4747 Alben Barkley Drive, Paducah, KY 42001 · Mc Cracken County · (270) 444-9661
90 certified beds, about 86 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185312 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 6, 2025, inspectors cited 7 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 31 health citations since September 2021 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 3.40 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.67 of those hours.
58.3% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
CMS links it to Simcha Hyman & Naftali Zanziper, an affiliated group of 79 nursing homes.
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.
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 31 health citations on file.
Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to provide a safe, clean homelike environment for 1 of 26 sampled residents, (Resident (R)21).
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure the admission Minimum Data Set (MDS) Assessment accurately reflected the resident's current status for 1 of 4 residents sampled for MDS Assessments out of the total sample of 26, (Resident (R)91).
Inspectors wroteBased on observation, interview, record review and review of facility policy, the facility failed to develop and implement a comprehensive person-centered care plan that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs for 1 of 26 sampled residents (Resident (R)91).
Inspectors wroteBased on interview, record review, and review of facility policy, the facility failed to ensure the comprehensive person-centered care plan was reviewed and revised for 1 of 26 sampled residents, (Resident (R)21).
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure residents received care consistent with professional standards of practice to prevent pressure ulcers for 1 of 4 residents sampled for pressure ulcers out of the total sample of 26 residents (Resident (R)91).
Inspectors wroteBased on observation, the facility failed to ensure a medication error rate less than 5 percent (%), which affected 1 of 8 residents sampled during medication observation, (Resident (R)50).
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to establish and maintain an infection control program designed to provide a safe, sanitary environment and to help prevent the development and transmission of communicable diseases and infections for 4 of 4 residents sampled for infection control out of the total sample of 26 residents, (Residents (R)4, R91, R93, and R95).
Inspectors wroteBased on observation, interview, review of facility policy, and review of the FDA Food Code 2022 the facility failed to thaw, store, label and date food in accordance with professional standards for food service safety. Observation revealed meat thawing in sinks, meat on a tray out at room temperature (temp). Additionally, observation revealed expired and/or outdated food in the walk in cooler.
Inspectors wroteBased on observation and interview the facility failed to ensure garbage was stored appropriately and covered, away from food preparation (prep) areas in the kitchen. Observation revealed a large, uncovered trash receptacle almost full of trash, which was stored approximately four steps away from the food prep area.
Inspectors wroteBased on interview, record review and review of the facility policy, the facility failed to develop a comprehensive person-centered care plan which included timeframes and measurable results to meet each resident's medical, nursing, mental and psychological needs as identified in the comprehensive assessment for three residents, (R)7, R48 and R14 out of 25 total of sampled residents.
Inspectors wroteBased on observation, interview, record review and review of facility policy, it was determined the facility failed to enter wound treatment orders upon receipt of the orders for two of 25 sampled residents (R)237 and R99.
Inspectors wroteBased on observation, interview, record review, and review of the facility policy, the facility failed to have an effective system in place to ensure residents' safety and adequate supervision was provided to prevent accidents related to smoking in prohibited areas and smoking paraphernalia not being kept in secured locations for three residents (R) 7 and R48) out of twenty-five total sampled residents. R48 was observed smoking in a prohibited area, and R7, R14, and R48 were all observed with smoking paraphernalia lying on their beds and bedside tables and not secured in the bedside lockbox provided as required. In addition, the facility failed to ensure staff utilized a mechanical lift (as required) during transfer of R14.
Inspectors wroteBased on observation, interview, and review of the facility's policy, it was determined the facility failed to ensure drugs and biologicals were stored in accordance with the manufacturer's specifications and accepted professional nursing principles and practices for one (1) of two (2) medication rooms audited. Observation on [DATE] at 10:40 AM, of the medication room that serviced rooms on the facility's 100 and 200 halls revealed one (1) open and undated multidose vial of medication and sixty-two (62) wound care products that were beyond the expiration date printed on the label.
Inspectors wroteBased on observation, interview, record review, and review of the facility policy, it was determined the facility failed to maintain safe and sanitary infection control precautions during wound care for 1 of 3 residents sampled for wound care out of 25 totaled sampled residents, (R)237.
Inspectors wroteBased on observation, interview, and review of the facility's policy, it was determined the facility failed to ensure residents were able to exercise their right to view the results of the facility's State Survey Agency's (SSA's) results and the facility's Plan of Correction. Additionally, the facility failed to post signage related to reviewing the survey results and failed to ensure residents and/or family members were aware of the location of the survey results. Observations on 07/28/2024 through 8/01/2024, revealed the survey results were not readily accessible to residents, family members, and legal representatives of the residents. Further observation revealed no signage posted informing residents and visitors where survey results were available for viewing.
