506 Allensville Road, Elkton, KY 42220 · Todd County · (270) 265-5321
60 certified beds, about 58 residents a day · For profit - Individual · Medicare and Medicaid since 1994
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185400 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 25, 2025, inspectors cited 3 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 13 health citations since December 2019 was rated as actual harm or immediate jeopardy.
CMS lists 4 fines totaling $20,055 in the last three years; the largest was $5,346, and the latest is dated September 12, 2024.
Nurses and nurse aides worked 3.16 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.
62.5% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
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.
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 13 health citations on file.
Inspectors wroteBased on observation, interview, and review of facility policy, the facility failed to ensure residents had the right to receive services in the facility with reasonable accommodations of resident needs and preferences for 7 out of 15 sampled residents, Resident (R)8, R9, R30, R32, R33, R36, and R49. R32 and R36 complained call lights were not answered timely. Additionally, observations on 07/22/2024, and 07/24/2025, revealed R8, R9, R30, R33, and R49's call light was out of reach, and inaccessible to the residents. Review of the facility policy titled, Resident Rights, undated, revealed the resident has the right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility. [...]
Inspectors wroteBased on observation, interview, and review of facility policy, staff failed to ensure a clean, comfortable, and home-like environment. Observations on 07/23/2025, 07/24/2025, and 07/24/2025, revealed the handrails along the hall corridor were filled with food wrappers, and crumbs. Also, there was a Styrofoam cup containing a liquid substance on the handrail by room [ROOM NUMBER].
Inspectors wroteBased on observation, interview, and review of facility policy, the facility failed to store drugs in a manner to preserve integrity. Observation of the medication room refrigerator, revealed 2 COVID-19 vaccine syringes, both expired and 1 of the syringes was shattered. Review of the facility's policy titled Medication Storage, reviewed 03/2025, revealed expired, contaminated, deteriorated medications, and medications in containers that are cracked, soiled, or without secure closures are to be immediately removed from stock and disposed of according to procedures for medication destruction and reordered from the pharmacy if a current order exists. Observation of the medication storage room refrigerator, on 07/23/2025 at 2:55 PM, revealed a plastic bag containing two expired COVID-19 vaccine syringes with an expiration date of 04/24/2025, and one of the syringes was shattered. [...]
Inspectors wroteBased on observation, interview, record review, and review of facility policy, 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. Staff failed to maintain infection control practices during urostomy care for Resident (R)2; during wound care for R26; and during medication administration for R4. Additionally, the facility failed to ensure staff was fit tested for a N95 respirator mask required for respiratory protection when working with Coronavirus Disease 2019 (COVID-19) positive residents. These failures had the potential to affect all residents that resided in the facility.
Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to ensure medications were obtained from the pharmacy in a timely manner for two (2) of three (3) sampled residents reviewed for pharmacy services, Resident (R)8 and R32. (Refer to F658)
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure the medication error rate was less than 5 percent (%). Observation of medication administration revealed there were two (2) errors out of 27 opportunities, which resulted in a medication error rate of 7.41%. This affected two (2) of three (3) residents observed during medication administration, Resident (R)8 and and R32.
Inspectors wroteBased on interview, record review, facility document review, and review of facility policy, the facility failed to report an allegation of abuse within the two (2) hour time frame for one (1) of three (3) residents reviewed for abuse prohibition, (Resident (R) 40.
Inspectors wroteBased on interview, record review, and review of facility policy, the facility failed to initiate a new Level I Preadmission Screening and Resident Review (PASARR) for a resident who received new psychiatric diagnoses following admission. This affected one (1) of one (1) residents reviewed for PASARR requirements, (Resident (R)14.
Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to ensure services provided by the facility met professional standards of quality for one (1) of three (3) residents observed during medication pass, (Resident (R)8. R8's Physician's Order sheet for 09/2024, revealed a current order for metformin hydrochloride (HCL) 1,000 milligrams (mg) with instructions to give one (1) tablet by mouth every morning at 9:00 AM. The Physician's Order sheet further revealed a current order for metformin HCL 500 mg with instructions to give one (1) tablet at 5:00 PM. During an observation of medication administration on 09/10/2024 at 9:08 AM, Kentucky Medication Aide (KMA)12 was unable to locate R8's metformin hydrochloride (HCL) 1,000 milligram (mg) tablets. [...]
Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to ensure staff provided assistance with activities of daily living (ADLs) for one (1) of one (1) sampled residents reviewed for ADLs, Resident (R)41. Although R41 had a contracture of the left hand, the facility failed to ensure R41's nails were trimmed.
Inspectors wroteBased on interview, record review, facility document review, and review of facility policy, the facility failed to ensure pharmacy recommendations were acted upon timely for one (1) of five (5) sampled residents reviewed for unnecessary medications, Resident (R)10.
Inspectors wroteBased on observation, record review, facility policy review, and interview, it was determined that the facility failed to implement care plan interventions to prevent falls for one (1) of sixteen (16) sampled residents (Resident #20). Resident #20 had a care plan with a focus for falls that was initiated on 10/17/19. An intervention was initiated on 10/22/19 to have non-skid strips in place in front of the toilet to prevent falls. Observation on 12/05/19 revealed no non-skid strips in place in front of the resident's toilet.
Inspectors wroteBased on observation, policy review, record review, and interview, the facility failed to ensure the resident's environment remains as free of accident hazards as is possible for one (1) of sixteen (16) sampled residents (Resident #20). Resident #20 had a physician's order dated 10/21/19 to have non-skid strips in front of the toilet due to a fall. Observation on 12/05/19 revealed there were no non-skid strips in place in front of the resident's toilet.
37 fire safety citations on file: 11 on July 25, 2025, 21 on September 12, 2024, 5 on December 6, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| September 12, 2024 | Fine | $4,017 |
| September 12, 2024 | Fine | $5,346 |
| September 12, 2024 | Fine | $5,346 |
| September 12, 2024 | Fine | $5,346 |
| September 12, 2024 | Payment Denial | 8 days from December 12, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Kentucky | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.16 | 3.95 | 3.86 |
| Registered nurses | 0.44 | 0.79 | 0.69 |
| All nursing staff on weekends | 2.75 | 3.49 | 3.42 |
| Nurse aides | 1.99 | ||
| Licensed practical nurses | 0.72 | ||
| Nursing staff turnover (share who left in a year) | 62.5% | 46.4% | 45.8% |
| Registered nurse turnover | 71.4% | 41.8% | 42.9% |
| Administrators who left | 3 |
CMS expects 4.39 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.33 on weekdays and 2.75 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.54 in April to June 2025 to 3.16 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.16 | 0.44 | 3.33 | 2.75 | 8.3% | 0 of 90 | 58 |
| Oct to Dec 2025 | 3.15 | 0.34 | 3.24 | 2.91 | 10.0% | 3 of 92 | 55 |
| Jul to Sep 2025 | 3.35 | 0.36 | 3.52 | 2.92 | 0.6% | 2 of 92 | 53 |
| Apr to Jun 2025 | 3.54 | 0.33 | 3.69 | 3.18 | 0.1% | 2 of 91 | 54 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kentucky, Jan to Mar 2026 | 3.85 | 0.71 | 4.04 | 3.40 | 3.2% | 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Kentucky, all employers | |||
| CNAs (nursing assistants) | $18.45 | $17.38 to $21.21 | 23,410 |
| LPNs and LVNs | $29.07 | $26.10 to $31.29 | 8,570 |
| Registered nurses | $38.96 | $36.38 to $46.73 | 50,300 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kentucky | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 35.5 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.6 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.8 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.1 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.9 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 36.1 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.3 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.0 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.3 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.3 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.7 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.4 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Elkton Nursing and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (47.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
47.1% this home
No different from the national rate
US median of homes 51.5% · Kentucky: 38 better, 49 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 28 eligible stays.
