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Owsley County Health Care Center, Inc.

20 County Barn Road, Booneville, KY 41314 · Owsley County · (606) 593-6302

91 certified beds, about 78 residents a day · Non profit - Corporation · Medicare and Medicaid since 1991

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
1 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 185273 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 9, 2025, inspectors cited 0 health deficiencies (the Kentucky average is 2.9, the national average 9.2).

None of its 9 health citations since April 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 4.08 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 1.17 of those hours.

28.4% 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.

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 9 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
0E
2F
Potential for minimal harm
0A
0B
1C
July 9, 2025Standard inspection · 0 citations
January 7, 2022Standard inspection · 3 citations
  1. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 7, 2022
    Inspectors wroteBased on interview, record review, and facility policy review, it was determined the facility failed to provide written notice to the resident and resident's representative at the time of transfer for hospitalizations that specified the duration of the bed-hold policy for two (2) of five (5) sampled residents (Resident #46 and #37).
  2. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 7, 2022
    Inspectors wroteBased on interview, record review, and facility policy review, it was determined the facility failed to complete a Level II Preadmission Screening and Resident Review (PASARR) for two (2) of three (3) sampled residents. (Resident #43 and Resident #15). Resident #43 was diagnosed with Major Depressive Disorder on 09/06/2021 and Resident #43 was diagnosed with Moderate Major Depressive Disorder on 08/06/2020; however, the facility failed to ensure a Level II PASARR assessment was completed.
  3. C
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) February 7, 2022
    Inspectors wroteBased on record review, staff interview and review of the Form Instructions for the Notice of Medicare Non-Coverage (NOMNC) the facility failed to issue a NOMNC form to a resident, or his/her responsible party, two (2) days before the last day of coverage as indicated on the completed NOMNC forms; for one (1) of three (3) residents sampled for Beneficiary Protection Notification (Resident #65).
April 4, 2019Standard inspection · 6 citations
  1. 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) May 15, 2019
    Inspectors wroteBased on interview, record review and review of facility's Policies, it was determined the facility failed to establish an Infection Prevention and Control Program (IPCP) that included an annual review of its IPCP in order to update their program as necessary. The facility was unable to submit documented evidence its IPCP and infection control policies were reviewed annually.
  2. F
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 15, 2019
    Inspectors wroteBased on interview, record review and review of the facility's Policy, it was determined the facility failed to establish an Infection Prevention and Control Program (IPCP) that included an Antibiotic Stewardship Program to include antibiotic use protocols and a system to monitor antibiotic use. The facility was unable to submit documented evidence of an Antibiotic Stewardship Program that includes antibiotic use protocols and a system to monitor antibiotic use in order to optimize the treatment of infections while reducing the adverse events associated with antibiotic use.
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2019
    Inspectors wroteBased on interview, record review, and review of the Resident Assessment Instrument (RAI) Version 3.0 User Manual, it was determined the facility failed to assure the accuracy of Section M of the Minimum Data Set (MDS) Assessment, for one (1) of twenty-two (22) sampled residents, (Resident #50). Resident #50's MDS Assessment was coded to reflect a pressure ulcer was present on admission; however, during the resident's stay, the pressure ulcer subsequently worsened and the MDS was incorrectly coded as present upon admission.
  4. 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) May 15, 2019
    Inspectors wroteBased on observation, interview, record review, and review of facility's policies, it was determined the facility failed to ensure the Comprehensive Care Plan is reviewed and revised by an interdisciplinary team composed of individuals who have knowledge of the resident and his/her needs, and that each resident and resident representative, if applicable, is involved in developing the care plan and making decisions about his or her care for two (2) of twenty-two (22) sampled residents (Resident #37 and Resident #46). The facility failed to revise the activity program to meet the needs of Resident #37 and Resident #46. 1. Resident #37's Care Plan and Activity Log revealed the resident watched television, the resident did not have a television and no staff had observed the resident watching television. [...]
  5. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2019
    Inspectors wroteBased on observation, interview, record review, and review of facility's Policies, it was determined the facility failed to provide, based on the comprehensive assessment and care plan and the preferences of each resident, an ongoing program to support the residents in their choice of activities, both facility-sponsored group and individual activities and independent activities, designed to meet the interest of and support the physical, mental, and psychosocial well-being of each resident, encouraging both independence and interaction in the community for two (2) of twenty-two (22) sampled residents (Resident #37 and Resident #46). 1. Resident #37's Care Plan and Activity Log revealed the resident watched television, the resident did not have a television and no staff had observed the resident watching television. [...]
  6. 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) May 15, 2019
    Inspectors wroteBased on observation, interview and review of the facility's Policy, it was determined the facility failed to store and label medications in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable. Observation on 04/03/19 revealed an opened and undated Humalog Insulin multi-dose pen in the East Unit refrigerator and expired Lantaprost eye drops in the East Hall Medication Cart. Observation of the East Medication Cart, on 04/04/19, revealed ten (10) medications were left in a drawer, not in their pharmacy dispensed packaging, and were loose in a cup labeled with a resident's name.

