What is Metcalfe Nursing and Rehabilitation Center's Medicare star rating?

CMS rates Metcalfe Nursing and Rehabilitation Center 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Metcalfe Nursing and Rehabilitation Center get at its last inspection?

10 health deficiencies at the standard inspection on October 22, 2022. The Kentucky average is 2.9.

Has Metcalfe Nursing and Rehabilitation Center been fined?

CMS lists no fines in the last three years.

Does Metcalfe Nursing 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 Metcalfe Nursing and Rehabilitation Center?

CMS lists 29 owners and managers. Legal business name: METCALFE OPCO LLC.

Metcalfe Nursing and Rehabilitation Center: Inspections

The record in brief

At its most recent standard inspection, on October 22, 2022, inspectors cited 10 health deficiencies (the Kentucky average is 2.9, the national average 9.2).

None of its 14 health citations since October 2018 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 3.53 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.38 of those hours.

54.3% of nursing staff left within the year CMS measured (Kentucky average 46.4%).

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.

310/18

110/19

1010/22

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 14 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

October 22, 2022Standard inspection · 10 citations

F

Ensure residents have reasonable access to and privacy in their use of communication methods.

F576 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 22, 2023

Inspectors wroteBased on interview and review of the facility's Mail Distribution policy, it was determined the facility failed to ensure residents had the right to send and receive mail. In addition, the facility failed to ensure residents were able to receive letters, packages and other materials delivered to the facility for residents on Saturdays and Sundays. The total census was sixty-two (62).
F

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 22, 2023

Inspectors wroteBased on observation, interview, record review, and review of the facility's policies, it was determined the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment; to help prevent and control the development and transmission of communicable diseases; and, to implement interventions per the Centers for Medicare and Medicaid Services (CMS), the Centers for Disease Control and Prevention (CDC), and the Kentucky Department for Public Health (Health Department) state guidelines for COVID-19. Multiple observations, from 10/18/2022 to 10/20/2022, revealed staff members were not providing assistance with COVID screening; not wearing required personal protective equipment (PPE) or wearing it incorrectly, in a Contact Precautions room; not performing correct hand hygiene; [...]
E

Provide activities to meet all resident's needs.

F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 22, 2023

Inspectors wroteBased on interview and review of the facility's policy, it was determined the facility failed to provide residents with activities on Saturday and Sunday. The facility census was sixty-two (62).
E

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 22, 2023

Inspectors wroteBased on observation, interview, medical record review, and review of the facility's policy, it was determined the facility failed to date and change weekly oxygen tubing as required for four (4) of thirty (30) sampled residents, Residents #28, #29, #37, and #54.
E

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, pattern · Corrected (the home has a date of correction) February 22, 2023

Inspectors wroteBased on observation, interview, record review, review of medication package inserts, review of the Centers for Disease Control and Prevention's (CDC) Vaccine Storage and Handling, and review of the facility's policy, it was determined the facility failed to store all drugs and biologicals under proper temperature control. Observation of the two (2) medication refrigerators revealed one (1) had temperatures outside the recommended range for drug storage.
D

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 22, 2023

Inspectors wroteBased on interview, record review, review of the facility's policy, and review of Federal Regulations regarding Advance Directives, it was determined the facility failed to have a policy on Advance Directives which allowed two (2) of thirty (30) sampled residents, Residents #25 and #42 to have insufficient documentation concerning their directives for medical care.
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) February 22, 2023

Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to review and revise the comprehensive care plan (CCP) after each assessment following falls with interventions to prevent falls, for one (1) of thirty (30) sampled residents (Resident #42). Resident #42's CCP was not revised/updated for twelve (12) of the twenty-one (21) falls he/she experienced from 04/29/2022 through 10/14/2022.
D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 22, 2023

Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for one (1) of thirty (30) sampled residents, Resident #42. Resident #42 experienced twenty-five (25) falls from 04/14/2022 through 10/21/2022.
D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 22, 2023

Inspectors wroteBased on observation, interview, and review of the facility's policy, it was determined the facility failed to keep staff food and drink items in the designated staff area and not in the residents' food nourishment room.
D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 22, 2023

Inspectors wroteBased on interviews, record review, document review, review of the Certified Nursing Assistant (CNA) Job Description, and review of the facility's policy, it was determined the facility failed to accurately maintain medical records on food and fluid consumption for one (1) of thirty (30) sampled residents (Resident #7).

