Home / Kentucky / Prestonsburg
Prestonsburg Health Care Center
147 North Highland Avenue, Prestonsburg, KY 41653 · Floyd County · (606) 886-2378
56 certified beds, about 50 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185304 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 7, 2025, inspectors cited 0 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 4 health citations since September 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 4.00 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 1.05 of those hours.
44.2% 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.
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 4 health citations on file.
August 7, 2025Standard inspection · 0 citations
August 26, 2022Standard inspection · 1 citation
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to collaborate with the Hospice provider to ensure the development, implementation, and revision of the coordinated plan of care for one (1) of six (6) sampled residents (Resident #38). The facility failed to ensure Resident #38 had Physician's Orders to receive the Hospice services being provided for the resident. In addition, the facility failed to ensure Resident #38 had a Hospice Care Plan.
September 27, 2019Standard inspection · 3 citations
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on observation, interview, and facility policy review, it was determined that the facility failed to conduct an accurate Minimum Data Assessment (MDS) assessment for one (1) of seventeen (17) sampled residents. Resident #36 was noted to have limited range of motion to both upper and lower extremities; however, the facility failed to document that the resident had limited range of motion on the resident's 08/24/19 MDS.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, record review, and policy review, it was determined that the facility failed to implement the care plan for one (1) of seventeen (17) residents. The facility developed a care plan for Resident #47 with an intervention to keep the catheter bag off the floor. However, observation revealed the resident's catheter was on the floor.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and policy review it was determined that the facility failed to ensure infection prevention was maintained for two (2) of seventeen (17) residents. Observation revealed Resident #37 and Resident #47's indwelling urinary catheter drainage bags and/or tubing were lying on the floor.
Fire safety inspections
2 fire safety citations on file: 2 on August 26, 2022.
Every fire safety citation2 citations
- F 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 Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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) | 4.00 | 3.95 | 3.86 |
| Registered nurses | 1.05 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.59 | 3.49 | 3.42 |
| Nurse aides | 2.40 | ||
| Licensed practical nurses | 0.55 | ||
| Nursing staff turnover (share who left in a year) | 44.2% | 46.4% | 45.8% |
| Registered nurse turnover | 33.3% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.19 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 4.16 on weekdays and 3.59 on weekends, 14% 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 3.87 in April to June 2025 to 4.00 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 | 4.00 | 1.05 | 4.16 | 3.59 | 0.0% | 0 of 90 | 50 |
| Oct to Dec 2025 | 3.98 | 0.95 | 4.17 | 3.48 | 0.0% | 0 of 92 | 51 |
| Jul to Sep 2025 | 4.09 | 1.07 | 4.33 | 3.49 | 0.0% | 0 of 92 | 49 |
| Apr to Jun 2025 | 3.87 | 1.01 | 4.10 | 3.30 | 0.0% | 0 of 91 | 50 |
| 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 | 12.5 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.7 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.3 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.4 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.0 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.6 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.5 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.3 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 2.1 | 1.8 |
Owners and operators
Legal business name: LP PRESTONSBURG LLC. CMS links this home to Signature Healthcare, a group of 67 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| LP O Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 11/01/2007 |
| Agemo Holdings LLC | 5% or greater indirect ownership interest | Organization | 11/01/2007 | |
| Jjla LLC | 5% or greater indirect ownership interest | Organization | 11/01/2007 | |
| Lpsnf II LLC | 5% or greater indirect ownership interest | Organization | 11/01/2007 | |
| Wheaten LLC | 5% or greater indirect ownership interest | Organization | 11/01/2007 | |
| Steier III, Elmer | 5% or greater indirect ownership interest | Individual | 11/01/2007 | |
| Watts, Lynn | W-2 managing employee | Individual | 09/02/1986 | |
| Harrison, John | Corporate officer | Individual | 11/01/2007 | |
| Watts, Lynn | Operational/managerial control | Individual | 09/02/1986 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on September 27, 2019: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on August 26, 2022: "Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on September 27, 2019: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Riverview Health Care Center Prestonsburg, 1.4 mi · 3 of 5 stars · 5 citations
- Mountain Manor of Paintsville Paintsville, 10.2 mi · 1 of 5 stars · 17 citations
- Salyersville Nursing and Rehabilitation Center Salyersville, 17 mi · 1 of 5 stars · 40 citations
- Pikeville Nursing and Rehab Center, LLC Pikeville, 19 mi · 3 of 5 stars · 14 citations
- Martin County Health Care Facility Inez, 19.3 mi · 4 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 Prestonsburg Health Care Center's Medicare star rating?
- CMS rates Prestonsburg Health Care Center 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Prestonsburg Health Care Center get at its last inspection?
- 0 health deficiencies at the standard inspection on August 7, 2025. The Kentucky average is 2.9.
- Has Prestonsburg Health Care Center been fined?
- CMS lists no fines in the last three years.
- Does Prestonsburg Health Care 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 Prestonsburg Health Care Center?
- CMS lists 9 owners and managers, and links the home to Signature Healthcare. Legal business name: LP PRESTONSBURG 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.