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D
Poor

Elkhorn Health & Rehabilitation

945 West Russell Street · Elkhorn City, KY 41522

6067544134 · For profit - Limited Liability company

106 beds101.7 residents111 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
C
Below Standard
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Elkhorn Health & Rehabilitation receives an overall staffing grade of D (Poor). With 2.9038 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4384 HPRD, below the recommended 0.75. It is 0.99 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.76% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.9038 HPRD — needs 0.58 more hours per resident per day.
⚠️RN staffing (0.4384 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
2.9038hrs/resident/day▼ 0.99
CMS benchmark: 3.48
RN HPRD
0.4384hrs/resident/day▼ 0.24
Recommended: 0.75
Weekend Drop-off
16.76%
3.0482 weekday → 2.5373 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.75hrs/resident/day
Direct care aides
LPN HPRD
0.7154hrs/resident/day
Licensed practical nurses
Consistency
0.2861std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Pike County Average-1.19 HPRD
4.10
02.90 HPRD
vs. Kentucky State Average-1.14 HPRD
4.05
02.90 HPRD
vs. National Average-0.99 HPRD
3.90
02.90 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Elkhorn Health & Rehabilitation ★
Elkhorn City · This facility
—
D
2.90380.4384★★★☆☆
PIKEVILLE NURSING AND REHAB CENTER
Pikeville
15.3 mi
C
3.32140.6736★★★★☆
Good Shepherd Health and Rehabilitation
Phelps
18.4 mi
B
3.79870.6243★☆☆☆☆
Tug Valley ARH Skilled Nursing Facility
South Williamson
26.5 mi
A+
6.35691.9367★★★★☆
Letcher Manor
Whitesburg
27.6 mi
C
3.420.4046★★☆☆☆
Riverview Health Care Center
Prestonsburg
33.3 mi
C
3.38021.0239★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

1
Inspections
4
Total Deficiencies
$0
Fines Assessed
Mar 11, 2020Health
4 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.