Riverview Health Care Center
Nursing Home, Palliative Care & Skilled Nursing · Prestonsburg, KY
CMS overall rating Info 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.

Riverview Health Care Center

Nursing Home, Palliative Care & Skilled Nursing · Prestonsburg, KY
CMS overall rating Info 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.
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Riverview Health Care Center accepts Medicaid, Medicare, and private pay.

Overview of Riverview Health Care Center

Operated by owner Hope Brainard, Riverview Health Care Center is a skilled nursing home in Prestonsburg, Kentucky. It’s situated in a car-dependent area and accepts Medicaid, Medicare, and private pay, offering families numerous ways to afford short-term rehabilitation and active nursing care. With 121 beds and an 84 percent occupancy rate, the center upholds an engaged census while remaining responsive to individual resident needs. The average stay length is 124 days, indicating a mix of post-acute rehabilitation patients and people with longer-term care needs. This mix positions the home as a pragmatic choice for those healing from hospitalization or requiring ongoing skilled nursing support.

The facility, clinically speaking, spotlights rehabilitation and restorative care via dedicated rehabilitation services, along with respite care for families seeking short-term stays. Occupants get an average of 3 hours 1 minute of total nursing care per day, with registered nursing support of 1 hour each day and nurse aide support of 2 hours 2 minutes daily, providing consistent hands-on assistance all day. Daily life is anchored by clinical services, care navigation to help families manage transitions, and life enrichment programming to engage residents. The dining program offers restaurant-style meals, letting residents choose from available options instead of one meal at set times.

Riverview Health Care Center is a grounded option for individuals recuperating from hospitalization or needing ongoing skilled nursing support.

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.
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.
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.
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.

Staffing hours breakdown

Info 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 — compared to state averages

Total nursing care / resident Info 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 1m per day
Rank #152 / 191Nurse hours — State benchmarkedThis home is ranked 152nd out of 191 homes in Kentucky for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Kentucky average, with a ranking across 191 Kentucky facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

3 of 6 metrics below state avg

Standout metric Physical Therapist is +65% above state avg
Staff type Hours / Day / Resident vs state avg
Registered Nurse (RN) Info 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. 1h 0m per day ▲ 31% State avg: 46m per day · National avg: 41m per day
LPN / LVN Info 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. 16m per day ▼ 68% State avg: 49m per day · National avg: 52m per day
Nurse Aide Info 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 ▼ 16% State avg: 2h 26m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 54m per day ▼ 17% State avg: 3h 30m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 7m per day ▲ 65% State avg: 4m per day · National avg: 4m per day
Weekend RN Info 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. 40m per day ▲ 28% State avg: 31m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay Info 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.
124 days
Bed community size
121-bed community Rank #51 / 341Bed count — State benchmarkedThis home is ranked 51st out of 341 homes in Kentucky for Bed Count. Shows this facility's certified or reported bed count compared to other Kentucky facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 7 / 100 Rank #382 / 423Walk Score — State benchmarkedThis home is ranked 382nd out of 423 homes in Kentucky for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Kentucky facilities. Higher scores benefit residents, families, and staff.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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
87%
Rank #97 / 168Occupancy rate — State benchmarkedThis home is ranked 97th out of 168 homes in Kentucky for Occupancy. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 168. Higher occupancy signals strong local demand and financial stability.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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Kentucky average: 81.3%
Occupied beds
105 / 121
Average occupied beds in Kentucky homes 80 beds

License Details

Facility TypeLong Term Care (nursing Facility)
StatusActive
IssuanceDecember 1, 2025
CountyFloyd
License Number100504
CMS Certification Number185151

Ownership & Operating Entity

Riverview Health Care Center is administered by Hope Brainard.

Owner NameLP Prestonsburg Riverview, LLC

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsClinical Services, Care Navigation, Life Enrichment
Religious Services
Volunteer Program
Touring HoursMonday-Friday: 9:00 AM - 9:00 PM, Saturday & Sunday: 10:00 AM - 6:30 PM

Contact Riverview Health Care Center

Inspection History

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.

Since 2018 · 8 years of data 0 deficiencies

Inspection Scorecard Info 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.

Since 2018 vs. Kentucky state average
Overall vs. KY average 0 Worse No metrics in this bucket. 1 Better Metrics better than Kentucky average:
• Total deficiencies (100% below)
Latest Inspection June 17, 2025 Abbreviated Survey

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This Facility KY Average vs. KY Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 0 6 This facility has 100% fewer total deficiencies than a typical Kentucky assisted living residence (0 vs. KY avg 6).↓ 100% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • June 17, 2025 abbreviated survey found no deficiencies and confirmed regulatory compliance.
  • April 14, 2025 abbreviated survey found no deficiencies and ruled complaint KY#00045700 unsubstantiated.
  • Both complaint investigations in 2025 resulted in no deficiencies or substantiated issues.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 125
Employees 122
Contractors 3
Staff to resident ratio 1.26 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 49
Average shift 8.8 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 39,768

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 19 total: 18 full-time employees and 1 contractor. 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 7 LPN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 60 CNA Staff are full-time employees. No contractors work on this role. 60
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.2%

