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Pikeville Nursing and Rehab Center, LLC

260 South Mayo Trail, Pikeville, KY 41501 · Pike County · (606) 437-7327

106 certified beds, about 92 residents a day · For profit - Individual · Medicare and Medicaid since 1970

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 185094 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on October 30, 2024, inspectors cited 3 health deficiencies (the Kentucky average is 2.9, the national average 9.2).

None of its 14 health citations since July 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 3.06 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.67 of those hours.

22.9% of nursing staff left within the year CMS measured (Kentucky average 46.4%).

CMS links it to Emerald Healthcare, an affiliated group of 14 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 14 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
4E
0F
Potential for minimal harm
0A
0B
0C
January 8, 2026Complaint inspection · 2 citations
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 17, 2026
    Inspectors wroteBased on interview, record review, and facility document and policy review, the facility failed to protect the resident's right to be free from physical abuse by another resident for 1 (Resident #100) of 2 residents reviewed for abuse. Specifically, on 07/01/2025, staff heard Resident #99 yell at Resident #100 and saw Resident #100 holding their right shoulder/arm. Resident #99 reported that they hit Resident #100 on the arm.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 17, 2026
    Inspectors wroteBased on record review, interview, and facility document and policy review, the facility failed to ensure that an allegation of resident-to-resident physical abuse was reported to the state survey agency (SA) no later than two hours after the allegation was made for 1 (Resident #100) of 2 residents reviewed for abuse.
October 30, 2024Standard inspection · 3 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) December 18, 2024
    Inspectors wroteBased on observation, interview, review of the facility's job descriptions, review of the facility's policies, and food establishment inspection reports, it was determined the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. Observations from 10/27/2024 through 10/30/2024, revealed blunt, metal plumbing protruding from the wall above the toilet in two bathrooms shared by four resident rooms, flooring was uneven in hallways, and resident bathrooms; [...]
  2. 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) December 18, 2024
    Inspectors wroteBased on observation, interview, and review of the facility's policy, it was determined the facility failed to ensure all medications were securely stored to restrict access to only authorized personnel as evidenced by one (1) of two (2) treatment carts observed unlocked, and unattended by staff on the North Main Hallway.
  3. 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) December 18, 2024
    Inspectors wroteBased on observation, interview, and review of facility policy, the facility failed to maintain an infection control program to help prevent the development and transmission of communicable diseases and infections related to enhanced barrier precautions for 2 of 3 residents investigated for tube feeding care, Resident (R2 and R7). Additionally, observations revealed four unlabeled bed pans and one unlabeled wash basin lying in the bathroom floors were uncovered.
August 22, 2019Standard inspection · 0 citations
July 19, 2018Standard inspection · 9 citations
  1. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 13, 2018
    Inspectors wroteBased on observation and interview, the facility failed to maintain a safe, clean, comfortable home-like environment. Observation revealed damage to the floors/walls in the facility hallways and shower rooms, a toilet in the shower room that was loose from the floor, a missing/unrepaired shower curtain in the North Hall shower room, and Resident #41's overbed table padding was in disrepair. In addition, the facility failed to maintain a comfortable temperature in the bathroom in resident room [ROOM NUMBER].
  2. E
    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, pattern · Corrected (the home has a date of correction) August 13, 2018
    Inspectors wroteBased on observation, interview, and review of the facility's policy, it was determined the facility failed to ensure food was distributed and served in accordance with professional standards for food service safety. Observation of the three-compartment sink revealed the facility failed to ensure sanitizing solution was added to the water to ensure cooking utensils were sanitized. In addition, the facility failed to ensure two ice scoops stored in a container beside the ice machine were covered.
  3. E
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 13, 2018
    Inspectors wroteBased on observation, interview, and review of the facility's policy, it was determined the facility failed to maintain an effective pest control program. Review of a pest control report dated 06/21/18, revealed action was required to prevent entry of pests; however, the facility failed to make the repairs and flies were observed in the facility.
  4. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 13, 2018
    Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to notify the responsible party for one (1) of twenty-one (21) sampled residents (Residents #48 and #83) when there was a need to transfer the resident. The facility failed to notify Resident #48's responsible party of a physician appointment for treatment of Parkinson's Disease and memory loss. The facility transferred the resident to the appointment unaccompanied by family or staff.
  5. 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) August 13, 2018
    Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to ensure Minimum Data Set (MDS) assessments were accurately completed for two (2) of twenty-one (21) sampled residents. The facility documented that Resident #48 had received insulin on a quarterly assessment; however, the resident was not prescribed and did not receive insulin. In addition, the facility documented Resident #73 developed a pressure ulcer on 06/19/18; however, the resident had the pressure ulcer upon admission to the facility and the date the pressure ulcer developed was not known.
  6. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 13, 2018
    Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to implement the plan of care for one (1) of twenty-one (21) sampled residents (Resident #6). Resident #6's comprehensive care plan required staff to administer pain medication as needed for pain. However, interview with Resident #6 revealed on 07/17/18, the resident had right ear pain and the facility failed to administer pain medication.
  7. 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) August 13, 2018
    Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure the care plan for one (1) of twenty-one (21) sampled residents (Resident #11) was developed by an interdisciplinary team that included the resident's family. Interviews revealed the facility failed to include Resident #11's family in care plan meetings.
  8. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 13, 2018
    Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure pain management was provided consistent with the resident's care plan and the resident's goals and preferences for one (1) of twenty-one (21) sampled residents (Resident #6). On 07/17/18, Resident #6 informed staff that he/she was having right ear pain. However, the facility failed to treat the resident's pain with physician ordered Norco (narcotic pain medication).
  9. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 13, 2018
    Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to ensure one (1) of twenty-one (21) sampled residents was free of significant medication errors. On 07/19/18, Resident #83's Midodrine medication (a medication to treat orthostatic hypotension, which is when an individual experiences low blood pressure when sitting or standing) was observed on the floor in the hallway. Interview with the resident revealed he/she did not receive the medication as ordered at 9:00 AM on 07/19/18. At 1:00 PM on 07/19/18, the resident's blood pressure was low (91/50) and staff failed to administer the medication again because the staff believed the medication was used to treat high blood pressure.

