Rockcastle Regional Hospital and Respiratory Care

145 Newcomb Avenue, Mount Vernon, KY 40456 (opens Google Maps) · Rockcastle County · (606) 256-2195· 143 certified beds · avg 114 residents/day · certified since Jan 25, 1980 · 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 →

4/5

Health inspection rating (on-site)

inspected Mar 26, 2025

Serious findings on record

Fines, last 3 years

2.68

Nurse hours/resident/day (adjusted)

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: ★★★★☆4/5 · 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.

Mar 26, 2025D · Potential for more than minimal harm, isolated
The facility did not keep residents' personal and medical information private and confidential. F-0583
Mar 26, 2025D · Potential for more than minimal harm, isolated
The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. F-0732
Mar 26, 2025D · Potential for more than minimal harm, isolated
The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. F-0919

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
Mar 26, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep residents' personal and medical information private and confidential. · F-0583
Mar 26, 2025	D · Potential for more than minimal harm, isolated	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732
Mar 26, 2025	D · Potential for more than minimal harm, isolated	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · F-0919
Aug 30, 2018	D · Potential for more than minimal harm, isolated	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645

Inspection trend by year

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2018

2025

All bars start at zero. Exact values and supporting details remain below.

Year	Citations	Serious (G–L)	Worst severity that year
2018	1	0	D
2025	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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityKentucky averageU.S. average

Total nurse staffing (hours per resident per day)

2.68

3.71

3.95

Registered Nurse hours

0.89

0.74

0.69

Weekend total nurse staffing

2.31

3.27

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)	2.68	3.71	3.95	bottom 7% in Kentucky; bottom 6% in the U.S.
Registered Nurse hours	0.89	0.74	0.69	top 20% in Kentucky; top 21% in the U.S.
Weekend total nurse staffing	2.31	3.27	3.50	bottom 5% in Kentucky; bottom 5% in the U.S.
Weekend RN hours (not acuity-adjusted)	2.05	0.53	0.48	top 2% in Kentucky; top 1% in the U.S.
Total nursing staff turnover (%)	26.1	46.4	45.8	top 3% in Kentucky; top 8% in the U.S.
RN turnover (%)	15.6	41.8	42.9	top 7% in Kentucky; top 9% 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 7.05, RN 2.34, weekend 6.06.Comparing with Medicare Care Compare? Care Compare shows the raw figure (7.05 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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Rockcastle Regional Hospital and Respiratory Care. 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 →

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bastin, Christopher	Individual	Corporate Officer	NOT APPLICABLE	05/27/2014
Burdette, Jeffrey	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/30/2009
Burdette, Jeffrey	Individual	Trustee of the SNF	NOT APPLICABLE	06/30/2009
Estes, Stephen	Individual	Corporate Officer	NOT APPLICABLE	07/01/2002
Estes, Stephen	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2002
Estes, Stephen	Individual	ADP of the SNF	NOT APPLICABLE	06/02/2025
Lambert, Debra	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/27/2001
Lambert, Debra	Individual	Trustee of the SNF	NOT APPLICABLE	11/27/2001
Lambert, Joseph	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/01/1987
Lambert, Joseph	Individual	Trustee of the SNF	NOT APPLICABLE	11/01/1987
Saylor, Karen	Individual	ADP of the SNF	NOT APPLICABLE	04/28/2025
Towery, Bige	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/12/1983
Towery, Bige	Individual	Trustee of the SNF	NOT APPLICABLE	05/28/1983

All 13 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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

"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"Where do you post your daily staffing numbers, and can I see today's?"
"Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"

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 26% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 13 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
Rockcastle Health & Rehabilitation Center	5.7 mi	Brodhead, KY	★★☆☆☆	2/5
The Terrace Nursing and Rehabilitation Center	16.4 mi	Berea, KY	★★★★☆	5/5
Berea Health and Rehabilitation	16.9 mi	Berea, KY	★★★☆☆	4/5

Compare this facility with the 3 closest →

All facilities in Mount Vernon →

Facility data as of CMS processing date 2026-08-01. CCN 185157.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Rockcastle Regional Hospital and Respiratory Care

145 Newcomb Avenue, Mount Vernon, KY 40456 · (606) 256-2195

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

Questions for the administrator:

☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "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 26% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 13 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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 185157 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)