South Williamson, KY · Pike County
★★★★☆CMS 4/534 bedsNon-profitMedicaid
- Nurse hours
- 6.45 /day
- Staff turnover
- 33%
- Serious cites
- 0
Tug Valley ARH runs 6.45 nurse hours per resident day, roughly two and a half hours more than the national average, and its staff turnover of 33.3% sits well below the 45.8% national figure, those two numbers explain most of why it lands where it does. Weekend staffing dips about 9% below its own weekday level, so ask how that plays out on a Sunday. The record shows 12 deficiencies with none at the harm level, though one is abuse-related, and a June 2025 inspection means the picture is current. Quality measure scores are the weak spot here, so ask what those measures actually track.
Pikeville, KY · Pike County
★★★☆☆CMS 3/5106 bedsFor-profitMedicaid
- Nurse hours
- 3.06 /day
- Staff turnover
- 23%
- Serious cites
- 0
Pikeville Nursing and Rehab runs 106 certified beds under individual for-profit ownership, and its staffing sits at 3.06 nurse hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 22.9% against a national average near 46%, meaning far fewer familiar faces disappear each year. The current record shows 14 deficiencies, none causing harm, though two are abuse-related, and the last inspection was October 2024. Quality measures score 2 of 5 stars, and that gap between steady staff and middling outcomes is the real story here.
Elkhorn City, KY · Pike County
★★★★★CMS 5/5106 bedsFor-profitMedicaid
- Nurse hours
- 2.95 /day
- Staff turnover
- 39%
- Serious cites
- 0
Elkhorn Health & Rehabilitation runs lean on nurse staffing, 2.95 hours per resident day, roughly a quarter below the national average, and weekends get thinner still. That's the number to weigh, because direct care hours are what your family member actually feels. Turnover, at 38.8%, is better than the national 45.8%, so the crew that's there tends to stay, which matters for consistency. Inspections are where this home shines: a 5/5 health inspection rating, just four deficiencies on record, none involving harm or abuse, and the most recent visit was April 2025. The tension is real, though, strong inspection results alongside a 2/5 on both staffing and quality measures. A for-profit LLC with 106 beds, it's a home that keeps things clean and compliant while running tight on the floor.
Phelps, KY · Pike County
★☆☆☆☆CMS 1/5118 bedsFor-profitMedicaid
- Nurse hours
- 3.42 /day
- Staff turnover
- 40%
- Serious cites
- 0
Good Shepherd Health And Rehabilitation runs 118 certified beds in Phelps under corporate for-profit ownership, and the numbers worth your attention are the inspection record and the staffing. Fourteen deficiencies sit on the current record, six of them serious enough to reach harm or jeopardy level, and one tied to abuse, with four fines totaling $29,852. Nurse staffing comes in at 3.42 hours per resident day, roughly 11 percent under the national average, and weekend coverage holds flat against weekdays rather than dropping. Turnover at 39.6 percent is actually better than the 45.8 percent national figure, which suggests some steadiness in the workforce even as oversight problems persist. The last inspection was September 2024, so the record is fairly current.