Tug Valley Arh Skilled Nursing Facility

260 Hospital Drive, South Williamson, KY 41503 (opens Google Maps) · Pike County · (606) 237-1725· 34 certified beds · avg 21 residents/day · certified since Jun 5, 1984 · 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 →

3/5

Health inspection rating (on-site)

inspected Jun 18, 2025

Serious findings on record

Fines, last 3 years

6.90

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: ★★★☆☆3/5 · CMS overall rating: 4/5 · 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 12 inspection findings. Open the full record below to read every finding.

Jun 27, 2025D · Potential for more than minimal harm, isolated
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 F-0568
Jun 27, 2025D · Potential for more than minimal harm, isolated
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 F-0602
Jun 27, 2025D · Potential for more than minimal harm, isolated
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 F-0835

View all 12 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
Jun 27, 2025	D · Potential for more than minimal harm, isolated	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 · F-0568
Jun 27, 2025	D · Potential for more than minimal harm, isolated	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 · F-0602
Jun 27, 2025	D · Potential for more than minimal harm, isolated	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 · F-0835
Jun 27, 2025	D · Potential for more than minimal harm, isolated	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 · F-0837
Jun 18, 2025	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
Mar 3, 2023	F · Potential for more than minimal harm, widespread	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. · F-0727
Mar 3, 2023	E · Potential for more than minimal harm, pattern	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
Mar 3, 2023	E · Potential for more than minimal harm, pattern	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. · F-0700
Mar 3, 2023	D · Potential for more than minimal harm, isolated	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. · F-0657
Mar 3, 2023	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Mar 3, 2023	D · Potential for more than minimal harm, isolated	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. · F-0909
Mar 3, 2023	D · Potential for more than minimal harm, isolated	The facility did not have policies on smoking. · F-0926

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 1).

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

All citationsSerious citations (G–L)

2023

2025

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

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)

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)

6.90

3.71

3.95

Registered Nurse hours

2.22

0.74

0.69

Weekend total nurse staffing

6.30

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)	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 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 6.45, RN 2.07, weekend 5.89.Comparing with Medicare Care Compare? Care Compare shows the raw figure (6.45 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

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: 2/5 · long-stay residents: 2/5 · short-stay residents: 1/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Tug Valley Arh Skilled Nursing Facility. 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
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

Showing 20 of 26 parties CMS has on file for this facility; 6 are not displayed. The full list is in the CMS Ownership dataset.

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 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?"

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 33% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 26 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
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

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Pike, KY — 4 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Elkhorn Health & Rehabilitation — Elkhorn City, KY · overall 5/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in South Williamson →

Facility data as of CMS processing date 2026-08-01. CCN 185172.

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 — Tug Valley Arh Skilled Nursing Facility

260 Hospital Drive, South Williamson, KY 41503 · (606) 237-1725

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

Questions for the administrator:

☐ "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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 33% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 26 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 185172 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)