Rockcastle Regional Hospital and Respiratory Care
Rockcastle Regional Hospital and Respiratory Care Center is a 143-bed long-term care facility at 145 Newcomb Avenue in Mount Vernon, Kentucky. Operated by Rockcastle Hospital and Respiratory Care Center, Inc. as a governmental district facility, it specializes in ventilator-dependent and medically complex care within an integrated hospital campus.
The facility holds top-tier CMS ratings, with staffing and quality measure scores significantly exceeding Kentucky averages. RN hours are 2 hours and 21 minutes per resident per day, 207% above the state average. Most notably, weekend RN coverage is 2 hours and 2 minutes per day, which is 294% above the state benchmark. Long-stay quality outcomes are exceptional, with a hospitalization rate of 0.33 per 1,000 resident days, roughly 82% better than the Kentucky average.
The Kentucky Cabinet for Health and Family Services oversees inspections. Rockcastle Regional maintains a citations-per-inspection rate of 3.0. A March 2025 recertification survey cited three isolated deficiencies involving visual privacy during tracheostomy care, nurse staffing postings, and a call system malfunction. A follow-up survey that same month found no deficiencies, and five concurrent complaint investigations were unsubstantiated. The facility has no recorded enforcement actions or license issues over the past three years.
As a hospital-integrated center, the facility provides an unusually broad continuum of care, including dialysis, cancer care, diagnostic imaging, and surgery. Specialty respiratory services focus on ventilator weaning and complex pulmonary management. On-campus amenities include a wellness center, retail pharmacy, and rural health clinics. Since specific long-term care fee structures are often case-specific, families should request a current fee schedule directly from the facility.
This facility is well-suited for individuals requiring ventilator management or high-acuity nursing in a clinically intensive environment. Families seeking a setting with one of the state’s strongest staffing and compliance profiles should conduct an in-person visit to discuss personalized care planning for complex medical needs before making a placement decision.
About this community
Occupancy
Rockcastle Regional Hospital and Respiratory Care is administered by Steve Estes.
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.
Inspection Scorecard
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• Total deficiencies (17% above) 0 Better No metrics in this bucket.
Deficiencies
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total deficiencies
| 7 | 6 | This facility has 17% more total deficiencies than a typical Kentucky nursing home (7 vs. KY avg 6).↑ 17% worse |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
- March 28, 2025 abbreviated survey found complaints unsubstantiated and no deficient practices identified during the investigation.
- March 26, 2025 recertification survey found three deficiencies including lack of visual privacy during tracheostomy care and missing nurse staffing postings.
- Deficiencies included failure to maintain a functional resident call system, causing delayed staff response, rated at the highest scope and severity level D.
Health Inspection History
Inspections
State average 2.9
Last Health inspection on Mar 2025
State average 13.5
State 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.
Breakdown of citation severity (last 8 years)
State average: 1.1
State average: 0.6
Citations history (last 8 years)
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31Registered Nurse
Manages medical care and health needs.
Licensed Practical Nurse
Assists with medical care and medications.
Certified Nursing Assistant
Helps with daily care and mobility.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31Staff by category
Q4 2025 · Oct 1 – Dec 31| 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 |
102 Certified Nursing Assistant
73 Registered Nurse
49 Licensed Practical Nurse
38 Other Activities Staff
31 Qualified Activities Professional
4 Physical Therapy Assistant
6 Other Dietary Services Staff
4 Mental Health Service Worker
4 Clinical Nurse Specialist
5 Occupational Therapy Assistant
3 Qualified Social Worker
2 Speech Language Pathologist
2 Occupational Therapy Aide
4 Other Physician
1 Respiratory Therapy Technician
1 Medication Aide/Technician
1 Nurse Practitioner
4 Nurse Aide in Training
1 Administrator
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.
Long-stay resident measures
Short-stay resident measures
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
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.
Places of interest near Rockcastle Regional Hospital and Respiratory Care
0.0 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.
Calculate Travel Distance to Rockcastle Regional Hospital and Respiratory Care
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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 to lowest based on our ranking methodology.
