Skilled nursing · Prestonsburg, KY

Prestonsburg Health Care Center

147 North Highland Avenue, Prestonsburg, KY 41653

5 / 5CMS 56 bedsCapacity Apr 2026Inspected
PALMELLE

94

Top 6%

Federal · State

Strong

The Palmelle read

Strong. Prestonsburg Health Care Center carries a Palmelle Clarity Score of 94 out of 100, derived from federal CMS Care Compare data plus Kentucky state records. Health inspection rating sits at 5-star, staffing at 4-star, quality measures at 5-star. Long-stay antipsychotic prescribing is at 4.3 percent, below the 14 percent national median. Long-stay sedative prescribing is at 18.5 percent, above the 15 percent national median. RN coverage is 0.95 hours per resident per day. Nurse turnover 41 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Kentucky DPH

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Call (888) 282-7256 to talk with a Placement Specialist. Intake Monday, written recommendation Thursday, follow-up Friday.

In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

RN hours per resident, daily

This
0.95
National
0.78

Annual nurse turnover

This
41%
National
53%

No federal fines

Zero fines on record in the last 36 months.

Worth asking about

Antipsychotic, long-stay

This
4.3%
National
14%

Ask what behaviors the medication targets and what non-medication options were tried first.

Federal CMS + Kentucky state data

The full inspection record.

Federal CMS ratings

Overall★★★★★5 / 5
Health inspection★★★★★5 / 5
Staffing★★★★4 / 5
Quality measures★★★★★5 / 5

Staffing

RN hours per resident, daily

This
0.95
Nat
0.78

Total nurse hours / resident, daily

This
3.98
Nat
3.62

Annual nurse turnover

This
41%
Nat
53%

Annual RN turnover

This
30%
Nat
47%

Quality measures · long-stay residents

Antipsychotic

This
4.3%
Nat
14%

Sedative / sleep med

This
18.5%
Nat
15%

Physical restraint

This
0.0%
Nat
1.1%

Falls with major injury

This
3.6%
Nat
1.6%

Penalties & status

No abuse iconNot special focusInspection currentZero federal fines (36mo)

Identity & licensing

CMS ID185304
OwnershipFor profit - Limited Liability company
ChainIndependent
Beds56
Avg residents51

Citations · last 36 months

  • No federal conflict flags on record in the latest CMS reconcile.

Sources: federal CMS Care Compare, Kentucky DPH · Last reconciled May 5, 2026

Questions families ask

Common questions.

What is the CMS rating for Prestonsburg Health Care Center?

Prestonsburg Health Care Center has an overall CMS Care Compare rating of 5 out of 5 stars. It scores 5 of 5 on health inspection, 4 of 5 on staffing, and 5 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Prestonsburg Health Care Center been cited for resident harm?

Prestonsburg Health Care Center has no abuse icon, no federal fines, and no CMS conflict flags on record in the latest reconcile. The full citation record appears in the record section above.

Does Prestonsburg Health Care Center use antipsychotic medications?

4.3 percent of long-stay residents at Prestonsburg Health Care Center are on antipsychotic medications, below the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is elevated at 18.5 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Prestonsburg Health Care Center's Palmelle Clarity Score?

Prestonsburg Health Care Center has a Palmelle Clarity Score of 94 out of 100, placing it among the top-scoring facilities nationwide. The score is a composite of federal CMS and Kentucky state inspection data. Higher is better.

How can I tour or contact Prestonsburg Health Care Center?

Prestonsburg Health Care Center is located at 147 North Highland Avenue, Prestonsburg, KY 41653. Phone: (606) 886-2378. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Prestonsburg Health Care Center a special focus facility?

Prestonsburg Health Care Center is not currently on the federal Special Focus Facility list, has no abuse icon on file, and no federal fines in the last 36 months.

What does F-689 mean on Prestonsburg Health Care Center's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Prestonsburg Health Care Center has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Prestonsburg Health Care Center compare to other Prestonsburg skilled nursing facilities?

Prestonsburg Health Care Center holds a Palmelle Clarity Score of 94. Browse the full Prestonsburg directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at Prestonsburg Health Care Center?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on Prestonsburg Health Care Center and two other facilities on your shortlist.

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