The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited March 2020 — isolated incident, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: D
Nursing home report
Elkhorn Health & Rehabilitation
Elkhorn City, KY · Medicare-certified · 106 beds
In good standing
For-profitChain member
Data as of July 1, 2026
5 of 5 overall
Elkhorn Health & Rehabilitation has a 5-star overall rating, with 5 stars for health inspections but lower 2-star ratings for staffing and quality measures. Reported nurse staffing is 2.95 hours per resident day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.948 hrs/resident/day
Quality measures
Last inspection: April 9, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.948.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 0.82
- Nurse aides
- 1.64
- Weekend nursing
- 2.67
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
9.8%29.9%Worsening
Residents with a fall causing major injury
7.4%7.1%No change
Residents with pressure ulcers (bedsores)
3.4%2.7%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
10.1%11.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.7%11.4%Worsening
Residents whose ability to walk got worse
6.1%5.1%Improving
Long-stay residents on antianxiety or sleep medication
29%27.7%Improving
Short-stay residents newly given an antipsychotic
—2.4%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
7.3%15.6%Worsening
Residents with depressive symptoms
44.7%75.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.1%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited March 2020 — isolated incident, potential for harm.
View the original federal record
F-Tag 636 — 42 CFR §483.20 — S/S: D
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited March 2020 — isolated incident, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited March 2020 — isolated incident, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Jun 1, 2018
Now operated by Landmark of Elkhorn City Rehabilitation and Nursing Center, previously Mountain View Healthcare and Rehabilitation Center LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LYON HEALTHCARE · 14 homes · 2 stars avg
- Occupancy
- 100.4 residents on an average day (95% of 106 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.