Fire safety inspections

6 fire safety citations on file: 4 on October 30, 2024, 2 on July 19, 2018.

Every fire safety citation6 citations
  1. F
    Have simulated fire drills held at unexpected times.
    K 712 · October 30, 2024 · Corrected (the home has a date of correction)
  2. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · October 30, 2024 · Corrected (the home has a date of correction)
  3. E
    Ensure proper usage of power strips and extension cords.
    K 920 · October 30, 2024 · Corrected (the home has a date of correction)
  4. E
    Have proper medical gas storage and administration areas.
    K 923 · October 30, 2024 · Corrected (the home has a date of correction)
  5. D
    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
    K 361 · July 19, 2018 · Corrected (the home has a date of correction)
  6. D
    Install properly constructed windows in hallway walls or doors.
    K 364 · July 19, 2018 · 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)3.063.953.86
Registered nurses0.670.790.69
All nursing staff on weekends2.633.493.42
Nurse aides1.84
Licensed practical nurses0.54
Nursing staff turnover (share who left in a year)22.9%46.4%45.8%
Registered nurse turnover13.3%41.8%42.9%
Administrators who left0

CMS expects 3.59 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 3.23 on weekdays and 2.63 on weekends, 19% 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 3.39 in April to June 2025 to 3.06 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.060.673.232.63 0.0%0 of 9092
Oct to Dec 20253.300.713.472.85 0.0%0 of 9291
Jul to Sep 20253.320.673.492.88 0.0%0 of 9292
Apr to Jun 20253.390.693.612.84 0.0%0 of 9193
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.

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.

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
13.213.813.9
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
2.51.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.63.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.51.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
18.814.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.54.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.616.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.724.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.713.712.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.31.91.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.22.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Pikeville Nursing and Rehab Center, LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (33.6% 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

33.6% 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. 94 eligible stays.

Potentially preventable readmissions

11.8% 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. 79 eligible stays.

Infections that led to a hospital stay

8.9% 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. 52 eligible stays.

Self-care and mobility at discharge

31.6% 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. 57 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. 91 residents counted.

