Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Salyersville Nursing and Rehabilitation Center is a for-profit corporate home in Magoffin County with 142 certified beds, and the numbers behind its record are hard to get past. Its 39 deficiencies include 18 at the harm or jeopardy level and 6 tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Two fines total $447,485. Staffing looks adequate at 4.03 hours per resident day, slightly above the national average, but weekend coverage drops about 10% below weekday levels, and turnover runs 52.9% against a national 45.8%. The last inspection was May 2025.
Lyndon Crossing runs on thinner staffing than most homes, and the gap is worse than it looks: weekends drop about 9% below its own weekday levels, right when families tend to visit. The bigger warning sign is turnover, nearly two-thirds of nursing staff leave each year, well above the national rate. Then there's the record itself: 50 deficiencies, 13 of them serious enough to put residents in harm's way, and 6 tied to abuse. Federal regulators have flagged this Louisville home for the Special Focus Facility program, a designation reserved for the worst performers. Inspectors were last there in July 2025. If you're considering this place, ask hard questions and visit unannounced on a weekend.
Stanford Crossing runs 128 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average, and weekends drop about 8% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover is 53%, well above the 45.8% national figure. The inspection history is the heavier concern: 22 deficiencies on the current record, 11 of them at harm or jeopardy level, plus two fines totaling $26,685. Its most recent inspection was December 8, 2025. No abuse deficiencies appear in the record.
Bourbon Heights sits in Paris, Kentucky, licensed for 99 beds and run as a nonprofit. The staffing numbers look strong on paper, 4.74 nurse hours per resident day, well above the national average, but that average comes with a catch: weekend coverage drops about 13% below weekday levels, and nearly 58% of staff turned over in the past year. The inspection record is the real concern. Twenty-nine deficiencies on file, eleven of them serious enough to put residents in harm's way, three tied to abuse, plus two fines totaling nearly $58,000. CMS has placed this home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems.
Spring View runs on 3.34 nurse hours per resident day, about 13 percent under the national average, and weekends dip slightly below its own weekday staffing. That thinner coverage matters more here because the inspection record is heavy: 14 deficiencies, four of them at harm or jeopardy level, two tied to abuse, plus three fines totaling $17,346. Staff turnover sits at 50 percent against a 45.8 percent national figure, so caregivers are cycling through steadily. A corporation owns the 71-bed building, and its last inspection was August 2025, so the record is current rather than stale. The quality and staffing measures both come in at two stars, with the health inspection piece at one, worth asking about before you tour.
Chestnut Ridge runs 3.40 nurse hours per resident day, about 12% under the national average, and weekends drop roughly 9% below its own weekdays, so coverage thins out exactly when families tend to visit. Staff turnover sits at 61.3% against a national 45.8%, meaning more than half the nursing staff leaves each year. Those numbers sit behind the federal findings: 36 deficiencies, seven serious enough to cause harm, two tied to abuse, and a single $306,141 fine. CMS has placed the home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes, and the last inspection was August 2023.
The staffing numbers at Edgemont Healthcare are where I'd start. At 2.92 nurse hours per resident per day, it runs about a quarter below the national average, and weekend coverage dips even further below its own weekday level. That matters more than any single inspection finding, because thin staffing tends to be the condition that produces everything else.
The record backs that up: 26 deficiencies, three of them at the level where a resident was actually harmed or put in jeopardy, plus three abuse-related citations and a $133,225 fine. Annual staff turnover sits at 100 percent, the entire nursing workforce turning over in a year, against a national rate near 46 percent. The most recent inspection was in July 2025, so this is current, not stale.
Pioneer Trace runs 92 certified beds in Flemingsburg under for-profit LLC ownership, and its nurse staffing sits at 3.42 hours per resident day, roughly 11% under the national average. Weekends are thinner still, about 14% below what the home staffs on weekdays, right when families often visit. The inspection record is the harder part: 12 deficiencies, three serious enough to reach harm or jeopardy level, and two tied to abuse. Three fines total $27,493. Staff turnover, at 40.3%, is actually a little better than the 45.8% national figure, so retention isn't the main problem here. The most recent inspection was January 8, 2026.
Carter Nursing and Rehabilitation runs 120 beds in Grayson under corporate ownership, and the numbers behind its federal record are worth knowing before you visit. Nurse staffing sits at 3.21 hours per resident day against a national average of 3.86, weekend coverage drops about 21% below its own weekday level, and annual turnover hits 68.5%, well above the 45.8% national figure. Inspections tell a similar story: 18 deficiencies on the current record, four of them at harm or jeopardy level and five abuse-related, with three fines totaling $105,165. That record, combined with a one-star inspection and staffing rating, is what drives the low overall grade. Ask direct questions about who's on the floor on weekends and how the abuse findings were resolved.
Staffing is the strongest part of the picture at Christian Health Center Corbin: 4.12 nurse hours per resident day, roughly 7% above the national average, with weekend coverage dipping about 13% below its own weekday level. Turnover sits at 41.1%, a bit better than the 45.8% national figure. The trouble is the inspection record. Seven deficiencies are on file, three at the harm or jeopardy level and three tied to abuse, plus a single $181,590 fine. The most recent inspection was March 2025, so the record is current, not old. Quality and staffing measures score well; the health inspection side, where a 1-out-of-5 rating reflects those harm-level findings, is what pulls the overall picture down.