Knott County Health & Rehabilitation Center
388 Perkins Madden Road, Hindman, KY 41822 · Knott County · (606) 785-5011
92 certified beds, about 82 residents a day · For profit - Individual · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185150 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 10, 2025, inspectors cited 2 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 5 health citations since July 2019 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 4.88 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.83 of those hours.
34.7% 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.
September 10, 2025Standard inspection · 2 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteThe facility failed to store food in accordance with the manufacturers guidance for Meals, Ready to Eat (MRE) to be used as emergency meal supply. Furthermore, the facility failed to store water to be used for boil water advisories, and water dispensers in the facility in a climate-controlled area.
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observations, interviews, and record review conducted from 09/08/2025 - 09/10/2025, the facility failed to maintain a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. Multiple environmental concerns were identified that had the potential to negatively impact the health, safety, and quality of life of residents. These issues were noted throughout resident rooms and common areas.
November 8, 2024Standard inspection · 0 citations
July 25, 2019Standard inspection · 3 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined that the facility failed to provide services that met professional standards of quality for one (1) of twenty (20) sampled residents (Resident #65). Record review revealed a physician's order dated 06/28/19 to discontinue a protein nutritional supplement. However review of the monthly orders for June and July 2019 revealed the protein supplement had continued to be administered.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure one (1) of twenty (20) sampled residents (Resident #65) received treatment and services to prevent complications of enteral feeding. Observation on 07/25/19 at 2:00 PM revealed that Licensed Practical Nurse (LPN) #1 gave medications through a gastrostomy tube (G-tube) and failed to flush the G-tube prior to administering the medications.
- 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 the facility failed to maintain an effective infection control and prevention program for one (1) of twenty (20) sampled residents (Resident #136). Observation of Resident #136 revealed staff served a meal tray to the resident after touching her own hair multiple times. State Registered Nurse Aide (SRNA) #1 did not wash her hands before serving the meal tray. Staff then proceeded to prepare the resident's meal tray by opening the corn on the cob that was wrapped in aluminum foil and applying butter. Staff also continued to touch other food items on the resident's tray without washing/sanitizing her hands.
Fire safety inspections
4 fire safety citations on file: 1 on September 10, 2025, 3 on November 8, 2024.
Every fire safety citation4 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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.
| Measure | This home | Kentucky | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.88 | 3.95 | 3.86 |
| Registered nurses | 0.83 | 0.79 | 0.69 |
| All nursing staff on weekends | 4.29 | 3.49 | 3.42 |
| Nurse aides | 3.28 | ||
| Licensed practical nurses | 0.77 | ||
| Nursing staff turnover (share who left in a year) | 34.7% | 46.4% | 45.8% |
| Registered nurse turnover | 30.0% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.22 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 5.12 on weekdays and 4.29 on weekends, 16% 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 4.48 in April to June 2025 to 4.88 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 | 4.88 | 0.83 | 5.12 | 4.29 | 0.0% | 0 of 90 | 82 |
| Oct to Dec 2025 | 4.39 | 0.75 | 4.63 | 3.77 | 0.0% | 0 of 92 | 86 |
| Jul to Sep 2025 | 4.29 | 0.93 | 4.48 | 3.83 | 0.0% | 0 of 92 | 86 |
| Apr to Jun 2025 | 4.48 | 0.90 | 4.70 | 3.94 | 0.0% | 0 of 91 | 88 |
| 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 | 10.4 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.9 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.4 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.8 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.6 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.5 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 33.1 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.1 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.3 | 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 | 1.8 | 2.1 | 1.8 |
Owners and operators
Legal business name: KNOTT COUNTY NURSING HOME, INC.. 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% | 03/13/2003 |
| Stumbo, Christopher | Contracted managing employee | Individual | 02/01/2024 | |
| Hall, Jessica | W-2 managing employee | Individual | 01/25/2022 | |
| Alsip, Roger | Corporate director | Individual | 08/06/2018 | |
| Arnold, Susan | Corporate director | Individual | 01/01/2011 | |
| Tipton, Wesley | Corporate director | Individual | 06/20/2016 | |
| Witt, David | Corporate director | Individual | 08/06/2018 | |
| Alsip, Roger | Corporate officer | Individual | 01/01/2011 | |
| Tipton, Wesley | Corporate officer | Individual | 05/16/2018 | |
| Willis, Jackie | Corporate officer | Individual | 01/01/2011 | |
| Witt, David | Corporate officer | Individual | 06/21/2011 | |
| Dailey, John | Operational/managerial control | Individual | 05/16/2018 | |
| Hall, Jessica | Operational/managerial control | Individual | 01/25/2022 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on September 10, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on September 10, 2025: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on July 25, 2019: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on July 25, 2019: "Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube."
Other nursing homes nearby
- Paul E Patton Eastern Ky Veterans Center Hazard, 12.6 mi · 5 of 5 stars · 0 citations
- Hazard Health and Rehabilitation Center Hazard, 13.4 mi · 1 of 5 stars · 22 citations
- Letcher Manor Whitesburg, 16.8 mi · 2 of 5 stars · 12 citations
- Tri Cities Rehabilitation and Healthcare Center Cumberland, 24.6 mi · 1 of 5 stars · 16 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 Knott County Health & Rehabilitation Center's Medicare star rating?
- CMS rates Knott County Health & Rehabilitation Center 3 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Knott County Health & Rehabilitation Center get at its last inspection?
- 2 health deficiencies at the standard inspection on September 10, 2025. The Kentucky average is 2.9.
- Has Knott County Health & Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Knott County Health & 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 Knott County Health & Rehabilitation Center?
- CMS lists 13 owners and managers, and links the home to Seky Holding Co.. Legal business name: KNOTT COUNTY NURSING HOME, INC..
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.