River Valley Nursing Home
305 Taylor Street, Butler, KY 41006 · Pendleton County · (859) 472-2217
60 certified beds, about 59 residents a day · For profit - Corporation · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185355 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 26, 2025, inspectors cited 2 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 5 health citations since October 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 3.49 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.83 of those hours.
50.0% 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.
June 26, 2025Standard inspection · 2 citations
- 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 interview, record review, and review of the facility's policies, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and and psychosocial needs for 1 of 17 sampled residents, Resident (R) 34. R34 was identified as exhibiting exit-seeking behaviors on 05/25/2025, and a Wander Guard device was placed on 05/26/2025. However, R34 was not care planned for wandering.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, interview, record review, review of the manufacturer's medication prescribing information, and review of the facility's policy, the facility failed to ensure residents were free of any significant medication errors for 1 of 4 sampled residents, Resident (R) 17.
September 6, 2024Standard inspection, Complaint inspection · 3 citations
- F Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on interview, record review, and review of the facility's policy, the facility failed to provide eight consecutive hours of Registered Nurse (RN) coverage for 12 out of 92 days from 03/01/2024 through 05/31/2024 and 27 out of 92 days from 06/01/2024 through 08/31/2024.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, review of the manufacturer's instructions for use, and review of the facility's policies, the facility failed to maintain infection control precautions for the following: 1) enhanced barrier precautions (EBP) for 1 out of 14 sampled residents on EBPs, Resident (R) 6; 2) cleaning the mechanical lift after use for 1 of 1 observation of mechanical lift use, R37; and 3) cleaning glucometers (device used to measure blood glucose levels) for 2 of 2 observations of glucometer use, R17 and R151.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, record review, and review of the facility's policies, the facility failed to provide pharmaceutical services to meet the needs of each resident for 1 of 19 sampled residents, Resident (R) 14. R14 was ordered to have a fentanyl patch (synthetic opioid pain reliever delivered transdermally) placed every 72 hours. On [DATE] a new fentanyl patch was placed on R14. On [DATE] it was due to be changed, the prescription had expired, and the medication was not available. R14 did not have a new fentanyl patch placed until [DATE], 48 hours past due.
October 10, 2019Standard inspection · 0 citations
Fire safety inspections
10 fire safety citations on file: 6 on September 6, 2024, 4 on October 10, 2019.
Every fire safety citation10 citations
- F Have simulated fire drills held at unexpected times.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F Ensure proper usage of power strips and extension cords.
- E Provide properly protected cooking facilities.
- E Install an approved automatic sprinkler system.
- 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.
- E Have properly installed electrical wiring and gas equipment.
- E Have restrictions on the use of portable space heaters.
- D Have exits that are accessible at all times.
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) | 3.49 | 3.95 | 3.86 |
| Registered nurses | 0.83 | 0.79 | 0.69 |
| All nursing staff on weekends | 2.99 | 3.49 | 3.42 |
| Nurse aides | 2.07 | ||
| Licensed practical nurses | 0.58 | ||
| Nursing staff turnover (share who left in a year) | 50.0% | 46.4% | 45.8% |
| Registered nurse turnover | 44.4% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.17 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 3.69 on weekdays and 2.99 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 3.28 in April to June 2025 to 3.49 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 | 3.49 | 0.83 | 3.69 | 2.99 | 0.0% | 0 of 90 | 59 |
| Oct to Dec 2025 | 3.29 | 0.74 | 3.47 | 2.82 | 0.0% | 0 of 92 | 58 |
| Jul to Sep 2025 | 2.88 | 0.54 | 2.99 | 2.59 | 0.0% | 2 of 92 | 59 |
| Apr to Jun 2025 | 3.28 | 0.39 | 3.40 | 3.00 | 4.6% | 0 of 91 | 54 |
| 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.
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 | 18.0 | 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 | 1.0 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.7 | 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 | 21.1 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 0.8 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.0 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 3.3 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 2.1 | 1.8 |
Owners and operators
Legal business name: CF OPCO LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nussbaum, Mattisyahu | 5% or greater direct ownership interest | Individual | 96% | 05/08/2023 |
| Nussbaum, Mattisyahu | Operational/managerial control | Individual | 05/08/2023 |
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 are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on June 26, 2025: "Ensure that residents are free from significant medication errors."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on June 26, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on September 6, 2024: "Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis."
- 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 6, 2024: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.99 hours per resident per day, below the Kentucky average of 3.49.
Other nursing homes nearby
- The Seasons at Alexandria Alexandria, 13.8 mi · 1 of 5 stars · 17 citations
- Grant Healthcare and Rehabilitation Williamstown, 14.8 mi · 3 of 5 stars · 13 citations
- Coldspring Transitional Care Center Cold Spring, 15.2 mi · 3 of 5 stars · 10 citations
- Woodcrest Nursing and Rehabilitation Center Elsmere, 17.8 mi · 4 of 5 stars · 3 citations
- Emerald Trace Elsmere, 17.9 mi · 2 of 5 stars · 8 citations
- Sunrise Nursing Healthcare LLC Amelia, 18.3 mi · 4 of 5 stars · 31 citations
- St. Elizabeth Edgewood SNF Edgewood, 18.4 mi · 5 of 5 stars · 4 citations
- Rosedale Green Covington, 18.8 mi · 4 of 5 stars · 7 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 River Valley Nursing Home's Medicare star rating?
- CMS rates River Valley Nursing Home 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did River Valley Nursing Home get at its last inspection?
- 2 health deficiencies at the standard inspection on June 26, 2025. The Kentucky average is 2.9.
- Has River Valley Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does River Valley Nursing Home 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 River Valley Nursing Home?
- CMS lists 2 owners and managers. Legal business name: CF 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.