Knott County Health & Rehabilitation Center
388 Perkins Madden Road, Hindman, KY 41822 · Knott County · 92 certified beds · avg 82 residents/day · certified since Jun 22, 1978
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: ★★★★☆4/5 · 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.
All citations in the current public record (5)
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 |
|---|---|---|
| Sep 10, 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. |
| Sep 10, 2025 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Jul 25, 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. |
| Jul 25, 2019 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Jul 25, 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
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | D |
| 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)
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) | 4.43 | 3.71 | 3.95 | top 14% in Kentucky; top 25% in the U.S. |
| Registered Nurse hours | 0.76 | 0.74 | 0.69 | top 33% in Kentucky; top 31% in the U.S. |
| Weekend total nurse staffing | 3.90 | 3.27 | 3.50 | top 16% in Kentucky; top 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.63 | 0.53 | 0.48 | top 26% in Kentucky; top 21% in the U.S. |
| Total nursing staff turnover (%) | 34.7 | 46.4 | 45.8 | top 15% in Kentucky; top 23% in the U.S. |
| RN turnover (%) | 30.0 | 41.8 | 42.9 | top 27% in Kentucky; top 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 4.88, RN 0.83, weekend 4.29. 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: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 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 |
| Arnold, Susan | Individual | Corporate Director | NOT APPLICABLE | 01/01/2011 |
| Dailey, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/16/2018 |
| Hall, Jessica | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/25/2022 |
| Hall, Jessica | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/25/2022 |
| Stumbo, Christopher | Individual | Contracted Managing Employee | NOT APPLICABLE | 02/01/2024 |
| 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 | 06/21/2011 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| Paul E Patton Eastern Ky Veterans Center | 12.6 mi | Hazard, KY | ★★★★★ | 5/5 | |
| Hazard Health and Rehabilitation Center | 13.4 mi | Hazard, KY | ★☆☆☆☆ | 1/5 | |
| Letcher Manor | 16.8 mi | Whitesburg, KY | ★★☆☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 185150.