KentuckyPine Knot

Signature Healthcare of McCreary County Rehab and

58 Cal Hill Spur, Pine Knot, KY 42635 · Mc Creary County · 60 certified beds · avg 55 residents/day · certified since Sep 4, 1990

Part of chain: SIGNATURE HEALTHCARE (67 facilities, chain avg rating 3.1★)

2/5
Health inspection rating (on-site)
6
Serious findings on record
$0
Fines, last 3 years
3.69
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Oct 1, 2020 · F-0580

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.

Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Nov 28, 2020 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, one-off · Oct 1, 2020 · F-0656

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.

Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Nov 28, 2020 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, one-off · Oct 1, 2020 · F-0684

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Nov 28, 2020 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, one-off · Oct 1, 2020 · F-0726

The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.

Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Nov 28, 2020 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · May 14, 2026 · F-0656

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.

Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

▲ Actual harm, one-off · May 14, 2026 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

All citations in the current public record (12)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
May 14, 2026▲ G · Actual harm, one-offThe 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.
May 14, 2026▲ G · Actual harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Oct 1, 2020▲ J · Immediate jeopardy, one-offThe 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.
Oct 1, 2020▲ J · Immediate jeopardy, one-offThe 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.
Oct 1, 2020▲ J · Immediate jeopardy, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Oct 1, 2020▲ J · Immediate jeopardy, one-offThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Oct 1, 2020E · Potential for harm, repeatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 1, 2020D · Potential for harm, one-offThe 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.
Oct 1, 2020D · Potential for harm, one-offThe facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Oct 1, 2020D · Potential for harm, one-offThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Oct 1, 2020D · Potential for harm, one-offThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Oct 1, 2020D · Potential for harm, one-offThe 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

YearCitationsSerious (G–L)Worst severity that year
2020104J ▲
202622G ▲

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)

MeasureThis facilityKentucky avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.693.713.95top 36% in Kentucky; bottom 46% in the U.S.
Registered Nurse hours0.830.740.69top 24% in Kentucky; top 25% in the U.S.
Weekend total nurse staffing3.013.273.50top 50% in Kentucky; bottom 31% in the U.S.
Weekend RN hours (not acuity-adjusted)0.430.530.48bottom 48% in Kentucky; top 43% in the U.S.
Total nursing staff turnover (%)40.046.445.8top 31% in Kentucky; top 36% in the U.S.
RN turnover (%)30.041.842.9top 27% in Kentucky; top 29% 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 3.86, RN 0.87, weekend 3.15. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Who owns this facility

For profit - Corporation

Owner / managerTypeRoleStakeSince
Asbr Holdings LLCOrganization5% or Greater Indirect Ownership Interest05/01/2018
Jjla LLCOrganization5% or Greater Indirect Ownership Interest12/01/2015
LPSNF LLCOrganization5% or Greater Indirect Ownership Interest12/01/2015
SHC LP Holdings LLCOrganization5% or Greater Direct Ownership Interest100%12/01/2015
Steier III, ElmerIndividual5% or Greater Indirect Ownership Interest12/01/2015
Wheaten LLCOrganization5% or Greater Indirect Ownership Interest12/01/2015
Boyatt, StaceyIndividualW-2 Managing EmployeeNOT APPLICABLE04/29/2024
Harrison, JohnIndividualCorporate OfficerNOT APPLICABLE11/01/2007

Questions to ask on your visit

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

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Oneida Nursing and Rehab Center9.2 miOneida, TN★☆☆☆☆1/5SFF
Williamsburg Health & Rehabilitation Center15.8 miWilliamsburg, KY★★★☆☆3/5
Huntsville Post-Acute and Rehabilitation Center17.1 miHuntsville, TN★★☆☆☆2/5
Beech Tree Health and Rehabilitation18.0 miJellico, TN★☆☆☆☆1/5abuseSFF

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Facility data as of CMS processing date 2026-08-01. CCN 185211.