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A+
Excellent

Tug Valley ARH Skilled Nursing Facility

260 Hospital Drive · South Williamson, KY 41503

6062371725 · Non profit - Corporation

34 beds20 residents54 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Tug Valley ARH Skilled Nursing Facility receives an overall staffing grade of A+ (Excellent). With 6.3569 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 2.46 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 11.97% 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 (0)

No significant concerns identified for this quarter.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
6.3569hrs/resident/day▲ 2.46
CMS benchmark: 3.48
RN HPRD
1.9367hrs/resident/day▲ 1.25
Recommended: 0.75
Weekend Drop-off
11.97%
6.5795 weekday → 5.7917 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.3035hrs/resident/day
Direct care aides
LPN HPRD
2.1167hrs/resident/day
Licensed practical nurses
Consistency
0.6277std 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. Pike County Average+2.26 HPRD
4.10
06.36 HPRD
vs. Kentucky State Average+2.31 HPRD
4.05
06.36 HPRD
vs. National Average+2.46 HPRD
3.90
06.36 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
Tug Valley ARH Skilled Nursing Facility ★
South Williamson · This facility
—
A+
6.35691.9367★★★★☆
Good Shepherd Health and Rehabilitation
Phelps
15.2 mi
B
3.79870.6243★☆☆☆☆
PIKEVILLE NURSING AND REHAB CENTER
Pikeville
19.3 mi
C
3.32140.6736★★★★☆
Riverview Health Care Center
Prestonsburg
24.6 mi
C
3.38021.0239★★★★★
Prestonsburg Health Care Center
Prestonsburg
26 mi
B
4.09571.0715★★★★★
Elkhorn Health & Rehabilitation
Elkhorn City
26.5 mi
D
2.90380.4384★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
12
Total Deficiencies
$0
Fines Assessed
Jun 27, 2025Health
4 deficiencies cited
▼
Jun 18, 2025Health
1 deficiency cited
▼
Mar 3, 2023Health
7 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.