Telford Terrace
1025 Robert L Telford Drive, Richmond, KY 40475 · Madison County · (859) 626-5200
26 certified beds, about 21 residents a day · Non profit - Corporation · Medicare since 2003
CMS high performing icon Part of a continuing care retirement community Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185451 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 11, 2025, inspectors cited 0 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
Of 7 health citations since January 2022, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.71 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 1.10 of those hours.
89.3% 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.
601/22
102/23
012/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
2E
1F
Potential for minimal harm
0A
0B
0C
December 11, 2025Standard inspection · 0 citations
February 24, 2023Standard inspection · 1 citation
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview, review of facility recipes, and review of facility Policy, the facility failed to ensure food was prepared by methods that conserve nutritive value, flavor and appearance for pureed foods. Observation during lunch tray line, on 02/22/2023, during preparation of the lunch puree meal revealed the CDM used hot water to puree the macaroni and cheese and hot water to blend the barbecue chicken. However, review of the facility Puree Mac [Macaroni]-Cheese recipe, revealed directions to blend with milk and some of the juice from the Mac-Cheese. Additionally, review of the facility Puree BBQ [Barbecue] Chicken recipe, revealed directions to blend with BBQ sauce or chicken broth.
January 15, 2022Standard inspection · 6 citations
- J Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for two (2) of eighteen (18) sampled residents (Residents #217 and #218). Observation, on 01/12/2022 at 10:45 AM, revealed Certified Nurse Aide (CNA) #1 walked out of room [ROOM NUMBER], where Resident #218 had been moved, after testing positive for COVID, and walked up the hallway. CNA #1 was observed to be wearing the contaminated full personal protective equipment (PPE) of gown, mask, eye protection, and shoe covers that had been worn while in room [ROOM NUMBER]. [...]
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and review of the facility's policy, it was determined the facility failed to serve food in a safe manner. Observations, on 01/11/2022, of the resident tray line revealed [NAME] #1 picked up an alcohol wipe from the floor with a gloved hand. [NAME] #1 proceeded to wash off the thermometer in the hand sink while wearing the contaminated glove. Continued observation revealed [NAME] #1 then used an alcohol wipe to sanitize the thermometer and continued to use the same wipe on the thermometer after each food on the tray line. In addition, [NAME] #1 was observed, on 01/11/2022, walking toward the facility from the parking lot wearing his apron and hairnet. Observation, on 01/12/2022 at 8:45 AM, in the resident nourishment room revealed food items were not labeled or dated in the freezer, cabinets, and on the countertop.
- E Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on interview, record review, and review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual Version 1.17.1, dated 10/2019, it was determined the facility failed to complete the Minimum Data Set (MDS) assessments at least quarterly for four (4) of eighteen (18) sampled residents (Residents #3, #12, #16, and #167).
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, and review of the facility's policy, it was determined the facility failed to ensure drugs and biologicals were labeled in accordance with currently accepted standards of practice. Observation revealed the medication storage room contained expired and discontinued medications, as well as medications of residents who had expired.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on interview, record review, and review of the Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual Version 1.17.1, dated 10/01/2019, it was determined the facility failed to complete the Annual Minimum Data Set (MDS) Assessments in a timely manner as determined by the Resident Assessment Instrument (RAI) Guidelines for one (1) of eighteen (18) sampled residents (Resident #2).
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on interview, record review, and review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 Manual, Version 1.17.1, dated 10/2019, it was determined the facility failed to complete a Significant Change Minimum Data Set (MDS) Assessment in a timely fashion for one (1) of eighteen (18) sampled residents (Resident #1).
Fire safety inspections
7 fire safety citations on file: 3 on December 11, 2025, 4 on February 24, 2023.
Every fire safety citation7 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Establish roles under a Waiver declared by secretary.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have restrictions on the use of portable space heaters.
