Skilled nursing facility · CMS certification number 185172
Tug Valley ARH Skilled Nursing Facility
South Williamson, Kentucky · Medicare and Medicaid
Certified beds, as filed in Care Compare: 34
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 |
|---|---|---|---|---|
| COLEY, JENNIFER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/24/2025 |
| FRANCIS, GARETT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/24/2025 |
| VAUGHN, PAULA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/04/2025 |
| ALLMAN, KEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/08/2019 |
| ANDERSON, JOANN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/02/2017 |
| CAMPBELL, DUSTIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/11/2022 |
| COUCH, GREGORY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/08/2013 |
| DUNN, SAMUEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/05/2021 |
| ELLIS, MARTHA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/08/2024 |
| EVANS, RANDALL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/08/2013 |
| HOLLON, JEFFREY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/02/2012 |
| MASSEY, ANDREA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/08/2019 |
| NEWMAN, KAREN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/08/2019 |
| RUST, MICHAEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/08/2019 |
| SIZEMORE, ONZIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/05/2014 |
| BERGMAN, SONYA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/05/2021 |
| BRAMAN, MARIA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/07/2016 |
| GABBARD, BYRON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/02/2023 |
| HARRIS, HOLLIE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/10/2021 |
| LEE, CHRISTI | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/05/2021 |
| COLEY, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2025 |
| FRANCIS, GARETT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2025 |
| HARRIS, HOLLIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/10/2021 |
| JOHNSON, VANESSA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/05/2021 |
| LEE, CHRISTI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/05/2021 |
| VAUGHN, PAULA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/12/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of APPALACHIAN REGIONAL HEALTHCARE INC (enrollment ID O20100810000902).
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 |
|---|---|---|---|---|---|
| GARETT CHARLES FRANCIS | Individual | ADP OF THE SNF | Not stated in the filing | 12/24/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JENNIFER COLEY | Individual | ADP OF THE SNF | Not stated in the filing | 12/24/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAULA VAUGHN | Individual | ADP OF THE SNF | Not stated in the filing | 12/4/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANDREA MASSEY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 11/8/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DUSTIN S CAMPBELL | Individual | CORPORATE DIRECTOR | Not stated in the filing | 11/11/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREGORY COUCH | Individual | CORPORATE DIRECTOR | Not stated in the filing | 11/8/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFFREY HOLLON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 11/2/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOANN ANDERSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 11/2/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KAREN NEWMAN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 11/8/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEN ALLMAN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 11/8/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARTHA N ELLIS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 11/8/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL RUST | Individual | CORPORATE DIRECTOR | Not stated in the filing | 11/8/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ONZIE SIZEMORE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 11/5/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANDALL EVANS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 11/8/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SAMUEL DUNN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 11/5/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BYRON LYNN GABBARD | Individual | CORPORATE OFFICER | Not stated in the filing | 11/2/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTI LEE | Individual | CORPORATE OFFICER | Not stated in the filing | 11/5/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HOLLIE HARRIS | Individual | CORPORATE OFFICER | Not stated in the filing | 5/10/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARIA BENOIT BRAMAN | Individual | CORPORATE OFFICER | Not stated in the filing | 3/7/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SONYA BERGMAN | Individual | CORPORATE OFFICER | Not stated in the filing | 11/5/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTI LEE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/5/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GARETT CHARLES FRANCIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HOLLIE HARRIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/10/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JENNIFER COLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAULA VAUGHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/12/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VANESSA JOHNSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/5/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- March 1, 2026: JOANNA L SANTIESTEBAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SUSAN RENAE NEACE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DANNY HARRIS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: THEODORE T MYRE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LARRY B FRANCIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BESSIE ELLEN WRIGHT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GREGORY PAULEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TIMOTHY HATFIELD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JULIE ROSE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GREGORY A WILSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KAREN NEWMAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 8, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JENNIFER COLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since December 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JENNIFER COLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: VANESSA JOHNSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 5, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BYRON LYNN GABBARD (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 2, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GARETT CHARLES FRANCIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since December 