C
Pikeville Nursing and Rehab Center, LLC
63/100 score
0.67 hrs RN staffing
5 deficiencies
Elkhorn Health & Rehabilitation
945 West Russell Street, Elkhorn City, KY 41522
- Provider number (CCN)
- 185230
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified beds
- 106
- Phone
- (606) 754-4134
- CMS data as of
- August 1, 2026
C
●
stable
Staffing 0% over tracking period
What the records show
CMS rates Elkhorn Health & Rehabilitation 5 out of 5 stars overall, with 5 of 5 for health inspections, 2 of 5 for staffing, 2 of 5 for quality measures. Federal inspectors cited 4 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.
Facility Assessment
This facility staffs below 0.55 RN hours per resident day — the level the 2024 federal rule, repealed in February 2026, would have required.
Reviews, Ratings and Official Records
This page reviews Elkhorn Health & Rehabilitation 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.
Below the repealed 0.55 hr benchmark — review the inspection and enforcement records below for the safety history behind the grade.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.49 — Below the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced.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
4
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: ★★★★★ (5/5)
Health inspection: ★★★★★ (5/5)
Quality: ★★☆☆☆ (2/5)
Staffing: ★★☆☆☆ (2/5)
|
|
NursingHomeGrade Score
|
59/100 |
Loaded into NursingHomeGrade on September 5, 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 facility | 0.49 hrs |
|---|---|
| KY median | 0.67 hrs |
| National average | 0.69 hrs |
Registered nurse turnover: 33.3% · Total nursing staff turnover: 38.8%
Staffing figures are the values CMS published in its file processed August 1, 2026, drawn from payroll-based journal reporting.
Inspection Records Covered
- Most recent standard health survey: April 9, 2025.
- Citations shown below span 1 recorded inspection cycle.
Source records: CMS Care Compare profile for provider 185230 ↗ · 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).
4 deficiencies found. 4 corrected. None involved actual harm.
Inspection cycle 2 (March 11, 2020)
D
Potential harm — isolated
F0695
Status: Corrected
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected March 26, 2020
D
Potential harm — isolated
F0636
Status: Corrected
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected March 26, 2020
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 March 26, 2020
D
Potential harm — isolated
F0550
Status: Corrected
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected March 26, 2020
Fines and Enforcement Actions
CMS lists no fines and no payment denials for Elkhorn Health & Rehabilitation in the enforcement records covering the last three years, as published in the file processed August 1, 2026.
Ownership and Contact Information
- Facility name
- Elkhorn Health & Rehabilitation
- Legal business name
- Legal Business Name Not Available
- Address
- 945 West Russell Street, Elkhorn City, KY 41522
- Phone
- (606) 754-4134
- Provider number (CCN)
- 185230
- Ownership type
- For profit - Limited Liability company
- Medicare/Medicaid certified since
- December 13, 1990
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- August 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.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in Elkhorn City
Compare local nursing homes using the same CMS-backed grading method.
D
Good Shepherd Health and Rehabilitation
45/100 score
0.57 hrs RN staffing
1 deficiencies
A
Tug Valley ARH Skilled Nursing Facility
84/100 score
2.07 hrs RN staffing
1 deficiencies
C
Letcher Manor
50/100 score
0.42 hrs RN staffing
5 deficiencies
A
Riverview Health Care Center
87/100 score
1.07 hrs RN staffing
0 deficiencies
Sources and Methodology
- CMS Provider Information (file processed August 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
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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