Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Pikeville Nursing And Rehab Center during CMS and state inspections, most recent first.
The facility failed to protect a resident from physical abuse when one cognitively intact resident with a history of aggressive behavior admitted to hitting another cognitively impaired resident with prior spinal fractures after becoming angry over a wheelchair. Staff heard yelling and cursing, then observed the alleged victim holding their shoulder/arm and unable to recall the event, while the aggressor told staff and a psychiatric NP that they had hit another resident. Although the facility’s abuse policy defines physical abuse as including hitting and guarantees residents freedom from abuse by anyone, the facility’s investigation concluded that abuse could not be substantiated because no physical or emotional harm was identified.
The facility failed to report an allegation of resident-to-resident physical abuse to the state survey agency within the required two-hour timeframe. One resident with moderate cognitive impairment and a history of spinal fractures, dementia, anxiety, and repeated falls was punched on the arm in the hallway by another cognitively intact, wheelchair-using resident with multiple medical and psychiatric diagnoses and a right below-knee amputation. An LPN reported the incident to the Administrator and DON shortly after it occurred, consistent with internal expectations for immediate reporting to the Abuse Coordinator and a two-hour external reporting requirement. Despite this, the Administrator, who acknowledged knowing the two-hour rule, did not submit the report to the state agency until many hours later, as confirmed by the time-stamped email receipt.
The facility failed to maintain a safe and comfortable environment, with issues such as protruding plumbing, uneven flooring, inadequate lighting, and pervasive odors. Residents expressed frustration over these conditions, and staff interviews revealed a lack of awareness and communication regarding maintenance needs. The Administrator and DON were not fully informed of the extent of the issues, highlighting deficiencies in the facility's maintenance and reporting systems.
A treatment cart was found unlocked and unattended in a facility hallway, contrary to policy requiring secure storage of medications. An RN left the cart while administering medications, acknowledging the risk posed by nearby cognitively impaired residents. Interviews with staff confirmed the expectation for carts to remain locked when not in use.
The facility failed to maintain effective infection control, as staff did not use PPE during care for two residents with indwelling devices, despite available signage and equipment. Additionally, unlabeled and uncovered bedpans and wash basins were found in bathrooms, contrary to infection control protocols. Staff interviews confirmed these practices posed infection risks, highlighting gaps in adherence to infection control measures.
Failure to Substantiate and Protect Resident from Peer-to-Peer Physical Abuse
Penalty
Summary
The facility failed to protect a resident from physical abuse by another resident when it did not substantiate abuse despite a reported physical altercation and observable signs consistent with being struck. One resident with a history of aggressive behavior and a psychiatric diagnosis reported to a psychiatric mental health NP that they became angry when another resident took their wheelchair and that they hit the other resident, stating they had previously warned they would do so. An internal facility report documented that this resident punched the other resident on the arm as they passed in the hallway, and that staff heard the aggressor curse and admit to hitting the other resident. The resident who was reportedly struck had been admitted with a medical history including wedge compression fractures of thoracic vertebrae 11 and 12, unspecified dementia, anxiety, and repeated falls, and had a BIMS score indicating moderate cognitive impairment. This resident’s care plan identified impaired cognitive function and directed staff to observe for changes in cognitive status. On the night of the incident, staff statements indicated that yelling was heard between the two residents, and that the allegedly abused resident was observed holding their right shoulder/arm. When assessed by nursing staff, this resident was holding their right arm and could not recall what had happened. Despite the aggressor’s admission to staff that they had hit the other resident, corroborating staff observations of verbal aggression and the other resident holding their arm/shoulder, the facility’s investigation concluded that abuse could not be substantiated because no physical or emotional harm was identified. The facility’s abuse protection policy states that each resident has the right to be free from abuse by anyone, including other residents, and defines physical abuse as including hitting. The administrator later confirmed that, even though the resident admitted to hitting and staff observed the other resident holding their arm/shoulder, the facility did not substantiate physical or verbal abuse.
Failure to Timely Report Resident-to-Resident Abuse Allegation to State Agency
Penalty
Summary
The deficiency involves the facility’s failure to timely report an allegation of resident-to-resident physical abuse to the state survey agency (SA) within the required two-hour timeframe. The facility’s abuse policy addressed reporting and response, including reporting to state agencies as required, but did not specify timeframes for reporting abuse allegations. Resident #100, who had a history of thoracic vertebrae compression fractures, unspecified dementia, anxiety, and repeated falls, and had a BIMS score of 9 indicating moderate cognitive impairment, was involved in the incident. Resident #99, who had diagnoses including major depressive disorder, adjustment disorder, low back pain, peripheral vascular disease, and a right below-knee amputation, and who used a wheelchair and had a BIMS score of 13 indicating intact cognition, was identified as the resident who punched Resident #100 on the arm as they passed in the hallway. Record review showed that the incident occurred at approximately 2:00 AM on 07/01/2025. LPN #4 reported that she notified the Administrator and the DON of the allegation at approximately 2:30 AM, in accordance with the expectation that staff immediately report allegations to the Abuse Coordinator (the Administrator) and that abuse allegations be reported to the SA within two hours. The Administrator confirmed awareness of the two-hour reporting requirement and stated that the incident occurred around 2:00–3:00 AM, but acknowledged that she did not report the allegation to the SA until 11:30 AM, as evidenced by the automatic reply email from the SA time-stamped 11:30 AM on 07/01/2025. This resulted in the allegation being reported approximately nine hours after the incident, rather than within the required two-hour timeframe.
