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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Homeplace at Midway offers a safe and supportive environment for individuals established on the belief that everyone has the right to age with dignity. This outstanding senior living community provides a comprehensive range of services including independent living, assisted living, memory care and personal care, skilled nursing and rehabilitation, and long-term care. The community follows The Green House model focusing on the following ideals: real home, meaningful life, and empowered team.
Here, residents can enjoy thoughtfully designed amenities and services that promote their physical, emotional and social wellness with its well-trained and passionate team. The community also serves delicious and nutritious meals that satisfy cravings and provide dietary needs. Participate in diverse activities and programs coordinated by a professional team to further enhance engagement and growth. The Homeplace at Midway is ideal for seniors seeking a glorious retirement experience.
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 10th out of 184 homes in Kentucky. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 58m per day | ▲ 26% 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 18m per day | ▲ 59% 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.
| 3h 6m per day | ▲ 28% State avg: 2h 25m per day · National avg: 2h 21m 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.
| 4h 47m per day | ▲ 38% State avg: 3h 29m 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.
| 8m per day | ▲ 100% 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.
| 35m per day | ▲ 13% State avg: 31m per day · National avg: 29m per day |
Higher than the Kentucky average: 81.3%The Homeplace at Midway is administrated by Tonya Cox.
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.
| 10 | 6 | This facility has 67% more total deficiencies than a typical Kentucky nursing home (10 vs. KY avg 6).↑ 67% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 1.4 | 0.9 | This facility has 56% more deficiencies per year than a typical Kentucky nursing home (1.4 vs. KY avg 0.9).↑ 56% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on April 8, 2025, found deficiencies related to resident health information confidentiality, transfer notification, food storage and handling, and infection prevention and control. Earlier inspections showed similar issues, particularly with food safety and infection control practices, including problems with food preparation, hand hygiene, and the qualifications of the Infection Preventionist. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Complaint investigations were not noted in any of the reports. The pattern of findings suggests ongoing challenges in food safety and infection control, with no clear indication of improvement over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsKentucky average 2.9
Last Health inspection on Apr 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 9 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.
301% better than Kentucky average
32% worse than Kentucky average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
5.3 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,014 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 35 | 52 | 87 | 7,057 | 92 | 100% | 5.3 |
| Licensed Practical Nurse | 7 | 12 | 19 | 2,051 | 92 | 100% | 7.6 |
| Registered Nurse | 14 | 11 | 25 | 2,000 | 92 | 100% | 7.2 |
| RN Director of Nursing | 3 | 0 | 3 | 1,046 | 81 | 88% | 6.3 |
| Administrator | 2 | 0 | 2 | 557 | 63 | 68% | 4.8 |
| Dietitian | 1 | 0 | 1 | 387 | 54 | 59% | 7.2 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 369 | 65 | 71% | 5.7 |
| Speech Language Pathologist | 0 | 1 | 1 | 355 | 68 | 74% | 5.2 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 302 | 52 | 57% | 4.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 280 | 59 | 64% | 4.7 |
| Physical Therapy Assistant | 0 | 3 | 3 | 267 | 59 | 64% | 4.4 |
| Qualified Social Worker | 0 | 2 | 2 | 87 | 38 | 41% | 2.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 72 | 12 | 13% | 6 |
| Medical Director | 0 | 1 | 1 | 54 | 9 | 10% | 6 |
| Feeding Assistant | 0 | 1 | 1 | 32 | 8 | 9% | 4 |
| Nurse Practitioner | 1 | 0 | 1 | 21 | 3 | 3% | 7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 12 | 2 | 2% | 6 |
Includes penalties issued in 2025
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 (Data as of Jan 2026)
93% lower than Kentucky averageKentucky average: $63K
57% fewer fines than Kentucky averageKentucky average: 2.3
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Kentucky averageKentucky average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Apr 10, 2025 · $4K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 10, 2025Last updated: Jan 2026
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.
13.6
30% worse than Kentucky averageKentucky average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.3
12% worse than 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
20.3%
20% worse than Kentucky averageKentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
24.0%
23% worse than Kentucky averageKentucky average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.5%
5% better than Kentucky averageKentucky average: 20.5%
Percent of long-stay residents experiencing one or more falls with major injury
8.7%
133% worse than Kentucky averageKentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
3.4%
41% better than Kentucky averageKentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Percent of long-stay residents who lose too much weight
11.5%
69% worse than Kentucky averageKentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Kentucky averageKentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
9.7%
38% better than Kentucky averageKentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.1%
In line with Kentucky averageKentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.3%
7% worse than Kentucky averageKentucky average: 96.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
59.2%
29% worse than Kentucky averageKentucky average: 83.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
35% of new residents, usually for short-term rehab.
61% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
22Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
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.
Historical financial and operational data for The Homeplace at Midway based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #169 / 188Payroll — State benchmarkedThis home is ranked 169th out of 188 homes in Kentucky. Shows total annual staff payroll benchmarked to the Kentucky average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Pets Allowed
Housing Options: Studio
Building Type: Single-story
Transportation Services
Fitness and Recreation
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
13.7 miles from city center
Estimated distance in miles from Midway's city center to The Homeplace at Midway's address, calculated via Google Maps.
— 6.43 miles to nearest hospital (Centerpoint Health - Versailles)
Add your location
The Homeplace at Midway is located in Midway, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.
The Homeplace at Midway has a walk score of 15. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to KY state health department records, The Homeplace at Midway's license number is 101207.
According to KY state health department records, The Homeplace at Midway's license expires on July 30, 2026.
The Homeplace at Midway's occupancy is 100%.
Tonya Cox is the administrator of The Homeplace at Midway.
The Homeplace at Midway has 19 beds.
The Homeplace at Midway is located at 101 Sexton Way, Midway, KY 40347, United States.
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