Rockcastle Regional Hospital and Respiratory Care

Nursing Home in Kentucky

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.
Rockcastle Regional Hospital and Respiratory Care

Nursing Home in Kentucky

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.

Overview of Rockcastle Regional Hospital and Respiratory Care

Rockcastle Regional Hospital and Respiratory Care Center is located in Mt. Vernon, Kentucky. It offers specialized long-term care for ventilator-dependent residents, providing a family-oriented environment and personalized care plans. The facility is known for its high wean rate and comprehensive services.

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.
5/5 ▲ 2.2 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 ▲ 1.1 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.
3/5 ▲ 0.6 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.
5/5 ▲ 2.1 Kentucky average: 2.9/5

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 Kentucky state averages

Total nursing care / resident Info This home is ranked 162nd out of 170 homes in Kentucky.

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.
2h 21m per day
Rank #162 / 170Nurse hours — state benchmarkedThis home is ranked 162nd out of 170 homes in Kentucky.Shows adjusted nurse hours per resident per day benchmarked to the Kentucky average, with a ranking across 170 Kentucky SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility Kentucky avg (3h 27m per day)
vs Kentucky avg
-32%

1 of 6 metrics below state avg

Standout metric RN (Weekend) is +294% above state avg
Staff typeHours / dayvs 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. 2h 21m per day ▲ 207% 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. 1h 37m per day ▲ 98% 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 44m per day ▲ 12% State avg: 2h 26m per day · National avg: 2h 20m per day
Total Nursing (Weekend) 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. 5h 17m per day ▲ 51% 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. 3m per day ▼ 25% State avg: 4m per day · National avg: 4m per day
RN (Weekend) 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. 2h 2m per day ▲ 294% State avg: 31m per day · National avg: 28m per day
Bed community size
143-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.

About this community

Occupancy

Occupancy rate
83%
Rank #114 / 175Occupancy rate — state benchmarkedThis home is ranked 114th out of 175 homes in Kentucky.Shows this facility's occupancy rate versus the Kentucky average, with its statewide rank out of 175. Higher occupancy signals strong local demand and financial stability.
Similar to the Kentucky average: 81.3%
Occupied beds
118 / 143
Average residents 80 per day

License Details

Facility TypeLong Term Care (nursing Facility)
IssuanceJanuary 1, 2025
ExpirationDecember 31, 2025
CountyRockcastle
License Number100374

Ownership & Operating Entity

Rockcastle Regional Hospital and Respiratory Care is administrated by Steve Estes.

Owner NameROCKCASTLE HOSPITAL AND RESPIRATORY CARE CTR, INC

Therapy & Rehabilitation

1 service
Rehabilitation Services

Amenities & Lifestyle

Specific ProgramsCancer Care and Infusion Center, Dentistry, Diagnostic Imaging, Dialysis, Dietetics & Nutrition, Emergency, Home Health, Lab Services, Occupational Therapy, Pediatric Services, Physical Therapy, QuickCare, Retail Pharmacy, Rural Health Clinics, Surgery, Speech Pathology, Therapy & Rehab, Wellness Center, Respiratory Care Center

Contact Rockcastle Regional Hospital and Respiratory Care

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.

2 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Latest inspection

Date March 28, 2025
Abbreviated Survey

3 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Kentucky average: 6 deficiencies

Inspection Report Summary for Rockcastle Regional Hospital and Respiratory Care

The most recent inspection on March 28, 2025, found no deficiencies and determined that complaints were unsubstantiated. The prior inspection on March 26, 2025, identified deficiencies related to visual privacy during tracheostomy care, posting of nurse staffing information, and ensuring a functional resident call system. Complaint investigations were consistently unsubstantiated, and no enforcement actions such as fines or license suspensions were listed in the available reports. Earlier inspections noted issues mainly around resident privacy and communication systems. The facility showed improvement by resolving deficiencies found in the March 26 inspection by the time of the March 28 follow-up.

Financial Assistance for
Nursing Home in Kentucky

Rockcastle Regional Hospital and Respiratory Care is located in MOUNT VERNON, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.

Get Financial aid guidance

Home and Community Based Waiver

Kentucky Medicaid HCB Waiver

Age 65+ or disabled
General Kentucky resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
KY

Rural focus; waitlists possible.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Homemaker services Home modifications

Hart-Supported Living Program

KY Hart-Supported Living

Age 65+ or disabled
General Kentucky resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
KY

Competitive grants; limited availability.

Benefits
In-home support (up to 10 hours/week) Respite (varies) Adaptive equipment (~$500 avg.)

Kentucky Homecare Program

Kentucky Homecare Program

Age 60+
General Kentucky resident, at risk of nursing home placement, not eligible for Medicaid waivers.
Income Limits (2025) No strict limit; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based focus.
KY

15 AAAs; rural focus; not in nursing homes.

Benefits
Personal care (4-6 hours/day) Respite (5 days/year) Chore services Meal delivery ($7/meal) Minor home repairs

Medicare Savings Program (MSP)

Kentucky Medicare Savings Program

Age 65+ or disabled
General Kentucky resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
KY

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

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

National Family Caregiver Support Program (NFCSP) Respite

Kentucky NFCSP Respite Care

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; Kentucky resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
KY

15 AAAs; prioritizes low-income, rural caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($55/day) Caregiver training Supplies (~$500/year)

Kentucky Family Caregiver Program

Kentucky Family Caregiver Program

Age
General Grandparents (often 55+) as primary caregivers to grandchildren under 18, Kentucky resident, not on Kinship Care.
Income Limits (2025) ~$31,225/year (individual); varies by AAA.
Asset Limits Not strictly assessed; need-based.
KY

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

Benefits
Grants (~$500-$1,500/year) for respite Supplies Care costs; counseling Training

Senior Community Service Employment Program (SCSEP)

Kentucky SCSEP

Age 55+
General unemployed, low-income, Kentucky resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
KY

Priority for veterans, rural residents.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

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

Kentucky VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Kentucky resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
KY

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Places of interest near Rockcastle Regional Hospital and Respiratory Care

Address 81.3 miles from city center Info Estimated distance in miles from MOUNT VERNON's city center to Rockcastle Regional Hospital and Respiratory Care's address, calculated via Google Maps.

Calculate Travel Distance to Rockcastle Regional Hospital and Respiratory Care

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Address

Quality of care over time

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

Long-stay resident measures
Significantly above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.33
82% better than Kentucky average

Kentucky average: 1.87

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.00
100% better than Kentucky average

Kentucky average: 2.19

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

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

No penalties in the past 3 years

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

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

5 facilities compared · CMS & KY Dept. of Health data · Updated Apr 2026

Filter by care type
Rockcastle Regional Hospital and Respiratory Care
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.

Mount Vernon143--2.36 --37%000.00115-----185157
Barren County Nursing and Rehabilitation
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.

Glasgow94 82.7% +2%3.22 -36%-14%1113.7088-Herbstman, Moshe$8.6M$2.8M32.7%185229
Auburn 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.

Auburn66 62.0% -24%1.44 -49%-62%0133.3050-Bolster, Nancy$4.0M$1.8M44.8%185049
Beaver Dam Nursing and Rehab Center, Inc
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.

Beaver Dam71 84.3% +4%- -7%-093.0054--$7.0M$3.4M47.7%185334
Bardstown Heatlh & Rehabilitation -
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.

Bardstown100--------000.00-------

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