Environmental Hazards and Maintenance Deficiencies
Penalty
Summary
The facility failed to maintain a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. Observations revealed multiple environmental hazards, including blunt metal plumbing protruding from walls in bathrooms, uneven flooring in hallways and resident bathrooms, inadequate lighting, and pervasive odors. Additionally, there were issues with leaking pipes in the kitchen, chipped and peeling paint, rust on door frames, and scuff marks on doors and walls. These conditions posed potential impalement concerns, fall risks, and did not provide a homelike environment. Interviews with residents and staff highlighted the impact of these deficiencies. One resident expressed frustration over a broken toilet paper dispenser, which required assistance from nursing staff to retrieve toilet paper from the floor. Another resident reported inadequate bathroom lighting, necessitating leaving the door open for visibility. The Maintenance Director admitted to not regularly checking the electronic system for repair requests and was unaware of several issues, including uneven flooring and plumbing hazards. The Environmental Services Director acknowledged the odors and uneven flooring, attributing them to past flooding and adhesive issues. The facility's management, including the Administrator and Director of Nursing, were not fully aware of the extent of the environmental issues. The Administrator did not routinely access the computerized reporting system for maintenance issues and was unaware of the impalement hazards until recently. The Director of Nursing expected a safe and homelike environment but acknowledged the potential risks posed by the visible plumbing and uneven flooring. Despite daily rounds, the Administrator did not inspect resident bathrooms, and there was no clear system for tracking maintenance issues.
Medication Storage Deficiency
Penalty
Summary
The facility failed to ensure that all medications were securely stored, as evidenced by an unlocked and unattended treatment cart on the North Main Hallway. During an observation, a Registered Nurse (RN1) was found to have left the treatment cart unlocked while administering medications in a resident's room, leaving the cart approximately 12-15 feet away from him. This action was contrary to the facility's policy, which requires medication compartments to be locked when not in use and carts not to be left unattended if unlocked. Interviews with RN1, the Licensed Practical Nurse/Unit Manager (LPN/UM1), the Director of Nursing (DON), and the Administrator confirmed the expectation that treatment carts should remain locked when not attended by staff. RN1 acknowledged the presence of cognitively impaired residents who were independently mobile and could potentially access the cart's contents, posing a risk of harm or injury. The DON and Administrator reiterated the importance of securing medications to prevent residents from accessing them, emphasizing the facility's commitment to maintaining a safe environment for residents.
Infection Control Deficiencies in PPE Use and Equipment Storage
Penalty
Summary
The facility failed to maintain an effective infection control program, particularly in the implementation of enhanced barrier precautions for residents with indwelling devices. Two residents, one with Alzheimer's dementia and gastrostomy status, and another with cerebral palsy and gastrostomy status, were observed receiving tube site care without the registered nurse donning the required personal protective equipment (PPE), such as gowns. Despite the presence of signage and PPE containers, the nurse was unaware of the necessity to wear PPE, indicating a lack of understanding and adherence to the facility's infection control policies. Additionally, the facility was found to have unlabeled and uncovered bedpans and wash basins in resident bathrooms, which were not stored according to infection control protocols. These items were supposed to be labeled with the resident's room and bed number, covered, and stored in the bottom drawer of resident rooms to prevent the spread of infection. Interviews with staff, including a CNA and LPN, confirmed that the improper storage of these items posed an infection control risk, as they could facilitate the transmission of bacteria between residents and staff. The facility's infection preventionist and director of nursing acknowledged the lapses in infection control practices, emphasizing the importance of proper labeling and storage of bedpans and wash basins. They also highlighted the need for staff to wear appropriate PPE when providing care to residents with indwelling devices. Despite regular infection control training and audits, these deficiencies were observed, suggesting a gap in the consistent application of infection control measures across the facility.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 11 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Pikeville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Elkhorn Health & Rehabilitation | 15.3 mi | ★★★★★ | 0 | 0 |
| Riverview Health Care Center | 18 mi | ★★★★★ | 0 | 0 |
| Prestonsburg Health Care Center | 19 mi | ★★★★★ | 0 | 0 |
| Tug Valley Arh Skilled Nursing Facility | 19.3 mi | ★★★★★ | 0 | 0 |
| Trinity Health Care Of Mingo | 20.2 mi | ★★★★★ | 11 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.