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Rockcastle Regional Hospital and Respiratory Care
Nursing Home & Skilled Nursing · Mount Vernon, 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.
An ambulance parked at the entrance of the facility A child walking in a facility's interior with staff assistance Residents engaged in a group activity in a communal space Residents interacting with staff in a communal space

Rockcastle Regional Hospital and Respiratory Care

Nursing Home & Skilled Nursing · Mount Vernon, 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.
145 Newcomb Avenue, Mount Vernon, KY 40456 View map
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Overview of Rockcastle Regional Hospital and Respiratory Care

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Rockcastle Regional Hospital and Respiratory Care is a nursing home in Mount Vernon, Kentucky, providing nursing care and skilled nursing. Skilled nursing includes licensed nursing care on site around the clock, and the community also offers specialized long term care for ventilator dependent residents. The setting may be a good fit for a resident who needs long term nursing care with ventilator support.

Opened in 1980, the community has 143 beds. Steve Estes serves as administrator, and Rockcastle Hospital And Respiratory Care Ctr operates the community. Rehabilitation services are available, giving residents access to therapy as part of the care offered here. Total nurse staffing is 2 hours and 41 minutes per resident each day, representing the amount of nursing time allocated to each resident over a 24 hour period.

Facility Direct Line (606) 256-2195

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.
▲ 77.6% Above KY avg. ▲ 77.6% Above KY avg.KY average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 37.1% Above KY avg. ▲ 37.1% Above KY avg.KY average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 12.4% Above KY avg. ▲ 12.4% Above KY avg.KY average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 72.7% Above KY avg. ▲ 72.7% Above KY avg.KY average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours 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 vs Kentucky averages

Rank #176 / 195Nurse hours — State benchmarkedThis nursing home is ranked 176th out of 195 nursing homes we track in Kentucky for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Kentucky average, with a ranking across 195 Kentucky facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This nursing home is ranked 176th out of 195 nursing homes we track 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.

2h 41m

28% below 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.
54m
+16% 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.
38m
−22% 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.
1h 9m
−53% 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 18m
−34% 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
−25% 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.
2h 3m
+296% State avg: 31m per day · National avg: 28m per day

4 of 6 metrics below state avg

Standout metric: Weekend RN is +296% above Kentucky average

By The Numbers

Community insights.

Bed count Info A mid-sized community that may balance personal attention with shared amenities and social activities. 143 Rank #26 / 196Bed count — State benchmarkedThis nursing home is ranked 26th out of 196 nursing homes we track 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.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Medium-capacity home · Offers a balance of services and community atmosphere.

Years of operating Info A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management. Rank #17 / 125Years in operation — State benchmarkedThis nursing home is ranked 17th out of 125 nursing homes we track in Kentucky for years in operation. Shows how long this facility has been in operation compared to other Kentucky facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
1 year
Walk Score Info Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation. Rank #100 / 208Walk Score — State benchmarkedThis nursing home is ranked 100th out of 208 nursing homes we track 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.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
49 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #122 / 165Occupancy rate — State benchmarkedThis nursing home is ranked 122nd out of 165 nursing homes we track in Kentucky for occupancy. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 165. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
82.5% This home usually has availability
Similar to the Kentucky average: 84.9%
Occupied beds
118 / 143

About this community

License Details

Facility TypeLong Term Care (Nursing Facility)
IssuanceJanuary 1, 2025
CountyRockcastle
License Number100374

Ownership & Operating Entity

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

Owner NameRockcastle Hospital And Respiratory Care Ctr, Inc

Therapy & Rehabilitation

1 service
Rehabilitation Services

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

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

Contact Rockcastle Regional Hospital and Respiratory Care

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

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 These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 7 deficiencies 4 inspections

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. 2 Better Metrics better than Kentucky average:
• Total deficiencies (46% below)
• Deficiencies per inspection (49% below)

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

This FacilityKY Averagevs. KY Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 713.0 This facility has 46% fewer total deficiencies than a typical Kentucky nursing home (7 vs. KY avg 13).↓ 46% better
Deficiencies per inspection Info Average deficiencies per inspection. 1.83.5 This facility has 49% fewer deficiencies per inspection than a typical Kentucky nursing home (1.8 vs. KY avg 3.5).↓ 49% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityKY Averagevs. KY Avg
Total inspections Info Combined count of all inspections conducted at this facility. 44.0 This facility has total inspections in line with the Kentucky average (4 vs. KY avg 4).— At avg
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2018 · 8 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 2

State average 2.9

Last Health inspection on Mar 2025

Total health citations
4 Rank #19 / 196Health citations — State benchmarkedThis nursing home is ranked 19th out of 196 nursing homes we track in Kentucky for health citations. Shows this facility's total health deficiency citations benchmarked to the Kentucky State average, with a ranking across all 196 KY facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 12.9

Citations per inspection
2 Rank #22 / 196Citations per inspection — State benchmarkedThis nursing home is ranked 22nd out of 196 nursing homes we track in Kentucky for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 196 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 4.24

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

All 4 citations resulted from standard inspections.

