GoodStanding

Nursing home report

River Valley Nursing Home

Butler, KY · Medicare-certified · 60 beds

In good standing
For-profit
Data as of July 1, 2026
5 of 5 overall

River Valley Nursing Home has a 5-out-of-5 overall rating, with strong quality measures and a 4-star health inspection rating, but a low 2-star staffing rating. Reported nurse staffing is 3.49 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.4868 hrs/resident/day

Quality measures

Last inspection: June 26, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4868.

Staffing detail

Registered nurses
0.83
Licensed practical nurses
0.58
Nurse aides
2.07
Weekend nursing
2.99

Hours per resident per day.

Total staff turnover: 50%
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).

Long-stay residents on antipsychotic medication

0%2.8%Worsening

Residents with a fall causing major injury

2%7%Worsening

Residents with pressure ulcers (bedsores)

0%0%No change

Residents with a urinary tract infection

4.3%0%Improving

Residents who lost too much weight

0%6.1%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

7.9%6.2%Improving

Residents whose ability to walk got worse

11%54.5%Worsening

Long-stay residents on antianxiety or sleep medication

26.8%22.4%Improving

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

15.6%16.9%Worsening

Residents with depressive symptoms

8.3%28.8%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

97.9%

Long-stay residents given the pneumonia vaccine

93.9%100%Improving

Short-stay residents given the seasonal flu vaccine

49.1%

Short-stay residents given the pneumonia vaccine

71.1%75%Improving

What the inspectors found

The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited September 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — 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 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

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 June 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D

The nursing home failed to ensure residents were free from significant medication errors. Cited June 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: D

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited September 2024 — isolated incident, potential for harm.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Operator & ownership

Recent ownership change · May 8, 2023

Now operated by Cf Opco LLC, previously Butler Rest Home, INC.

Ownership
For profit - Corporation
Occupancy
58.9 residents on an average day (98% of 60 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.