89 contractor hours this quarter

Registered Nurse: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant 60 0 60 18,949 92 100% 8.9
Registered Nurse 18 1 19 5,925 92 100% 9.9
Clinical Nurse Specialist 12 0 12 3,275 83 90% 7.6
Licensed Practical Nurse 7 0 7 2,507 92 100% 10.5
Qualified Activities Professional 3 0 3 1,184 92 100% 11.2
Respiratory Therapy Technician 2 0 2 1,069 77 84% 7.7
Speech Language Pathologist 4 0 4 1,001 73 79% 7.9
Physical Therapy Aide 3 0 3 957 74 80% 8.6
Physical Therapy Assistant 2 0 2 864 86 93% 7.5
Other Dietary Services Staff 2 0 2 854 91 99% 7.1
Medication Aide/Technician 3 0 3 748 76 83% 8.4
Administrator 2 0 2 544 66 72% 8
Mental Health Service Worker 1 0 1 520 56 61% 9.3
Nurse Practitioner 1 0 1 516 66 72% 7.8
Dietitian 1 0 1 482 58 63% 8.3
Qualified Social Worker 1 0 1 291 66 72% 4.4
Occupational Therapy Assistant 0 1 1 49 6 7% 8.2
Medical Director 0 1 1 36 30 33% 1.2
60 Certified Nursing Assistant
% of Days 100%
19 Registered Nurse
% of Days 100%
12 Clinical Nurse Specialist
% of Days 90%
7 Licensed Practical Nurse
% of Days 100%
3 Qualified Activities Professional
% of Days 100%
2 Respiratory Therapy Technician
% of Days 84%
4 Speech Language Pathologist
% of Days 79%
3 Physical Therapy Aide
% of Days 80%
2 Physical Therapy Assistant
% of Days 93%
2 Other Dietary Services Staff
% of Days 99%
3 Medication Aide/Technician
% of Days 83%
2 Administrator
% of Days 72%
1 Mental Health Service Worker
% of Days 61%
1 Nurse Practitioner
% of Days 72%
1 Dietitian
% of Days 63%
1 Qualified Social Worker
% of Days 72%
1 Occupational Therapy Assistant
% of Days 7%
1 Medical Director
% of Days 33%

Penalties and fines

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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. 7.2
32% better than State average

State average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 10.3
45% better than State average

State average: 18.9

Long-stay resident measures
Above average State avg: 3.5 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 8.5%
49% better than State average

State average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 5.1%
74% better than State average

State 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 17.4%
15% better than State average

State average: 20.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.1%
9% worse than State average

State average: 3.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.8%
19% worse than State average

State average: 5.8%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.9%
51% better than State average

State average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 11.3%
67% worse than State average

State average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 17.9%
25% worse than State average

State average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 10.3%
34% better than State average

State average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.3%
In line with State average

State average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with State average

State average: 96.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.47
32% worse than State average

State average: 1.87

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.81
17% better than State average

State average: 2.19

Short-stay resident measures
Below average State avg: 2.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 62.7%
25% worse than State average

State average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.4%
81% better than State average

State average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 87.7%
5% better than State average

State average: 83.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 25.4%
In line with State average

State average: 24.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 11.0%
21% better than State average

State average: 13.9%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.0%
25% worse than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 31.6%
41% worse than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 47.2%
7% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

37% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

44% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

19% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

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

Total residents 99
Medicare
13
13.1% of residents
Medicaid
82
82.8% of residents
Private pay or other
4
4% of residents
Programs & Services
Residents Group

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

Active Resident Council

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

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info 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."
$12.0M
Net patient income Info 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."
$308.0K
For-profit Corporation
Net patient revenue Info 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."
$12.0M Rank #44 / 194Revenue — State benchmarkedThis home is ranked 44th out of 194 homes in Kentucky for Revenue. Shows this facility's annual revenue compared to the Kentucky average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info 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."
$308.0K
Other income Info 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.
$46.9K
Payroll costs Info 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 #90 / 194Payroll — State benchmarkedThis home is ranked 90th out of 194 homes in Kentucky for Payroll. 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.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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.0M 33.7% of net patient revenue Info 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 #180 / 194Payroll % — State benchmarkedThis home is ranked 180th out of 194 homes in Kentucky for Payroll %. Shows payroll as a percentage of revenue versus the Kentucky average. Well-run Kentucky facilities typically land around 50–61% — the top third Statewide. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info 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).
$7.6M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$11.6M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under private pay (44% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
288 total

Coverage residents most often arrive under.

Medicare 37%
Private pay 44%
Medicaid 19%
Discharges
298 total

Coverage residents most often leave under.

Medicare 24%
Private pay 39%
Medicaid 38%

Places of interest near Riverview Health Care Center

Address 3.6 miles from city center Info Estimated distance in miles from Prestonsburg's city center to Riverview Health Care Center's address, calculated via Google Maps.

Calculate Travel Distance to Riverview Health Care Center

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Address

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

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Frequently Asked Questions about Riverview Health Care Center

Who is the owner of Riverview Health Care Center?

Riverview Health Care Center is legally operated by LP Prestonsburg Riverview, LLC, and administered by Hope Brainard.

Is Riverview Health Care Center in a walkable area?

Riverview Health Care Center has a walk score of 7. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Riverview Health Care Center?

According to KY state health department records, Riverview Health Care Center's license number is 100504.

What is the occupancy rate at Riverview Health Care Center?

Riverview Health Care Center's occupancy is 87%.

Are pets allowed at Riverview Health Care Center?

No, Riverview Health Care Center has a no-pet policy.

Does Riverview Health Care Center operate as a for-profit or non-profit?

Riverview Health Care Center is registered as a for-profit in KY.

Who is the administrator of Riverview Health Care Center?

Hope Brainard is the administrator of Riverview Health Care Center.

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