Below average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Signature Healthcare Of Mccreary County Rehab And during CMS and state inspections, most recent first.
A resident with a stroke history and moderate cognitive impairment had a care plan requiring two staff for transfers, but a CNA transferred the resident alone from a wheelchair to bed. The resident’s legs gave out, she was assisted to the floor and then onto the bed, and the incident was not reported right away because the CNA did not think it was a fall. The resident later developed bruising, pain, and swelling, and x-rays showed an acute distal tibia fracture.
Failure to Provide Required Transfer Assistance Led to Resident Injury: A resident with stroke-related weakness and moderate cognitive impairment was care planned for two-person assist with all transfers, but a CNA transferred the resident alone and lowered the resident to the floor when the resident’s legs gave out. The incident was not promptly reported, and the resident later developed bruising, swelling, pain, and an acute distal tibia fracture. The record did not document a root cause for the fall.
Failure to Follow Transfer Care Plan Led to Unreported Fall-Related Injury
Penalty
Summary
The facility failed to ensure staff followed the resident’s written care plan interventions for transfers for one resident who had a history of stroke with hemiparesis and hemiplegia and was assessed as moderately cognitively impaired. The resident’s comprehensive care plan identified a need for assistance with ADLs and stated she required two staff for all transfers. After a fall-related incident, the care plan was later updated to include use of a mechanical lift for transfers. On 10/14/2025, a CNA transferred the resident from her wheelchair to her bed without assistance from another staff member, despite the care plan directing two-person assist for transfers. The CNA stated the resident’s legs gave out while she was helping her stand, and she assisted the resident to the floor before lifting her onto the bed. The CNA said the resident did not complain of pain at the time and that she did not report the incident because she believed it was not considered a fall since she had assisted the resident to the floor. The resident later developed bruising, pain, redness, warmth, and swelling of the right lower extremity, and x-rays were obtained after the nurse practitioner was notified. The x-rays showed an acute distal tibia fracture. Interviews with staff showed the incident was not reported until the following week, and the LPN on duty at the time stated she was not made aware of the event until then. The facility’s records and staff statements showed the resident was transferred in a manner that did not follow the existing care plan at the time of the incident.
Failure to Provide Required Transfer Assistance Led to Resident Injury
Penalty
Summary
The facility failed to ensure adequate supervision and assistance to prevent injury for one resident who was care planned for two-person assistance with all transfers. The resident had a history of hemiplegia and hemiparesis following a stroke and was assessed as having moderate cognitive impairment. The comprehensive care plan identified impaired physical functioning and medical conditions, and the resident was supposed to receive two staff for all transfers. On 10/14/2025, a CNA transferred the resident from a wheelchair to the bed by herself. When the resident was assisted to a standing position, the resident’s legs gave out, and the CNA used her knee behind the resident to lower her to the floor. The CNA then lifted the resident back onto the bed by the back of the pants and under the legs. The CNA stated she did not report the incident because she thought assisting the resident to the floor was not considered a fall. She also stated she had transferred the resident numerous times by herself without difficulty and did not recall the specific transfer instructions in the care plan at that time. Another CNA later stated she was called to assist and found the resident on the floor with her back against the bed, after which a Hoyer lift was used to return the resident to bed. The LPN on duty stated she was not made aware of the incident until the following week. The resident later developed bruising, redness, swelling, and pain in the right lower leg, and x-rays showed an acute distal tibia fracture. The record also showed no documentation of a root cause identified for the resident’s fall.
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Illustrative
What surveyors actually found near you
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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.
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Nursing homes near Pine Knot
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Oneida Nursing And Rehab Center | 9.2 mi | ★★★★★ | 0 | 0 |
| Williamsburg Health & Rehabilitation Center | 15.8 mi | ★★★★★ | 4 | 0 |
| Huntsville Post-acute And Rehabilitation Center | 17.1 mi | ★★★★★ | 8 | 0 |
| Beech Tree Health And Rehabilitation | 18 mi | ★★★★★ | 0 | 0 |
| Corbin Health And Rehabilitation Center | 25.3 mi | ★★★★★ | 0 | 0 |
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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 August 2026) and official state health department websites.