All states › Kentucky › Prestonsburg › Prestonsburg Health Care Center
147 North Highland Avenue Prestonsburg, KY 41653 · Floyd County
All 2 nursing homes in Prestonsburg, KY (2 take Medicaid)
CMS certification number 185304 · See this home on Medicare Care Compare
Is Prestonsburg Health Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Prestonsburg Health Care Center as of October 2026.
CMS rates it 5 out of 5 stars overall, above the Kentucky average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.19 hours per resident per day at Prestonsburg Health Care Center, above the Kentucky median of 3.75 (US median: 3.72). About 1.05 of those hours are from registered nurses. On weekends it falls to 3.55 hours, 15% below its all-week average. Ask how weekends are staffed. 38.5% of nursing staff left within a year (Kentucky median 44.3%).
About this nursing home
Paying for care at Prestonsburg Health Care Center: Medicare and Medicaid
Prestonsburg Health Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Kentucky's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 7, 2025 and found 0 deficiencies. In total, inspectors issued 4 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 4 citations at Prestonsburg Health Care Center across 2 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 4 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident assessment and care planning (2) and administration (1). The most serious was cited under the CMS rule to "arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services" (tag F0849, level D, August 26, 2022).
August 26, 2022 · 1 citation
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
September 27, 2019 · 3 citations
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Prestonsburg Health Care Center
- Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 5/5 | 4/5 | 5/5 |
| August 2026 | 5/5 | 5/5 | 4/5 | 5/5 |
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Location
Hospitals near Prestonsburg Health Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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4.1 mi
Highlands Regional Medical Center PrestonsburgEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 10m for patients treated and sent home
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6.7 mi
Arh Our Lady of the Way MartinEmergency roomMedian ER visit 1h 24m for patients treated and sent home
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10.3 mi
Paintsville Arh Hospital PaintsvilleEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 45m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Signature Healthcare nursing homes in Kentucky
- Riverside Care & Rehabilitation Center · Calhoun · 5 stars
- Signature Healthcare of Monroe County Rehab and Wellness · Tompkinsville · 5 stars
- Hermitage Care and Rehabilitation Center · Owensboro · 5 stars
- Signature Healthcare of Hart County Rehab & Wellness · Horse Cave · 5 stars
- Signature Healthcare at Jefferson Manor Rehab & Wellness · Louisville · 5 stars
- Signature Healthcare at Rockford Rehab & Wellness · Louisville · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 67 Signature Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.