Kentucky › Pike County › South Williamson
Tug Valley Arh Skilled Nursing Facility
260 Hospital Drive, South Williamson, KY 41503
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.
Tug Valley Arh Skilled Nursing Facility, in South Williamson, Kentucky, is certified for 34 beds under non-profit, corporation ownership.
CMS gives it 4 of 5 stars overall, above the Kentucky median of 3; the health inspection rating is 3, staffing 5 and quality measures 2.
Inspectors recorded 12 health deficiencies across the three most recent survey cycles (1, 11, 0 by cycle, most recent first), none at the actual-harm level. That is 35.3 per 100 beds, more than the state median of 12.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 6.5 hours per resident per day (2.1 RN), above the Kentucky median of 3.7; nursing staff turnover is 33.3%.
Compared with county, state and nation
| Measure | This facility | Pike Co. median | Kentucky median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 12 | 12 | 10 | 28.7 |
| Citations per 100 beds | 35.3 | 13.2 | 12.1 | 26.8 |
| Total nurse hours per resident day | 6.5 | 3.4 | 3.7 | 3.9 |
| RN hours per resident day | 2.1 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 33.3% | 38.8% | 45.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (4 in the county, 267 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Kentucky average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 Jun 2025, 3 Mar 2023.
Severity mix: D ×9 E ×2 F ×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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 27 Jun 2025 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Complaint investigation | 30 Jul 2025 |
| 27 Jun 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 30 Jul 2025 |
| 27 Jun 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint investigation | 30 Jul 2025 |
| 27 Jun 2025 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | D | Complaint investigation | 30 Jul 2025 |
| 18 Jun 2025 | 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 | 3 Jul 2025 |
| 3 Mar 2023 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 27 Apr 2023 |
| 3 Mar 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 27 Apr 2023 |
| 3 Mar 2023 | 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. | E | Standard survey | 27 Apr 2023 |
| 3 Mar 2023 | 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 | 27 Apr 2023 |
| 3 Mar 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 27 Apr 2023 |
| 3 Mar 2023 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Standard survey | 27 Apr 2023 |
| 3 Mar 2023 | F0926 | Have policies on smoking. | D | Standard survey | 27 Apr 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kentucky average. Turnover: nursing staff 33.3%, RNs 10.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Kentucky median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.2% | 13.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 6.6% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 15.9% | 1.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.5% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.1% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.4% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.5% | 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: non-profit, corporation. Legal business name: Appalachian Regional Healthcare Inc.
No organisations are listed in the CMS ownership record for this facility.
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 Pike County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Elkhorn Health & Rehabilitation | Elkhorn City | 106 | 5 | 5 | 2 | 4 | 3.8 | — | 11 Mar 2020 |
| Pikeville Nursing and Rehab Center, LLC | Pikeville | 106 | 3 | 3 | 3 | 14 | 13.2 | — | 8 Jan 2026 |
| Good Shepherd Health and Rehabilitation | Phelps | 118 | 1 | 1 | 2 | 12 | 10.2 | $30K | 22 Jan 2026 |
All 4 facilities in Pike County
Questions and answers
How many deficiencies has Tug Valley Arh Skilled Nursing Facility been cited for?
12 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 Tug Valley Arh Skilled Nursing Facility been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Tug Valley Arh Skilled Nursing Facility compare?
Reported total nurse staffing is 6.5 hours per resident per day against a Kentucky median of 3.7 and a national average of 3.9.
Who operates Tug Valley Arh Skilled Nursing Facility?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Tug Valley Arh Skilled Nursing Facility last inspected?
The most recent survey or investigation in the CMS record is dated 27 Jun 2025; the most recent standard health survey was 18 Jun 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.