Pikeville Nursing and Rehab Center, LLC
260 South Mayo Trail, Pikeville, KY 41501 · Pike County · 106 certified beds · avg 92 residents/day · certified since Jun 1, 1970
Part of chain: EMERALD HEALTHCARE (14 facilities, chain avg rating 1.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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 (14)
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 8, 2026 | 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. · from a complaint |
| Jan 8, 2026 | D · Potential for harm, one-off | 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 |
| Oct 30, 2024 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Oct 30, 2024 | 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. |
| Oct 30, 2024 | 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. |
| Jul 19, 2018 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jul 19, 2018 | 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. |
| Jul 19, 2018 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Jul 19, 2018 | D · Potential for harm, one-off | 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. |
| Jul 19, 2018 | 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. |
| Jul 19, 2018 | 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. |
| Jul 19, 2018 | 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. |
| Jul 19, 2018 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jul 19, 2018 | D · Potential for harm, one-off | 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. |
Inspection trend by year
| 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)
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) | 3.27 | 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, 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. Staffing rating: 3/5.
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: 3/5 · short-stay residents: 1/5
Who owns this facility
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 |
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?"
- "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 |
|---|---|---|---|---|---|
| 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 | 19.0 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 →
Facility data as of CMS processing date 2026-08-01. CCN 185094.