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Beaver Dam Nursing & Rehab Center, Inc

1595 S Us Highway 231, Beaver Dam, KY 42320 · Ohio County · (270) 274-9646

58 certified beds, about 53 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 185334 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 23, 2026, inspectors cited 3 health deficiencies (the Kentucky average is 2.9, the national average 9.2).

None of its 8 health citations since March 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.99 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.

39.4% of nursing staff left within the year CMS measured (Kentucky average 46.4%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
1E
3F
Potential for minimal harm
0A
0B
0C
April 23, 2026Standard inspection · 3 citations
  1. E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 30, 2026
    Inspectors wroteBased on observation, interview, document review, and facility policy review, the facility failed to ensure staff consulted the Registered Dietician (RD) before they substituted pureed mashed potatoes for pureed tomatoes for 4 residents of 4 sampled residents (Resident (R) 15, 16, 41 and R49) ordered a pureed diet.
  2. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2026
    Inspectors wroteBased on observation, interview, record review, document review, and facility policy review, the facility failed to ensure staff performed a safety check before insulin was administered which resulted in 3 medication errors out of 32 opportunities, which yielded a medication error rate of 9.38% for two residents (Resident 5 and Resident 7) of eight residents observed for medication administration.
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2026
    Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed maintain infection control practices to ensure staff did not reach into their pockets with a gloved hand to retrieve medical supplies during medication administration for two of eight residents observed for medication administration (Resident (R) 5 and R7).
May 8, 2025Standard inspection · 3 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 31, 2025
    Inspectors wroteBased on observation, interview, and review of the facility's policy, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, which had the potential to affect 50 of the facility's 50 residents who consumed food from the kitchen.
  2. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 31, 2025
    Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to store medications in accordance with the manufacturer's recommendations in one (1) of two (2) medication storage refrigerators and for one (1) of 13 sampled residents, (Resident (R) 38).
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 31, 2025
    Inspectors wroteBased on observation, interview, and facility policy review the facility failed to establish an infection prevention and control program that addressed hand hygiene procedures to be followed by staff involved in direct resident contact for 1 of 7 sampled residents, (Resident (R)10).
March 21, 2024Standard inspection · 2 citations
  1. F
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 30, 2024
    Inspectors wroteBased on observation and interview, it was determined the facility failed to provide food and drink that was palatable, attractive, and at a safe and appetizing temperature for the lunch meal served on 03/19/2024.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 30, 2024
    Inspectors wroteBased on observation, interview and review of facility policy it was determined that the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 6 of 21 sampled residents. (Resident #25, #39, #41, #47, #50 and #54) and 4 unsampled residents (Resident #64, #65 #66 and #67).

Fire safety inspections

12 fire safety citations on file: 3 on April 23, 2026, 2 on May 8, 2025, 7 on March 21, 2024.

Every fire safety citation12 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 23, 2026 · Corrected (the home has a date of correction)
  2. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · April 23, 2026 · Corrected (the home has a date of correction)
  3. D
    Ensure proper usage of power strips and extension cords.
    K 920 · April 23, 2026 · Corrected (the home has a date of correction)
  4. E
    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
    K 361 · May 8, 2025 · Corrected (the home has a date of correction)
  5. D
    Have proper medical gas storage and administration areas.
    K 923 · May 8, 2025 · Corrected (the home has a date of correction)
  6. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · March 21, 2024 · Corrected (the home has a date of correction)
  7. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · March 21, 2024 · Corrected (the home has a date of correction)
  8. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · March 21, 2024 · Corrected (the home has a date of correction)
  9. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · March 21, 2024 · Corrected (the home has a date of correction)
  10. E
    Have properly located and lighted "Exit" signs.
    K 293 · March 21, 2024 · Corrected (the home has a date of correction)
  11. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · March 21, 2024 · Corrected (the home has a date of correction)
  12. E
    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
    K 361 · March 21, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeKentuckyUnited States
All nursing staff (RN, LPN and aides)3.993.953.86
Registered nurses0.710.790.69
All nursing staff on weekends3.583.493.42
Nurse aides2.31
Licensed practical nurses0.97
Nursing staff turnover (share who left in a year)39.4%46.4%45.8%
Registered nurse turnover44.4%41.8%42.9%
Administrators who left0

CMS expects 4.01 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.16 on weekdays and 3.58 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.07 in April to June 2025 to 3.99 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.990.714.163.58 0.0%0 of 9053
Oct to Dec 20253.820.453.963.46 0.0%0 of 9256
Jul to Sep 20254.020.534.203.54 0.0%0 of 9256
Apr to Jun 20254.070.684.283.55 0.0%0 of 9154
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Kentucky, Jan to Mar 20263.850.714.043.403.2%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeKentuckyUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
8.313.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.61.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.03.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
13.314.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.94.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
25.216.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
27.524.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
3.913.712.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.91.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.32.11.8

Owners and operators

Legal business name: BEAVER DAM NURSING & REHAB CENTER, INC.

NameRoleTypeShareSince
Cox, Douglas5% or greater direct ownership interestIndividual100%01/01/2023
Cox, Douglas5% or greater mortgage interestIndividual01/01/2015
Cox, DouglasCorporate officerIndividual01/01/2015
Nee, StephenCorporate officerIndividual08/01/2019
Cox, DouglasOperational/managerial controlIndividual01/01/2015

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on April 23, 2026: "Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on April 23, 2026: "Provide and implement an infection prevention and control program."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 23, 2026: "Ensure medication error rates are not 5 percent or greater."

Other nursing homes nearby

Kentucky contacts for a concern about a nursing home

These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.

Common questions

What is Beaver Dam Nursing & Rehab Center, Inc's Medicare star rating?
CMS rates Beaver Dam Nursing & Rehab Center, Inc 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Beaver Dam Nursing & Rehab Center, Inc get at its last inspection?
3 health deficiencies at the standard inspection on April 23, 2026. The Kentucky average is 2.9.
Has Beaver Dam Nursing & Rehab Center, Inc been fined?
CMS lists no fines in the last three years.
Does Beaver Dam Nursing & Rehab Center, Inc accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Beaver Dam Nursing & Rehab Center, Inc?
CMS lists 5 owners and managers. Legal business name: BEAVER DAM NURSING & REHAB CENTER, INC.

Sources

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