Nicholasville Nursing and RehabilitationCMS ratings, inspections and fines
- Address
- 100 Sparks Avenue, Nicholasville, KY 40356
- CCN
- 185220
- Ownership type
- For-profit, limited liability company
- Certified beds
- 73
- Chain
- Chain name not shown
- Residents per day
- 69
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Nicholasville Nursing and Rehabilitation an overall rating of 1 of 5 stars. The last standard survey was on 22 Aug 2025. The latest survey cycle has 2 health citations. The median for nursing homes in Kentucky is 2. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Jessamine County median | Kentucky median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 5.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 5.0 | 3.0 | 2.9 |
| Quality measure rating | 2 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 2 homes in the county, 267 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Kentucky median |
|---|---|---|---|
| Cycle 1 (latest) | 22 Aug 2025 | 2 | 2 |
| Cycle 2 | 12 Sep 2024 | 12 | 3 |
| Cycle 3 | No date | 7 | 4 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 Aug 2025 | F0761 | Ensure 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. | E | Standard survey | 18 Sep 2025 |
| 22 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 18 Sep 2025 |
Survey cycle 2: 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 Sep 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 16 Oct 2024 |
| 12 Sep 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 16 Oct 2024 |
| 12 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 16 Oct 2024 |
| 12 Sep 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 16 Oct 2024 |
| 12 Sep 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Standard survey | 16 Oct 2024 |
| 12 Sep 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 16 Oct 2024 |
| 12 Sep 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 16 Oct 2024 |
| 12 Sep 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 16 Oct 2024 |
| 12 Sep 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Standard survey | 16 Oct 2024 |
| 12 Sep 2024 | F0761 | Ensure 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. | F | Standard survey | 16 Oct 2024 |
| 12 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 16 Oct 2024 |
| 12 Sep 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 16 Oct 2024 |
Survey cycle 3: 7 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 Aug 2019 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 11 Oct 2019 |
| 29 Aug 2019 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 11 Oct 2019 |
| 29 Aug 2019 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 11 Oct 2019 |
| 29 Aug 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 11 Oct 2019 |
| 29 Aug 2019 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 11 Oct 2019 |
| 29 Aug 2019 | F0761 | Ensure 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. | E | Standard survey | 11 Oct 2019 |
| 29 Aug 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 11 Oct 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Kentucky median | Kentucky average (CMS) |
|---|---|---|---|
| All nurse staff | 3.19 | 3.70 | 3.95 |
| Registered nurses (RN) | 0.45 | 0.70 | 0.79 |
| Licensed practical nurses (LPN) | 0.78 | 0.80 | |
| Nurse aides | 1.95 | 2.36 | |
| All nurse staff, weekends | 2.90 | 3.30 | 3.48 |
- Nurse staff turnover in a year
- 83.1%
- Nurse staff turnover, Kentucky median
- 45.1%
- RN turnover in a year
- 81.8%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Kentucky median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 0.9% | 13.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 1.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.4% | 3.5% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.2% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 0.9% | 13.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.4% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.4% | 15.0% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Nicholasville Nursing and Rehabilitation LLC
- Chain
- Chain name not shown
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nicholasville Nursing and Rehabilitation Holdings LLC | 5% or greater direct ownership interest | 100% | 25 Jul 2019 |
| 100 Sparks Ave SNF Realty LLC | Operational/managerial control | 1 Sep 2019 | |
| Bluegrass Consulting Group LLC | Operational/managerial control | 1 Sep 2019 | |
| 100 Sparks Ave Realty Holdings LLC | Adp of the snf | 1 Sep 2019 | |
| 100 Sparks Ave SNF Realty LLC | Adp of the snf | 1 Sep 2019 | |
| Bluegrass Consulting Group LLC | Adp of the snf | 16 Jul 2025 | |
| Kentucky SNF Realty Holdings LLC | Adp of the snf | 1 Sep 2019 | |
| MDG Real Estate Global Limited | Adp of the snf | 1 Sep 2019 |
The site shows organisations only. It does not show the names of persons. CMS lists this home in a chain that has the name of a person, so the site shows no chain name and no chain page.
Other homes in Jessamine County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Thomson-Hood Veterans Center | Wilmore | 5 of 5 | 1 | $0 | 7 May 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Nicholasville Nursing and Rehabilitation (CCN 185220). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/nicholasville-nursing-and-rehabilitation-nicholasville-ky-185220/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Nicholasville Nursing and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 22 Aug 2025. It was a standard survey and a complaint investigation. It gave 2 citations. The standard survey before the last one was on 12 Sep 2024.
- Who operates Nicholasville Nursing and Rehabilitation?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in a chain that has the name of a person. This site does not show that name. The CMS ownership file names 100 Sparks Ave SNF Realty LLC and Bluegrass Consulting Group LLC for operational or managerial control. This site does not show the names of persons.
- Is Nicholasville Nursing and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Kentucky as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.