Hyden Health and Rehabilitation Center
21040 Us Highway 421 South, Hyden, KY 41749 · Leslie County · (606) 672-2940
94 certified beds, about 84 residents a day · For profit - Corporation · Medicare and Medicaid since 1998
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185193 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 19, 2025, inspectors cited 0 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 5 health citations since August 2019 was rated as actual harm or immediate jeopardy.
CMS lists 1 fine totaling $5,346 in the last three years; the largest was $5,346, and the latest is dated October 24, 2024.
Nurses and nurse aides worked 4.46 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.95 of those hours.
33.7% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
CMS links it to Seky Holding Co., an affiliated group of 9 nursing homes.
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.
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 5 health citations on file.
December 19, 2025Standard inspection · 0 citations
October 24, 2024Standard inspection · 0 citations
August 1, 2019Standard inspection · 5 citations
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, record review, and facility policy review it was determined that the facility failed to develop and implement a comprehensive person-centered care plan for three (3) of twenty-two (22) sampled residents (Resident #13, Resident #52, and Resident #59). Resident #13 and Resident #52 had diagnoses of seizure disorder and the facility failed to develop a plan of care that addressed safety interventions for the residents related to seizures. In addition, the facility failed to develop an individualized care plan for Resident #59 related to activity interventions.
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on interview, record review, and facility policy review, it was determined the facility failed to ensure Minimum Data Set (MDS) assessments were transmitted within fourteen (14) days after completion for two (2) unsampled residents (Resident #1 and Resident #191). Review of Resident #1's MDS assessments revealed the facility had completed an annual MDS assessment with a completion date of 07/08/19 for Resident #1. Review of a validation report revealed the assessment was not transmitted until 07/30/19, which was eight (8) days late. Review of Resident #191's MDS assessments revealed a re-entry MDS assessment with a completion date of 07/12/19. Review of a validation report revealed the assessment was not transmitted until 07/30/19, which was four (4) days late.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview, record review, and facility policy review it was determined that the facility failed to ensure an ongoing program of activities was developed to meet the needs of one (1) of twenty-two (22) sampled residents (Resident #59). Observations on 07/30/19, 07/31/19, and 08/01/19 revealed Resident #59 was either in his/her room or in the hallway and not involved in any activities. Review of the medical record revealed no care plan for the resident to receive any type of activities and interview with the Activities Director revealed there was no written plan for activities for Resident #59.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, record review, and policy review it was determined that the facility failed to ensure that the environment remained as free as possible from accident hazards related to a diagnosis of seizure disorder for two (2) of twenty-two (22) sampled residents (Resident #13 and Resident #52). There was no evidence the facility had developed a care plan with specific interventions to ensure resident safety related to the residents' seizure disorder. Observations during the survey revealed the residents' beds were left at above waist height position.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and review of the facility policy, it was determined that the facility failed to maintain an effective infection control and prevention program for one (1) of twenty-two (22) sampled residents (Resident #77). Observation of Resident #77 on 07/31/19 during care revealed that State Registered Nurse Aide (SRNA) #1 failed to wash/sanitize her hands after removing the resident's soiled breif and before applying a clean brief.
Fire safety inspections
4 fire safety citations on file: 3 on October 24, 2024, 1 on August 1, 2019.
Every fire safety citation4 citations
- E Have restrictions on the use of portable space heaters.
- E Ensure proper usage of power strips and extension cords.
- E Have proper medical gas storage and administration areas.
- D Have approved installation, maintenance and testing program for fire alarm systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 24, 2024 | Fine | $5,346 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
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) | 4.46 | 3.95 | 3.86 |
| Registered nurses | 0.95 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.90 | 3.49 | 3.42 |
| Nurse aides | 3.05 | ||
| Licensed practical nurses | 0.46 | ||
| Nursing staff turnover (share who left in a year) | 33.7% | 46.4% | 45.8% |
| Registered nurse turnover | 21.1% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.89 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 4.69 on weekdays and 3.90 on weekends, 17% 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 4.16 in April to June 2025 to 4.46 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 | 4.46 | 0.95 | 4.69 | 3.90 | 0.0% | 0 of 90 | 84 |
| Oct to Dec 2025 | 4.02 | 0.86 | 4.18 | 3.59 | 0.0% | 0 of 92 | 85 |
| Jul to Sep 2025 | 4.41 | 0.88 | 4.61 | 3.90 | 0.0% | 0 of 92 | 85 |
| Apr to Jun 2025 | 4.16 | 0.85 | 4.35 | 3.69 | 0.0% | 0 of 91 | 87 |
| 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
Staff pay at this home
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.
Official wage estimates for Kentucky
| 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.
Quality measures
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 | 16.1 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.4 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.5 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.4 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.7 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 10.9 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.8 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.8 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 25.0 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 6.8 | 2.1 | 1.8 |
Owners and operators
Legal business name: HYDEN NURSING HOME, LLC. CMS links this home to Seky Holding Co., a group of 9 nursing homes averaging 2.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Seky Holding Co | 5% or greater direct ownership interest | Organization | 100% | 06/18/2003 |
| Fcltc Holdings Inc | 5% or greater indirect ownership interest | Organization | 04/28/2016 | |
| Forcht, Terry | 5% or greater indirect ownership interest | Individual | 100% | 06/18/2003 |
| Cornett, Anita | Contracted managing employee | Individual | 01/01/1993 | |
| Sparks, Melissa | W-2 managing employee | Individual | 04/08/2020 | |
| Alsip, Roger | Corporate officer | Individual | 01/01/2011 | |
| Tipton, Wesley | Corporate officer | Individual | 08/07/2018 | |
| Witt, David | Corporate officer | Individual | 01/01/2011 | |
| Sparks, Melissa | Operational/managerial control | Individual | 10/23/2014 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on August 1, 2019: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on August 1, 2019: "Provide activities to meet all resident's needs."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 1, 2019: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Paul E Patton Eastern Ky Veterans Center Hazard, 12.7 mi · 5 of 5 stars · 0 citations
- Hazard Health and Rehabilitation Center Hazard, 12.9 mi · 1 of 5 stars · 22 citations
- Landmark of Laurel Creek Rehabilitation and Nursin Manchester, 22.4 mi · 3 of 5 stars · 9 citations
- Tri Cities Rehabilitation and Healthcare Center Cumberland, 22.8 mi · 1 of 5 stars · 16 citations
- Harlan Health and Rehabilitation Center Harlan, 23.8 mi · 1 of 5 stars · 11 citations
Kentucky contacts for a concern about a nursing home
These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Kentucky Office of Inspector General, Division of Health Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Kentucky State Long-Term Care Ombudsman Program, Nursing Home Ombudsman Agency of the Bluegrass, (800) 372-2991. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Kentucky OIG Nursing Home Inspection Findings, where Kentucky publishes its own records on licensed homes.
Common questions
- What is Hyden Health and Rehabilitation Center's Medicare star rating?
- CMS rates Hyden Health and Rehabilitation Center 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Hyden Health and Rehabilitation Center get at its last inspection?
- 0 health deficiencies at the standard inspection on December 19, 2025. The Kentucky average is 2.9.
- Has Hyden Health and Rehabilitation Center been fined?
- Yes. CMS lists 1 fine totaling $5,346 in the last three years.
- Does Hyden Health and Rehabilitation Center 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 Hyden Health and Rehabilitation Center?
- CMS lists 9 owners and managers, and links the home to Seky Holding Co.. Legal business name: HYDEN NURSING HOME, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.