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Rockcastle Regional Hospital and Respiratory Care
Nursing Home & Nursing Care · 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 & Nursing Care · 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 Calculator: See prices in your area
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Overview of Rockcastle Regional Hospital and Respiratory Care

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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.

Facility Direct Line (606) 256-2195
Facility Direct Line (606) 256-2195 info@rhrcc.org

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.
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.
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.
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.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 21m per day
Rank #185 / 193Nurse hours — State benchmarkedThis home is ranked 185th out of 193 homes in Kentucky. Shows adjusted nurse hours per resident per day benchmarked to the Kentucky average, with a ranking across 193 Kentucky facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

1 of 6 metrics below state avg

Standout metric Weekend RN is +268% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 2h 16m per day ▲ 196% State avg: 46m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 1h 43m per day ▲ 111% State avg: 49m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 49m per day ▲ 16% 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. 5h 54m per day ▲ 68% State avg: 3h 30m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 3m per day ▼ 24% 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. 1h 54m per day ▲ 268% State avg: 31m per day · National avg: 28m per day
Bed community size
143-bed community Rank #26 / 341Bed count — State benchmarkedThis home is ranked 26th out of 341 homes in Kentucky. 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.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
1 year in operation Rank #53 / 149Years in operation — State benchmarkedThis home is ranked 53rd out of 149 homes in Kentucky. Shows how long this facility has been in operation compared to other Kentucky facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 49 / 100 Rank #170 / 423Walk Score — State benchmarkedThis home is ranked 170th out of 423 homes in Kentucky. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Kentucky facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
83%
Rank #131 / 209Occupancy rate — State benchmarkedThis home is ranked 131st out of 209 homes in Kentucky. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 209. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the Kentucky average: 81.3%
Occupied beds
118 / 143
Average occupied beds in Kentucky homes 80 beds

License Details

Facility TypeLong Term Care (nursing Facility)
IssuanceJanuary 1, 2025
ExpirationDecember 31, 2025 Expired
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

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

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 7 deficiencies

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 2 Worse Metrics worse than Kentucky average:
• Total deficiencies (17% above)
• Deficiencies per year (13% above) 0 Better No metrics in this bucket.
Latest Inspection March 28, 2025 Abbreviated Survey

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. 76 This facility has 17% more total deficiencies than a typical Kentucky assisted living residence (7 vs. KY avg 6).↑ 17% worse
Deficiencies per year Info Average deficiencies per year since 2018. 0.90.8 This facility has 13% more deficiencies per year than a typical Kentucky assisted living residence (0.9 vs. KY avg 0.8).↑ 13% worse

Inspection Reports Summary Info 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.
Show Inspection Reports

Health Inspection History

Inspections since 2018
Total health inspections 2

State average N/A

Last Health inspection on Mar 2025

Total health citations
4 Rank #11 / 195Health citations — State benchmarkedThis home is ranked 11th out of 195 homes in Kentucky. Shows this facility's total health deficiency citations benchmarked to the Kentucky State average, with a ranking across all 195 KY facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
2 Rank #17 / 195Citations per inspection — State benchmarkedThis home is ranked 17th out of 195 homes in Kentucky. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 195 facilities with citation data. Lower is better.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

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
In line with State average

State average: N/A

Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A
0 serious citations State average: N/A
4 moderate citations State average: N/A
0 minor citations State average: N/A
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. 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
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 129
Average shift 9 hours
0% compared with State average

State average: 0 hours

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%
31 Qualified Activities Professional
% of Days 100%
4 Physical Therapy Assistant
% of Days 74%
6 Other Dietary Services Staff
% of Days 85%
4 Mental Health Service Worker
% of Days 70%
4 Clinical Nurse Specialist
% of Days 80%
5 Occupational Therapy Assistant
% of Days 80%
3 Qualified Social Worker
% of Days 73%
2 Speech Language Pathologist
% of Days 68%
2 Occupational Therapy Aide
% of Days 84%
4 Other Physician
% of Days 72%
1 Respiratory Therapy Technician
% of Days 72%
1 Medication Aide/Technician
% of Days 63%
1 Nurse Practitioner
% of Days 72%
4 Nurse Aide in Training
% of Days 35%
1 Administrator
% of Days 72%
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 State average

State 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 State average

State 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 State average

State average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 38.8%
98% worse than State average

State 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 State average

State 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 State average

State 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 State average

State average: 5.8%

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

State average: 1.9%

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

State average: 6.8%

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

State average: 14.3%

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

State average: 15.6%

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

State average: 93.9%

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

State average: 96.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.33
82% better than State average

State 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 State average

State 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 State average

State average: 83.7%

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

State average: 1.9%

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

State 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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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.

When does Rockcastle Regional Hospital and Respiratory Care's license expire?

According to KY state health department records, Rockcastle Regional Hospital and Respiratory Care's license expires on December 31, 2025.

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

Rockcastle Regional Hospital and Respiratory Care's occupancy is 83%.

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.

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

Steve Estes is the administrator of Rockcastle Regional Hospital and Respiratory Care.

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