Emerald Trace
3802 Turkeyfoot Road, Elsmere, KY 41018 · Kenton County · 54 certified beds · avg 44 residents/day · certified since Feb 23, 2017
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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)
▲ Immediate jeopardy, one-off · Dec 15, 2023 · 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 16, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Dec 15, 2023 · F-0656 · triggered by a complaint
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: Jan 16, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (8)
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 22, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Aug 22, 2025 | E · Potential for harm, repeated | 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. |
| Dec 15, 2023 | ▲ J · Immediate jeopardy, one-off | 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 |
| Dec 15, 2023 | ▲ 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. · from a complaint |
| Dec 15, 2023 | E · Potential for harm, repeated | 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. |
| Dec 15, 2023 | E · Potential for harm, repeated | 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. |
| Dec 15, 2023 | 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 1, 2021 | E · Potential for harm, repeated | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 1 | 0 | E |
| 2023 | 5 | 2 | J ▲ |
| 2025 | 2 | 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)
1 fine totaling $9,318.
| Date | Type | Amount / length |
|---|---|---|
| Dec 15, 2023 | Fine | $9,318 |
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) | 6.36 | 3.71 | 3.95 | top 6% in Kentucky; top 3% in the U.S. |
| Registered Nurse hours | 0.61 | 0.74 | 0.69 | bottom 45% in Kentucky; top 47% in the U.S. |
| Weekend total nurse staffing | 5.88 | 3.27 | 3.50 | top 4% in Kentucky; top 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.40 | 0.53 | 0.48 | bottom 40% in Kentucky; top 49% in the U.S. |
| Total nursing staff turnover (%) | 52.5 | 46.4 | 45.8 | bottom 26% in Kentucky; bottom 31% in the U.S. |
| RN turnover (%) | 37.5 | 41.8 | 42.9 | top 46% in Kentucky; top 42% 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 6.34, RN 0.61, weekend 5.86. Staffing rating: 4/5.
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: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Kenton Housing, INC. | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2017 |
| Eldridge, John | Individual | Corporate Director | NOT APPLICABLE | 05/08/1993 |
| Foster, Terry | Individual | Corporate Director | NOT APPLICABLE | 04/01/2021 |
| Halderman, Bonnie | Individual | Corporate Director | NOT APPLICABLE | 05/22/1990 |
| Jones, Julie | Individual | Corporate Director | NOT APPLICABLE | 04/01/2020 |
| Keith, Ronald | Individual | Corporate Director | NOT APPLICABLE | 04/01/2020 |
| Keith, Ronald | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2023 |
| Kenton Housing, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Knollman, Londa | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2017 |
| Knollman, Londa | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2017 |
| Knollman, Londa | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Middendorf, Mark | Individual | Corporate Director | NOT APPLICABLE | 05/08/1990 |
| Middendorf, Mark | Individual | Corporate Officer | NOT APPLICABLE | 04/04/2021 |
| Middleton, John | Individual | Corporate Director | NOT APPLICABLE | 04/01/2020 |
| Middleton, John | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2023 |
| Schieman, Eric | Individual | Corporate Director | NOT APPLICABLE | 04/01/2018 |
| Shabazz, Tiffany | Individual | Corporate Director | NOT APPLICABLE | 04/01/2019 |
| Simmons, Kelly | Individual | Corporate Director | NOT APPLICABLE | 09/27/2011 |
| Weaver, Paul | Individual | Corporate Director | NOT APPLICABLE | 05/12/1992 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "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 |
|---|---|---|---|---|---|
| Woodcrest Nursing and Rehabilitation Center | 0.2 mi | Elsmere, KY | ★★★★☆ | 4/5 | |
| St Elizabeth Edgewood SNF | 2.2 mi | Edgewood, KY | ★★★★★ | 4/5 | |
| Florence Park Care Center | 2.7 mi | Florence, KY | ★☆☆☆☆ | 1/5 | |
| Village Care Center | 3.3 mi | Erlanger, KY | ★★★★☆ | 4/5 | |
| Belmont Terrace Nursing and Rehabilitation Center | 3.3 mi | Florence, KY | ★☆☆☆☆ | 1/5 | |
| Villaspring of Erlanger | 3.4 mi | Erlanger, KY | ★★★☆☆ | 2/5 | |
| Madonna Manor | 5.8 mi | Villa Hills, KY | ★☆☆☆☆ | 1/5 | |
| Rosedale Green | 6.5 mi | Covington, KY | ★★★★☆ | 5/5 | |
| Brookside Healthcare Center | 6.9 mi | Cincinnati, OH | ★★★★★ | 4/5 | |
| The Pavilion at Kenton | 7.6 mi | Covington, KY | ★☆☆☆☆ | 1/5 | |
| Boonespring Transitional Care Center, LLC | 7.8 mi | Union, KY | ★★★★☆ | 4/5 | |
| Bayley Place | 8.3 mi | Cincinnati, OH | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 185481.