Emerald Trace in Elsmere, KY has a 2-star overall rating, with a 2-star health inspection rating, 4-star staffing, and 3-star quality measures. Staffing is above the federal benchmark (6.34 vs. 4.1 hours per resident per day), and there were no fines in the last 24 months, but recent inspection citations included accident hazards/supervision, care planning, and resident/family group rights.
Last inspection: August 22, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 6.3356.
Staffing detail
Registered nurses
0.61
Licensed practical nurses
1.88
Nurse aides
3.85
Weekend nursing
5.86
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 38%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
—17.6%—
Residents with a fall causing major injury
9.1%4.5%Improving
Residents with pressure ulcers (bedsores)
8.7%3.1%Improving
Residents with a urinary tract infection
4.5%0%Improving
Residents who lost too much weight
—3.3%—
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—8.5%—
Residents whose ability to walk got worse
—6.7%—
Long-stay residents on antianxiety or sleep medication
—19.7%—
Short-stay residents newly given an antipsychotic
1.5%0%Improving
Residents with a long-term catheter
—0%—
Residents with new or worsening incontinence
—46.3%—
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—97.3%—
Short-stay residents given the pneumonia vaccine
99%98.4%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited December 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The home failed to protect residents’ right to organize and take part in resident and family groups. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 565 — 42 CFR §483.10 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited December 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $9,318 in total fines.
Federal fine
Dec 15, 2023
$9,318
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
44.1 residents on an average day (82% of 54 beds)
Resident voice
Resident council
Medicare history
Certified for 9 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.