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Lee County Care & Rehabilitation Center

246 East Main Street, Beattyville, KY 41311 · Lee County · (606) 464-3611

109 certified beds, about 101 residents a day · For profit - Corporation · Medicare and Medicaid since 1992

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 185337 · 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 5 health deficiencies (the Kentucky average is 2.9, the national average 9.2).

None of its 6 health citations since August 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 3.43 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.78 of those hours.

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

CMS links it to Signature Healthcare, an affiliated group of 67 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.

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 6 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
1E
0F
Potential for minimal harm
0A
0B
0C
December 19, 2025Standard inspection · 5 citations
  1. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 27, 2026
    Inspectors wroteBased on observations, interviews, and record review conducted from 12/16/2025 - 12/18/2025, the facility failed to maintain a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. Multiple ongoing environmental concerns were identified that had the potential to negatively impact the health, safety, and quality of life of residents, staff, and the public. These issues were noted throughout resident rooms and common areas. These findings demonstrated a failure to routinely monitor, identify, and address environmental concerns to maintain the facility in safe and good repair. Review of the facility's policy titled Resident Rights, last revised 01/31/2025, revealed all residents will be treated in a manner and in an environment that promotes maintenance or enhancement of quality of life. [...]
  2. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 27, 2026
    Inspectors wroteBased on observation, interview, and review of facility's policy, the facility failed to protect resident rights to privacy related to electronic medical records (EMRs). The computer located on top of the medication cart, contained confidential resident information and was observed to be left open and viewable to visitors, residents, and staff in the hallway on 12/16/2025 at 10:34AM,10:40AM and at 11:05AM.
  3. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 27, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the comprehensive care plan was accurate, person-centered, and reflective of the resident's assessed needs and preferences for one of 27 sampled residents (R21). Review of R21's behavioral care plan revealed it was updated to include the statement I have a history of refusing showers and medications at times; however, the care plan did not include any corresponding interventions to address the identified behaviors. Interview with R21 revealed he did not refuse showers. Additionally, interview with the Medical Records Nurse revealed R21 did not have a history of refusing medications and stated this information should not have been included in the care plan. [...]
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 27, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure one out of 27 sampled resident's (R21) basic hygiene needs were met by not providing routine nail care as needed. The failure to provide routine nail care resulted in long unclean nails, placing the resident at risk for discomfort, skin integrity issues, and infection. Review of the facility's policy titled Resident Rights, last revised 01/31/2025, revealed all residents would be treated in a manner and in an environment that promotes maintenance or enhancement of quality of life. Additionally, the stakeholders would respect the resident's individuality and value their input by providing a dignified existence, through self-determination and communication with and access to persons and services inside and outside the facility. [...]
  5. 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) January 27, 2026
    Inspectors wroteBased on observation, interview, 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 for 1 of 27 sampled residents, (Resident (R)59).
August 9, 2024Standard inspection · 0 citations
August 1, 2019Standard inspection · 1 citation
  1. 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) August 24, 2019
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure supplies available for use were not expired in one (1) of three (3) medication rooms. Observation of the Seasons Unit's medication room on 08/01/19, revealed sixty (60) blue top serum vacutainer vials with the expiration date of 04/10/19 available for resident use.

Fire safety inspections

7 fire safety citations on file: 7 on August 9, 2024.

Every fire safety citation7 citations
  1. 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 · August 9, 2024 · Corrected (the home has a date of correction)
  2. E
    Install corridor and hallway doors that block smoke.
    K 363 · August 9, 2024 · Corrected (the home has a date of correction)
  3. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · August 9, 2024 · Corrected (the home has a date of correction)
  4. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · August 9, 2024 · Corrected (the home has a date of correction)
  5. E
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · August 9, 2024 · Corrected (the home has a date of correction)
  6. E
    Ensure proper usage of power strips and extension cords.
    K 920 · August 9, 2024 · Corrected (the home has a date of correction)
  7. E
    Have proper medical gas storage and administration areas.
    K 923 · August 9, 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)3.433.953.86
Registered nurses0.780.790.69
All nursing staff on weekends3.053.493.42
Nurse aides2.08
Licensed practical nurses0.57
Nursing staff turnover (share who left in a year)39.4%46.4%45.8%
Registered nurse turnover23.5%41.8%42.9%
Administrators who left0

CMS expects 4.36 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 3.58 on weekdays and 3.05 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.69 in April to June 2025 to 3.43 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.430.783.583.05 0.1%0 of 90101
Oct to Dec 20253.550.803.703.16 0.1%0 of 92102
Jul to Sep 20253.850.863.963.56 0.1%0 of 92100
Apr to Jun 20253.690.783.783.44 0.0%0 of 91102
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.

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. If you work here, your report helps start one.

Official wage estimates for Kentucky

JobMedianMiddle halfEmployed
Kentucky, all employers
CNAs (nursing assistants)$18.45$17.38 to $21.2123,410
LPNs and LVNs$29.07$26.10 to $31.298,570
Registered nurses$38.96$36.38 to $46.7350,300
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For Lee County Care & Rehabilitation Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

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
6.813.813.9
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
2.11.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.93.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.61.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.914.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.54.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
15.016.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.024.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
18.913.712.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.71.91.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
6.82.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Lee County Care & Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (32.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

32.1% this home

Worse than 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. 70 eligible stays.

Potentially preventable readmissions

11.3% 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. 68 eligible stays.

Infections that led to a hospital stay

9.9% 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. 41 eligible stays.

Self-care and mobility at discharge

47.4% this home

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. 38 residents counted.

Falls with major injury

0.0% this home

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. 51 residents counted.

New or worsened pressure ulcers

0.0% this home

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. 51 residents counted.

Medication list given at discharge

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. 13 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.

Owners and operators

Legal business name: LP BEATTYVILLE LLC. CMS links this home to Signature Healthcare, a group of 67 nursing homes averaging 3.1 stars overall.

NameRoleTypeShareSince
LP Cr Holdings LLC5% or greater direct ownership interestOrganization100%11/01/2007
Agemo Holdings LLC5% or greater indirect ownership interestOrganization10/01/2016
Jjla LLC5% or greater indirect ownership interestOrganization11/01/2007
Lpsnf II LLC5% or greater indirect ownership interestOrganization10/01/2016
Wheaten LLC5% or greater indirect ownership interestOrganization11/01/2007
Steier III, Elmer5% or greater indirect ownership interestIndividual11/01/2007
Harrison, JohnCorporate officerIndividual10/01/2007
Signature Healthcare LLCOperational/managerial controlOrganization11/01/2007
Wilson, KayeOperational/managerial controlIndividual01/01/2019

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 resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on December 19, 2025: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on December 19, 2025: "Keep residents' personal and medical records private and confidential."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on December 19, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  4. 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 December 19, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.05 hours per resident per day, below the Kentucky average of 3.49.

Other nursing homes nearby

Kentucky contacts for a concern about a nursing home

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Common questions

What is Lee County Care & Rehabilitation Center's Medicare star rating?
CMS rates Lee County Care & Rehabilitation Center 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Lee County Care & Rehabilitation Center get at its last inspection?
5 health deficiencies at the standard inspection on December 19, 2025. The Kentucky average is 2.9.
Has Lee County Care & Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Lee County Care & 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 Lee County Care & Rehabilitation Center?
CMS lists 9 owners and managers, and links the home to Signature Healthcare. Legal business name: LP BEATTYVILLE LLC.

Sources

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