Inspectors wroteBased on interview, record review, and review of the facility's policy, it was determined the facility failed to maintain clinical records in accordance with accepted professional standards for one of three (3) sampled residents (Residents #6). Review of Resident #6's Medication Administration Record (MAR) revealed staff failed to document that the resident received seventeen doses of Norco (Hydrocodone 5, Acteaminophen 325), from 09/27/2023 through 10/28/2023 on the MAR. However, only two doses of the medication were signed out on the Medication Administration Record (MAR).
Inspectors wroteBased on interview, record review, and review of facility policy, it was determined the facility failed to ensure all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported immediately. However, not later than two (2) hours after the allegation was made, if the events that caused the allegation involved abuse or resulted in serious bodily injury for one (1) out of five (5) sampled residents, Resident #3. On [DATE], Resident #3 was noted to have bruising and increased pain to his/her right knee. An X-ray of the right knee was performed on [DATE], and review of the X-ray report dated [DATE] at 5:40 AM, revealed Resident #3 had an acute distal femur fracture with malalignment. [...]
Inspectors wroteBased on interview, record review and review of the facility's Abuse policy, it was determined the facility failed to conduct a thorough investigation concerning an injury of unknown origin which was diagnosed as a right distal femur fracture for one (1) of five (5) sampled residents reviewed for potential abuse, neglect and mistreatment, Resident #3. On [DATE], Resident #3 was noted to have bruising to his/her right knee and increased pain in the knee. An X-ray of the right knee was obtained on [DATE] and on [DATE] at 5:40 AM, the X-ray results noted Resident #3 had an acute distal femur fracture with malalignment. However, there was no documented evidence the facility investigated the incident as an injury of unknown origin.
Inspectors wroteBased on interview, record review, Centers for Medicare and Medicaid Services (CMS)Resident Assessment Instrument (RAI) Manual, and review of facility policy, it was determined the facility failed to review and revise a comprehensive person-centered care plan for two (2) of fourteen (14) sampled residents reviewed for care plans, Residents #2 and #3. Record review revealed Resident #2's care plan was not revised after he/she exhibited refusal and noncompliance with care. On [DATE] Resident #3 was noted with bruising to the right knee and increased pain. An X-ray of the right knee was performed on [DATE] and resulted on [DATE] at 5:40 AM and indicated Resident #3 had an acute distal femur fracture with malalignment. However, there was no documented evidence that the facility revised the comprehensive care plan when the fracture occurred. [...]
Inspectors wroteBased on interview, record review, and review of facility policy, it was determined the facility failed to ensure medical records were accurately documented for one (1) of five (5) sampled residents, Resident #3. On [DATE] Resident #3 was noted with bruising to the right knee and increased pain. An X-ray of the right knee was performed on [DATE] and the results obtained on [DATE] at 5:40 AM, revealed Resident #3 had an acute distal femur fracture with malalignment. However, there was no documented evidence the facility notified the attending Physician until [DATE], nor that Hospice Services was notified.
Inspectors wroteBased on observations, interviews, record reviews, and facility policy review, it was determined that the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety. This deficient practice could put the 77 residents who receive meals from the facility kitchen at risk for nausea, vomiting, and foodborne illness. Oberservations during intial tour on 08/30/2021: A. Expired food was found in storage, and the Certified Dietary Manager (CDM) used expired three (3) compartment sink sanitizer test strips to verify concentration. B. Raw foods were found stored next to ready-to-eat foods in the walk-in refrigerator. C. Kitchen staff failed to label and date leftover items. D. Kitchen staff failed to practice proper hand washing techniques and glove use. E. Food was stored within six (6) inches of the floor and 18 inches of the ceiling. [...]
Inspectors wroteBased on observations, interviews, record reviews, and facility policy review, it was determined the facility failed to follow transmission-based precautions for source control and personal protective equipment (PPE) for four (4) of twenty-two (22) residents sampled for infection control (Resident #384, Resident #385, Resident #53 and Resident #21). This deficient practice occurred during the COVID-19 pandemic and had the potential to affect all residents by placing them at risk of COVID-19 transmission. The facility failed to ensure hand hygiene and other appropriate measures were taken by staff to prevent the transmission of disease during the medication pass. This affected three (4) (Residents #50, Resident #69, Resident #82 and Resident #76) of five (5) residents observed receiving medication and/or a finger stick blood sugar (FSBS) during the medication pass observation.
Inspectors wroteBased on observations and interviews it was determined the facility failed to provide privacy covers for a urinary catheter drainage bag for two (2) of three (3) residents sampled for catheters (Resident #67 and Resident #79).
Inspectors wroteBased on interviews, record reviews, and facility policy review, it was determined that the facility failed to ensure two (2) of three (3) sampled residents (Resident #32 and Resident #39) whose clinical records were reviewed for advanced directives had been provided information about advance directives and/or were offered assistance to formulate an advance directive, if desired. This had the potential to affect eighty-three (83) residents residing in the facility.
