Landmark of Laurel Creek Rehabilitation and Nursin
1033 North Highway 11, Manchester, KY 40962 · Clay County · (606) 598-6163
106 certified beds, about 94 residents a day · For profit - Corporation · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185293 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 3, 2025, inspectors cited 5 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 9 health citations since September 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 3.14 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.
31.6% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
CMS links it to Lyon Healthcare, an affiliated group of 12 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 9 health citations on file.
July 3, 2025Standard inspection · 5 citations
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on interview, record review, and review of the facility policy, the facility failed to develop and implement a baseline care plan which included instructions needed to provide effective and person-centered care of the resident that met professional standards of quality of care for one (1) of 23 sampled residents, Resident (R) 339. R339 was admitted to the facility on [DATE] with diagnoses of chronic obstructive pulmonary disease (COPD), encounter for orthopedic aftercare, and presence of right artificial hip joint. However, the facility failed to complete a baseline care plan to provide effective care within 48 hours of admission.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteThe facility failed to ensure that a resident who needs respiratory care, is provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for three of 23 sampled Residents (R) (23, 20, 85).
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observation, interview, record review, and review of the facility's policies, it was determined the facility failed to ensure pain management was provided as ordered for one of 23 sampled, Resident (R) 339.
- 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.
Inspectors wrote§483.45(g) Labeling of Drugs and Biological's and §483.45(h) The facility failed to ensure that all drugs and biologicals used in the facility are labeled in accordance with professional standards, including expiration dates and with appropriate accessory and cautionary instructions for one of five sampled residents. Resident (R)#1. On [DATE] the Licensed Practical Nurse (LPN) 2 administered Med-Pass to R1 that had expired per manufacturers recommendations.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interviews and review of the 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 for all residents, staff, volunteers, visitors and other individuals providing services. The sample census was 23.
June 24, 2021Standard inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and a review of the facility policy, it was determined the facility failed to store serve and prepare food under sanitary conditions. A trash can was observed uncovered in the kitchen next to the hand sink, an egg carton was observed contaminated with egg shells and egg residue stored in the walk-in refrigerator, bags of bologna, packs of ground beef and ham was stored in the refrigerator not labeled and/or dated. Dented cans were stored available for use. Butter was observed stored uncovered and had food debris on it in the refrigerator. A steamer was observed with a build up of dirt and debris on the top surface.
September 19, 2019Standard inspection · 3 citations
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview, policy review, and facility recipe review, it was determined the facility failed to ensure residents were served food that was palatable and at an appetizing temperature for ninety-three (93) residents who received meal trays during lunch on 09/15/19. Observations revealed the first cart arrived on the East Wing at 12:20 PM; however, a resident food tray remained on the cart at 12:55 PM (35 minutes later). A palatability test of the tray on 09/15/19 at 12:55 PM revealed the food on the tray was unpalatable.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview, record review, and review of the Resident Assessment Instrument (RAI) User's Manual, it was determined the facility failed to ensure Minimum Data Set (MDS) assessments accurately reflected the status of two (2) of twenty-two (22) sampled residents (Resident #101 and Resident #11). Resident #101 was discharged home; however, the facility inaccurately coded the resident on the MDS to be discharged to the hospital. In addition, the facility failed to code Resident #11's annual MDS assessment dated [DATE] to reflect the resident had a pressure ulcer present.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, record review, and review of the facility's policies and procedures, it was determined the facility failed to review and revise the care plan for two (2) of twenty-two (22) sampled residents. The facility failed to review and revise the care plan of Resident #11 related to pressure sores and the care plan of Resident #74 related to fall interventions.
Fire safety inspections
7 fire safety citations on file: 3 on July 3, 2025, 1 on June 24, 2021, 3 on September 19, 2019.
Every fire safety citation7 citations
- E Ensure proper usage of power strips and extension cords.
- D Install an approved automatic sprinkler system.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Have restrictions on the use of portable space heaters.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have properly located and lighted "Exit" signs.
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) | 3.14 | 3.95 | 3.86 |
| Registered nurses | 0.53 | 0.79 | 0.69 |
| All nursing staff on weekends | 2.70 | 3.49 | 3.42 |
| Nurse aides | 1.89 | ||
| Licensed practical nurses | 0.71 | ||
| Nursing staff turnover (share who left in a year) | 31.6% | 46.4% | 45.8% |
| Registered nurse turnover | 30.8% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 5.01 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 3.31 on weekdays and 2.70 on weekends, 18% 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 3.16 in April to June 2025 to 3.14 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 | 3.14 | 0.53 | 3.31 | 2.70 | 0.0% | 0 of 90 | 94 |
| Oct to Dec 2025 | 3.15 | 0.57 | 3.30 | 2.78 | 0.0% | 0 of 92 | 93 |
| Jul to Sep 2025 | 3.04 | 0.48 | 3.16 | 2.75 | 0.0% | 0 of 92 | 92 |
| Apr to Jun 2025 | 3.16 | 0.46 | 3.25 | 2.96 | 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.
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 | 15.9 | 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 | 0.9 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.2 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 19.7 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.4 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.3 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.9 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 23.9 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 2.1 | 1.8 |
Owners and operators
Legal business name: LANDMARK OF LAUREL CREEK REHABILITATION AND NURSING CENTER. CMS links this home to Lyon Healthcare, a group of 12 nursing homes averaging 1.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| A&m Healthcare Investments LLC | 5% or greater direct ownership interest | Organization | 100% | 05/01/2018 |
| Bush, Susan | W-2 managing employee | Individual | 05/01/2018 | |
| Meisels, Joseph | Corporate officer | Individual | 05/01/2018 |
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 3 problems in this area, most recently on July 3, 2025: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- 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 July 3, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on June 24, 2021: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on July 3, 2025: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.70 hours per resident per day, below the Kentucky average of 3.49.
Other nursing homes nearby
- Signature Healthcare at Jackson Manor Rehab and We Annville, 12.1 mi · 3 of 5 stars · 16 citations
- Owsley County Health Care Center, Inc. Booneville, 16.1 mi · 4 of 5 stars · 9 citations
- Laurel Heights Home for the Elderly London, 19 mi · 5 of 5 stars · 5 citations
- Hyden Health and Rehabilitation Center Hyden, 22.4 mi · 5 of 5 stars · 5 citations
- Lee County Care & Rehabilitation Center Beattyville, 23.8 mi · 3 of 5 stars · 6 citations
- Hillcrest Health and Rehabilitation Center Corbin, 24.9 mi · 3 of 5 stars · 9 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 Landmark of Laurel Creek Rehabilitation and Nursin's Medicare star rating?
- CMS rates Landmark of Laurel Creek Rehabilitation and Nursin 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Landmark of Laurel Creek Rehabilitation and Nursin get at its last inspection?
- 5 health deficiencies at the standard inspection on July 3, 2025. The Kentucky average is 2.9.
- Has Landmark of Laurel Creek Rehabilitation and Nursin been fined?
- CMS lists no fines in the last three years.
- Does Landmark of Laurel Creek Rehabilitation and Nursin 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 Landmark of Laurel Creek Rehabilitation and Nursin?
- CMS lists 3 owners and managers, and links the home to Lyon Healthcare. Legal business name: LANDMARK OF LAUREL CREEK REHABILITATION AND NURSING CENTER.
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.