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Prestonsburg Health Care Center
147 North Highland Avenue, Prestonsburg, KY 41653 (opens Google Maps) · Floyd County · (606) 886-2378· 56 certified beds · avg 50 residents/day · certified since Jan 1, 1992 · 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: SIGNATURE HEALTHCARE (67 facilities, chain avg rating 3.1★)
5/5
Health inspection rating (on-site)
inspected Aug 7, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.66
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: ★★★★★5/5 · CMS overall rating: 5/5 · 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 4 inspection findings. Open the full record below to read every finding.
The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. F-0849
The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. F-0636
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
View all 4 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 |
|---|---|---|
| Aug 26, 2022 | D · Potential for more than minimal harm, isolated | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · F-0849 |
| Sep 27, 2019 | D · Potential for more than minimal harm, isolated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636 |
| Sep 27, 2019 | 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 |
| Sep 27, 2019 | 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 |
Inspection trend by year
All citationsSerious citations (G–L)
2019
All citations: 3
Serious citations (G–L): 0
2022
All citations: 1
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 |
|---|---|---|---|
| 2019 | 3 | 0 | D |
| 2022 | 1 | 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: 3.66
Kentucky average: 3.71
U.S. average: 3.95
Registered Nurse hours
This facility: 0.96
Kentucky average: 0.74
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.28
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) | 3.66 | 3.71 | 3.95 | top 38% in Kentucky; bottom 44% in the U.S. |
| Registered Nurse hours | 0.96 | 0.74 | 0.69 | top 17% in Kentucky; top 18% in the U.S. |
| Weekend total nurse staffing | 3.28 | 3.27 | 3.50 | top 31% in Kentucky; bottom 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.70 | 0.53 | 0.48 | top 19% in Kentucky; top 16% in the U.S. |
| Total nursing staff turnover (%) | 44.2 | 46.4 | 45.8 | top 48% in Kentucky; top 48% in the U.S. |
| RN turnover (%) | 33.3 | 41.8 | 42.9 | top 34% in Kentucky; top 33% 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 4.00, RN 1.05, weekend 3.59.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.00 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Prestonsburg Health Care Center. 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 - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Agemo Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 11/01/2007 |
| Jjla LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 11/01/2007 |
| LP O Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/01/2007 |
| LPSNF II LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 11/01/2007 |
| Steier III, Elmer | Individual | 5% or Greater Indirect Ownership Interest | — | 11/01/2007 |
| Wheaten LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 11/01/2007 |
| Harrison, John | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2007 |
| Watts, Lynn | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/02/1986 |
| Watts, Lynn | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/02/1986 |
All 9 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Signature Healthcare — 67 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.
- Riverside Care & Rehabilitation Center — Calhoun, KY · overall 5/5
- Riverview Health Care Center — Prestonsburg, KY · overall 5/5
- Rockcastle Health & Rehabilitation Center — Brodhead, KY · overall 2/5
- Signature Healthcare at Colonial Rehab & Wellness — Bardstown, KY · overall 1/5
- Signature Healthcare at Heritage Hall Rehab & Well — Lawrenceburg, KY · overall 1/5
- Signature Healthcare at Hillcrest — Owensboro, KY · overall 3/5
- Signature Healthcare at Jackson Manor Rehab and We — Annville, KY · overall 3/5
- Signature Healthcare at Jefferson Manor Rehab & We — Louisville, KY · overall 5/5
Listed by state, then facility name — not a ranking. Showing 8 of the 66 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.
- "How do you coordinate hospice care, and can residents stay here while receiving it?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 44% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Riverview Health Care Center | 1.4 mi | Prestonsburg, KY | ★★★★★ | 5/5 | |
| Mountain Manor of Paintsville | 10.2 mi | Paintsville, KY | ★☆☆☆☆ | 2/5 | |
| Salyersville Nursing and Rehabilitation Center | 17.0 mi | Salyersville, KY | ★☆☆☆☆ | 1/5 | abuseSFF |
| Pikeville Nursing and Rehab Center, LLC | 18.9 mi | Pikeville, KY | ★★★☆☆ | 3/5 | |
| Martin County Health Care Facility | 19.3 mi | Inez, KY | ★★★★☆ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 185304.