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GARETT CHARLES FRANCIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DUSTIN S CAMPBELL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 11, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PAULA VAUGHN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since December 4, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PAULA VAUGHN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 12, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CHRISTI LEE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 5, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MARTHA N ELLIS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: HOLLIE HARRIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 10, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SONYA BERGMAN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 5, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- April 1, 2025: BONITA COMPTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- September 1, 2024: DUANNE G THOMPSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- March 1, 2026: JOANNA L SANTIESTEBAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SUSAN RENAE NEACE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DANNY HARRIS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: THEODORE T MYRE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LARRY B FRANCIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BESSIE ELLEN WRIGHT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GREGORY PAULEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TIMOTHY HATFIELD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JULIE ROSE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GREGORY A WILSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KAREN NEWMAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 8, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JENNIFER COLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since December 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JENNIFER COLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: VANESSA JOHNSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 5, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BYRON LYNN GABBARD (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 2, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GARETT CHARLES FRANCIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since December 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GARETT CHARLES FRANCIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DUSTIN S CAMPBELL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 11, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PAULA VAUGHN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since December 4, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PAULA VAUGHN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 12, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CHRISTI LEE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 5, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MARTHA N ELLIS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: HOLLIE HARRIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 10, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SONYA BERGMAN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 5, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- April 1, 2025: BONITA COMPTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- September 1, 2024: DUANNE G THOMPSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 18, 2025 | June 18, 2025 | 1 | 6 |
| 2 | March 3, 2023 | March 3, 2023 | 11 | 1 |
| 3 | October 17, 2019 | October 17, 2019 | 0 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
12 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 27, 2025 | Health | F 0568 | Resident Rights Deficiencies | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Yes | Deficient, Provider has date of correction | July 30, 2025 |
| June 27, 2025 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Deficient, Provider has date of correction | July 30, 2025 |
| June 27, 2025 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Yes | Deficient, Provider has date of correction | July 30, 2025 |
| June 27, 2025 | Health | F 0837 | Administration Deficiencies | Establish 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. | D | Yes | Deficient, Provider has date of correction | July 30, 2025 |
| June 18, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | July 3, 2025 |
| March 3, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | April 27, 2023 |
| March 3, 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | April 27, 2023 |
| March 3, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | April 27, 2023 |
| March 3, 2023 | Health | F 0700 | Quality of Life and Care Deficiencies | Try 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. | E | No | Deficient, Provider has date of correction | April 27, 2023 |
| March 3, 2023 | Health | F 0727 | Nursing and Physician Services Deficiencies | 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. | F | No | Deficient, Provider has date of correction | April 27, 2023 |
| March 3, 2023 | Health | F 0909 | Environmental Deficiencies | Regularly 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. | D | No | Deficient, Provider has date of correction | April 27, 2023 |
| March 3, 2023 | Health | F 0926 | Environmental Deficiencies | Have policies on smoking. | D | No | Deficient, Provider has date of correction | April 27, 2023 |
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 | APPALACHIAN REGIONAL HEALTHCARE INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1984-06-05 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Pike |
| Telephone Number | 6062371725 |
| 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 | 34 |
| Average Number of Residents per Day | 20.6 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 1 |
| 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 Tug Valley ARH Skilled Nursing Facility: 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 March 1, 2026: JOANNA L SANTIESTEBAN 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 Tug Valley ARH Skilled Nursing Facility
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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- LOUISVILLE PAVING CO INC - AVOCA PLANT, LOUISVILLE Water discharge permit
- ADVANCE READY MIX CONCRETE INC, LOUISVILLE Water discharge permit
- ADVANCE READY MIX PLANT #1 & #2, LOUISVILLE Water discharge permit
- CARBIDE INDUSTRIES, LLC, LOUISVILLE Air emission source
- INDUSTRIAL CONTAINER SERVICES-KY, LLC, LOUISVILLE Air emission source
- SMYRNA READY MIX CO LLC, LOUISVILLE Air emission source
- AMERICAN SYNTHETIC RUBBER COMPANY, LOUISVILLE Air emission source
- LLFLEX LLC, LOUISVILLE Air emission source
- QUIKRETE - KENTUCKY, LOUISVILLE Air emission source
- BAKELITE SYNTHETICS, LOUISVILLE Air emission source
- CALDWELL TANKS, INC, LOUISVILLE Air emission source
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