Nursing HomeInspections

Tug Valley ARH Skilled Nursing Facility

Nursing home in South Williamson, KY

Medicare & Medicaid certified4★ overall (CMS)

Call (606) 237-1725Send a messageMap ↗

Public-record details

Address
260 Hospital Drive, South Williamson, KY 41503
Phone
(606) 237-1725
Listed under
Nonprofit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
185172
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
5 of 5
Quality measures rating
2 of 5
Certified beds
34
Average residents per day
21
Ownership
Nonprofit, corporation
Legal business name
Appalachian Regional Healthcare INC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 5, 1984
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 185172. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 18, 2025. CMS lists 12 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 3, 2023 to Jun 27, 2025): 4 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 27, 2025Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 27, 2025Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 27, 2025Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 27, 2025Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed…
Administration · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 18, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 3, 2023Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 3, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 3, 2023Regularly 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.
Environmental		D
Potential for more than minimal harm, isolated
Mar 3, 2023Have policies on smoking.
Environmental		D
Potential for more than minimal harm, isolated
Mar 3, 2023Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Mar 3, 2023Try 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…
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Mar 3, 2023Have 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.
Nursing and Physician Services		F
Potential for more than minimal harm, widespread

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
6.45 hours
Registered nurse (RN) time per resident per day
2.07 hours
Nurse aide time per resident per day
2.21 hours
Total nurse staffing on weekends
5.89 hours
Nursing staff turnover (yearly)
33%
RN turnover (yearly)
10%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.