Nicholasville Nursing and Rehabilitation
100 Sparks Avenue, Nicholasville, KY 40356 · Jessamine County · 73 certified beds · avg 69 residents/day · certified since Nov 16, 1990
Part of chain: DAVID MARX (10 facilities, chain avg rating 2.9★)
2/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.21
Nurse hours/resident/day (adjusted)
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 (21)
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 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. |
| Aug 22, 2025 | 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. · from a complaint |
| Sep 12, 2024 | F · Potential for harm, facility-wide | 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 | F · Potential for harm, facility-wide | 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 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. · from a complaint |
| Sep 12, 2024 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Sep 12, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Sep 12, 2024 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Sep 12, 2024 | 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. |
| Sep 12, 2024 | D · Potential for harm, one-off | 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. |
| Sep 12, 2024 | D · Potential for harm, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. |
| Sep 12, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Sep 12, 2024 | D · Potential for harm, one-off | 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. |
| Aug 29, 2019 | 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. |
| Aug 29, 2019 | 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. |
| Aug 29, 2019 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Aug 29, 2019 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Aug 29, 2019 | D · Potential for harm, one-off | 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. |
| Aug 29, 2019 | D · Potential for harm, one-off | 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. |
| Aug 29, 2019 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (12 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 7 | 0 | E |
| 2024 | 12 | 0 | F |
| 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) | 3.21 | 3.71 | 3.95 | bottom 37% in Kentucky; bottom 22% in the U.S. |
| Registered Nurse hours | 0.46 | 0.74 | 0.69 | bottom 24% in Kentucky; bottom 31% in the U.S. |
| Weekend total nurse staffing | 2.92 | 3.27 | 3.50 | bottom 45% in Kentucky; bottom 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.31 | 0.53 | 0.48 | bottom 27% in Kentucky; bottom 34% in the U.S. |
| Total nursing staff turnover (%) | 83.1 | 46.4 | 45.8 | bottom 2% in Kentucky; bottom 2% in the U.S. |
| RN turnover (%) | 81.8 | 41.8 | 42.9 | bottom 2% in Kentucky; bottom 5% 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 3.19, RN 0.45, weekend 2.90. 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: 2/5 · long-stay residents: 5/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Nicholasville Nursing and Rehabilitation Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/25/2019 |
| 100 Sparks Ave Realty Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| 100 Sparks Ave SNF Realty LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2019 |
| 100 Sparks Ave SNF Realty LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| 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 | 09/01/2019 |
| Bluegrass Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/16/2025 |
| Chamberlain, Margaret | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/11/2023 |
| Chamberlain, Margaret | Individual | ADP of the SNF | NOT APPLICABLE | 09/11/2023 |
| Davis, Lisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Davis, Lisa | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Faughn, Laura | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Faughn, Laura | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Kentucky SNF Realty Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| Marx, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2019 |
| Marx, David | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| MDG Real Estate Global Limited | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| Pruitt, Paul | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2023 |
| Pruitt, Paul | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
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 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 nurse and aide staffing ratio on each shift, including nights and weekends?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 |
|---|---|---|---|---|---|
| Thomson-Hood Veterans Center | 4.5 mi | Wilmore, KY | ★★★★★ | 4/5 | |
| The Willows at Fritz Farm | 6.5 mi | Lexington, KY | ★★★☆☆ | 3/5 | |
| Sayre Christian Village Nursing Home | 6.9 mi | Lexington, KY | ★☆☆☆☆ | 2/5 | |
| Hartland Park Health & Rehabilitation | 7.4 mi | Lexington, KY | ★☆☆☆☆ | 1/5 | |
| Bluegrass Care & Rehabilitation Center | 8.3 mi | Lexington, KY | ★★★★☆ | 4/5 | |
| Mayfair Manor | 8.6 mi | Lexington, KY | ★☆☆☆☆ | 1/5 | |
| Lexington Country Place | 10.5 mi | Lexington, KY | ★☆☆☆☆ | 1/5 | |
| Lexington Premier Nursing & Rehab | 11.0 mi | Lexington, KY | ★☆☆☆☆ | 1/5 | |
| Pine Meadows Post Acute | 11.3 mi | Lexington, KY | ★★☆☆☆ | 3/5 | |
| Homestead Post Acute | 11.4 mi | Lexington, KY | ★★★★☆ | 3/5 | |
| Cambridge Nursing & Rehabilitation Center | 11.6 mi | Lexington, KY | ★★☆☆☆ | 2/5 | |
| The Willows at Hamburg | 12.3 mi | Lexington, KY | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 185220.