Prestonsburg Health Care Center
147 North Highland Avenue, Prestonsburg, KY 41653 · Floyd County · 56 certified beds · avg 50 residents/day · certified since Jan 1, 1992
Part of chain: SIGNATURE HEALTHCARE (67 facilities, chain avg rating 3.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 (4)
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 26, 2022 | D · Potential for harm, one-off | 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. |
| Sep 27, 2019 | D · Potential for harm, one-off | 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. |
| Sep 27, 2019 | 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 27, 2019 | 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. |
Inspection trend by year
| 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)
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) | 3.66 | 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, 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. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
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 |
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?"
- "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 |
|---|---|---|---|---|---|
| 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 |
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Facility data as of CMS processing date 2026-08-01. CCN 185304.