October 31, 2019Standard inspection · 1 citation

F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 7, 2019

Inspectors wroteBased on observation, interview, record review, and review of the facility policy it was determined the facility failed to ensure food was stored in accordance with professional standards for food service safety. On 10/29/19, during the initial tour, the ice cream freezer was observed to have a thick layer of frost on all sides of the freezer as well as a black sediment along the tracks where the top slid to provide access to the freezer. The frost on the sides was also observed to have some of the black sediment present.

October 25, 2018Standard inspection · 3 citations

F

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 16, 2018

Inspectors wroteBased on observation, interview, and a palatability test of a lunch meal, it was determined the facility failed to ensure that food served to residents was palatable. Interview with residents and a palatability test of a lunch test tray on 10/24/18 at 11:20 AM CDT, revealed the facility failed to season food to ensure food served to residents was palatable.
E

Honor the resident's right to manage his or her financial affairs.

F567 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 16, 2018

Inspectors wroteBased on interview and review of the facility policy, it was determined the facility failed to protect residents' rights to manage their personal funds. Interview with Resident Council members revealed the facility managed the residents' money they won from Bingo and residents did not have access to their money on weekends.
D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 16, 2018

Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to ensure an accurate medical record was maintained for one (1) of thirty-one (31) sampled residents (Resident #54). On 07/09/18, Resident #54's physician prescribed Norvasc (medication to treat high blood pressure and/or chest pain) daily. Observation revealed the facility administered the medication to the resident as ordered; however, the facility failed to ensure the resident's October physician's order summary and Medication Administration Record (MAR) accurately reflected the physician's order.

Fire safety inspections

5 fire safety citations on file: 5 on October 22, 2022.

Every fire safety citation5 citations

F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · October 22, 2022 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · October 22, 2022 · Corrected (the home has a date of correction)
E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · October 22, 2022 · Corrected (the home has a date of correction)
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 · October 22, 2022 · Corrected (the home has a date of correction)
E
Ensure proper usage of power strips and extension cords.

K 920 · October 22, 2022 · 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.

Measure	This home	Kentucky	United States
All nursing staff (RN, LPN and aides)	3.53	3.95	3.86
Registered nurses	0.38	0.79	0.69
All nursing staff on weekends	2.91	3.49	3.42
Nurse aides	2.16
Licensed practical nurses	0.99
Nursing staff turnover (share who left in a year)	54.3%	46.4%	45.8%
Registered nurse turnover	55.6%	41.8%	42.9%
Administrators who left	0

CMS expects 4.01 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 3.78 on weekdays and 2.91 on weekends, 23% 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 4.47 in April to June 2025 to 3.53 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	3.53	0.38	3.78	2.91	0.0%	1 of 90	68
Oct to Dec 2025	3.91	0.35	4.12	3.38	0.0%	0 of 92	68
Jul to Sep 2025	4.40	0.54	4.68	3.69	0.0%	0 of 92	62
Apr to Jun 2025	4.47	0.59	4.77	3.71	0.0%	1 of 91	59
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.

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.

Measure	This home	Kentucky	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	11.5	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	6.4	1.6	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	4.0	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	15.6	14.0	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	3.0	4.8	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	28.4	16.1	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	11.6	24.2	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	19.7	13.7	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.2	1.9	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	3.0	2.1	1.8

Owners and operators

Legal business name: METCALFE OPCO LLC.

