Elkton Nursing and Rehabilitation Center
506 Allensville Road, Elkton, KY 42220 · Todd County · 60 certified beds · avg 58 residents/day · certified since Jun 29, 1994
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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.
All citations in the current public record (13)
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 |
|---|---|---|
| Jul 25, 2025 | E · Potential for harm, repeated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Jul 25, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jul 25, 2025 | 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. |
| Sep 12, 2024 | 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. |
| Sep 12, 2024 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Sep 12, 2024 | 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. |
| Sep 12, 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. · from a complaint |
| Sep 12, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Sep 12, 2024 | 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. |
| Sep 12, 2024 | 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. |
| Sep 12, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Dec 6, 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. |
| Dec 6, 2019 | D · Potential for 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 2 | 0 | D |
| 2024 | 8 | 0 | F |
| 2025 | 3 | 0 | E |
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)
5 fines totaling $22,878, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Sep 12, 2024 | Fine | $4,017 |
| Sep 12, 2024 | Fine | $5,346 |
| Sep 12, 2024 | Fine | $5,346 |
| Sep 12, 2024 | Fine | $5,346 |
| Sep 12, 2024 | Payment Denial | 8 days from Dec 12, 2024 |
| Aug 21, 2023 | Fine | $2,823 |
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) | 2.76 | 3.71 | 3.95 | bottom 9% in Kentucky; bottom 7% in the U.S. |
| Registered Nurse hours | 0.39 | 0.74 | 0.69 | bottom 12% in Kentucky; bottom 20% in the U.S. |
| Weekend total nurse staffing | 2.40 | 3.27 | 3.50 | bottom 9% in Kentucky; bottom 7% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.39 | 0.53 | 0.48 | bottom 38% in Kentucky; bottom 50% in the U.S. |
| Total nursing staff turnover (%) | 62.5 | 46.4 | 45.8 | bottom 10% in Kentucky; bottom 13% in the U.S. |
| RN turnover (%) | 71.4 | 41.8 | 42.9 | bottom 9% in Kentucky; bottom 11% 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 3.16, RN 0.44, weekend 2.75. Staffing rating: 1/5.
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: 1/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Auburn Opco Holdco LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 08/07/2025 |
| Brecher, Hal | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/07/2025 |
| Elkton Opco Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/07/2025 |
| Frankel, Sheftal | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/07/2025 |
| Kelman, Moshe | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/07/2025 |
| Ky 2 Ao Op LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/07/2025 |
| Ky 2 Ft Op LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/07/2025 |
| Ky 2 MK Op LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/07/2025 |
| SNF Opco Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/07/2025 |
| Auburn Opco Holdco LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/07/2025 |
| Brecher, Hal | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/07/2025 |
| Carter, Valarie | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/07/2025 |
| Carter, Valarie | Individual | ADP of the SNF | NOT APPLICABLE | 08/07/2025 |
| Chavda, Geeta | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/07/2025 |
| Chavda, Geeta | Individual | ADP of the SNF | NOT APPLICABLE | 08/07/2025 |
| Elkton Fiscal LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/07/2025 |
| Elkton Opco Holdco LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/07/2025 |
| Et 506 Allensville Street Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/07/2025 |
| Et 506 Allensville Street LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/07/2025 |
| Frankel, Sheftal | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/07/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "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 Heights Nursing and Rehabilitation Cente | 11.4 mi | Pembroke, KY | ★☆☆☆☆ | 3/5 | |
| Creekwood Nursing & Rehabilitation | 14.8 mi | Russellville, KY | ★★★★☆ | 4/5 | |
| Park Meadows Post Acute | 16.7 mi | Clarksville, TN | ★★☆☆☆ | 2/5 | |
| Western State Nursing Facility | 17.3 mi | Hopkinsville, KY | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 185400.