Salyersville Nursing and Rehabilitation Center
Medicare’s overall rating for this home. The inspection part of it is graded on a curve against other Kentucky homes, so a star here does not mean what it means in another state.
Staffing
Where the benchmark comes from
Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.
What inspectors found
Inspectors visit every nursing home and write up what they find. This home has 39 findings on record going back to 2019, 12 of them after someone filed a complaint. Of the 39, 25 are from the last three years.
The 18 serious findings here
Bedsores
The home did not prevent or properly treat pressure sores.
The home fixed this on June 25, 2025.
Medicare’s wording
Federal tag F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident not protected from abuse or neglect
The home did not protect a resident from abuse or neglect by anyone.
The home fixed this on August 22, 2025.
Medicare’s wording
Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
No proper plan of care
The home did not write or follow a full written plan for how a resident’s needs would be met.
The home fixed this on August 22, 2025.
Medicare’s wording
Federal tag F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Poorly run
The home was not managed in a way that let it provide proper care.
The home fixed this on August 22, 2025.
Medicare’s wording
Federal tag F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Records lost or shared
The home did not keep proper medical records, or did not keep private information about residents safe.
The home fixed this on August 22, 2025.
Medicare’s wording
Federal tag F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
No quality improvement plan
The home did not have a written plan showing how it checks and improves the care it gives.
The home fixed this on August 22, 2025.
Medicare’s wording
Federal tag F865Have a plan that describes the process for conducting QAPI and QAA activities.
Quality of care
A resident did not get treatment and care that followed their orders, their own preferences and their goals.
The home fixed this on June 25, 2025.
Medicare’s wording
Federal tag F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Bedsores
The home did not prevent or properly treat pressure sores.
The home fixed this on June 25, 2025.
Medicare’s wording
Federal tag F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Late reporting
The home did not report a suspected incident within the time the law requires.
The home fixed this on August 22, 2025.
Medicare’s wording
Federal tag F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition
A resident did not get enough food or fluids to stay healthy.
The home fixed this on August 22, 2025.
Medicare’s wording
Federal tag F692Provide enough food/fluids to maintain a resident's health.
Pain
A resident’s pain was not properly treated.
The home fixed this on June 25, 2025.
Medicare’s wording
Federal tag F697Provide safe, appropriate pain management for a resident who requires such services.
Failure to investigate
The home did not properly look into a reported incident.
The home fixed this on August 22, 2025.
Medicare’s wording
Federal tag F610Respond appropriately to all alleged violations.
Accidents and supervision
The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.
The home fixed this on May 6, 2019.
Medicare’s wording
Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No proper plan of care
The home did not write or follow a full written plan for how a resident’s needs would be met.
The home fixed this on May 6, 2019.
Medicare’s wording
Federal tag F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaints not handled
The home did not handle a complaint properly, or treated a resident badly for making one.
The home fixed this on April 20, 2019.
Medicare’s wording
Federal tag F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Breathing care missed
The home did not give a resident safe and proper care for their breathing when they needed it.
The home fixed this on April 20, 2019.
Medicare’s wording
Federal tag F695Provide safe and appropriate respiratory care for a resident when needed.
Medication errors
The home did not keep a resident free of a significant medication error.
The home fixed this on April 20, 2019.
Medicare’s wording
Federal tag F760Ensure that residents are free from significant medication errors.
Poorly run
The home was not managed in a way that let it provide proper care.
The home fixed this on May 6, 2019.
Medicare’s wording
Federal tag F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Everything on record
266 of the 267 nursing homes in Kentucky have fewer findings of harm or immediate jeopardy on record than this one.
What these levels mean
JImmediate jeopardy The most serious finding there is. Medicare’s words: noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death. About 2 in every 100 findings nationally.
GActual harm A resident was really hurt, not just put at risk. About 3 in every 100 findings.
The letter is Medicare’s own code for how many residents were involved. Immediate jeopardy covers J, K and L. Actual harm covers G, H and I. The later the letter, the more residents were affected.
The plain-English line under each finding describes the rule the inspector cited. It is not an account of what happened. Medicare’s own wording of the rule is printed with it, and the full inspection report is the record of the incident.
This home has 2 findings under three federal tags that are counted together, and they do not all mean abuse: F600 is abuse or neglect, F602 is the wrongful use of a resident’s belongings or money, and F603 is involuntary seclusion. Medicare also publishes a separate abuse warning icon, which is narrower and time-limited, and this home also carries it.
What you can do
Numbers only go so far. These are two things most families do not know they can do.
Ask for today’s staffing sheet
Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.
Call the ombudsman before you decide
Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.
Where this comes from
Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 185221.
What these numbers do not say
Fines can be appealed and reduced. The amount shown is what CMS had recorded as of this release. Medicare’s penalties file covers a rolling window of the last few years rather than a home’s whole history, so this is what Medicare publishes today and not everything this home has ever been fined. The year beside the figure above is the earliest fine Medicare still lists for it.
The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.
Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.