Boyd Nursing and Rehabilitation
12100 Princeland Spur, Ashland, KY 41102 · Boyd County · 60 certified beds · avg 55 residents/day · certified since Nov 16, 1995
Part of chain: DAVID MARX (10 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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, one-off · Oct 4, 2019 · F-0655
The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Why it matters: In the critical first days, staff may not know a new resident's medications, diet, or fall risks.
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: Nov 14, 2019 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 4, 2019 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
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: Nov 14, 2019 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 4, 2019 · F-0755
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Why it matters: Weak pharmacy services lead to medication mistakes, delays, and missed drug interactions that can seriously harm residents.
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: Nov 14, 2019 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 |
|---|---|---|
| Nov 21, 2025 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Nov 21, 2025 | E · Potential for harm, repeated | 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. |
| Nov 21, 2025 | 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. |
| Nov 21, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Oct 25, 2024 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Oct 25, 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. · from a complaint |
| Oct 25, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Oct 4, 2019 | ▲ G · Actual harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Oct 4, 2019 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Oct 4, 2019 | ▲ G · Actual harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Oct 4, 2019 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Oct 4, 2019 | D · Potential for 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. |
| Oct 4, 2019 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Oct 4, 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. |
| Oct 4, 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. |
| Oct 4, 2019 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Oct 4, 2019 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 10 | 3 | G ▲ |
| 2024 | 3 | 0 | E |
| 2025 | 4 | 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)
No fines or payment denials in the published 3-year window.
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) | 3.21 | 3.71 | 3.95 | bottom 36% in Kentucky; bottom 22% in the U.S. |
| Registered Nurse hours | 0.68 | 0.74 | 0.69 | top 42% in Kentucky; top 38% in the U.S. |
| Weekend total nurse staffing | 2.66 | 3.27 | 3.50 | bottom 23% in Kentucky; bottom 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.53 | 0.48 | bottom 37% in Kentucky; bottom 48% in the U.S. |
| Total nursing staff turnover (%) | 43.2 | 46.4 | 45.8 | top 43% in Kentucky; top 45% in the U.S. |
| RN turnover (%) | 50.0 | 41.8 | 42.9 | bottom 34% in Kentucky; bottom 39% 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 3.52, RN 0.75, weekend 2.93. Staffing rating: 2/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Boyd Nursing and Rehabilitation Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/25/2019 |
| 12800 Princeland Dr SNF Realty Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/30/2019 |
| 12800 Princeland Dr SNF Realty LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/30/2019 |
| 12800 Princeland Dr SNF Realty LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/30/2019 |
| Alexander, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| Alexander, David | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Bluegrass Consulting Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/30/2019 |
| Bluegrass Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/15/2025 |
| Chamberlain, Margaret | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/11/2023 |
| Chamberlain, Margaret | Individual | ADP of the SNF | NOT APPLICABLE | 09/11/2023 |
| Kentucky SNF Realty Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/30/2019 |
| Marx, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/25/2019 |
| Marx, David | Individual | ADP of the SNF | NOT APPLICABLE | 07/25/2019 |
| MDG Real Estate Global Limited | Organization | ADP of the SNF | NOT APPLICABLE | 08/30/2019 |
| Pruitt, Paul | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2023 |
| Pruitt, Paul | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| Pruitt, Paul | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Rewa, Angela | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/23/2023 |
| Rewa, Angela | Individual | ADP of the SNF | NOT APPLICABLE | 10/23/2023 |
| Russell, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/08/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "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 |
|---|---|---|---|---|---|
| Kingsbrook Lifecare Center | 5.0 mi | Ashland, KY | ★★★★☆ | 3/5 | |
| Woodland Oaks | 8.0 mi | Ashland, KY | ★★★★☆ | 4/5 | |
| Sanctuary at Ohio Valley | 9.9 mi | Ironton, OH | ★★★★☆ | 4/5 | |
| Carter Nursing and Rehabilitation | 10.1 mi | Grayson, KY | ★☆☆☆☆ | 1/5 | abuse |
| Harbor Healthcare of Ironton | 10.2 mi | Ironton, OH | ★★★★☆ | 3/5 | |
| Oakmont Manor | 10.5 mi | Flatwoods, KY | ★★★☆☆ | 3/5 | |
| Crystal Care of Coal Grove | 10.7 mi | Coal Grove, OH | ★★★☆☆ | 3/5 | |
| Wurtland Nursing and Rehabilitation | 11.7 mi | Wurtland, KY | ★☆☆☆☆ | 1/5 | |
| Riverview Post Acute | 11.9 mi | South Point, OH | ★★★☆☆ | 4/5 | |
| Madison Park Healthcare | 15.5 mi | Huntington, WV | ★★★★★ | 5/5 | |
| Heritage Center | 17.0 mi | Huntington, WV | ★☆☆☆☆ | 1/5 | |
| Huntington Health and Rehabilitation Center | 17.7 mi | Huntington, WV | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 185418.