Home / Kentucky / Mount Vernon
Rockcastle Regional Hospital and Respiratory Care
145 Newcomb Avenue, Mount Vernon, KY 40456 · Rockcastle County · (606) 256-2195
143 certified beds, about 114 residents a day · Non profit - Corporation · Medicare and Medicaid since 1980
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185157 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 26, 2025, inspectors cited 3 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 4 health citations since August 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 7.05 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 2.34 of those hours.
26.1% 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 4 health citations on file.
March 26, 2025Standard inspection · 3 citations
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide visual privacy for two residents (Resident (R) 114 and R24) of thirty sampled residents during tracheostomy care. On 3/23/25 at 2:47 PM and again at 2:53 PM, a respiratory therapist suctioned the resident's tracheostomy with the door open and without pulling the privacy curtain. Visitors, staff, and other residents in the hallway could see into the room during the procedure.
- D Post nurse staffing information every day.
Inspectors wroteBased on observations and staff interviews, the facility failed to post the required Nurse Staffing Information (i.e., total number and actual hours worked by the licensed and unlicensed nursing staff directly responsible for resident care) on the North, South, East, and [NAME] units for the following dates: 03/21/2025, 03/22/2025, 03/23/2025, and 03/24/2025.
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to ensure one (Resident (R )43) of 30 sampled residents had access to a functional and accessible communication system to request staff assistance. On 03/23/2025, Resident (R) 43 was not equipped with a functional and accessible communication system to request staff assistance compromising R43's safety and well-being. On 03/23/2025, R43 activated the call light system but did not receive assistance, as the call was manually deactivated at the central staff station. On 03/24/2025, the call light was positioned on the resident's ventilator machine, out of the resident ' s reach, preventing the resident from alerting staff when suctioning was needed. These failures delayed staff response to the resident's needs, potentially compromising the resident ' s safety and well-being.
October 11, 2019Standard inspection · 0 citations
August 30, 2018Standard inspection · 1 citation
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to ensure one (1) of thirty-three (33) sampled residents received a preadmission screening (Resident #84). Resident #84 had a Level I Pre-admission Screening and Resident Review (PASARR) on 02/09/18 that indicated the resident required a Level II Screening; however, the facility failed to ensure a Level II screening was completed.
Fire safety inspections
9 fire safety citations on file: 9 on March 26, 2025.
Every fire safety citation9 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Conduct risk assessment and an All-Hazards approach.
- F Develop Emergency Preparedness policies and procedures.
- F Develop a communication plan.
- E Ensure proper usage of power strips and extension cords.
- D Install an approved automatic sprinkler system.
- D Install corridor and hallway doors that block smoke.
- D Have restrictions on the use of portable space heaters.
- D Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
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) | 7.05 | 3.95 | 3.86 |
| Registered nurses | 2.34 | 0.79 | 0.69 |
| All nursing staff on weekends | 6.06 | 3.49 | 3.42 |
| Nurse aides | 3.03 | ||
| Licensed practical nurses | 1.67 | ||
| Nursing staff turnover (share who left in a year) | 26.1% | 46.4% | 45.8% |
| Registered nurse turnover | 15.6% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 10.07 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 7.45 on weekdays and 6.06 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 6.34 in April to June 2025 to 7.05 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 | 7.05 | 2.34 | 7.45 | 6.06 | 0.0% | 0 of 90 | 114 |
| Oct to Dec 2025 | 6.81 | 2.27 | 7.17 | 5.89 | 0.0% | 0 of 92 | 113 |
| Jul to Sep 2025 | 6.71 | 2.36 | 7.08 | 5.77 | 0.0% | 0 of 92 | 116 |
| Apr to Jun 2025 | 6.34 | 2.23 | 6.77 | 5.28 | 0.0% | 0 of 91 | 115 |
| 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. If you work here, your report helps start one.
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 | 7.9 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 10.7 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.2 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.2 | 3.9 | 3.2 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.5 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.2 | 16.1 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.4 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.0 | 2.1 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Rockcastle Regional Hospital and Respiratory Care's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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: ROCKCASTLE COUNTY HOSPITAL, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Burdette, Jeffrey | Managing control - governing body | Individual | 06/30/2009 | |
| Lambert, Debra | Managing control - governing body | Individual | 11/27/2001 | |
| Lambert, Joseph | Managing control - governing body | Individual | 11/01/1987 | |
| Towery, Bige | Managing control - governing body | Individual | 07/12/1983 | |
| Bastin, Christopher | Corporate officer | Individual | 05/27/2014 | |
| Estes, Stephen | Corporate officer | Individual | 07/01/2002 | |
| Estes, Stephen | Operational/managerial control | Individual | 07/01/2002 | |
| Burdette, Jeffrey | Trustee of the SNF | Individual | 06/30/2009 | |
| Lambert, Debra | Trustee of the SNF | Individual | 11/27/2001 | |
| Lambert, Joseph | Trustee of the SNF | Individual | 11/01/1987 | |
| Towery, Bige | Trustee of the SNF | Individual | 05/28/1983 | |
| Estes, Stephen | Adp of the SNF | Individual | 06/02/2025 | |
| Saylor, Karen | Adp of the SNF | Individual | 04/28/2025 |
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 1 problem in this area, most recently on March 26, 2025: "Keep residents' personal and medical records private and confidential."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on March 26, 2025: "Post nurse staffing information every day."
- 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 March 26, 2025: "Make sure that a working call system is available in each resident's bathroom and bathing area."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on August 30, 2018: "PASARR screening for Mental disorders or Intellectual Disabilities"
Other nursing homes nearby
- Rockcastle Health & Rehabilitation Center Brodhead, 5.7 mi · 2 of 5 stars · 20 citations
- The Terrace Nursing and Rehabilitation Center Berea, 16.4 mi · 3 of 5 stars · 3 citations
- Berea Health and Rehabilitation Berea, 16.9 mi · 3 of 5 stars · 7 citations
- Laurel Heights Home for the Elderly London, 20.6 mi · 5 of 5 stars · 5 citations
- Signature Healthcare at Jackson Manor Rehab and We Annville, 20.9 mi · 3 of 5 stars · 16 citations
- Stanford Crossing Stanford, 22.2 mi · 1 of 5 stars · 22 citations
- Landmark of Lancaster Rehabilitation and Nursing C Lancaster, 22.8 mi · 2 of 5 stars · 9 citations
- Cumberland Nursing and Rehabilitation Center Somerset, 23.7 mi · 2 of 5 stars · 11 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 Rockcastle Regional Hospital and Respiratory Care's Medicare star rating?
- CMS rates Rockcastle Regional Hospital and Respiratory Care 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Rockcastle Regional Hospital and Respiratory Care get at its last inspection?
- 3 health deficiencies at the standard inspection on March 26, 2025. The Kentucky average is 2.9.
- Has Rockcastle Regional Hospital and Respiratory Care been fined?
- CMS lists no fines in the last three years.
- Does Rockcastle Regional Hospital and Respiratory Care 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 Rockcastle Regional Hospital and Respiratory Care?
- CMS lists 13 owners and managers. Legal business name: ROCKCASTLE COUNTY HOSPITAL, INC..
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.