River Haven Nursing And Rehabilitation Center in Paducah, KY has a 1 out of 5 overall rating, with 1-star staffing and quality measures scores and an attention flag for the lowest overall rating. Its reported nurse staffing is 3.56 hours per resident per day, below the federal benchmark of 4.1, and it had no fines in the last 24 months; health inspections were rated 3 stars.
Last inspection: January 22, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5573.
Staffing detail
Registered nurses
0.74
Licensed practical nurses
0.63
Nurse aides
2.19
Weekend nursing
3.00
Hours per resident per day.
Total staff turnover: 58%
Registered nurse turnover: 69%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.6%Improving
Residents with a fall causing major injury
3.5%Improving
Residents with pressure ulcers (bedsores)
8.8%Steady
Residents with a urinary tract infection
2.9%Improving
Residents who lost too much weight
11.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
25.7%Worsening
Residents whose ability to walk got worse
28.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
37.5%Steady
Short-stay residents newly given an antipsychotic
0.9%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
26.2%Worsening
Residents with depressive symptoms
16.2%Worsening
Long-stay residents given the seasonal flu vaccine
75%Steady
Long-stay residents given the pneumonia vaccine
69.8%Improving
Short-stay residents given the seasonal flu vaccine
71.4%Steady
Short-stay residents given the pneumonia vaccine
65%Improving
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 September 2020 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2020 — isolated incident, immediate jeopardy to residents.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited September 2020 — isolated incident, immediate jeopardy to residents.
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F-Tag 725 — 42 CFR §483.35 — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2024 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — 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 2020 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — 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.
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INSPECTION
Health inspection found 3 health deficiencies.
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INSPECTION
Health inspection found 8 health deficiencies.
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Penalties & enforcement
On record with Medicare: 1 fine · $1,398 in total fines.
Federal fine
Nov 6, 2023
$1,398
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of BENJAMIN LANDA · 49 homes · 3.3 stars avg
Occupancy
74.4 residents on an average day (72% of 103 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.