10.9% this home
No different from the national rate
US median of homes 10.7% · Kentucky: 0 better, 12 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 39 eligible stays.
6.1% this home
No different from the national rate
US median of homes 7.1% · Kentucky: 0 better, 6 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 27 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Kentucky49.5% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 9 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Kentucky0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 15 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Kentucky2.6% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 15 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Kentucky98.1% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 7 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: ELKTON OPCO LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Elkton Opco Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 08/07/2025 |
| Auburn Opco Holdco LLC | Direct ownership interest | Organization | 08/07/2025 | |
| Ky 2 Ao Op LLC | Indirect ownership interest | Organization | 08/07/2025 | |
| Ky 2 Ft Op LLC | Indirect ownership interest | Organization | 08/07/2025 | |
| Ky 2 Mk Op LLC | Indirect ownership interest | Organization | 08/07/2025 | |
| SNF Opco Tr | Indirect ownership interest | Organization | 08/07/2025 | |
| Brecher, Hal | Indirect ownership interest | Individual | 08/07/2025 | |
| Frankel, Sheftal | Indirect ownership interest | Individual | 08/07/2025 | |
| Kelman, Moshe | Indirect ownership interest | Individual | 08/07/2025 | |
| Kelman, Moshe | Managing control - governing body | Individual | 08/07/2025 | |
| Auburn Opco Holdco LLC | Operational/managerial control | Organization | 08/07/2025 | |
| Elkton Opco Holdco LLC | Operational/managerial control | Organization | 08/07/2025 | |
| Ky 2 Ao Op LLC | Operational/managerial control | Organization | 08/07/2025 | |
| Ky 2 Ft Op LLC | Operational/managerial control | Organization | 08/07/2025 | |
| Ky 2 Mk Op LLC | Operational/managerial control | Organization | 08/07/2025 | |
| SNF Opco Tr | Operational/managerial control | Organization | 08/07/2025 | |
| Brecher, Hal | Operational/managerial control | Individual | 08/07/2025 | |
| Carter, Valarie | Operational/managerial control | Individual | 08/07/2025 | |
| Chavda, Geeta | Operational/managerial control | Individual | 08/07/2025 | |
| Frankel, Sheftal | Operational/managerial control | Individual | 08/07/2025 | |
| Kelman, Moshe | Operational/managerial control | Individual | 08/07/2025 | |
| Ross, Eric | Operational/managerial control | Individual | 10/27/2025 | |
| Shepard, Paul | Operational/managerial control | Individual | 08/07/2025 | |
| Kelman, Moshe | Trustee of the SNF | Individual | 08/07/2025 | |
| Elkton Fiscal LLC | Adp of the SNF | Organization | 08/07/2025 | |
| Et 506 Allensville Street Holdco LLC | Adp of the SNF | Organization | 08/07/2025 | |
| Et 506 Allensville Street LLC | Adp of the SNF | Organization | 08/07/2025 | |
| Ky 2 Ao Prop LLC | Adp of the SNF | Organization | 08/07/2025 | |
| Ky 2 Ap Prop LLC | Adp of the SNF | Organization | 08/07/2025 | |
| Ky 2 Ft Prop LLC | Adp of the SNF | Organization | 08/07/2025 | |
| Ky 2 Hb Prop LLC | Adp of the SNF | Organization | 01/14/2026 | |
| Ky Property Tr | Adp of the SNF | Organization | 08/07/2025 | |
| Carter, Valarie | Adp of the SNF | Individual | 08/07/2025 | |
| Chavda, Geeta | Adp of the SNF | Individual | 08/07/2025 | |
| Frankel, Sheftal | Adp of the SNF | Individual | 08/07/2025 | |
| Kelman, Moshe | Adp of the SNF | Individual | 08/07/2025 | |
| Platscheck, Andrew | Adp of the SNF | Individual | 08/07/2025 | |
| Ross, Eric | Adp of the SNF | Individual | 10/27/2025 | |
| Shepard, Paul | Adp of the SNF | Individual | 08/07/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.