Nursing homeActive

Tug Valley ARH Skilled Nursing Facility

260 Hospital Drive, South Williamson, KY 41503606237172534 certified beds · 21 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2019
Deficiencies
12
0120
Penalties · 3 yrs
none on file
Last survey
2025-06-27
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 5
Quality 2
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Kentucky Office of Inspector General · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-06-27Complaint040CMS-2567 (Care Compare)
2025-06-18Standard010CMS-2567 (Care Compare)
2023-03-03Standard070CMS-2567 (Care Compare)
2019-10-17Standard000CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Kentucky Office of Inspector General publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-06-27Complaint survey · 4 deficienciesOfficial report
F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-30Record 185172-20250627-F568
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-30Record 185172-20250627-F602
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-30Record 185172-20250627-F835
F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-30Record 185172-20250627-F837
2025-06-18Standard survey · 1 deficiencyOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-03Record 185172-20250618-F656
2023-03-03Standard survey · 7 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-27Record 185172-20230303-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-27Record 185172-20230303-F657
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-27Record 185172-20230303-F689
F700Try 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-27Record 185172-20230303-F700
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-04-27Record 185172-20230303-F727
F909Regularly 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.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-27Record 185172-20230303-F909
F926Have policies on smoking.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-27Record 185172-20230303-F926

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day2.07
Facility
Kentucky
National
Kentucky 0.79 · National 0.69
Total nurse hours per resident day6.45
Facility
Kentucky
National
Kentucky 3.95 · National 3.86
Weekend total nurse hours5.89
Facility
Kentucky
National
Kentucky 3.48 · National 3.42
Total nursing staff turnover33%
Facility
Kentucky
National
Kentucky 46% · National 46%
Registered nurse turnover10%
Facility
Kentucky
National
Kentucky 42% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityKentuckyNational
Percentage of long-stay residents with pressure ulcers
lower is better
7.4%4.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.0%3.9%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
10.5%16.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
15.9%1.6%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.2%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
12.2%13.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
17.5%6.6%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
43.8%29.8%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Coley, Jennifer
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Francis, Garett
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Harris, Hollie
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Johnson, Vanessa
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lee, Christi
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Vaughn, Paula
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Allman, Ken
Individual
CORPORATE DIRECTORNOT APPLICABLE
Anderson, Joann
Individual
CORPORATE DIRECTORNOT APPLICABLE
Bergman, Sonya
Individual
CORPORATE OFFICERNOT APPLICABLE
Braman, Maria
Individual
CORPORATE OFFICERNOT APPLICABLE
Campbell, Dustin
Individual
CORPORATE DIRECTORNOT APPLICABLE
Coley, Jennifer
Individual
ADP OF THE SNFNOT APPLICABLE
Couch, Gregory
Individual
CORPORATE DIRECTORNOT APPLICABLE
Dunn, Samuel
Individual
CORPORATE DIRECTORNOT APPLICABLE
Ellis, Martha
Individual
CORPORATE DIRECTORNOT APPLICABLE
Evans, Randall
Individual
CORPORATE DIRECTORNOT APPLICABLE
Francis, Garett
Individual
ADP OF THE SNFNOT APPLICABLE
Gabbard, Byron
Individual
CORPORATE OFFICERNOT APPLICABLE
Harris, Hollie
Individual
CORPORATE OFFICERNOT APPLICABLE
Hollon, Jeffrey
Individual
CORPORATE DIRECTORNOT APPLICABLE
Lee, Christi
Individual
CORPORATE OFFICERNOT APPLICABLE
Massey, Andrea
Individual
CORPORATE DIRECTORNOT APPLICABLE
Newman, Karen
Individual
CORPORATE DIRECTORNOT APPLICABLE
Rust, Michael
Individual
CORPORATE DIRECTORNOT APPLICABLE
Sizemore, Onzie
Individual
CORPORATE DIRECTORNOT APPLICABLE
Vaughn, Paula
Individual
ADP OF THE SNFNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Kentucky.

No county cost figures on file for Pike.

Nearby nursing homes

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Trinity Health Care Of Mingo
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Good Shepherd Health and Rehabilitation
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15.3 mi2026-01-22036
Martin County Health Care Facility
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18.3 mi2025-11-20010
Pikeville Nursing and Rehab Center, LLC
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Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01