PruittHealth- Estill has an overall rating of 2 out of 5 stars, with 2-star health inspection and staffing ratings and 4-star quality measures. Reported nurse staffing is 3.37 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: April 29, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.37.
Staffing detail
Registered nurses
0.37
Licensed practical nurses
0.83
Nurse aides
2.17
Weekend nursing
2.71
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 44%
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
22.5%23.1%Worsening
Residents with a fall causing major injury
3.3%2.7%Improving
Residents with pressure ulcers (bedsores)
8.4%5.9%Improving
Residents with a urinary tract infection
1.6%6.8%Worsening
Residents who lost too much weight
14%3.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.7%8.5%Improving
Residents whose ability to walk got worse
4.8%4.5%No change
Long-stay residents on antianxiety or sleep medication
8.8%8.1%Improving
Short-stay residents newly given an antipsychotic
8%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
1.8%2.8%Worsening
Residents with depressive symptoms
4.3%0%Improving
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
—98.4%—
Long-stay residents given the pneumonia vaccine
96.7%98.7%Improving
Short-stay residents given the seasonal flu vaccine
—97.8%—
Short-stay residents given the pneumonia vaccine
91.1%100%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep essential equipment working safely. Cited September 2023 — widespread issue, potential for harm.
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F-Tag 908 — 42 CFR §483.90 — S/S: F
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 September 2023 — limited pattern, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited September 2023 — limited pattern, potential for harm.
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F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited August 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 636 — 42 CFR §483.20 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 22 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $7,745 in total fines.
Federal fine
Sep 20, 2023
$7,745
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of PRUITTHEALTH · 99 homes · 2.9 stars avg
Occupancy
75.6 residents on an average day (86% of 88 beds)
Resident voice
Resident council
Medicare history
Certified for 34 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.