Total health inspections
4
Kentucky average 2.9
Last Health inspection on Aug 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home in Kentucky
CMS overall rating
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.
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.
West Liberty Nursing and Rehabilitation
Nursing Home in Kentucky
CMS overall rating
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.
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.
West Liberty Nursing and Rehabilitation
West Liberty Nursing and Rehabilitation provides compassionate skilled nursing care. It offers a range of services including short-term rehabilitation, occupational therapy, speech therapy, outpatient therapy, memory care, long-term care, hospice care, and respite care. The facility is located in West Liberty, Kentucky.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
50
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
88%
Residents per day (avg)
46
Occupancy rate
88%
Residents per day (avg)
46
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
24% of new residents, usually for short-term rehab.
Typical stay
27 days
Private pay
37% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
39% of new residents, often for long-term daily care.
Typical stay
8 - 9 months
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$4.8M
Operating loss
-$25.7K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$4.8M
Operating loss
-$25.7K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.9M
50-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Facility TypeLong Term Care (nursing Facility, Personal Care)
StatusActive
IssuanceJune 1, 2025
CountyMORGAN
License Number100340
CMS Certification Number185274
West Liberty Nursing and Rehabilitation is administrated by Angelena Ratliff.
Owner NameWEST LIBERTY NURSING AND REHABILITATION, LLC
Rehabilitation Services
Respite Care
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Hospice Care
Specific ProgramsShort-Term Rehabilitation, Occupational Therapy, Speech Therapy, Outpatient Therapy, Memory Care, Long-Term Care, Hospice Care, Respite Care
Health Inspection History
Inspections
Total health citations
17
Kentucky average 13.5
Citations per inspection
4.25
Kentucky average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 17 citations resulted from standard inspections; 1 of 17 resulted from complaint investigations; and 2 of 17 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
82% worse than Kentucky averageKentucky average: 1.1
Serious Health citations
2
2
233% worse than Kentucky averageKentucky average: 0.6
2 critical citations
2 serious citations
13 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 26, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 26, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 25, 2023
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 25, 2023
Corrected
Quality of Care critical citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 25, 2023
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 25, 2023
Corrected
Care Planning critical citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jan 25, 2023
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jan 25, 2023
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.
Compare Nursing Homes around Kentucky The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
Filter by care type
Barren County Nursing and Rehabilitation
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.
Glasgow
94
82.7%
+2%
3.22
-14%
1
11
3.7
0
88
Herbstman, Moshe
$8.6M
$2.8M
32.7%
185229
Auburn Nursing and Rehabilitation 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.
Auburn
66
62.0%
-24%
1.44
-62%
0
13
3.3
0
50
Bolster, Nancy
$4.0M
$1.8M
44.9%
185049
Beaver Dam Nursing and Rehab Center, Inc
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.
Beaver Dam
71
84.3%
+4%
-
-
0
9
3.0
0
54
-
$7.0M
$3.4M
47.9%
185334
West Liberty Nursing and Rehabilitation
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.
West Liberty
50
88.0%
+8%
2.78
-26%
1
17
4.3
4
46
West Liberty Nursing And Rehabilitation Holdings Llc
$4.8M
$1.3M
26.6%
185274
Bardstown Heatlh & Rehabilitation
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.
