Nicholasville Nursing and Rehabilitation
100 Sparks Avenue · Nicholasville, KY · 40356 · 8598854171
73 certified beds For profit - Limited Liability company Chain: David Marx
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
80% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.49 | 0.55–0.75 |
| Weekend hours / resident-day | 3.03 | ≈ weekday level |
| Nursing turnover / year | 80% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (25 in the current record)
-
Potential for harm · E August 22, 2025
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.
Corrected September 18, 2025 · Pharmacy Service
-
Potential for harm · E August 22, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 18, 2025 · Infection Control
-
Potential for harm · D September 12, 2024
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.
Corrected October 16, 2024 · Resident Rights
-
Potential for harm · D September 12, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected October 16, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D September 12, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 16, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D September 12, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 16, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D September 12, 2024
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected October 16, 2024 · Quality of Life and Care
-
Potential for harm · D September 12, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 16, 2024 · Quality of Life and Care
-
Potential for harm · F September 12, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 16, 2024 · Pharmacy Service
-
Potential for harm · F September 12, 2024
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.
Corrected October 16, 2024 · Pharmacy Service
-
Potential for harm · F September 12, 2024
Provide and implement an infection prevention and control program.
Corrected October 16, 2024 · Infection Control
-
Potential for harm · E September 12, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 16, 2024 · Infection Control
-
Potential for harm · D September 12, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected October 16, 2024 · Quality of Life and Care
-
Potential for harm · E September 12, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 16, 2024 · Nursing and Physician Services
-
Potential for harm · D July 13, 2023 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected August 1, 2023 · Resident Rights
-
Potential for harm · D July 13, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 1, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D July 13, 2023 · found via complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected August 1, 2023 · Resident Assessment and Care Planning
-
Potential for harm · E July 13, 2023 · found via complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected August 1, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D August 29, 2019
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.
Corrected October 11, 2019 · Resident Rights
-
Potential for harm · D August 29, 2019
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 11, 2019 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D August 29, 2019
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected October 11, 2019 · Resident Assessment and Care Planning
-
Potential for harm · D August 29, 2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 11, 2019 · Resident Assessment and Care Planning
-
Potential for harm · D August 29, 2019
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.
Corrected October 11, 2019 · Quality of Life and Care
-
Potential for harm · E August 29, 2019
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.
Corrected October 11, 2019 · Pharmacy Service
-
Potential for harm · E August 29, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 11, 2019 · Nutrition and Dietary
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 185220 · certified since November 16, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.