- 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) | 4.71 | 3.95 | 3.86 |
| Registered nurses | 1.10 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.86 | 3.49 | 3.42 |
| Nurse aides | 2.39 | ||
| Licensed practical nurses | 1.22 | ||
| Nursing staff turnover (share who left in a year) | 89.3% | 46.4% | 45.8% |
| Registered nurse turnover | 60.0% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.64 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 5.06 on weekdays and 3.86 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 15.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.68 in April to June 2025 to 4.71 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 | 4.71 | 1.10 | 5.06 | 3.86 | 15.1% | 0 of 90 | 21 |
| Oct to Dec 2025 | 5.15 | 1.02 | 5.50 | 4.27 | 27.3% | 0 of 92 | 22 |
| Jul to Sep 2025 | 4.99 | 1.24 | 5.36 | 4.02 | 23.6% | 0 of 92 | 20 |
| Apr to Jun 2025 | 4.68 | 1.18 | 5.01 | 3.85 | 19.4% | 0 of 91 | 21 |
| 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 | 16.7 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.6 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.6 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.4 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.5 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.8 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 25.0 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.0 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.2 | 13.7 | 12.0 |
Owners and operators
Legal business name: MCCREADY MANOR, INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Reed, Michael | Managing control - governing body | Individual | 08/18/2025 | |
| Ballard, Michael | Corporate director | Individual | 03/03/2025 | |
| Brooks, Pamela | Corporate director | Individual | 06/11/2020 | |
| Devers, Dustin | Corporate director | Individual | 12/01/2022 | |
| Ferguson, John | Corporate director | Individual | 02/28/2013 | |
| Ney, Marshall | Corporate director | Individual | 01/01/1995 | |
| Ogden, Marion | Corporate director | Individual | 03/03/2025 | |
| Reed, Michael | Corporate director | Individual | 03/03/2025 | |
| Shelton, Richard | Corporate director | Individual | 12/03/2015 | |
| Vance, Jackie | Corporate director | Individual | 12/04/2014 | |
| Yoder, Ervin | Corporate director | Individual | 03/03/2025 | |
| Brooks, Pamela | Operational/managerial control | Individual | 06/11/2023 | |
| Devers, Dustin | Operational/managerial control | Individual | 12/01/2022 | |
| Brooks, Pamela | Adp of the SNF | Individual | 06/11/2023 | |
| Devers, Dustin | Adp of the SNF | Individual | 12/01/2022 |
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 3 problems in this area, most recently on January 15, 2022: "Assure that each resident’s assessment is updated at least once every 3 months."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on February 24, 2023: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
- 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 January 15, 2022: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on January 15, 2022: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
Other nursing homes nearby
- Kenwood Health and Rehabilitation Center Richmond, 1.8 mi · 5 of 5 stars · 1 citation
- Madison Health and Rehabilitation Center Richmond, 1.8 mi · 1 of 5 stars · 9 citations
- Berea Health and Rehabilitation Berea, 11.5 mi · 3 of 5 stars · 7 citations
- The Terrace Nursing and Rehabilitation Center Berea, 11.8 mi · 3 of 5 stars · 3 citations
- Nicholasville Nursing and Rehabilitation Nicholasville, 16.8 mi · 1 of 5 stars · 21 citations
- Hartland Park Health & Rehabilitation Lexington, 17.1 mi · 1 of 5 stars · 28 citations
- Bluegrass Care & Rehabilitation Center Lexington, 17.7 mi · 3 of 5 stars · 12 citations
- Fountain Circle Care & Rehabilitation Center Winchester, 18.1 mi · 1 of 5 stars · 17 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 Telford Terrace's Medicare star rating?
- CMS rates Telford Terrace 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Telford Terrace get at its last inspection?
- 0 health deficiencies at the standard inspection on December 11, 2025. The Kentucky average is 2.9.
- Has Telford Terrace been fined?
- CMS lists no fines in the last three years.
- Does Telford Terrace accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Telford Terrace?
- CMS lists 15 owners and managers. Legal business name: MCCREADY MANOR, 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.