Perkins Country Manor
5269 Asbury Road, Augusta, KY 41002 · Bracken County · (606) 756-2156
32 certified beds, about 26 residents a day · For profit - Corporation · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185344 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 18, 2026, inspectors cited 1 health deficiency (the Kentucky average is 2.9, the national average 9.2).
None of its 5 health citations since November 2019 was rated as actual harm or immediate jeopardy.
CMS lists 1 fine totaling $6,900 in the last three years; the largest was $6,900, and the latest is dated February 20, 2025.
Nurses and nurse aides worked 3.73 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.67 of those hours.
61.8% 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.
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.
March 18, 2026Standard inspection, Complaint inspection · 1 citation
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and review of the facility's policies, the facility failed to protect and preserve the dignity of 1 of 16 sampled residents, Resident (R) 13, by standing while assisting the resident with her meal.
February 20, 2025Standard inspection, Complaint inspection · 3 citations
- F Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to notify the resident and the resident's representative of the transfer or discharge and the reasons for the move in writing and in a language and manner they understood as soon as practicable. The facility further failed to ensure the notice included the reason, date, and location for the transfer, as well as a statement of the resident's appeal rights and the contact information for the state Long-Term Care Ombudsman. The deficient practice was identified for 9 out of 9 residents investigated for transfer and/or discharge, Resident (R) 31, R5, R14, R2, R25, R17, R10, R12, and R15.
- F 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.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to provide to the resident and the resident's representative a written notice which specified the duration of the bed hold policy. The deficient practice was identified for 9 out of 9 residents investigated for hospitalizations, Resident (R) 31, R5, R14, R2, R25, R17, R10, R12, and R15.
- F 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 wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure drugs and biologicals used in the facility were stored in accordance with currently accepted professional principles. Observation on 02/18/2025, revealed the facility was unable to demonstrate the temperature in the medication refrigerator was within acceptable limits after two thermometers were malfunctioning. On 02/19/2025, observation revealed the thermometer read 50 degrees Fahrenheit (F). This had the potential to affect all residents in the facility, with a census of 25.
November 26, 2019Standard inspection · 1 citation
- 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 wroteBased on observation, interview, record review and review of the facility's Policy, it was determined the facility failed to ensure medications were labeled in accordance with currently accepted professional principles and include at a minimum the medication name, prescribed dose, strength, expiration date, resident's name and route of administration. Observation of the treatment cart, on 11/24/19 at 9:40 AM, revealed a blue plastic lidded cup in the top drawer. Continued observation revealed the cup contained an unidentified thick white paste. The lid of the cup was labeled with Resident #2's name and a date of 11/25/19; however failed to identify the medication, strength of medication, prescribing physician or directions for use.
Fire safety inspections
7 fire safety citations on file: 4 on March 18, 2026, 2 on February 20, 2025, 1 on November 26, 2019.
Every fire safety citation7 citations
- F Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Meet Health Care Facilities Code mechanical requirements.
- D Have proper medical gas storage and administration areas.
- F Have a battery powered remote alarm panel in a location accessible by operating personnel.
- 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.
- F Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 20, 2025 | Fine | $6,900 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.73 | 3.95 | 3.86 |
| Registered nurses | 0.67 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.25 | 3.49 | 3.42 |
| Nurse aides | 2.40 | ||
| Licensed practical nurses | 0.66 | ||
| Nursing staff turnover (share who left in a year) | 61.8% | 46.4% | 45.8% |
| Registered nurse turnover | not reported | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.52 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 3.93 on weekdays and 3.25 on weekends, 17% 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 3.65 in April to June 2025 to 3.73 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 | 3.73 | 0.67 | 3.93 | 3.25 | 0.0% | 9 of 90 | 26 |
| Oct to Dec 2025 | 3.73 | 0.73 | 3.90 | 3.29 | 0.0% | 0 of 92 | 27 |
| Jul to Sep 2025 | 3.78 | 0.68 | 4.06 | 3.08 | 0.0% | 0 of 92 | 27 |
| Apr to Jun 2025 | 3.65 | 0.54 | 3.91 | 2.99 | 0.0% | 0 of 91 | 29 |
| 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 | 18.3 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.4 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.5 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.5 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.0 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.6 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 32.0 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 12.8 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.1 | 13.7 | 12.0 |
Owners and operators
Legal business name: BRACKEN KY OPCO LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bracken Ky Opco Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 09/01/2022 |
| Kasper, Aaron | Indirect ownership interest | Individual | 09/01/2022 | |
| Butler, Leon | Operational/managerial control | Individual | 05/01/2025 | |
| Hay, Kayla | Operational/managerial control | Individual | 09/01/2022 | |
| Kasper, Aaron | Operational/managerial control | Individual | 09/01/2022 | |
| Bracken Ky Propco LLC | Adp of the SNF | Organization | 09/01/2022 | |
| Butler, Leon | Adp of the SNF | Individual | 05/01/2025 | |
| Hay, Kayla | Adp of the SNF | Individual | 09/01/2022 | |
| Kasper, Aaron | Adp of the SNF | Individual | 09/01/2022 |
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.
- 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 March 18, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 20, 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 3.25 hours per resident per day, below the Kentucky average of 3.49.
Other nursing homes nearby
- Ohio Valley Manor Care Center Ripley, 11.6 mi · 4 of 5 stars · 13 citations
- Villa Georgetown Rehabilitation and Healthcare Cen Georgetown, 12.3 mi · 5 of 5 stars · 10 citations
- Robertson County Health Care Facility Mount Olivet, 12.8 mi · 4 of 5 stars · 6 citations
- Ohio Veterans Home - Georgetown Georgetown, 13.2 mi · 5 of 5 stars · 18 citations
- Maysville Nursing and Rehabilitation Facility Maysville, 13.3 mi · 5 of 5 stars · 5 citations
- Morris Nursing Home Bethel, 17.2 mi · 3 of 5 stars · 12 citations
- Locust Ridge Healthcare LLC Williamsburg, 18.9 mi · 5 of 5 stars · 16 citations
- River Valley Nursing Home Butler, 19.7 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 Perkins Country Manor's Medicare star rating?
- CMS rates Perkins Country Manor 1 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Perkins Country Manor get at its last inspection?
- 1 health deficiency at the standard inspection on March 18, 2026. The Kentucky average is 2.9.
- Has Perkins Country Manor been fined?
- Yes. CMS lists 1 fine totaling $6,900 in the last three years.
- Does Perkins Country Manor 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 Perkins Country Manor?
- CMS lists 9 owners and managers. Legal business name: BRACKEN KY 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.