KY AVG
$4.0M
Rank
#95 / 188 | 54.1%
Facility
54.1%
KY AVG
40.7%
Rank
#52 / 188 | 185272 |
The legal owner and operator of River Haven Nursing and Rehabilitation Center is Paducah Operating Company, Llc.
River Haven Nursing and Rehabilitation Center has a walk score of 70. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to KY state health department records, River Haven Nursing and Rehabilitation Center's license number is 100306.
According to KY state health department records, River Haven Nursing and Rehabilitation Center's license expires on May 31, 2026.
River Haven Nursing and Rehabilitation Center's occupancy is 74%.
Teresa Belt is the administrator of River Haven Nursing and Rehabilitation Center.
River Haven Nursing and Rehabilitation Center has 103 beds.
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