Inspectors wroteBased on observations, interviews, record reviews, and facility policy review, it was determined the facility failed to ensure one (1) of thirty-eight (38) sampled residents (Resident #7) received an accurate assessment to reflect the resident at the time of the assessment. Specifically, the facility failed to accurately assess Resident #7's dental status.
Inspectors wroteBased on interviews, record reviews and facility policy review, it was determined the facility failed to include the diagnoses of anxiety disorder and bipolar disorder on the pre-admission screening and the resident review (PASRR) Level I. Further review revealed the facility failed to complete a Level II PASRR screening to include new mental health diagnoses of major depressive disorder and Schizophrenia for one (1) of two (2) residents sampled for PASRR level II (Resident #47).
Inspectors wroteBased on observations, interviews, record reviews, and review of the facility's policy, it was determined the facility failed to ensure a comprehensive care plan was developed for one (1) of twenty-five (25) sampled residents reviewed for care plans (Resident #2). Specifically, the facility failed to have a care plan for the use and care of Resident #2's urinary catheter.
Inspectors wroteBased on interviews, record reviews, and review of the facility's policy, it was determined the facility failed to review and revise the care plan after a fall for one (1) of two (2) sampled residents reviewed for falls (Resident #50). Specifically, the facility failed to update Resident #50's care plan with new interventions after falls.
Inspectors wroteBased on interviews, record reviews, and facility policy reviews, it was determined that the facility failed to provide care and services according to professional standards of practice for one (1) of two (2) sampled residents reviewed for falls (Resident #50). Specifically, the facility failed to ensure nursing completed neurological (neuro) checks after Resident #50 had an unwitnessed fall on 07/21/2021 and failed to ensure nursing obtained new vital signs with each neurological check completed for Resident #50 after a fall on 08/04/2021.
Inspectors wroteBased on interviews, record reviews, and review of facility policies, it was determined the facility failed to ensure residents were free from unnecessary psychotropic medications for two (2) residents of five (5) residents reviewed for unnecessary medications (Resident #2 and Resident #55). Specifically, the facility failed to monitor behaviors present for the use of psychotropic medications and offer non-pharmacological interventions for Resident #2; and failed to monitor Resident #55's behaviors when using an antipsychotic medication for depression. This deficient practice could affect the 11 residents who were being administered antipsychotic medications.
Inspectors wroteBased on observations, interviews, record reviews, and facility policy review, it was determined the facility failed to provide dental services for one (1) of one (1) sampled resident (Resident #7) who had missing and broken teeth.
14 fire safety citations on file: 4 on December 6, 2025, 9 on August 1, 2024, 1 on September 2, 2021.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.40 | 3.95 | 3.86 |
| Registered nurses | 0.67 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.11 | 3.49 | 3.42 |
| Nurse aides | 2.16 | ||
| Licensed practical nurses | 0.56 | ||
| Nursing staff turnover (share who left in a year) | 58.3% | 46.4% | 45.8% |
| Registered nurse turnover | 64.3% | 41.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.85 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.51 on weekdays and 3.11 on weekends, 11% 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 3.38 in April to June 2025 to 3.40 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 | 3.40 | 0.67 | 3.51 | 3.11 | 0.0% | 0 of 90 | 86 |
| Oct to Dec 2025 | 3.41 | 0.49 | 3.53 | 3.11 | 0.0% | 0 of 92 | 85 |
| Jul to Sep 2025 | 3.50 | 0.37 | 3.59 | 3.29 | 0.0% | 0 of 92 | 87 |
| Apr to Jun 2025 | 3.38 | 0.47 | 3.58 | 2.89 | 0.0% | 0 of 91 | 84 |
| 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
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.
| 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.
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 | 18.5 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 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 | 3.3 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.8 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.4 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.9 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.8 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.1 | 13.7 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Stonecreek Health and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (40.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
40.7% 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. 146 eligible stays.
13.4% 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. 169 eligible stays.
8.0% 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. 85 eligible stays.
50.0% 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. 30 residents counted.
5.2% 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. 58 residents counted.
4.0% 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. 58 residents counted.
85.7% 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. 21 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.
Legal business name: PADUCAH CENTER FOR HEALTH AND REHABILITATION, LLC. CMS links this home to Simcha Hyman & Naftali Zanziper, a group of 79 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Clearview Ky SNF Holdco LLC | 5% or greater indirect ownership interest | Organization | 100% | 12/01/2021 |
| Zetter, David | Contracted managing employee | Individual | 04/01/2023 | |
| Belt, Teresa | W-2 managing employee | Individual | 05/28/2023 | |
| Vujanovic, Mick | Corporate officer | Individual | 01/01/2020 | |
| Clearview Healthcare Management Ky LLC | Operational/managerial control | Organization | 12/01/2021 | |
| Vujanovic, Mick | Operational/managerial control | Individual | 01/01/2020 |
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.
Chosen from this home's own inspection record.
These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.