Fire safety inspections

4 fire safety citations on file: 3 on July 9, 2025, 1 on January 7, 2022.

Every fire safety citation4 citations
  1. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · July 9, 2025 · Corrected (the home has a date of correction)
  2. 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 · July 9, 2025 · Corrected (the home has a date of correction)
  3. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · July 9, 2025 · Corrected (the home has a date of correction)
  4. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · January 7, 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.

MeasureThis homeKentuckyUnited States
All nursing staff (RN, LPN and aides)4.083.953.86
Registered nurses1.170.790.69
All nursing staff on weekends3.473.493.42
Nurse aides2.44
Licensed practical nurses0.47
Nursing staff turnover (share who left in a year)28.4%46.4%45.8%
Registered nurse turnover19.0%41.8%42.9%
Administrators who left0

CMS expects 4.10 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 4.33 on weekdays and 3.47 on weekends, 20% 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 3.98 in April to June 2025 to 4.08 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.081.174.333.47 0.0%0 of 9078
Oct to Dec 20254.021.064.183.63 0.0%0 of 9280
Jul to Sep 20253.971.114.253.27 0.0%0 of 9282
Apr to Jun 20253.981.204.173.53 0.0%0 of 9180
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.

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		 16.113.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1		 1.50.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1		 4.31.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1		 6.63.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1		 3.11.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1		 17.714.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1		 3.64.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1		 16.616.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231		 26.724.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231		 21.513.712.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231		 1.31.91.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231		 3.22.11.8

Owners and operators

Legal business name: OWSLEY COUNTY HEALTH CARE CENTER, INC..

NameRoleTypeShareSince
Younts, WhittneyW-2 managing employeeIndividual01/17/2014
Reffitt, PhyllisCorporate directorIndividual01/01/2006
Roberts, RogerCorporate directorIndividual01/01/2006
Smith, BobbyCorporate directorIndividual01/01/2006
Smith, TravisCorporate directorIndividual12/06/2013
Wilson, ArnoldCorporate directorIndividual01/01/1980
Wilson, JasonCorporate directorIndividual01/01/2006
Smith, TravisCorporate officerIndividual12/06/2013
Health Systems of Kentucky, LLCOperational/managerial controlOrganization06/01/2006

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. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on January 7, 2022: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on January 7, 2022: "Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on April 4, 2019: "Provide and implement an infection prevention and control program."
  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 April 4, 2019: "Provide activities to meet all resident's needs."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.47 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

These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.

Common questions

What is Owsley County Health Care Center, Inc.'s Medicare star rating?
CMS rates Owsley County Health Care Center, Inc. 4 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Owsley County Health Care Center, Inc. get at its last inspection?
0 health deficiencies at the standard inspection on July 9, 2025. The Kentucky average is 2.9.
Has Owsley County Health Care Center, Inc. been fined?
CMS lists no fines in the last three years.
Does Owsley County Health Care Center, Inc. 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 Owsley County Health Care Center, Inc.?
CMS lists 9 owners and managers. Legal business name: OWSLEY COUNTY HEALTH CARE CENTER, INC..

Sources

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