Elder Care Record

Kentucky › Leslie County › Hyden

Hyden Health and Rehabilitation Center

21040 Us Highway 421 South, Hyden, KY 41749

CCN 185193 · For-profit, corporation · 94 certified beds · chain Seky Holding Co.

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.

Hyden Health and Rehabilitation Center is a For-profit, corporation nursing home in Hyden, Kentucky, certified for 94 beds and caring for about 84 residents a day.

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

Inspectors recorded 5 health deficiencies across the three most recent survey cycles (0, 0, 5 by cycle, most recent first), none at the actual-harm level. That is 5.3 per 100 beds, fewer than the state median of 12.1.

CMS lists 1 penalty in the period covered: fines totalling $5K.

Reported nurse staffing is 4.5 hours per resident per day (0.9 RN), close to the Kentucky median of 3.7; nursing staff turnover is 33.7%.

5health deficiencies, 3 survey cyclesnone at actual-harm level
$5Kfines listed by CMS1 penalty in period
4.5nurse hours per resident per daystate median 3.7
89%occupancy (residents ÷ beds)84 residents a day

Compared with county, state and nation

MeasureThis facilityLeslie Co. medianKentucky medianUS average
Overall star rating5533.0
Health citations, 3 cycles551028.7
Citations per 100 beds5.35.312.126.8
Total nurse hours per resident day4.54.53.73.9
RN hours per resident day0.90.90.70.7
Nursing staff turnover33.7%33.7%45.1%45.8%
Fines listed$5,346$5,346$0—

County and state figures are medians across facilities (1 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)0
Cycle 20
Cycle 35

Dark bar: this facility. Grey bar: Kentucky average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Dec 2025, 24 Oct 2024.

Severity mix: D ×4 E ×1

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
1 Aug 2019F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey6 Sep 2019
1 Aug 2019F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey6 Sep 2019
1 Aug 2019F0679Provide activities to meet all resident's needs.DStandard survey6 Sep 2019
1 Aug 2019F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey6 Sep 2019
1 Aug 2019F0880Provide and implement an infection prevention and control program.DStandard survey6 Sep 2019

Penalties

DateTypeAmountDetail
24 Oct 2024Fine$5,346

Staffing

Total nursing4.46 h
Nurse aides3.05 h
LPN0.46 h
RN0.95 h
Weekend total3.9 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kentucky average. Turnover: nursing staff 33.7%, RNs 21.1%; 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 Stay16.1%13.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.4%0.2%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.5%1.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.4%3.5%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay16.7%13.0%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay10.9%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay18.8%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, corporation. Legal business name: Hyden Nursing Home, Llc. Chain: Seky Holding Co. (9 facilities).

OrganisationRole in the CMS recordInterestSince
Seky Holding Co5% or greater direct ownership interest100%06/18/2003
Fcltc Holdings Inc5% or greater indirect ownership interestNO PERCENTAGE PROVIDED04/28/2016

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

Questions and answers

How many deficiencies has Hyden Health and Rehabilitation Center been cited for?

5 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Kentucky median is 10 per facility.

Has Hyden Health and Rehabilitation Center been fined?

Yes. CMS lists fines totalling $5K in the period covered.

How does staffing at Hyden Health and Rehabilitation Center compare?

Reported total nurse staffing is 4.5 hours per resident per day against a Kentucky median of 3.7 and a national average of 3.9.

Who operates Hyden Health and Rehabilitation Center?

It is part of the Seky Holding Co. chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Seky Holding Co and Fcltc Holdings Inc. Individual owners and managers are not listed on this site.

When was Hyden Health and Rehabilitation Center last inspected?

The most recent survey or investigation in the CMS record is dated 1 Aug 2019; the most recent standard health survey was 19 Dec 2025.

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.