How to file a complaint about care →
No fines or payment denials in the published 3-year window.
Boyd Nursing and Rehabilitation
12100 Princeland Spur, Ashland, KY 41102 (opens Google Maps) · Boyd County · (606) 928-2963· 60 certified beds · avg 55 residents/day · certified since Nov 16, 1995 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: DAVID MARX (10 facilities, chain avg rating 2.9★)
2/5
Health inspection rating (on-site)
inspected Nov 21, 2025
3
Serious findings on record
most recent Oct 4, 2019
$0
Fines, last 3 years
3.21
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 14, 2019 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Oct 4, 2019 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 14, 2019 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 14, 2019 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 17 inspection findings. Open the full record below to read every finding.
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. F-0880
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. F-0759
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. F-0580
View all 17 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 21, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Nov 21, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0759 |
| Nov 21, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0580 |
| Nov 21, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Oct 25, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0725 |
| Oct 25, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0550 |
| Oct 25, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
| Oct 4, 2019 | ▲ G · Actual harm, isolated | 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. · F-0655 |
| Oct 4, 2019 | ▲ G · Actual harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Oct 4, 2019 | ▲ G · Actual harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Oct 4, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Oct 4, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Oct 4, 2019 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Oct 4, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Oct 4, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Oct 4, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0849 |
| Oct 4, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 4).
All citationsSerious citations (G–L)
2019
All citations: 10
Serious citations (G–L): 3
2024
All citations: 3
Serious citations (G–L): 0
2025
All citations: 4
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityKentucky averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.21
Kentucky average: 3.71
U.S. average: 3.95
Registered Nurse hours
This facility: 0.68
Kentucky average: 0.74
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.66
Kentucky average: 3.27
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.52 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Boyd Nursing and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 29 parties CMS has on file for this facility; 9 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain David Marx — 10 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Carter Nursing and Rehabilitation — Grayson, KY · overall 1/5abuse
- Elliott Nursing and Rehabilitation — Sandy Hook, KY · overall 4/5
- Greenville Nursing and Rehabilitation — Greenville, KY · overall 5/5
- Highlands Nursing and Rehabilitation — Louisville, KY · overall 2/5
- Nicholasville Nursing and Rehabilitation — Nicholasville, KY · overall 1/5
- Seneca Place — Louisville, KY · overall 5/5
- South Shore Nursing and Rehabilitation — South Shore, KY · overall 4/5
- West Liberty Nursing and Rehabilitation — West Liberty, KY · overall 3/5
Listed by state, then facility name — not a ranking. Showing 8 of the 9 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Kentucky midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 43% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 29 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 15 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 |
Facility data as of CMS processing date 2026-08-01. CCN 185418.