Breakdown of citation severity (last 8 years)
Critical health citations
0
100% better than State average

State average: 1

Serious health citations
0
100% better than State average

State average: 0.6

0 critical citations State average: 1
0 serious citations State average: 0.6
4 moderate citations State average: 11.2
0 minor citations State average: 0.1
Citations history (last 8 years)
Environmental moderate citation Mar 26, 2025
Corrected
Nursing Services moderate citation Mar 26, 2025
Corrected
Resident Rights moderate citation Mar 26, 2025
Corrected
Care Planning moderate citation Aug 30, 2018
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

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

Total staff 335
Employees 335
Contractors 0
Staff to resident ratio 2.84 : 1
67% more staff per resident than Kentucky average
Kentucky average ratio: 1.70 : 1 Kentucky average ratio: 1.70 : 1See full Kentucky ranking
Avg staff/day 129
Average shift 9 hours
6% better than Kentucky average
Kentucky average: 8.5 hours Kentucky average shift: 8.5 hoursSee full Kentucky ranking
Total staff hours (quarter) 106,966

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 All 73 RN Staff are full-time employees. No contractors work on this role. 73
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 49 LPN Staff are full-time employees. No contractors work on this role. 49
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 102 CNA Staff are full-time employees. No contractors work on this role. 102
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% — all staff are direct employees this quarter

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 Assistant102010228,53892100%8.9
Registered Nurse7307321,47192100%9.5
Licensed Practical Nurse4904917,90792100%10.2
Other Activities Staff3803813,31792100%10.2
Qualified Activities Professional3103111,24892100%9.9
Physical Therapy Assistant4042,1176874%8.5
Other Dietary Services Staff6061,9517885%8
Mental Health Service Worker4041,8076470%7.9
Clinical Nurse Specialist4041,7927480%8.7
Occupational Therapy Assistant5051,2707480%5
Qualified Social Worker3031,1296773%7.5
Speech Language Pathologist2029646368%8.1
Occupational Therapy Aide2029387784%7.4
Other Physician4045286672%2
Respiratory Therapy Technician1015286672%8
Medication Aide/Technician1014435863%7.6
Nurse Practitioner1013966672%6
Nurse Aide in Training4043573235%8.3
Administrator1012646672%4
102 Certified Nursing Assistant
% of Days 100%
73 Registered Nurse
% of Days 100%
49 Licensed Practical Nurse
% of Days 100%
38 Other Activities Staff
% of Days 100%
View All Staffing Data

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. 14.4
37% 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. 19.1
In line with Kentucky average

Kentucky average: 18.9

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.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 14.5%
14% better than Kentucky average

Kentucky average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 38.8%
98% 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 3.9%
81% better 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 0.7%
82% 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 13.7%
139% worse than Kentucky average

Kentucky average: 5.8%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.0%
58% worse than Kentucky average

Kentucky average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.1%
39% better than Kentucky average

Kentucky average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.5%
96% better than Kentucky average

Kentucky average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 7.1%
54% better than Kentucky average

Kentucky average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.0%
In line with Kentucky average

Kentucky average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.9%
In line with Kentucky average

Kentucky average: 96.2%

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

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 73.0%
13% worse than Kentucky average

Kentucky average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.9%
99% worse than Kentucky average

Kentucky average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 69.6%
17% worse than Kentucky average

Kentucky average: 83.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Facility Characteristics

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

Total residents 118
Medicare
31
26.3% of residents
Medicaid
79
66.9% of residents
Private pay or other
8
6.8% of residents
Programs & Services
Residents Group

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

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

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.

This home is administered by Steve Estes.

This home is owned by Rockcastle Hospital And Respiratory Care Ctr, Inc

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 185157

Show certification details

Places of interest near Rockcastle Regional Hospital and Respiratory Care

Address 0.0 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.

