Home / Kentucky / Prestonsburg
Riverview Health Care Center
79 Sparrow Lane, Prestonsburg, KY 41653 · Floyd County · (606) 886-9178
121 certified beds, about 107 residents a day · For profit - Corporation · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185151 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 20, 2026, inspectors cited 5 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 3.23 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 1.07 of those hours.
39.1% 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 5 health citations on file.
February 20, 2026Standard inspection · 5 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to establish and maintain an effective infection prevention and control program to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 4 of 25 sampled residents (Residents (Rs)38, R57, R96, and R102).
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to provide housekeeping services to ensure a clean and sanitary environment for 5 of 25 sampled residents (Residents (R)40, R62, R64, R67, and R81).
- 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 facility policy, the facility failed to maintain an effective system for documenting the receipt, storage, disposition, and reconciliation of controlled medications in sufficient detail to allow accurate reconciliation for 1 of 25 sampled residents (Resident (R)11).
- D Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, interview, and review of facility documentation, the facility failed to ensure menus were updated and accurately reflected the meals served and failed to ensure residents were informed of meal selections, for 4 of 25 sampled residents (Residents (Rs)4, 17, 48, and 101) and had the potential to affect all residents consuming meals in the facility.
- C Post nurse staffing information every day.
Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to ensure daily nurse staffing information was posted and updated daily as required.
November 21, 2024Standard inspection · 0 citations
October 3, 2019Standard inspection · 0 citations
Fire safety inspections
2 fire safety citations on file: 2 on February 20, 2026.
Every fire safety citation2 citations
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure proper usage of power strips and extension cords.
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) | 3.23 | 3.95 | 3.86 |
| Registered nurses | 1.07 | 0.79 | 0.69 |
| All nursing staff on weekends | 2.79 | 3.49 | 3.42 |
| Nurse aides | 1.94 | ||
| Licensed practical nurses | 0.22 | ||
| Nursing staff turnover (share who left in a year) | 39.1% | 46.4% | 45.8% |
| Registered nurse turnover | 33.3% | 41.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.47 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 3.42 on weekdays and 2.79 on weekends, 18% 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 3.57 in April to June 2025 to 3.23 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 | 3.23 | 1.07 | 3.42 | 2.79 | 0.0% | 0 of 90 | 107 |
| Oct to Dec 2025 | 3.29 | 1.00 | 3.45 | 2.89 | 0.0% | 0 of 92 | 105 |
| Jul to Sep 2025 | 3.37 | 1.02 | 3.57 | 2.87 | 0.0% | 0 of 92 | 101 |
| Apr to Jun 2025 | 3.57 | 0.91 | 3.79 | 3.04 | 0.0% | 0 of 91 | 101 |
| 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 | 7.0 | 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 | 0.9 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.4 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.7 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.5 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.0 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.6 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.7 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 2.1 | 1.8 |
Owners and operators
Legal business name: LP PRESTONSBURG RIVERVIEW 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 | |
| Brainard, Hope | W-2 managing employee | Individual | 01/02/2018 | |
| Harrison, John | Corporate officer | Individual | 11/01/2007 | |
| Signature Healthcare LLC | Operational/managerial control | Organization | 11/01/2007 |
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.
- 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 February 20, 2026: "Provide and implement an infection prevention and control program."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on February 20, 2026: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on February 20, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on February 20, 2026: "Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.79 hours per resident per day, below the Kentucky average of 3.49.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Prestonsburg Health Care Center Prestonsburg, 1.4 mi · 5 of 5 stars · 4 citations
- Mountain Manor of Paintsville Paintsville, 10.4 mi · 1 of 5 stars · 17 citations
- Pikeville Nursing and Rehab Center, LLC Pikeville, 18 mi · 3 of 5 stars · 14 citations
- Martin County Health Care Facility Inez, 18.3 mi · 4 of 5 stars · 5 citations
- Salyersville Nursing and Rehabilitation Center Salyersville, 18.3 mi · 1 of 5 stars · 40 citations
- Tug Valley Arh Skilled Nursing Facility South Williamson, 24.6 mi · 4 of 5 stars · 12 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 Riverview Health Care Center's Medicare star rating?
- CMS rates Riverview Health Care Center 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Riverview Health Care Center get at its last inspection?
- 5 health deficiencies at the standard inspection on February 20, 2026. The Kentucky average is 2.9.
- Has Riverview Health Care Center been fined?
- CMS lists no fines in the last three years.
- Does Riverview 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 Riverview Health Care Center?
- CMS lists 9 owners and managers, and links the home to Signature Healthcare. Legal business name: LP PRESTONSBURG RIVERVIEW 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.