Bardstown
100
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
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100.9 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
64
Employees
51
Contractors
13
Staff to resident ratio
1.52:1
13% worse than Kentucky averageKentucky average ratio: 1.75:1
Avg staff/day
20
Average shift
8.6 hours
0% compared with Kentucky averageKentucky average: 8.5 hours
Total staff hours (quarter)
15,688
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
8.7%
1,369 contractor hours this quarter
Feeding Assistant: 3
Speech Language Pathologist: 2
Physical Therapy Assistant: 2
Respiratory Therapy Technician: 2
Medical Director: 2
Qualified Social Worker: 1
Physical Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 23 | 0 | 23 | 7,103 | 91 | 100% | 9.7 |
| Registered Nurse | 7 | 0 | 7 | 1,837 | 90 | 99% | 10.7 |
| Licensed Practical Nurse | 3 | 0 | 3 | 1,521 | 69 | 76% | 9.2 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,017 | 86 | 95% | 9.4 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 752 | 63 | 69% | 7.8 |
| Mental Health Service Worker | 3 | 0 | 3 | 615 | 64 | 70% | 7.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 565 | 59 | 65% | 6.7 |
| Dietitian | 1 | 0 | 1 | 505 | 63 | 69% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 64 | 70% | 7.9 |
| Administrator | 1 | 0 | 1 | 416 | 52 | 57% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 404 | 63 | 69% | 6.2 |
| Physical Therapy Aide | 0 | 1 | 1 | 107 | 23 | 25% | 4.7 |
| Qualified Social Worker | 0 | 1 | 1 | 97 | 44 | 48% | 2.2 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 97 | 44 | 48% | 2.2 |
| Feeding Assistant | 0 | 3 | 3 | 56 | 13 | 14% | 4 |
| Medical Director | 0 | 2 | 2 | 43 | 11 | 12% | 3.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 43 | 12 | 13% | 3.6 |
| RN Director of Nursing | 1 | 0 | 1 | 8 | 1 | 1% | 8 |
| Other Physician | 1 | 0 | 1 | 0 | 1 | 1% | 0 |
23 Certified Nursing Assistant
% of Days
100%
7 Registered Nurse
% of Days
99%
3 Licensed Practical Nurse
% of Days
76%
3 Medication Aide/Technician
% of Days
95%
6 Clinical Nurse Specialist
% of Days
69%
3 Mental Health Service Worker
% of Days
70%
2 Speech Language Pathologist
% of Days
65%
1 Dietitian
% of Days
69%
1 Nurse Practitioner
% of Days
70%
1 Administrator
% of Days
57%
2 Physical Therapy Assistant
% of Days
69%
1 Physical Therapy Aide
% of Days
25%
1 Qualified Social Worker
% of Days
48%
2 Respiratory Therapy Technician
% of Days
48%
3 Feeding Assistant
% of Days
14%
2 Medical Director
% of Days
12%
1 Occupational Therapy Aide
% of Days
13%
1 RN Director of Nursing
% of Days
1%
1 Other Physician
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
42 residents
Residents by payment source
Medicare
2 residents (4.8%)
Medicaid
38 residents (90.5%)
Private pay or other
2 residents (4.8%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.0
43% better than Kentucky averageKentucky average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.7
22% better than Kentucky averageKentucky average: 18.9
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.6%
Percent of long-stay residents whose need for help with daily activities has increased
8.6%
49% better than Kentucky averageKentucky average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.8%
Percent of long-stay residents whose ability to move independently worsened
11.8%
40% better than Kentucky averageKentucky average: 19.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.8%
16% worse than Kentucky averageKentucky average: 20.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Kentucky averageKentucky average: 3.8%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.0%
Percent of long-stay high risk residents with pressure ulcers
3.0%
48% better than Kentucky averageKentucky average: 5.8%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.0%
Percent of long-stay residents with a urinary tract infection
3.0%
62% worse than Kentucky averageKentucky average: 1.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.5%
Percent of long-stay residents who lose too much weight
6.5%
5% better than Kentucky averageKentucky average: 6.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
31.8%
Percent of long-stay residents who have depressive symptoms
31.8%
123% worse than Kentucky averageKentucky average: 14.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
1.4%
Percent of long-stay residents who received an antipsychotic medication
1.4%
91% better than Kentucky averageKentucky average: 15.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
6% better than Kentucky averageKentucky average: 93.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
In line with Kentucky averageKentucky average: 96.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.9%
In line with Kentucky averageKentucky average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.6%
In line with Kentucky averageKentucky average: 83.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 (Data as of Jan 2026)
Total fines amount
$9K
85% lower than Kentucky averageKentucky average: $63K
Number of fines
1
57% fewer fines than Kentucky averageKentucky average: 2.3
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
Fines amount comparison
Fines amount comparison
This facility
$9K
Kentucky average
$63K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 25, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 25, 2023
$9K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for West Liberty Nursing and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
88.0%
↓ 2.7pp vs 2022
Net Income
-$25.7K
↓ ~$692.9K vs 2022
Total Payroll
$2.1M
↑ ~$27.5K vs 2022
Profit Margin
-0.5%
↓ 13.0pp vs 2022
Loading trend charts...
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