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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.
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.
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.
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 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.
| 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 16m per day | ▲ 196% 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 43m per day | ▲ 111% 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 49m per day | ▲ 16% 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 54m per day | ▲ 68% 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 | ▼ 24% 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.
| 1h 54m per day | ▲ 268% 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.
| 7 | 6 | This facility has 17% more total deficiencies than a typical Kentucky nursing home (7 vs. KY avg 6).↑ 17% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 0.9 | 0.8 | This facility has 13% more deficiencies per year than a typical Kentucky nursing home (0.9 vs. KY avg 0.8).↑ 13% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Kentucky 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% more staff per resident 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.
All 73 RN Staff are full-time employees. No contractors work on this role.
73
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursAssists with medical care and medications.
All 49 LPN Staff are full-time employees. No contractors work on this role.
49
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursHelps with daily care and mobility.
All 102 CNA Staff are full-time employees. No contractors work on this role.
102
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
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.
| Twin Rivers Nursing And Rehab 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.
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. | Owensboro | 132
Facility
132
KY AVG
82
Rank
#36 / 341 |
72.7%
Facility
72.7%
KY AVG
81.3%
Rank
#167 / 202 | -11% | 3.39
Facility
3.39
KY AVG
3.75
Rank
#74 / 184 | -6% | -10% | $0
Facility
$0
KY AVG
$65.4k
Rank
#144 / 190 | 18
Facility
18
KY AVG
13.5
Rank
#139 / 186 | 9.0
Facility
9.0
KY AVG
4.4
Rank
#181 / 186 | - | 96 | A+ |
52
Facility
52
KY AVG
41
Rank
#147 / 423 | Myra Raymer | $9.2M
Facility
$9.2M
KY AVG
$10.5M
Rank
#119 / 188 | $6.5M
Facility
$6.5M
KY AVG
$4.0M
Rank
#47 / 188 | 71.2%
Facility
71.2%
KY AVG
40.7%
Rank
#6 / 188 | 185087 | ||||
| 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
Facility
143
KY AVG
82
Rank
#26 / 341 |
82.5%
Facility
82.5%
KY AVG
81.3%
Rank
#127 / 202 | +1% | 2.36
Facility
2.36
KY AVG
3.75
Rank
#176 / 184 | +103% | -37% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 190 | 4
Facility
4
KY AVG
13.5
Rank
#11 / 186 | 2.0
Facility
2.0
KY AVG
4.4
Rank
#16 / 186 | - | 113 | - |
49
Facility
49
KY AVG
41
Rank
#170 / 423 | - | - | - | - | 185157 | ||||
| Signature Healthcare at Hillcrest |
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.
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.
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. | Owensboro | 156
Facility
156
KY AVG
82
Rank
#17 / 341 |
81.4%
Facility
81.4%
KY AVG
81.3%
Rank
#132 / 202 | 0% | 3.57
Facility
3.57
KY AVG
3.75
Rank
#52 / 184 | +47% | -5% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 190 | 7
Facility
7
KY AVG
13.5
Rank
#38 / 186 | 3.5
Facility
3.5
KY AVG
4.4
Rank
#76 / 186 | - | 128 | - |
1
Facility
1
KY AVG
41
Rank
#404 / 423 | William Conley | $20.2M
Facility
$20.2M
KY AVG
$10.5M
Rank
#11 / 188 | $7.2M
Facility
$7.2M
KY AVG
$4.0M
Rank
#36 / 188 | 35.8%
Facility
35.8%
KY AVG
40.7%
Rank
#164 / 188 | 185120 | ||||
| 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
Facility
80
KY AVG
82
Rank
#168 / 341 |
52.5%
Facility
52.5%
KY AVG
81.3%
Rank
#190 / 202 | -35% | 7.74
Facility
7.74
KY AVG
3.75
Rank
#2 / 184 | -8% | +106% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 190 | 14
Facility
14
KY AVG
13.5
Rank
#110 / 186 | 4.7
Facility
4.7
KY AVG
4.4
Rank
#116 / 186 | - | 42 | - |
52
Facility
52
KY AVG
41
Rank
#147 / 423 | Jack T Wells Estate | $7.5M
Facility
$7.5M
KY AVG
$10.5M
Rank
#141 / 188 | $3.7M
Facility
$3.7M
KY AVG
$4.0M
Rank
#128 / 188 | 49.8%
Facility
49.8%
KY AVG
40.7%
Rank
#71 / 188 | 185436 | ||||
| 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
Facility
164
KY AVG
82
Rank
#15 / 341 |
98.8%
Facility
98.8%
KY AVG
81.3%
Rank
#11 / 202 | +22% | 4.42
Facility
4.42
KY AVG
3.75
Rank
#20 / 184 | -17% | +18% | $7.9k
Facility
$7.9k
KY AVG
$65.4k
Rank
#134 / 190 | 20
Facility
20
KY AVG
13.5
Rank
#151 / 186 | 5.0
Facility
5.0
KY AVG
4.4
Rank
#123 / 186 | 2 | 155 | - |
43
Facility
43
KY AVG
41
Rank
#206 / 423 | Christian Benevolent Outreach, Inc. | $19.0M
Facility
$19.0M
KY AVG
$10.5M
Rank
#13 / 188 | $11.8M
Facility
$11.8M
KY AVG
$4.0M
Rank
#7 / 188 | 61.8%
Facility
61.8%
KY AVG
40.7%
Rank
#16 / 188 | 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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