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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.
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.
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 176th out of 184 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.
| 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.
| 2h 21m per day | ▲ 207% 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 37m per day | ▲ 98% 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 44m per day | ▲ 12% 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.
| 5h 17m per day | ▲ 51% 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 | ▼ 25% 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.
| 2h 2m per day | ▲ 294% State avg: 31m per day · National avg: 28m per day |
Similar to the Kentucky average: 81.3%Rockcastle Regional Hospital and Respiratory Care is administrated by Steve Estes.
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.
| 3 | 6 | This facility has 50% fewer total deficiencies than a typical Kentucky nursing home (3 vs. KY avg 6).↓ 50% better |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 0.4 | 0.8 | This facility has 50% fewer deficiencies per year than a typical Kentucky nursing home (0.4 vs. KY avg 0.8).↓ 50% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsKentucky 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.
All 4 citations resulted from standard inspections.
100% better 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.
65% better than Kentucky average
6% 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0 contractor hours this quarter
No contractor roles were reported this quarter.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 102 | 0 | 102 | 28,538 | 92 | 100% | 8.9 |
| Registered Nurse | 73 | 0 | 73 | 21,471 | 92 | 100% | 9.5 |
| Licensed Practical Nurse | 49 | 0 | 49 | 17,907 | 92 | 100% | 10.2 |
| Other Activities Staff | 38 | 0 | 38 | 13,317 | 92 | 100% | 10.2 |
| Qualified Activities Professional | 31 | 0 | 31 | 11,248 | 92 | 100% | 9.9 |
| Physical Therapy Assistant | 4 | 0 | 4 | 2,117 | 68 | 74% | 8.5 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,951 | 78 | 85% | 8 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,807 | 64 | 70% | 7.9 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,792 | 74 | 80% | 8.7 |
| Occupational Therapy Assistant | 5 | 0 | 5 | 1,270 | 74 | 80% | 5 |
| Qualified Social Worker | 3 | 0 | 3 | 1,129 | 67 | 73% | 7.5 |
| Speech Language Pathologist | 2 | 0 | 2 | 964 | 63 | 68% | 8.1 |
| Occupational Therapy Aide | 2 | 0 | 2 | 938 | 77 | 84% | 7.4 |
| Other Physician | 4 | 0 | 4 | 528 | 66 | 72% | 2 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Medication Aide/Technician | 1 | 0 | 1 | 443 | 58 | 63% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 396 | 66 | 72% | 6 |
| Nurse Aide in Training | 4 | 0 | 4 | 357 | 32 | 35% | 8.3 |
| Administrator | 1 | 0 | 1 | 264 | 66 | 72% | 4 |
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.
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.
14.4
37% worse than Kentucky averageKentucky average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.1
In line with 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
14.5%
14% better than Kentucky averageKentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
38.8%
98% worse than Kentucky averageKentucky average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
3.9%
81% better than Kentucky averageKentucky average: 20.5%
Percent of long-stay residents experiencing one or more falls with major injury
0.7%
82% better than Kentucky averageKentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
13.7%
139% worse than Kentucky averageKentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
3.0%
58% worse than Kentucky averageKentucky average: 1.9%
Percent of long-stay residents who lose too much weight
4.1%
39% better than Kentucky averageKentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
0.5%
96% better than Kentucky averageKentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
7.1%
54% better than Kentucky averageKentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.0%
In line with Kentucky averageKentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.9%
In line with Kentucky averageKentucky average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
0.33
82% better than Kentucky averageKentucky average: 1.87
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.00
100% better than Kentucky averageKentucky average: 2.19
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
73.0%
13% worse than Kentucky averageKentucky average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
3.9%
99% worse than Kentucky averageKentucky average: 1.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
69.6%
17% worse than Kentucky averageKentucky average: 83.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
118Residents 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.
81.3 miles from city center
Estimated distance in miles from Mount Vernon's city center to Rockcastle Regional Hospital and Respiratory Care's address, calculated via Google Maps.
Add your location
Rockcastle Regional Hospital and Respiratory Care is located in MOUNT VERNON, 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.
| 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 Vernon | 143 | - | - | 2.36 | +103% | -37% | $0 | 4 | 2.0 | - | 115 | - | 49 | - | - | - | - | 185157 | ||||
| Hermitage Care & 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.
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 | 92 | 92.4% | +14% | 4.18 | +14% | +12% | $0 | 4 | 2.0 | - | 84 | A+ | 49 | Matthew Clark | $13.6M | $4.8M | 35.5% | 185346 | ||||
| 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 | 78.1% | -4% | 7.74 | -8% | +106% | $0 | 14 | 4.7 | - | 40 | - | 52 | Jack T Wells Estate | $7.5M | $3.7M | 49.8% | 185436 | ||||
| Edmonson 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. | Brownsville | 74 | 85.2% | +5% | 3.47 | -41% | -8% | $0 | 11 | 5.5 | 3 | 72 | - | 43 | Edmonson Health Center LLC | $10.5M | $4.8M | 45.3% | 185401 | ||||
| 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 | 86.7% | +7% | 4.42 | -17% | +18% | $7.9k | 20 | 5.0 | 2 | 159 | - | 43 | Christian Benevolent Outreach, Inc. | $19.0M | $11.8M | 61.8% | 185248 |
The legal owner and operator of Rockcastle Regional Hospital and Respiratory Care is Rockcastle Hospital And Respiratory Care Ctr, Inc.
Rockcastle Regional Hospital and Respiratory Care has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to KY state health department records, Rockcastle Regional Hospital and Respiratory Care's license number is 100374.
According to KY state health department records, Rockcastle Regional Hospital and Respiratory Care's license expires on December 31, 2025.
Rockcastle Regional Hospital and Respiratory Care's occupancy is 83%.
Steve Estes is the administrator of Rockcastle Regional Hospital and Respiratory Care.
Rockcastle Regional Hospital and Respiratory Care has 143 beds.
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