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Tug Valley ARH Skilled Nursing Facility

All states › Kentucky › South Williamson › Tug Valley ARH Skilled Nursing Facility

260 Hospital Drive South Williamson, KY 41503 · Pike County

(606) 237-1725

Accepts Medicare Accepts Medicaid 34 certified beds Non profit

CMS certification number 185172 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Tug Valley ARH Skilled Nursing Facility 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 Tug Valley ARH Skilled Nursing Facility as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Kentucky average of 3.0. Inspectors issued 12 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 2 out of 5.

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.

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Staffing

Nursing staff spend about 6.18 hours per resident per day at Tug Valley ARH Skilled Nursing Facility, above the Kentucky median of 3.75 (US median: 3.72). About 2.02 of those hours are from registered nurses. On weekends it falls to 5.60 hours, 9% below its all-week average. 31.3% of nursing staff left within a year (Kentucky median 44.3%). That is lower than most homes in Kentucky, a sign of a steadier team. 2 administrators left in the past year.

Nursing care per resident per day 6.18 hours
Above the Kentucky median of 3.75 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 2.02 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 5.60 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 31.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 11.1% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds34
Residents per day 22 About 64% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJune 1984
Legal business nameAPPALACHIAN REGIONAL HEALTHCARE INC

Paying for care at Tug Valley ARH Skilled Nursing Facility: Medicare and Medicaid

Tug Valley ARH Skilled Nursing Facility 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 June 18, 2025 and found 1 deficiency. In total, inspectors issued 12 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 12 citations at Tug Valley ARH Skilled Nursing Facility across 3 inspection dates, 4 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 12 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 (3) and administration (2). The most serious was cited under the CMS rule to "have 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" (tag F0727, level F, March 3, 2023). 1 citation was under CMS's abuse, neglect and exploitation rules.

June 27, 2025 · 4 citations · includes complaint inspection

DProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0568 · Complaint inspection · Deficient, Provider has date of correction (Jul 30, 2025)

DProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Deficient, Provider has date of correction (Jul 30, 2025)

DAdminister the facility in a manner that enables it to use its resources effectively and efficiently.

Potential for more than minimal harm · Administration Deficiencies · Tag F0835 · Complaint inspection · Deficient, Provider has date of correction (Jul 30, 2025)

DEstablish 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.

Potential for more than minimal harm · Administration Deficiencies · Tag F0837 · Complaint inspection · Deficient, Provider has date of correction (Jul 30, 2025)

June 18, 2025 · 1 citation

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jul 3, 2025)

March 3, 2023 · 7 citations

FHave 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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Apr 27, 2023)

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Apr 27, 2023)

ETry 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0700 · Deficient, Provider has date of correction (Apr 27, 2023)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Apr 27, 2023)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Apr 27, 2023)

DRegularly 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.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0909 · Deficient, Provider has date of correction (Apr 27, 2023)

DHave policies on smoking.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0926 · Deficient, Provider has date of correction (Apr 27, 2023)

Questions to ask on a tour of Tug Valley ARH Skilled Nursing Facility

  1. CMS cited the home under its abuse and neglect rules on June 27, 2025. How are staff trained, and how are concerns reported?
  2. Several administrators left in the past year. What has changed for residents since then?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. 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 monthOverallInspectionStaffingQuality
October 2026 4/5 3/5 5/5 2/5
August 2026 4/5 3/5 5/5 2/5
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Location

Hospitals near Tug Valley ARH Skilled Nursing Facility

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 0.0 mi
    Williamson Arh Hospital South Williamson
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 2h 48m for patients treated and sent home
  • 1.3 mi
    Williamson Memorial INC Williamson
    No ER listed in Medicare data
  • 18.8 mi
    Pikeville Medical Center Pikeville
    Emergency room ★☆☆☆☆ Medicare overall 1 of 5
    Median ER visit 3h 46m 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

Good Shepherd Health and Rehabilitation Phelps · 15.3 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 118 beds · Medicaid
Martin County Health Care Facility Inez · 18.3 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 65 beds · Medicaid
Pikeville Nursing and Rehab Center Pikeville · 19.3 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 106 beds · Medicaid
Riverview Health Care Center Prestonsburg · 24.6 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 121 beds · Medicaid
Prestonsburg Health Care Center Prestonsburg · 26.0 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 56 beds · Medicaid

More nursing homes near Tug Valley ARH Skilled Nursing Facility ›   All nursing homes in South Williamson ›

Compare Tug Valley ARH Skilled Nursing Facility with the 3 closest homes side by side ›

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.

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https://www.nursinghomesineachstate.com/kentucky/south-williamson/tug-valley-arh-skilled-nursing-facility/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.