Tug Valley Arh Skilled Nursing Facility
260 Hospital Drive, South Williamson, KY 41503 · Pike County · 34 certified beds · avg 21 residents/day · certified since Jun 5, 1984
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
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 (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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 27, 2025 | D · Potential for harm, one-off | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. · from a complaint |
| Jun 27, 2025 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Jun 27, 2025 | D · Potential for harm, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Jun 27, 2025 | D · Potential for harm, one-off | The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility. · from a complaint |
| Jun 18, 2025 | 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. |
| Mar 3, 2023 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Mar 3, 2023 | E · Potential for harm, repeated | 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. |
| Mar 3, 2023 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Mar 3, 2023 | 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. |
| Mar 3, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 3, 2023 | D · Potential for harm, one-off | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
| Mar 3, 2023 | D · Potential for harm, one-off | The facility did not have policies on smoking. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | F |
| 2025 | 5 | 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) | 6.90 | 3.71 | 3.95 | top 4% in Kentucky; top 2% in the U.S. |
| Registered Nurse hours | 2.22 | 0.74 | 0.69 | top 2% in Kentucky; top 1% in the U.S. |
| Weekend total nurse staffing | 6.30 | 3.27 | 3.50 | top 3% in Kentucky; top 1% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.61 | 0.53 | 0.48 | top 2% in Kentucky; top 2% in the U.S. |
| Total nursing staff turnover (%) | 33.3 | 46.4 | 45.8 | top 12% in Kentucky; top 20% in the U.S. |
| RN turnover (%) | 10.0 | 41.8 | 42.9 | top 2% in Kentucky; top 4% 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 6.45, RN 2.07, weekend 5.89. Staffing rating: 5/5.
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: 2/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Allman, Ken | Individual | Corporate Director | NOT APPLICABLE | 11/08/2019 |
| Anderson, Joann | Individual | Corporate Director | NOT APPLICABLE | 11/02/2017 |
| Bergman, Sonya | Individual | Corporate Officer | NOT APPLICABLE | 11/05/2021 |
| Braman, Maria | Individual | Corporate Officer | NOT APPLICABLE | 03/07/2016 |
| Campbell, Dustin | Individual | Corporate Director | NOT APPLICABLE | 11/11/2022 |
| Coley, Jennifer | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2025 |
| Coley, Jennifer | Individual | ADP of the SNF | NOT APPLICABLE | 12/24/2025 |
| Couch, Gregory | Individual | Corporate Director | NOT APPLICABLE | 11/08/2013 |
| Dunn, Samuel | Individual | Corporate Director | NOT APPLICABLE | 11/05/2021 |
| Ellis, Martha | Individual | Corporate Director | NOT APPLICABLE | 11/08/2024 |
| Evans, Randall | Individual | Corporate Director | NOT APPLICABLE | 11/08/2013 |
| Francis, Garett | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2025 |
| Francis, Garett | Individual | ADP of the SNF | NOT APPLICABLE | 12/24/2025 |
| Gabbard, Byron | Individual | Corporate Officer | NOT APPLICABLE | 11/02/2023 |
| Harris, Hollie | Individual | Corporate Officer | NOT APPLICABLE | 05/10/2021 |
| Harris, Hollie | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/10/2021 |
| Hollon, Jeffrey | Individual | Corporate Director | NOT APPLICABLE | 11/02/2012 |
| Johnson, Vanessa | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/05/2021 |
| Lee, Christi | Individual | Corporate Officer | NOT APPLICABLE | 11/05/2021 |
| Lee, Christi | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/05/2021 |
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 manage residents' personal funds, and how often do families receive an accounting?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "Who owns and governs this facility, and how long has the current administrator been here?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "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 |
|---|---|---|---|---|---|
| Trinity Health Care of Mingo | 2.5 mi | Williamson, WV | ★★★☆☆ | 4/5 | |
| Good Shepherd Health and Rehabilitation | 15.3 mi | Phelps, KY | ★☆☆☆☆ | 1/5 | |
| Martin County Health Care Facility | 18.3 mi | Inez, KY | ★★★★☆ | 4/5 | |
| Pikeville Nursing and Rehab Center, LLC | 19.3 mi | Pikeville, KY | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 185172.