Barbourville Health and Rehabilitation Center
65 Minton Hickory Farm Road, Barbourville, KY 40906 · Knox County · 135 certified beds · avg 111 residents/day · certified since Aug 28, 1981
Part of chain: SEKY HOLDING CO. (9 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, repeated · Sep 30, 2024 · F-0657 · triggered by a complaint
The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Why it matters: Delays or gaps in care planning mean staff may work without a clear, current roadmap for the resident's daily care and treatment.
Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Nov 8, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, repeated · Sep 30, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Nov 8, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, repeated · Sep 30, 2024 · F-0835
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Nov 8, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, repeated · Sep 30, 2024 · F-0865 · triggered by a complaint
The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Why it matters: Without a real quality improvement process, the same care problems tend to repeat instead of getting fixed.
Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Nov 8, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 28, 2019 · F-0656
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 2, 2019 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 28, 2019 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 2, 2019 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 28, 2019 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 2, 2019 (Deficient, Provider has date of correction)
All citations in the current public record (19)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 28, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Sep 30, 2024 | ▲ H · Actual harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Sep 30, 2024 | ▲ H · Actual harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Sep 30, 2024 | ▲ H · Actual harm, repeated | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Sep 30, 2024 | ▲ H · Actual harm, repeated | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint |
| Sep 30, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Sep 30, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Sep 30, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Sep 30, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Jun 28, 2019 | ▲ G · Actual harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jun 28, 2019 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jun 28, 2019 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jun 28, 2019 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Jun 28, 2019 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jun 28, 2019 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 6 | 3 | G ▲ |
| 2024 | 8 | 4 | H ▲ |
| 2025 | 5 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $87,077, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Sep 30, 2024 | Fine | $87,077 |
| Sep 30, 2024 | Payment Denial | 10 days from Oct 29, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Kentucky avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.73 | 3.71 | 3.95 | top 34% in Kentucky; bottom 48% in the U.S. |
| Registered Nurse hours | 0.94 | 0.74 | 0.69 | top 17% in Kentucky; top 18% in the U.S. |
| Weekend total nurse staffing | 3.31 | 3.27 | 3.50 | top 30% in Kentucky; bottom 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.71 | 0.53 | 0.48 | top 18% in Kentucky; top 15% in the U.S. |
| Total nursing staff turnover (%) | 55.6 | 46.4 | 45.8 | bottom 21% in Kentucky; bottom 24% in the U.S. |
| RN turnover (%) | 54.5 | 41.8 | 42.9 | bottom 26% in Kentucky; bottom 29% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.73, RN 0.94, weekend 3.31. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| FCLTC Holdings INC | Organization | 5% or Greater Indirect Ownership Interest | — | 04/28/2016 |
| Forcht, Terry | Individual | 5% or Greater Indirect Ownership Interest | — | 06/18/2003 |
| Seky Holding Co | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/13/2003 |
| Alsip, Roger | Individual | Corporate Director | NOT APPLICABLE | 08/06/2018 |
| Alsip, Roger | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2011 |
| Carter, Richard | Individual | Contracted Managing Employee | NOT APPLICABLE | 03/01/2019 |
| Dailey, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/16/2018 |
| Jarboe, Michelle | Individual | Corporate Director | NOT APPLICABLE | 01/01/2011 |
| Sizemore, Hannah | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/09/2021 |
| Sizemore, Hannah | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/09/2021 |
| Tipton, Wesley | Individual | Corporate Director | NOT APPLICABLE | 06/20/2016 |
| Tipton, Wesley | Individual | Corporate Officer | NOT APPLICABLE | 05/16/2018 |
| Willis, Jackie | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2011 |
| Witt, David | Individual | Corporate Director | NOT APPLICABLE | 08/06/2018 |
| Witt, David | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2011 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Christian Health Center Corbin | 12.0 mi | Corbin, KY | ★☆☆☆☆ | 1/5 | abuse |
| Corbin Health and Rehabilitation Center | 12.9 mi | Corbin, KY | ★☆☆☆☆ | 2/5 | |
| The Heritage Nursing and Rehabilitation Facility | 13.0 mi | Corbin, KY | ★★★★★ | 4/5 | |
| Mountain View Rehabilitation and Healthcare Center | 13.3 mi | Pineville, KY | ★★★★☆ | 3/5 | |
| Hillcrest Health and Rehabilitation Center | 13.4 mi | Corbin, KY | ★★★☆☆ | 4/5 | |
| Williamsburg Health & Rehabilitation Center | 17.8 mi | Williamsburg, KY | ★★★☆☆ | 3/5 | |
| Middlesboro Nursing and Rehabilitation Facility | 19.1 mi | Middlesboro, KY | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 185164.