NursingHomeGrade

Tug Valley ARH Skilled Nursing Facility

260 Hospital Drive, South Williamson, KY 41503

Provider number (CCN)
185172
Certification
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified beds
34
Phone
(606) 237-1725
CMS data as of
July 1, 2026
A

What the records show

CMS rates Tug Valley ARH Skilled Nursing Facility 4 out of 5 stars overall, with 3 of 5 for health inspections, 5 of 5 for staffing, 2 of 5 for quality measures. Federal inspectors cited 12 health deficiencies across the last three survey cycles, most recently surveyed in 2025. CMS lists no fines or payment denials for this facility in the covered period.

Reviews, Ratings and Official Records

This page reviews Tug Valley ARH Skilled Nursing Facility using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.

At or above the 2024 benchmark — top tier inspection record.

Ratings and Grade Breakdown

RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
 2.07 — At or above the repealed 0.55 hr benchmark

The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
Total 12
Outstanding 0
Actual harm or worse (G–L) 0
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
Overall: ★★★★☆ (4/5)
Health inspection: ★★★☆☆ (3/5)
Quality: ★★☆☆☆ (2/5)
Staffing: ★★★★★ (5/5)
NursingHomeGrade Score
 84/100

Loaded into NursingHomeGrade on August 7, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.

CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.

Staffing Compared With State and National Levels

This facility2.07 hrs
KY median0.67 hrs
National average0.69 hrs

Registered nurse turnover: 10.0% · Total nursing staff turnover: 33.3%

Staffing figures are the values CMS published in its file processed July 1, 2026, drawn from payroll-based journal reporting.

Inspection Records Covered

Source records: CMS Care Compare profile for provider 185172 ↗ · the federal files we load and when.

Inspection Deficiencies

Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).

12 deficiencies found. 12 corrected. None involved actual harm.

Most recent inspection (June 18, 2025)

D Potential harm — isolated F0656 Status: Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected July 3, 2025

Inspection cycle 2 (June 27, 2025)

D Potential harm — isolated F0835 Status: Corrected

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Administration Deficiencies — Deficient, Provider has date of correction, corrected July 30, 2025

D Potential harm — isolated F0837 Status: Corrected

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Administration Deficiencies — Deficient, Provider has date of correction, corrected July 30, 2025

D Potential harm — isolated F0909 Status: Corrected

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Environmental Deficiencies — Deficient, Provider has date of correction, corrected April 27, 2023

D Potential harm — isolated F0926 Status: Corrected

Have policies on smoking.

Environmental Deficiencies — Deficient, Provider has date of correction, corrected April 27, 2023

D Potential harm — isolated F0602 Status: Corrected

Protect each resident from the wrongful use of the resident's belongings or money.

Freedom from Abuse, Neglect, and Exploitation Deficiencies — Deficient, Provider has date of correction, corrected July 30, 2025

F Potential harm — widespread F0727 Status: Corrected

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.

Nursing and Physician Services Deficiencies — Deficient, Provider has date of correction, corrected April 27, 2023

E Potential harm — pattern F0700 Status: Corrected

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected April 27, 2023

D Potential harm — isolated F0689 Status: Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected April 27, 2023

E Potential harm — pattern F0656 Status: Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected April 27, 2023

D Potential harm — isolated F0657 Status: Corrected

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected April 27, 2023

D Potential harm — isolated F0568 Status: Corrected

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected July 30, 2025

Fines and Enforcement Actions

CMS lists no fines and no payment denials for Tug Valley ARH Skilled Nursing Facility in the enforcement records covering the last three years, as published in the file processed July 1, 2026.

Ownership and Contact Information

Facility name
Tug Valley ARH Skilled Nursing Facility
Legal business name
APPALACHIAN REGIONAL HEALTHCARE INC
Address
260 Hospital Drive, South Williamson, KY 41503
Phone
(606) 237-1725
Provider number (CCN)
185172
Ownership type
Non profit - Corporation
Medicare/Medicaid certified since
June 5, 1984
Official record
CMS Care Compare profile ↗
Details verified against CMS data dated
July 1, 2026

The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.

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NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.

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Sources and Methodology

The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.

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