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Pikeville Nursing and Rehab Center, LLC
260 South Mayo Trail, Pikeville, KY 41501 (opens Google Maps) · Pike County · (606) 437-7327· 106 certified beds · avg 92 residents/day · certified since Jun 1, 1970 · 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: EMERALD HEALTHCARE (14 facilities, chain avg rating 1.3★)
3/5
Health inspection rating (on-site)
inspected Oct 30, 2024
0
Serious findings on record
$0
Fines, last 3 years
3.27
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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.
Inspection findings in the public record
Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.
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. · from a complaint F-0600
The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint F-0609
The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. F-0921
View all 14 inspection findingsShow only the latest 3 findings
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 |
|---|---|---|
| Jan 8, 2026 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0600 |
| Jan 8, 2026 | D · Potential for more than minimal harm, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609 |
| Oct 30, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Oct 30, 2024 | 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 |
| Oct 30, 2024 | 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 |
| Jul 19, 2018 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jul 19, 2018 | E · Potential for more than minimal harm, pattern | 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 |
| Jul 19, 2018 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925 |
| Jul 19, 2018 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580 |
| Jul 19, 2018 | 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 |
| Jul 19, 2018 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Jul 19, 2018 | 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 |
| Jul 19, 2018 | 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 19, 2018 | D · Potential for more than minimal harm, isolated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760 |
Inspection trend by year
All citationsSerious citations (G–L)
2018
All citations: 9
Serious citations (G–L): 0
2024
All citations: 3
Serious citations (G–L): 0
2026
All citations: 2
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 9 | 0 | E |
| 2024 | 3 | 0 | E |
| 2026 | 2 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityKentucky averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.27
Kentucky average: 3.71
U.S. average: 3.95
Registered Nurse hours
This facility: 0.72
Kentucky average: 0.74
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.81
Kentucky average: 3.27
U.S. average: 3.50
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) | 3.27 | 3.71 | 3.95 | bottom 40% in Kentucky; bottom 25% in the U.S. |
| Registered Nurse hours | 0.72 | 0.74 | 0.69 | top 37% in Kentucky; top 35% in the U.S. |
| Weekend total nurse staffing | 2.81 | 3.27 | 3.50 | bottom 36% in Kentucky; bottom 21% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.48 | 0.53 | 0.48 | top 44% in Kentucky; top 36% in the U.S. |
| Total nursing staff turnover (%) | 22.9 | 46.4 | 45.8 | top 1% in Kentucky; top 5% in the U.S. |
| RN turnover (%) | 13.3 | 41.8 | 42.9 | top 6% in Kentucky; top 7% 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 3.06, RN 0.67, weekend 2.63.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.06 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
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
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Pikeville Nursing and Rehab Center, LLC. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
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.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
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 - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Chafetz, Yisroel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/01/2018 |
| Eyy Pikeville Operations LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 08/01/2018 |
| Walden, Jacob | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/01/2018 |
| Chafetz, Yisroel | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2018 |
| Chafetz, Yisroel | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2018 |
| Emerald Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/17/2017 |
| Emerald Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/10/2025 |
| Evolve Therapy Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2018 |
| Evolve Therapy Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/10/2025 |
| Fleischmann, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/12/2022 |
| Fleischmann, David | Individual | ADP of the SNF | NOT APPLICABLE | 01/12/2022 |
| Franklin, Brenda | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/30/2020 |
| Franklin, Brenda | Individual | ADP of the SNF | NOT APPLICABLE | 10/30/2020 |
| Gopin, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| Gopin, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2024 |
| Keathley, Amy | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/17/2014 |
| Keathley, Amy | Individual | ADP of the SNF | NOT APPLICABLE | 06/17/2014 |
| Limestone Fiscal Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| Limestone Fiscal Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/10/2025 |
| Merch Pay INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2018 |
Showing 20 of 39 parties CMS has on file for this facility; 19 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Emerald Healthcare — 14 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.
- Emerald Nursing & Rehab Brookside LLC — Lincoln, NE · overall 1/5
- Emerald Nursing & Rehab Columbus — Columbus, NE · overall 1/5
- Emerald Nursing & Rehab Cozad — Cozad, NE · overall 1/5
- Emerald Nursing & Rehab Lakeview — Grand Island, NE · overall 1/5
- Emerald Nursing & Rehab Lancaster LLC — Lincoln, NE · overall 1/5SFF
- Emerald Nursing & Rehab Legacy Pointe LLC — Omaha, NE · overall 1/5SFF
- Emerald Nursing & Rehab Omaha — Omaha, NE · overall 1/5SFF
- Emerald Nursing & Rehabilitation Mercy — Omaha, NE · overall 1/5SFF
Listed by state, then facility name — not a ranking. Showing 8 of the 13 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "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 we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How is pest control handled here, and when was the last treatment or inspection?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Kentucky midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 23% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 39 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Elkhorn Health & Rehabilitation | 15.3 mi | Elkhorn City, KY | ★★★★★ | 5/5 | |
| Riverview Health Care Center | 18.0 mi | Prestonsburg, KY | ★★★★★ | 5/5 | |
| Prestonsburg Health Care Center | 18.9 mi | Prestonsburg, KY | ★★★★★ | 5/5 | |
| Tug Valley Arh Skilled Nursing Facility | 19.3 mi | South Williamson, KY | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Pike, KY — 4 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Good Shepherd Health and Rehabilitation — Phelps, KY · overall 1/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 185094.