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C
Below Standard

Letcher Manor

73 Piedmont Drive · Whitesburg, KY 41858

6066331434 · For profit - Corporation

142 beds118.1 residents123 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Letcher Manor receives an overall staffing grade of C (Below Standard). With 3.42 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4046 HPRD, below the recommended 0.75. It is 0.48 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 11.39% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.42 HPRD — needs 0.06 more hours per resident per day.
⚠️RN staffing (0.4046 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.42hrs/resident/day▼ 0.48
CMS benchmark: 3.48
RN HPRD
0.4046hrs/resident/day▼ 0.28
Recommended: 0.75
Weekend Drop-off
11.39%
3.5338 weekday → 3.1312 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.126hrs/resident/day
Direct care aides
LPN HPRD
0.7334hrs/resident/day
Licensed practical nurses
Consistency
0.2487std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Letcher County Average+0.00 HPRD
3.42
03.42 HPRD
vs. Kentucky State Average-0.63 HPRD
4.05
03.42 HPRD
vs. National Average-0.48 HPRD
3.90
03.42 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Letcher Manor ★
Whitesburg · This facility
—
C
3.420.4046★★☆☆☆
KNOTT COUNTY HEALTH AND REHABILITATION CENTER
HINDMAN
16.8 mi
A
4.29570.929★★★★☆
Hazard Health and Rehabilitation Center
Hazard
25 mi
A
4.9961.0446★★★☆☆
Elkhorn Health & Rehabilitation
Elkhorn City
27.7 mi
D
2.90380.4384★★★☆☆
PIKEVILLE NURSING AND REHAB CENTER
Pikeville
28.9 mi
C
3.32140.6736★★★★☆
Hyden Health and Rehabilitation Center
Hyden
31.2 mi
A
4.41170.879★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
11
Total Deficiencies
$0
Fines Assessed
Feb 27, 2025Health
5 deficiencies cited
▼
Apr 5, 2024Health
2 deficiencies cited
▼
Nov 7, 2019Health
4 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.