New or worsened pressure ulcers

0.8% 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. 91 residents counted.

Medication list given at discharge

100.0% this home

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. 38 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: PIKEVILLE NURSING AND REHAB CENTER LLC. CMS links this home to Emerald Healthcare, a group of 14 nursing homes averaging 1.3 stars overall.

NameRoleTypeShareSince
Eyy Pikeville Operations LLCDirect ownership interestOrganization08/01/2018
Chafetz, YisroelIndirect ownership interestIndividual08/01/2018
Walden, JacobIndirect ownership interestIndividual08/01/2018
Emerald Healthcare LLCOperational/managerial controlOrganization03/17/2017
Evolve Therapy Services LLCOperational/managerial controlOrganization08/01/2018
Limestone Fiscal Services LLCOperational/managerial controlOrganization07/01/2024
Merch Pay IncOperational/managerial controlOrganization08/01/2018
Private Bancorp IncOperational/managerial controlOrganization08/01/2018
Saul N Friedman & CompanyOperational/managerial controlOrganization08/01/2018
Wellsky CorporationOperational/managerial controlOrganization04/01/2023
Zimmet Healthcare Services Group LLCOperational/managerial controlOrganization08/01/2018
Chafetz, YisroelOperational/managerial controlIndividual08/01/2018
Fleischmann, DavidOperational/managerial controlIndividual01/12/2022
Franklin, BrendaOperational/managerial controlIndividual10/30/2020
Gopin, BrianOperational/managerial controlIndividual07/01/2024
Keathley, AmyOperational/managerial controlIndividual06/17/2014
Pierce, BarbaraOperational/managerial controlIndividual08/06/2019
Roberts, LannaOperational/managerial controlIndividual11/07/2022
Sroczynski, MarkOperational/managerial controlIndividual03/25/2020
Tovar, JesusOperational/managerial controlIndividual08/01/2018
Walden, JacobOperational/managerial controlIndividual08/01/2018
Emerald Healthcare LLCAdp of the SNFOrganization04/10/2025
Evolve Therapy Services LLCAdp of the SNFOrganization04/10/2025
Limestone Fiscal Services LLCAdp of the SNFOrganization04/10/2025
Merch Pay IncAdp of the SNFOrganization04/10/2025
Private Bancorp IncAdp of the SNFOrganization04/30/2025
Saul N Friedman & CompanyAdp of the SNFOrganization04/10/2025
Wellsky CorporationAdp of the SNFOrganization04/10/2025
Zimmet Healthcare Services Group LLCAdp of the SNFOrganization04/10/2025
Chafetz, YisroelAdp of the SNFIndividual08/01/2018
Fleischmann, DavidAdp of the SNFIndividual01/12/2022
Franklin, BrendaAdp of the SNFIndividual10/30/2020
Gopin, BrianAdp of the SNFIndividual07/01/2024
Keathley, AmyAdp of the SNFIndividual06/17/2014
Pierce, BarbaraAdp of the SNFIndividual08/06/2019
Roberts, LannaAdp of the SNFIndividual11/07/2022
Sroczynski, MarkAdp of the SNFIndividual03/25/2020
Tovar, JesusAdp of the SNFIndividual08/01/2018
Walden, JacobAdp of the SNFIndividual08/01/2018

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.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on July 19, 2018: "Ensure each resident receives an accurate assessment."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on January 8, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  3. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 2 problems in this area, most recently on October 30, 2024: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on October 30, 2024: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.63 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 Pikeville Nursing and Rehab Center, LLC's Medicare star rating?
CMS rates Pikeville Nursing and Rehab Center, LLC 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 Pikeville Nursing and Rehab Center, LLC get at its last inspection?
3 health deficiencies at the standard inspection on October 30, 2024. The Kentucky average is 2.9.
Has Pikeville Nursing and Rehab Center, LLC been fined?
CMS lists no fines in the last three years.
Does Pikeville Nursing and Rehab Center, LLC 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 Pikeville Nursing and Rehab Center, LLC?
CMS lists 39 owners and managers, and links the home to Emerald Healthcare. Legal business name: PIKEVILLE NURSING AND REHAB CENTER LLC.

Sources

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