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D
Poor

River Valley Nursing Home

305 Taylor Street · Butler, KY 41006

8594722217 · For profit - Corporation

60 beds58.5 residents79 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
C
Below Standard
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

River Valley Nursing Home receives an overall staffing grade of D (Poor). With 2.8791 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5356 HPRD, below the recommended 0.75. It is 1.02 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 13.47% 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 (3)

⚠️Had 2 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.8791 HPRD — needs 0.60 more hours per resident per day.
⚠️RN staffing (0.5356 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
2.8791hrs/resident/day▼ 1.02
CMS benchmark: 3.48
RN HPRD
0.5356hrs/resident/day▼ 0.15
Recommended: 0.75
Weekend Drop-off
13.47%
2.9931 weekday → 2.5898 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
2days this quarter
4+ days = auto 1-star
CNA HPRD
1.612hrs/resident/day
Direct care aides
LPN HPRD
0.5461hrs/resident/day
Licensed practical nurses
Consistency
0.2916std 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. Pendleton County Average+0.00 HPRD
2.88
02.88 HPRD
vs. Kentucky State Average-1.17 HPRD
4.05
02.88 HPRD
vs. National Average-1.02 HPRD
3.90
02.88 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
River Valley Nursing Home ★
Butler · This facility
—
D
2.87910.5356★★★★★
Grant Healthcare and Rehabilitation
Williamstown
14.7 mi
C
3.1890.8507★★★☆☆
Rosedale Green
Covington
18.8 mi
D
4.02060.2846★★★☆☆
Carmel Manor
FORT THOMAS
19.5 mi
B
4.29010.6518★☆☆☆☆
PERKINS COUNTRY MANOR
AUGUSTA
19.7 mi
B
3.79070.6817★☆☆☆☆
THE PAVILION AT KENTON
COVINGTON
20.6 mi
D
2.96910.4899★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
5
Total Deficiencies
$0
Fines Assessed
Jun 26, 2025Health
2 deficiencies cited
▼
Sep 6, 2024Health
3 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.