The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Nicholasville Nursing and Rehabilitation
Nicholasville, KY · Medicare-certified · 73 beds
Needs attention
For-profitChain member
1 of 5 overall
Nicholasville Nursing and Rehabilitation has a 1 out of 5 overall star rating, with a 1-star staffing rating and 2-star health inspection and quality ratings. It is flagged as the lowest overall rating; reported nurse staffing is 3.31 hours per resident per day versus the 4.1 federal benchmark, and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.308 hrs/resident/day
Quality measures
Last inspection: August 22, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.308.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 0.85
- Nurse aides
- 1.96
- Weekend nursing
- 3.03
Hours per resident per day.
Total staff turnover: 80%
Registered nurse turnover: 83%
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
10.9%10.9%No change
Residents with a fall causing major injury
6.8%6.7%No change
Residents with pressure ulcers (bedsores)
13.4%7.5%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
10.3%3.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.6%1.8%Improving
Residents whose ability to walk got worse
0%0%No change
Long-stay residents on antianxiety or sleep medication
15.5%20.3%Worsening
Short-stay residents newly given an antipsychotic
0%8.7%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24.1%28.2%Worsening
Residents with depressive symptoms
20.4%10.9%Improving
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
—92.5%—
Long-stay residents given the pneumonia vaccine
84.7%96.7%Improving
Short-stay residents given the seasonal flu vaccine
—58.7%—
Short-stay residents given the pneumonia vaccine
44.3%40.7%Worsening
What the inspectors found
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 May 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 properly label and securely store medications and biologicals. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of DAVID MARX · 10 homes · 2.6 stars avg
- Occupancy
- 66.6 residents on an average day (91% of 73 beds)
- Resident voice
- Resident council
- 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.