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Assisted Living in Kentucky

CMS overall rating Info 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.

River’s Bend Retirement Community

Assisted Living in Kentucky

CMS overall rating Info 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.

River’s Bend Retirement Community

Overview of River’s Bend Retirement Community
River's Bend Retirement Community is a nonprofit skilled nursing and assisted living community located in Kuttawa, Kentucky. It offers personalized healthcare, skilled nursing care, assisted living apartments, and rehabilitative services. The community is dedicated to providing quality services for residents and a stimulating workplace for employees.
(270) 388-2868

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
3/5
Kentucky average: 2.8/5
Health Inspection Info 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.
4/5
Kentucky average: 2.9/5
Staffing Info 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.
1/5
Kentucky average: 2.4/5
Quality Measures Info 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.
3/5
Kentucky average: 2.9/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 36

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Kentucky average
Occupancy rate 79.8%
Residents per day (avg) 37
Occupancy rate
79.8%
Residents per day (avg)
37

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

51% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

41% of new residents, often for short stays.

Typical stay 9 - 10 months

Medicaid

8% of new residents, often for long-term daily care.

Typical stay 2 years

Finances and operations

Voluntary non-profit community
Home revenue
$4.8M
Operating deficit
-$394.1K
Voluntary non-profit community
Home revenue
$4.8M
Operating deficit
-$394.1K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.1M
42.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.2M
Total costs $5.2M
Bed community size
36-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

License Details

Facility TypeAssisted Living Community - Behavioral Health
StatusActive
CountyLYON

Additional Licensing Details

License Number101494
CMS Certification Number185410
AccreditationsBronze – Commitment to Quality Award from the American Health Care Association and National Center for Assisted Living (AHCA/NCAL)

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactDawn Tedder

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

4 services
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing

Additional Services

1 service
Rehabilitation

Amenities & Lifestyle

5 amenities
Housekeeping/Laundry Services
On-Site Beauty Salon/Barber Shop
Beautiful Sitting Areas And Common Spaces
Socially Engaging Daily Activities
Three Meals Daily And Snacks
Specific ProgramsSkilled Nursing, Assisted Living, Rehabilitation

Dining & Nutrition

Food DescriptionThree meals daily and snacks are provided.
Meals IncludedYes

Contact River’s Bend Retirement Community

Health Inspection History

Inspections
Total health inspections 3

State average 2.9


Last Health inspection on Sep 2023

Total health citations 6

State average 13.5

Citations per inspection
2

State average 4.4


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

5 of 6 citations resulted from standard inspections; and 1 of 6 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than State average

State average: 1.1


Serious Health citations More info 0
100% better than State average

State average: 0.6

0 critical citations More info State average: 1.1

0 serious citations More info State average: 0.6

6 moderate citations More info State average: 11.6

0 minor citations More info State average: 0.1
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Sep 08, 2023
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Sep 08, 2023
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Sep 08, 2023
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Dec 08, 2021
Corrected

Compare Assisted Living around Kentucky The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.

Filter by care type
Madonna Manor
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.

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).

Villa Hills
124
No
4
-
-
River’s Bend Retirement Community
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.

Kuttawa
76
No
-
-
-
Inspirations of Mount Washington
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.

Mt Washington
49
Yes
12
-
A-
Amber Oaks
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.

Shelbyville
42
No
-
19
A+
Barkley Plantation Assisted Living
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.

Cadiz
36
No
-
-
-

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 57
Employees 48
Contractors 9
Staff to resident ratio 1.68:1
0% compared with Kentucky average

Kentucky average ratio: 1.75:1

Avg staff/day 20
Average shift 8.3 hours
0% compared with Kentucky average

Kentucky average: 8.5 hours

Total staff hours (quarter) 15,111
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.7 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 24
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

