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No fines or payment denials in the published 3-year window.
1033 North Highway 11, Manchester, KY 40962 (opens Google Maps) · Clay County · (606) 598-6163· 106 certified beds · avg 94 residents/day · certified since Aug 15, 1991 · 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: LYON HEALTHCARE (11 facilities, chain avg rating 1.7★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · 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.
Showing the latest 3 of 9 inspection findings. Open the full record below to read every finding.
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
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
The facility did not provide safe and appropriate pain management for a resident who needed it. F-0697
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 |
|---|---|---|
| Jul 3, 2025 | D · Potential for more than minimal 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 |
| Jul 3, 2025 | 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 |
| Jul 3, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Jul 3, 2025 | 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 |
| Jul 3, 2025 | 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 |
| Jun 24, 2021 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Sep 19, 2019 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Sep 19, 2019 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Sep 19, 2019 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
Citations from standard inspections increased between the last two inspection cycles (1 → 5).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | E |
| 2021 | 1 | 0 | F |
| 2025 | 5 | 0 | D |
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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
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) | 2.40 | 3.71 | 3.95 | bottom 1% in Kentucky; bottom 3% in the U.S. |
| Registered Nurse hours | 0.41 | 0.74 | 0.69 | bottom 15% in Kentucky; bottom 23% in the U.S. |
| Weekend total nurse staffing | 2.07 | 3.27 | 3.50 | bottom 1% in Kentucky; bottom 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.53 | 0.48 | bottom 31% in Kentucky; bottom 40% in the U.S. |
| Total nursing staff turnover (%) | 31.6 | 46.4 | 45.8 | top 9% in Kentucky; top 17% in the U.S. |
| RN turnover (%) | 30.8 | 41.8 | 42.9 | top 30% in Kentucky; top 30% 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 3.14, RN 0.53, weekend 2.70.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.14 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
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: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Landmark of Laurel Creek Rehabilitation and Nursin. CMS inspection and staffing records do not tell us what this home will charge you.
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.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| A&m Healthcare Investments LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/01/2018 |
| Bush, Susan | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/01/2018 |
| Meisels, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2018 |
All 3 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Lyon Healthcare — 11 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.
Listed by state, then facility name — not a ranking. Showing 8 of the 10 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Signature Healthcare at Jackson Manor Rehab and We | 12.1 mi | Annville, KY | ★★★☆☆ | 3/5 | |
| Owsley County Health Care Center, INC. | 16.1 mi | Booneville, KY | ★★★★☆ | 5/5 | |
| Laurel Heights Home for the Elderly | 19.0 mi | London, KY | ★★★★★ | 5/5 |
Facility data as of CMS processing date 2026-08-01. CCN 185293.
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