Elder Care Record

Kentucky › Scott County › Georgetown

Dover Nursing & Rehabilitation Center

112 Dover Drive, Georgetown, KY 40324

CCN 185295 · For-profit, limited liability company · 85 certified beds · chain Bluegrass Health Ky

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Dover Nursing & Rehabilitation Center is a For-profit, limited liability company nursing home in Georgetown, Kentucky, certified for 85 beds and caring for about 79 residents a day.

CMS gives it 1 of 5 stars overall, below the Kentucky median of 3; the health inspection rating is 2, staffing 1 and quality measures 3.

Inspectors recorded 29 health deficiencies across the three most recent survey cycles (4, 2, 23 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 34.1 per 100 beds, more than the state median of 12.1.

CMS lists 1 penalty in the period covered: fines totalling $164K.

Reported nurse staffing is 4.0 hours per resident per day (0.6 RN), close to the Kentucky median of 3.7; nursing staff turnover is 58.6%.

29health deficiencies, 3 survey cycles1 at actual harm or worse
$164Kfines listed by CMS1 penalty in period
4.0nurse hours per resident per daystate median 3.7
92%occupancy (residents ÷ beds)79 residents a day

Compared with county, state and nation

MeasureThis facilityScott Co. medianKentucky medianUS average
Overall star rating1233.0
Health citations, 3 cycles29291028.7
Citations per 100 beds34.134.112.126.8
Total nurse hours per resident day4.04.03.73.9
RN hours per resident day0.61.30.70.7
Nursing staff turnover58.6%58.6%45.1%45.8%
Fines listed$163,742$163,742$0—

County and state figures are medians across facilities (2 in the county, 267 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)4
Cycle 22
Cycle 323

Dark bar: this facility. Grey bar: Kentucky average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Mar 2026, 13 Dec 2024.

Severity mix: G ×1 D ×22 E ×2 F ×4

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
19 Mar 2026F0641Ensure each resident receives an accurate assessment.DStandard survey11 Apr 2026
19 Mar 2026F0679Provide activities to meet all resident's needs.DStandard survey11 Apr 2026
19 Mar 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey11 Apr 2026
19 Mar 2026F0730Observe each nurse aide's job performance and give regular training.DStandard survey11 Apr 2026
13 Dec 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey5 Jan 2025
13 Dec 2024F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard survey5 Jan 2025
13 Dec 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation1 Feb 2024
13 Dec 2023F0575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.FStandard survey1 Feb 2024
13 Dec 2023F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.FStandard survey1 Feb 2024
13 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey1 Feb 2024
13 Dec 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation1 Feb 2024
13 Dec 2023F0880Provide and implement an infection prevention and control program.EStandard survey12 Mar 2024
13 Dec 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey1 Feb 2024
13 Dec 2023F0554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint investigation1 Feb 2024
13 Dec 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey1 Feb 2024
13 Dec 2023F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey1 Feb 2024
13 Dec 2023F0610Respond appropriately to all alleged violations.DComplaint investigation1 Feb 2024
13 Dec 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey1 Feb 2024
13 Dec 2023F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard survey1 Feb 2024
13 Dec 2023F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey1 Feb 2024
13 Dec 2023F0637Assess the resident when there is a significant change in conditionDStandard survey1 Feb 2024
13 Dec 2023F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey1 Feb 2024
13 Dec 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey1 Feb 2024
13 Dec 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey1 Feb 2024
13 Dec 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation1 Feb 2024
13 Dec 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation1 Feb 2024
13 Dec 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey1 Feb 2024
13 Dec 2023F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey1 Feb 2024
13 Dec 2023F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation1 Feb 2024

Penalties

DateTypeAmountDetail
13 Dec 2023Fine$163,742

Staffing

Total nursing4.04 h
Nurse aides2.61 h
LPN0.81 h
RN0.62 h
Weekend total3.66 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kentucky average. Turnover: nursing staff 58.6%, RNs 60.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityKentucky medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.5%13.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.2%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.4%3.5%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.1%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay19.2%13.0%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.9%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay17.3%15.0%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Dover Manor Operations Llc. Chain: Bluegrass Health Ky (15 facilities).

OrganisationRole in the CMS recordInterestSince
Dover Manor Operations Holdings LLC5% or greater direct ownership interest100%01/01/2023
Huntington Bank5% or greater mortgage interestNOT APPLICABLE01/01/2023
Valley Stream Operator I LLCOperational/managerial controlNOT APPLICABLE01/01/2023
Dover Manor Realty Holdings LLCAdp of the snfNOT APPLICABLE01/01/2023
Dover Manor Realty LLCAdp of the snfNOT APPLICABLE01/01/2023
Valley Stream Operator I LLCAdp of the snfNOT APPLICABLE04/23/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Scott County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Signature Healthcare of GeorgetownGeorgetown652232233.8—10 Jul 2025

All 2 facilities in Scott County

Questions and answers

How many deficiencies has Dover Nursing & Rehabilitation Center been cited for?

29 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Kentucky median is 10 per facility.

Has Dover Nursing & Rehabilitation Center been fined?

Yes. CMS lists fines totalling $164K in the period covered.

How does staffing at Dover Nursing & Rehabilitation Center compare?

Reported total nurse staffing is 4.0 hours per resident per day against a Kentucky median of 3.7 and a national average of 3.9.

Who operates Dover Nursing & Rehabilitation Center?

It is part of the Bluegrass Health Ky chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Dover Manor Operations Holdings LLC and Valley Stream Operator I LLC. Individual owners and managers are not listed on this site.

When was Dover Nursing & Rehabilitation Center last inspected?

The most recent survey or investigation in the CMS record is dated 19 Mar 2026; the most recent standard health survey was 19 Mar 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.