| Hermitage Care & Rehabilitation Center | NH SNF | Owensboro | 92
Facility
92
KY AVG
82
Rank
#128 / 341 |
88.0%
Facility
88.0%
KY AVG
84.3
Rank
#90 / 168 | +4% | 4.18
Facility
4.18
KY AVG
3.75
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#24 / 189 | +14% | +12% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 195 | 4
Facility
4
KY AVG
13.5
Rank
#10 / 191 | 2.0
Facility
2.0
KY AVG
4.4
Rank
#16 / 191 | - | 81 | A+ |
49
Facility
49
KY AVG
41
Rank
#170 / 423 | Matthew Clark | $11.2MFiscal year ending 12/2023
Facility
$11.2MFiscal year ending 12/2023
KY AVG
$10.5M
Rank
#52 / 192 | $4.4MFiscal year ending 12/2023
Facility
$4.4MFiscal year ending 12/2023
KY AVG
$4.0M
Rank
#86 / 192 | 39.3%Fiscal year ending 12/2023
Facility
39.3%Fiscal year ending 12/2023
KY AVG
40.7%
Rank
#171 / 192 | 185346 | ||||
| Westport Place Health Campus | NH AL RC SNF | Louisville | 22
Facility
22
KY AVG
82
Rank
#325 / 341 | - | - | 3.44
Facility
3.44
KY AVG
3.75
Rank
#74 / 189 | +46% | -8% | $0
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$0
KY AVG
$65.4k
Rank
#1 / 195 | 5
Facility
5
KY AVG
13.5
Rank
#19 / 191 | 2.5
Facility
2.5
KY AVG
4.4
Rank
#30 / 191 | - | 55 | - |
47
Facility
47
KY AVG
41
Rank
#183 / 423 | Lauren Powers | $11.5MFiscal year ending 12/2023
Facility
$11.5MFiscal year ending 12/2023
KY AVG
$10.5M
Rank
#51 / 192 | $5.9MFiscal year ending 12/2023
Facility
$5.9MFiscal year ending 12/2023
KY AVG
$4.0M
Rank
#46 / 192 | 50.9%Fiscal year ending 12/2023
Facility
50.9%Fiscal year ending 12/2023
KY AVG
40.7%
Rank
#83 / 192 | 185466 | ||||
| Magnolia Village | NH SNF | Bowling Green (Eastland Park) | 60
Facility
60
KY AVG
82
Rank
#223 / 341 |
96.7%
Facility
96.7%
KY AVG
84.3
Rank
#15 / 168 | +15% | 2.56
Facility
2.56
KY AVG
3.75
Rank
#176 / 189 | -32% | -32% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 195 | 8
Facility
8
KY AVG
13.5
Rank
#47 / 191 | 4.0
Facility
4.0
KY AVG
4.4
Rank
#89 / 191 | - | 58 | - |
37
Facility
37
KY AVG
41
Rank
#237 / 423 | Magnolia Village Health Center LLC | $6.8MFiscal year ending 12/2023
Facility
$6.8MFiscal year ending 12/2023
KY AVG
$10.5M
Rank
#148 / 192 | $2.8MFiscal year ending 12/2023
Facility
$2.8MFiscal year ending 12/2023
KY AVG
$4.0M
Rank
#130 / 192 | 41.2%Fiscal year ending 12/2023
Facility
41.2%Fiscal year ending 12/2023
KY AVG
40.7%
Rank
#67 / 192 | 185435 | ||||
| Twin Rivers Nursing And Rehab Center | NH HOS PC RC SNF | Owensboro | 132
Facility
132
KY AVG
82
Rank
#36 / 341 |
72.7%
Facility
72.7%
KY AVG
84.3
Rank
#145 / 168 | -14% | 3.39
Facility
3.39
KY AVG
3.75
Rank
#74 / 189 | -6% | -10% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 195 | 18
Facility
18
KY AVG
13.5
Rank
#140 / 191 | 9.0
Facility
9.0
KY AVG
4.4
Rank
#183 / 191 | - | 96 | - |
52
Facility
52
KY AVG
41
Rank
#147 / 423 | Myra Raymer | $9.7MFiscal year ending 12/2023
Facility
$9.7MFiscal year ending 12/2023
KY AVG
$10.5M
Rank
#121 / 192 | $5.5MFiscal year ending 12/2023
Facility
$5.5MFiscal year ending 12/2023
KY AVG
$4.0M
Rank
#49 / 192 | 57.2%Fiscal year ending 12/2023
Facility
57.2%Fiscal year ending 12/2023
KY AVG
40.7%
Rank
#7 / 192 | 185087 | ||||
| Rockcastle Regional Hospital and Respiratory Care | NH SNF | Mount Vernon | 143
Facility
143
KY AVG
82
Rank
#26 / 341 |
82.5%
Facility
82.5%
KY AVG
84.3
Rank
#122 / 168 | -2% | 2.36
Facility
2.36
KY AVG
3.75
Rank
#181 / 189 | +103% | -37% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 195 | 4
Facility
4
KY AVG
13.5
Rank
#10 / 191 | 2.0
Facility
2.0
KY AVG
4.4
Rank
#16 / 191 | - | 118 | - |
49
Facility
49
KY AVG
41
Rank
#170 / 423 | - | - | - | - | 185157 |
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. Somewhat walkable. 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 83%.
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.
Does Rockcastle Regional Hospital and Respiratory Care operate as a for-profit or non-profit?
Rockcastle Regional Hospital and Respiratory Care is registered as a non-profit in KY.
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