Owsley County Health Care Center, INC.

Name: Owsley County Health Care Center, INC.
Address: 20 County Barn Road, Booneville, KY, 41314, US
Telephone: 6065936302

20 County Barn Road, Booneville, KY 41314 · Owsley County · 91 certified beds · avg 78 residents/day · certified since Jul 2, 1991

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.82

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5

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 (9)

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
Jan 7, 2022	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Jan 7, 2022	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.
Jan 7, 2022	C · Minimal risk, facility-wide	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Apr 4, 2019	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.
Apr 4, 2019	F · Potential for harm, facility-wide	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Apr 4, 2019	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 4, 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.
Apr 4, 2019	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Apr 4, 2019	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.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2019	6	0	F
2022	3	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.

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)	3.82	3.71	3.95	top 30% in Kentucky; top 48% in the U.S.
Registered Nurse hours	1.10	0.74	0.69	top 11% in Kentucky; top 12% in the U.S.
Weekend total nurse staffing	3.24	3.27	3.50	top 34% in Kentucky; bottom 44% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.58	0.53	0.48	top 29% in Kentucky; top 25% in the U.S.
Total nursing staff turnover (%)	28.4	46.4	45.8	top 6% in Kentucky; top 12% in the U.S.
RN turnover (%)	19.0	41.8	42.9	top 9% in Kentucky; top 13% 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 4.08, RN 1.17, weekend 3.47. 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

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Health Systems of Kentucky, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/01/2006
Reffitt, Phyllis	Individual	Corporate Director	NOT APPLICABLE	01/01/2006
Roberts, Roger	Individual	Corporate Director	NOT APPLICABLE	01/01/2006
Smith, Bobby	Individual	Corporate Director	NOT APPLICABLE	01/01/2006
Smith, Travis	Individual	Corporate Director	NOT APPLICABLE	12/06/2013
Smith, Travis	Individual	Corporate Officer	NOT APPLICABLE	12/06/2013
Wilson, Arnold	Individual	Corporate Director	NOT APPLICABLE	01/01/1980
Wilson, Jason	Individual	Corporate Director	NOT APPLICABLE	01/01/2006
Younts, Whittney	Individual	W-2 Managing Employee	NOT APPLICABLE	01/17/2014

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
"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
Lee County Care & Rehabilitation Center	8.2 mi	Beattyville, KY	★★★☆☆	3/5
Landmark of Laurel Creek Rehabilitation and Nursin	16.1 mi	Manchester, KY	★★★☆☆	3/5
Signature Healthcare at Jackson Manor Rehab and We	17.9 mi	Annville, KY	★★★☆☆	3/5
Breathitt Health & Rehabilitation	18.7 mi	Jackson, KY	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Booneville →

Facility data as of CMS processing date 2026-08-01. CCN 185273.

The Care File

Visit checklist — Owsley County Health Care Center, INC.

20 County Barn Road, Booneville, KY 41314 · 6065936302

Health inspection rating 5/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 185273 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)