9.5%

1,429 contractor hours this quarter

Respiratory Therapy Technician: 2 Physical Therapy Assistant: 2 Qualified Social Worker: 1 Medical Director: 1 Speech Language Pathologist: 1 Occupational Therapy Aide: 1 Physical Therapy Aide: 1
Staff by category
Certified Nursing Assistant240246,41191100%8.4
Registered Nurse7071,8008796%10
Licensed Practical Nurse4041,3058796%9.7
Medication Aide/Technician3031,0168796%10.8
Clinical Nurse Specialist3038636268%6.9
Administrator2026406470%8
Mental Health Service Worker1015246571%8.1
Qualified Social Worker0115147077%7.3
Nurse Practitioner2024725965%8
Dietitian1014416066%7.4
Speech Language Pathologist0113385965%5.7
Respiratory Therapy Technician0222956167%4.8
Nurse Aide in Training1012103033%7
Physical Therapy Assistant0221373033%4.4
Occupational Therapy Aide0111041314%8
Physical Therapy Aide0113678%5.1
Medical Director011633%2
24 Certified Nursing Assistant
% of Days 100%
7 Registered Nurse
% of Days 96%
4 Licensed Practical Nurse
% of Days 96%
3 Medication Aide/Technician
% of Days 96%
3 Clinical Nurse Specialist
% of Days 68%
2 Administrator
% of Days 70%
1 Mental Health Service Worker
% of Days 71%
1 Qualified Social Worker
% of Days 77%
2 Nurse Practitioner
% of Days 65%
1 Dietitian
% of Days 66%
1 Speech Language Pathologist
% of Days 65%
2 Respiratory Therapy Technician
% of Days 67%
1 Nurse Aide in Training
% of Days 33%
2 Physical Therapy Assistant
% of Days 33%
1 Occupational Therapy Aide
% of Days 14%
1 Physical Therapy Aide
% of Days 8%
1 Medical Director
% of Days 3%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
34 residents
Residents by payment source
Medicare
9 residents (26.5%)
Medicaid
14 residents (41.2%)
Private pay or other
11 residents (32.4%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 22.5
114% worse than Kentucky average

Kentucky average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 40.1
112% worse than Kentucky average

Kentucky average: 18.9

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 38.9%
131% worse than Kentucky average

Kentucky average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 49.7%
153% worse than Kentucky average

Kentucky average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 31.6%
54% worse than Kentucky average

Kentucky average: 20.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.2%
16% better than Kentucky average

Kentucky average: 3.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 9.9%
72% worse than Kentucky average

Kentucky average: 5.8%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.3%
74% worse than Kentucky average

Kentucky average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 10.7%
58% worse than Kentucky average

Kentucky average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.9%
94% better than Kentucky average

Kentucky average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 26.2%
68% worse than Kentucky average

Kentucky average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 87.3%
7% worse than Kentucky average

Kentucky average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.3%
In line with Kentucky average

Kentucky average: 96.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 56.9%
32% worse than Kentucky average

Kentucky average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Kentucky average

Kentucky average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 51.2%
39% worse than Kentucky average

Kentucky average: 83.6%

Guides for Better Senior Living

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Kentucky Seniors

Get financial aid guidance

Home and Community Based Waiver

Kentucky Medicaid HCB Waiver

Age 65+ or disabled, Kentucky resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Hart-Supported Living Program

KY Hart-Supported Living

Age 65+ or disabled, Kentucky resident.

No strict limit; prioritizes low-income.

Not applicable.

Competitive grants; limited availability.

Kentucky Homecare Program

Kentucky Homecare Program

Age 60+, Kentucky resident, at risk of nursing home placement, not eligible for Medicaid waivers.

No strict limit; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based focus.

15 AAAs; rural focus; not in nursing homes.

Medicare Savings Program (MSP)

Kentucky Medicare Savings Program

Age 65+ or disabled, Kentucky resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; auto Extra Help for Part D.

National Family Caregiver Support Program (NFCSP) Respite

Kentucky NFCSP Respite Care

Caregivers of 60+ needing care or 55+ caregivers of others; Kentucky resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

15 AAAs; prioritizes low-income, rural caregivers.

Kentucky Family Caregiver Program

Kentucky Family Caregiver Program

Grandparents (often 55+) as primary caregivers to grandchildren under 18, Kentucky resident, not on Kinship Care.

~$31,225/year (individual); varies by AAA.

Not strictly assessed; need-based.

Max $1,500/year; statewide via AAAs.

Senior Community Service Employment Program (SCSEP)

Kentucky SCSEP

Age 55+, unemployed, low-income, Kentucky resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Kentucky VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Kentucky resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.