Skilled nursing facility · CMS certification number 185157
Rockcastle Regional Hospital and Respiratory Care
Mount Vernon, Kentucky · Medicare and Medicaid
Certified beds, as filed in Care Compare: 143
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
No Medicare cost report on file for this facility.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| ESTES, STEPHEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/02/2025 |
| SAYLOR, KAREN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/28/2025 |
| BASTIN, CHRISTOPHER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/27/2014 |
| ESTES, STEPHEN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/01/2002 |
| BURDETTE, JEFFREY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/30/2009 |
| LAMBERT, DEBRA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/27/2001 |
| LAMBERT, JOSEPH | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/01/1987 |
| TOWERY, BIGE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/12/1983 |
| ESTES, STEPHEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2002 |
| BURDETTE, JEFFREY | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 06/30/2009 |
| LAMBERT, DEBRA | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 11/27/2001 |
| LAMBERT, JOSEPH | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 11/01/1987 |
| TOWERY, BIGE | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 05/28/1983 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of ROCKCASTLE COUNTY HOSPITAL, INC. (enrollment ID O20090820000148).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| KAREN B SAYLOR | Individual | ADP OF THE SNF | Not stated in the filing | 4/28/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN ESTES | Individual | ADP OF THE SNF | Not stated in the filing | 6/2/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTOPHER BASTIN | Individual | CORPORATE OFFICER | 50 | 5/27/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN ESTES | Individual | CORPORATE OFFICER | 50 | 7/1/2002 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BIGE TOWERY | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 7/12/1983 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEBRA LAMBERT | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 11/27/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFFREY BURDETTE | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/30/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSEPH LAMBERT | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 11/1/1987 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN ESTES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2002 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BIGE TOWERY | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 5/28/1983 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEBRA LAMBERT | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 11/27/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFFREY BURDETTE | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 6/30/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSEPH LAMBERT | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 11/1/1987 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2025: DEBRA LAMBERT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JEFFREY BURDETTE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CHRISTOPHER BASTIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOSEPH LAMBERT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BIGE TOWERY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KAREN B SAYLOR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DEBRA LAMBERT (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 27, 2001. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DEBRA LAMBERT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 27, 2001. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JEFFREY BURDETTE (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 30, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JEFFREY BURDETTE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 30, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: STEPHEN ESTES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: STEPHEN ESTES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since July 1, 2002. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOSEPH LAMBERT (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 1, 1987. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOSEPH LAMBERT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 1, 1987. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BIGE TOWERY (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 28, 1983. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BIGE TOWERY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since July 12, 1983. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
Recent changes on this record
- July 1, 2025: DEBRA LAMBERT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JEFFREY BURDETTE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CHRISTOPHER BASTIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOSEPH LAMBERT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BIGE TOWERY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KAREN B SAYLOR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DEBRA LAMBERT (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 27, 2001. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DEBRA LAMBERT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 27, 2001. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JEFFREY BURDETTE (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 30, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JEFFREY BURDETTE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 30, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: STEPHEN ESTES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: STEPHEN ESTES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since July 1, 2002. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOSEPH LAMBERT (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 1, 1987. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOSEPH LAMBERT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 1, 1987. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BIGE TOWERY (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 28, 1983. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BIGE TOWERY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since July 12, 1983. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 26, 2025 | March 26, 2025 | 3 | 9 |
| 2 | October 11, 2019 | October 11, 2019 | 0 | 0 |
| 3 | August 30, 2018 | August 30, 2018 | 1 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
4 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 26, 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | April 18, 2025 |
| March 26, 2025 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has date of correction | April 18, 2025 |
| March 26, 2025 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | April 18, 2025 |
| August 30, 2018 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | September 30, 2018 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | ROCKCASTLE COUNTY HOSPITAL, INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 1980-01-25 |
| Provider Resides in Hospital | Y |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Rockcastle |
| Telephone Number | 6062562195 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 143 |
| Average Number of Residents per Day | 113.9 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
One email a day naming what moved on Rockcastle Regional Hospital and Respiratory Care: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On July 1, 2025: DEBRA LAMBERT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Rockcastle Regional Hospital and Respiratory Care
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Kentucky at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 185157.