Facility type
Long Term Care (nursing Facility, Personal Care)
Status
Active
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Nursing Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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
$4,825,267.00
Operating loss
$-25,745.00
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
License details
Issuance
June 1, 2025
County:
MORGAN
Additional licensing details
License number:
100340
CMS Certification Number:
185274
Ownership & operating entity
West Liberty Nursing and Rehabilitation is administrated by ANGELENA RATLIFF.
Owner name:
WEST LIBERTY NURSING AND REHABILITATION, LLC
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Programs & Activities
Specific Programs
Short-Term Rehabilitation, Occupational Therapy, Speech Therapy, Outpatient Therapy, Memory Care, Long-Term Care, Hospice Care, Respite Care
Health Inspection History
Inspections
Total health inspections
4
Kentucky average 2.9
Last Health inspection on Aug 2025
Total health citations
17
Citations per inspection
4.25
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
Aug 26, 2025
Corrected
Infection Control moderate citation
Jan 25, 2023
Corrected
Quality of Care critical citation
Jan 25, 2023
Corrected
Care Planning critical citation
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.
Barren County Nursing and Rehabilitation
-36%
-14%
+2%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 42141
94
HERBSTMAN, MOSHE
82.7%
$8,631,885.00
$2,825,267.00
32.7%
88.30
3.2236
1
11
-
-36%-14%+2%
Auburn Nursing and Rehabilitation Center
-49%
-62%
-24%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 42206
66
BOLSTER, NANCY
62.0%
$4,023,909.00
$1,805,984.00
44.9%
49.60
1.4392
-
13
-
-49%-62%-24%
Beaver Dam Nursing and Rehab Center, Inc
-7%
+4%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 42320
71
-
84.3%
$7,017,998.00
$3,361,771.00
47.9%
53.80
-
-
9
-
-7%
-
+4%
West Liberty Nursing and Rehabilitation
+5%
-26%
+8%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 41472
50
WEST LIBERTY NURSING AND REHABILITATION HOLDINGS LLC
88.0%
$4,824,301.00
$1,281,952.00
26.6%
46.10
2.7758
1
17
4
+5%-26%+8%
Bardstown Heatlh & Rehabilitation
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 40004
100
-
-
-
-
-
-
-
-
-
-
-
-
Barren County Nursing and Rehabilitation
Type of care:
SNF
AL
Community:
KY 42141
Bed Count:
94
Operator:
HERBSTMAN, MOSHE
CCN:
185229
Occupancy:
82.7%
Home Revenue:
$8,631,885.00
Payroll Costs:
$2,825,267.00
Payroll %:
32.7%
Avg Residents/Day:
88.30
Overall Rating:
Adj Nurse Hours:
3.2236
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
11
RN share vs State Avg:
-36%
-36%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
+2%
+2%
Auburn Nursing and Rehabilitation Center
Type of care:
SNF
AL
Community:
KY 42206
Bed Count:
66
Operator:
BOLSTER, NANCY
CCN:
185049
Occupancy:
62.0%
Home Revenue:
$4,023,909.00
Payroll Costs:
$1,805,984.00
Payroll %:
44.9%
Avg Residents/Day:
49.60
Overall Rating:
Adj Nurse Hours:
1.4392
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
13
RN share vs State Avg:
-49%
-49%
Staffing vs State Avg:
-62%
-62%
Occupancy vs State Avg:
-24%
-24%
Beaver Dam Nursing and Rehab Center, Inc
Type of care:
SNF
AL
Community:
KY 42320
Bed Count:
71
CCN:
185334
Occupancy:
84.3%
Home Revenue:
$7,017,998.00
Payroll Costs:
$3,361,771.00
Payroll %:
47.9%
Avg Residents/Day:
53.80
Overall Rating:
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-7%
-7%
Occupancy vs State Avg:
+4%
+4%
West Liberty Nursing and Rehabilitation
Type of care:
SNF
AL
Community:
KY 41472
Bed Count:
50
Operator:
WEST LIBERTY NURSING AND REHABILITATION HOLDINGS LLC
CCN:
185274
Occupancy:
88.0%
Home Revenue:
$4,824,301.00
Payroll Costs:
$1,281,952.00
Payroll %:
26.6%
Avg Residents/Day:
46.10
Overall Rating:
Adj Nurse Hours:
2.7758
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
17
Severe Citations:
4
RN share vs State Avg:
+5%
+5%
Staffing vs State Avg:
-26%
-26%
Occupancy vs State Avg:
+8%
+8%
Places of interest near West Liberty Nursing and Rehabilitation
100.9 miles from city center
WEST LIBERTY, KY 41472
Calculate Travel Distance to West Liberty Nursing and Rehabilitation
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
64
Total Staff
51
Employees
13
Contractors
15,688
Total Hours (Quarter)
20
Avg Staff/Day
8.6
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 7 | 10.7 | No |
| Licensed Practical Nurse | 3 | 9.2 | No |
| Certified Nursing Assistant | 23 | 9.7 | No |
Staff by Category
Administration ⓘ
3 staff
7.3hs shift avg
Nursing Staff ⓘ
40 staff
9.7hs shift avg
Physicians & Practitioners ⓘ
8 staff
7.8hs shift avg
Therapy Services ⓘ
8 staff
5.3hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
2.2hs shift avg
Dietary Services ⓘ
1 staff
8hs shift avg
Other Services ⓘ
3 staff
7.8hs shift avg
Contractor Analysis
8.7%
of total hours from contractors
1,369 contractor hours this quarter
Speech Language Pathologist: 2
Physical Therapy Assistant: 2
Qualified Social Worker: 1
Physical Therapy Aide: 1
Respiratory Therapy Technician: 2
Feeding Assistant: 3
Medical Director: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
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
-$25,745
↓ ~$693K vs 2022
Total Payroll
$2,135,248
↑ ~$27K vs 2022
Profit Margin
-0.5%
↓ 13.0pp vs 2022
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