Name	Role	Type	Since
Metcalf Opco Holdco LLC	5% or greater direct ownership interest	Organization	01/01/2026
Kyme Ft Op LLC	5% or greater indirect ownership interest	Organization	01/01/2026
Kyme Hb Op LLC	5% or greater indirect ownership interest	Organization	01/01/2026
Kyme Mk Op LLC	5% or greater indirect ownership interest	Organization	01/01/2026
SNF Opco LLC	5% or greater indirect ownership interest	Organization	01/01/2026
Brecher, Hal	Indirect ownership interest	Individual	01/01/2026
Kelman, Moshe	Managing control - governing body	Individual	01/01/2026
Kyme Ft Op LLC	Operational/managerial control	Organization	01/01/2026
Kyme Hb Op LLC	Operational/managerial control	Organization	01/01/2026
Kyme Mk Op LLC	Operational/managerial control	Organization	01/01/2026
Metcalf Opco Holdco LLC	Operational/managerial control	Organization	01/01/2026
SNF Opco LLC	Operational/managerial control	Organization	01/01/2026
SNF Opco Tr	Operational/managerial control	Organization	01/01/2026
Brecher, Hal	Operational/managerial control	Individual	01/01/2026
Carter, Valarie	Operational/managerial control	Individual	01/01/2026
Kelman, Moshe	Operational/managerial control	Individual	01/01/2026
Spurlin, Barton	Operational/managerial control	Individual	01/01/2026
Ky Property LLC	Adp of the SNF	Organization	01/01/2026
Ky Property Tr	Adp of the SNF	Organization	01/01/2026
Kyme Ap Prop LLC	Adp of the SNF	Organization	01/01/2026
Kyme Ft Prop LLC	Adp of the SNF	Organization	01/01/2026
Me 701 Skyline Dr LLC	Adp of the SNF	Organization	01/01/2026
Me Skyline Drive Holdco LLC	Adp of the SNF	Organization	01/01/2026
Metcalfe Fiscal LLC	Adp of the SNF	Organization	01/01/2026
Oakhurst Capital Group LLC	Adp of the SNF	Organization	01/01/2026
Carter, Valarie	Adp of the SNF	Individual	01/01/2026
Kelman, Moshe	Adp of the SNF	Individual	01/01/2026
Platscheck, Andrew	Adp of the SNF	Individual	01/01/2026
Spurlin, Barton	Adp of the SNF	Individual	01/01/2026

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.

How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on October 22, 2022: "Ensure residents have reasonable access to and privacy in their use of communication methods."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on October 22, 2022: "Provide activities to meet all resident's needs."
When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on October 22, 2022: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on October 22, 2022: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.91 hours per resident per day, below the Kentucky average of 3.49.

Other nursing homes nearby

Glenview Health and Rehabilitation
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NHC Healthcare, Glasgow
Glasgow, 15.1 mi · 2 of 5 stars · 16 citations
Glasgow State Nursing Facility
Glasgow, 15.3 mi · 3 of 5 stars · 6 citations
Signature Healthcare of Glasgow Rehab & Wellness C
Glasgow, 16.6 mi · 4 of 5 stars · 5 citations
Barren County Nursing and Rehabilitation
Glasgow, 16.6 mi · 2 of 5 stars · 10 citations
Signature Healthcare at Summit Manor Rehab & Welln
Columbia, 19.2 mi · 2 of 5 stars · 9 citations
Green River Trails
Greensburg, 19.3 mi · 4 of 5 stars · 8 citations
Signature Healthcare of Hart County Rehab & Wellne
Horse Cave, 19.9 mi · 5 of 5 stars · 5 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 Metcalfe Nursing and Rehabilitation Center's Medicare star rating?: CMS rates Metcalfe Nursing and Rehabilitation Center 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Metcalfe Nursing and Rehabilitation Center get at its last inspection?: 10 health deficiencies at the standard inspection on October 22, 2022. The Kentucky average is 2.9.
Has Metcalfe Nursing and Rehabilitation Center been fined?: CMS lists no fines in the last three years.
Does Metcalfe Nursing 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 Metcalfe Nursing and Rehabilitation Center?: CMS lists 29 owners and managers. Legal business name: METCALFE OPCO 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.