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Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the KY Cabinet for Health & Family Services (CHFS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Kentucky average is: 48.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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NH
SNF
Owensboro
92
Facility 92
KY AVG 100
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88.0%
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KY AVG 84.9%
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+4%
3.89
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 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +14%+4%
$0
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1
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1.0
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-81A+
49
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KY AVG 46
Rank #100 / 208
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$11.2MFiscal year ending 12/2023
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KY AVG $9.9M
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$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
KY AVG $4.9M
Rank #88 / 188
39.3%Fiscal year ending 12/2023
Facility 39.3%Fiscal year ending 12/2023
KY AVG 48.9%
Rank #158 / 188
185346
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NH
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95
Facility 95
KY AVG 100
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96.3%
Facility 96.3%
KY AVG 84.9%
Rank #22 / 165
+13%
3.31
Facility 3.31
KY AVG 3.75
Rank #86 / 195
 ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ -26%-12%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
1
Facility 1
KY AVG 13.5
Rank #1 / 196
1.0
Facility 1.0
KY AVG 4.4
Rank #1 / 196
-92-
62
Facility 62
KY AVG 46
Rank #54 / 208
Middlesboro Operations, LLC
$10.6MFiscal year ending 12/2023
Facility $10.6MFiscal year ending 12/2023
KY AVG $9.9M
Rank #74 / 188
$4.6MFiscal year ending 12/2023
Facility $4.6MFiscal year ending 12/2023
KY AVG $4.9M
Rank #79 / 188
43.5%Fiscal year ending 12/2023
Facility 43.5%Fiscal year ending 12/2023
KY AVG 48.9%
Rank #134 / 188
185240
Redbanks Colonial Terrace ★ ★ ★ ★ ★
NH
IL
MC
SNF
Sebree
87
Facility 87
KY AVG 100
Rank #123 / 196
84.7%
Facility 84.7%
KY AVG 84.9%
Rank #111 / 165
0%
3.93
Facility 3.93
KY AVG 3.75
Rank #27 / 195
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ -17%+5%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
3
Facility 3
KY AVG 13.5
Rank #9 / 196
3.0
Facility 3.0
KY AVG 4.4
Rank #53 / 196
-74A+
41
Facility 41
KY AVG 46
Rank #127 / 208
Redbanks Colonial Terrace, Inc
$5.8MFiscal year ending 06/2024
Facility $5.8MFiscal year ending 06/2024
KY AVG $9.9M
Rank #161 / 188
$3.6MFiscal year ending 06/2024
Facility $3.6MFiscal year ending 06/2024
KY AVG $4.9M
Rank #118 / 188
62.3%Fiscal year ending 06/2024
Facility 62.3%Fiscal year ending 06/2024
KY AVG 48.9%
Rank #13 / 188
185291
Maysville Nursing and Rehabilitation Facility ★ ★ ★ ★ ★
NH
SNF
Maysville
130
Facility 130
KY AVG 100
Rank #35 / 196
88.5%
Facility 88.5%
KY AVG 84.9%
Rank #90 / 165
+4%
3.08
Facility 3.08
KY AVG 3.75
Rank #126 / 195
 ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ -49%-18%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
4
Facility 4
KY AVG 13.5
Rank #19 / 196
4.0
Facility 4.0
KY AVG 4.4
Rank #91 / 196
-115-
55
Facility 55
KY AVG 46
Rank #75 / 208
Maysville Operations, LLC
$13.3MFiscal year ending 12/2023
Facility $13.3MFiscal year ending 12/2023
KY AVG $9.9M
Rank #37 / 188
$6.0MFiscal year ending 12/2023
Facility $6.0MFiscal year ending 12/2023
KY AVG $4.9M
Rank #39 / 188
45.2%Fiscal year ending 12/2023
Facility 45.2%Fiscal year ending 12/2023
KY AVG 48.9%
Rank #116 / 188
185207
Rockcastle Regional Hospital and Respiratory Care ★ ★ ★ ★ ★
NH
SNF
Mount Vernon
143
Facility 143
KY AVG 100
Rank #26 / 196
82.5%
Facility 82.5%
KY AVG 84.9%
Rank #122 / 165
-3%
2.68
Facility 2.68
KY AVG 3.75
Rank #176 / 195
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ +103%-28%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
4
Facility 4
KY AVG 13.5
Rank #19 / 196
2.0
Facility 2.0
KY AVG 4.4
Rank #22 / 196
-118-
49
Facility 49
KY AVG 46
Rank #100 / 208
Rockcastle Hospital And Respiratory Care Ctr, Inc---185157

Rank badges are statewide and care-type specific: each nursing home is ranked against every other KY nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities

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Frequently Asked Questions about Rockcastle Regional Hospital and Respiratory Care

Who is the owner of Rockcastle Regional Hospital and Respiratory Care?

Rockcastle Regional Hospital and Respiratory Care is legally operated by Rockcastle Hospital And Respiratory Care Ctr, Inc, and administered by Steve Estes.

Is Rockcastle Regional Hospital and Respiratory Care in a walkable area?

Rockcastle Regional Hospital and Respiratory Care has a walk score of 49. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Rockcastle Regional Hospital and Respiratory Care?

According to KY state health department records, Rockcastle Regional Hospital and Respiratory Care's license number is 100374.

What is the occupancy rate at Rockcastle Regional Hospital and Respiratory Care?

Rockcastle Regional Hospital and Respiratory Care's occupancy is 82.5%.

How long has Rockcastle Regional Hospital and Respiratory Care been in business?

Rockcastle Regional Hospital and Respiratory Care has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Rockcastle Regional Hospital and Respiratory Care?

No, Rockcastle Regional Hospital and Respiratory Care has a no-pet policy.

What is the best email address for Rockcastle Regional Hospital and Respiratory Care?

The team at Rockcastle Regional Hospital and Respiratory Care can be reached at info@rhrcc.org.

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