Nursing home
Tug Valley ARH Skilled Nursing Facility
260 Hospital Drive, South Williamson, KY 41503 · Map
Non profit - Corporation · 34 certified beds
Tug Valley ARH Skilled Nursing Facility is a Medicare-certified nursing home in South Williamson, Kentucky. CMS rates it 4 out of 5 stars overall (5/5 for staffing, 3/5 for health inspections). Nurse staffing is 6.34 hours per resident per day, above the Kentucky average of 4.01. Its most recent inspection on Jun 18, 2025 cited 5 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Tug Valley ARH Skilled Nursing Facility compares
This facility vs. the Kentucky and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Kentucky avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 6.34 | 4.01 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.94 | 0.77 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.30 | 2.43 | 2.34 | below avg |
| Nursing staff turnover | 42.9% | 46.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 5.0 | 3.4 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the June 27, 2025 inspection was corrected by July 30, 2025
What inspectors found at Tug Valley ARH Skilled Nursing Facility
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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.
Administration Deficiencies · Jun 27, 2025 · Full report (PDF) - Potential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Jun 27, 2025 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 27, 2025 · Full report (PDF) - Potential for harm
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies · Jun 27, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jun 18, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Nursing and Physician Services Deficiencies · Mar 3, 2023 - Potential for harm
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.
Quality of Life and Care Deficiencies · Mar 3, 2023 - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Mar 3, 2023 - Potential for harm
Have policies on smoking.
Environmental Deficiencies · Mar 3, 2023 - Potential for harm
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.
Environmental Deficiencies · Mar 3, 2023 - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 3, 2023 - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Mar 3, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 260 Hospital Drive
South Williamson, KY 41503 - CMS certification #
- 185172
- Ownership
- Non profit - Corporation
- Certified beds
- 34
- Avg residents/day
- 20.0
- Provider type
- Medicare and Medicaid
- First certified
- 1984-06-05
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Tug Valley ARH Skilled Nursing Facility using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Tug Valley Arh Regional Medical Center, South Williamson. 0.0 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Trinity Health Care of Mingo, Williamson. 2.5 miles away, straight line.
- Nearest home health agency office
- Home Care Health Services, Inc, Pikeville. 16.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 8.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 41503 as rural (rural area).
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 41503.
Appalachian Hospice Care, office in Pikeville, 16.9 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Tapestry Telehealth PLLC, Pikeville. 20.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In South Williamson, KY, risk to homes is greater than 97% of communities in Kentucky and 93% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding very high, wildfire relatively moderate, tornado very low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Tug Valley ARH Skilled Nursing Facility a good nursing home?
CMS gives Tug Valley ARH Skilled Nursing Facility an overall rating of 4 out of 5 stars, including 5/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Tug Valley ARH Skilled Nursing Facility staffed?
Tug Valley ARH Skilled Nursing Facility reports 6.34 total nurse hours per resident per day, compared with the Kentucky average of 4.01.
Has Tug Valley ARH Skilled Nursing Facility had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Tug Valley ARH Skilled Nursing Facility have?
Tug Valley ARH Skilled Nursing Facility is certified for 34 beds.