Elkhorn Health & Rehabilitation – Elkhorn City, KY

CMS Verified | 2026-03-01

Elkhorn Health & Rehabilitation

945 West Russell Street, Elkhorn City, KY 41522
(606) 754-4134
106 beds
All Elkhorn City facilities
3.0*
Overall
5.0*
Health Inspection
1.0*
Quality Care
1.0*
Staffing
54.14
Score /100
#13433
National Rank

#13433
of 14703 facilities
National
8.6% position
#250
of 268 in KY
State Rank
#4
of 4 in Pike
County Rank
#1
of 1 in Elkhorn City
City Rank
#1
of 1 in ZIP 41522
ZIP Rank






About Elkhorn Health & RehabilitationElkhorn Health & Rehabilitation is located at 945 West Russell Street, Elkhorn City, KY, reachable at (606) 754-4134. This For profit – Limited Liability company facility operates 106.0 certified beds and serves an average of 101 residents per day. It is part of the Lyon Healthcare network (14 facilities nationwide). Medicare and Medicaid services have been provided since 1990-12-13. The facility currently holds a average (3-star) overall CMS rating.
Facility

Elkhorn Health & Rehabilitation

Address

945 West Russell Street, Elkhorn City, KY 41522

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 106 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Both
  • Automatic Sprinklers: Yes
  • Network: LYON HEALTHCARE

Quick Verdict

Overall Quality
⚠️ Average (3★) overall rating
Health Inspection
✅ Excellent (5★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
❌ Poor (1★) quality of care
Compliance
❌ 4 fine(s) over 5 years
5-Year Trend
➡️ Stable over 5 years
54.14
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#13433 of 14703 nationally – #250 of 268 in Kentucky

Who Is This Facility Best For?

Elkhorn Health & Rehabilitation offers a mid-range care option in Elkhorn City, KY. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

3 / 5
Health Inspection

5 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

1 / 5
Long-Stay QM Rating

4 / 5
Short-Stay QM Rating

1 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightElkhorn Health & Rehabilitation currently provides 2 hours 54 minutes of total nurse staffing per resident per day, including 26 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover stands at 43.2% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing2 hours 54 minutes
Nurse Aide Hours1 hour 45 minutes
Licensed Practical Nurse (LPN) Hours43 minutes
Registered Nurse (RN) Hours26 minutes
Physical Therapist Hours2 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 32 minutes
Weekend Registered Nurse (RN) Hours21 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 4 fine(s) over the 5-year period, totaling $29,111. 2 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 4.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#13,433
of 14,703
National
Bottom 10%
#250
of 268
KY State
Bottom 10% in KY
#4
of 4
️ Pike County
#4 of 4
#1
of 1
️ Elkhorn City
Best in city
#1
of 1
ZIP 41522
Best in ZIP

Nationally, Elkhorn Health & Rehabilitation ranks 13433rd out of 14,703 facilities (composite score: 54.1/100), placing it in the bottom 25% nationwide. Within KY, it ranks 250th out of 268 nursing homes. For 2026 staffing: total nurse hours rank #13,474 nationally and RN hours rank #10,078 nationally (#218 in KY).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank KY State Rank Note
2022 3.13 #10,852 / 14,703 #219 / 268 Below average
2023 3.06 #11,553 / 14,703 #234 / 268 ⚠️ Bottom 25%
2024 2.81 #13,300 / 14,703 #256 / 268 ⚠️ Bottom 10%
2025 2.81 #13,618 / 14,703 #249 / 268 ⚠️ Bottom 10%
2026 2.90 #13,474 / 14,703 #259 / 268 ⚠️ Bottom 10%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank KY State Rank Note
2022 0.33 #12,057 / 14,703 #252 / 268 ⚠️ Bottom 25%
2023 0.29 #12,224 / 14,703 #254 / 268 ⚠️ Bottom 25%
2024 0.34 #11,581 / 14,703 #241 / 268 ⚠️ Bottom 25%
2025 0.38 #11,086 / 14,703 #227 / 268 ⚠️ Bottom 25%
2026 0.44 #10,078 / 14,703 #218 / 268 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Elkhorn Health & Rehabilitation is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1990-12-13. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (606) 754-4134 or your local Medicaid office to verify current eligibility.

Elkhorn Health & Rehabilitation holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (5★), Staffing (1★), and Quality of Resident Care (1★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 54.1/100, placing it #13433 of 14703 facilities nationally and #250 of 268 in Kentucky. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Elkhorn Health & Rehabilitation receives a reported average of 2 hours 54 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 26 minutes; Licensed Practical Nurse (LPN) — 43 minutes; Nurse Aide — 1 hour 45 minutes. On weekends, total nurse staffing is 2 hours 32 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 43.2%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 4 fine(s) over the 5-year period, totaling $29,111. 2 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 4.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Elkhorn Health & Rehabilitation ranks 13433rd out of 14,703 facilities (composite score: 54.1/100), placing it in the bottom 25% nationwide. Within KY, it ranks 250th out of 268 nursing homes. For 2026 staffing: total nurse hours rank #13,474 nationally and RN hours rank #10,078 nationally (#218 in KY). Our composite quality score of 54.1/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Elkhorn City, visit: https://nursinghomesnearme.org/kentucky/elkhorn-city/

Contact and Location

ADR
Address

945 West Russell Street, Elkhorn City, KY 41522
Get directions on Google Maps

TEL
LLC
Legal Name

Legal Business Name Not Available

MAP
Browse by Location

All Kentucky ·
Pike County ·
Elkhorn City ·
ZIP 41522

Facility Details

Number of Certified Beds 106
Average Residents / Day 101 (96% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Pike County, KY
City Elkhorn City, KY
ZIP Code 41522
Approved Since December 13, 1990
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 185230
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org