Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.81 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Also known publicly as River Haven Nursing & Rehabilitation
Paducah, KY
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.81 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jan 22, 2026 cited 1 deficiencies.
View inspection evidenceCMS-published records list 23 ownership or control parties.
CMS records show an ownership change effective September 2018.
View ownership evidenceCMS groups this facility with a chain covering 48 facilities across 4 states or territories.
View chain evidenceCMS records show a $1,398 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
136 currently connected nursing homes share this CMS organization identity with CIBC BANK USA.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Sep 1, 2018
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Sep 1, 2018
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Sep 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across KY.
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Sep 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across KY.
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Sep 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across KY.
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 30, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 30, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2018
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 10, 2020
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Aug 10, 2020
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 43.5%
Association date reported to CMS: Sep 1, 2018
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Sep 1, 2018
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 24.5%
Association date reported to CMS: Sep 1, 2018
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 7%
Association date reported to CMS: Sep 1, 2018
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Sep 1, 2018
Other facilities connected through this exact CMS organization identity: 135 across CA, FL, IL, IN, KS, KY, MA, MD, MI, MN, MO, NC, NH, NJ, NY, OH, PA, RI, SD, TN, TX, VA, VT, WI.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Sep 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across KY.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Sep 1, 2018
Other facilities connected through this exact CMS organization identity: 21 across KY, NJ.
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 30, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 30, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 33%
Association date reported to CMS: Sep 1, 2018
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 33%
Association date reported to CMS: Aug 10, 2020
Individual · W-2 MANAGING EMPLOYEE
Published ownership percentage: 33%
Association date reported to CMS: Aug 10, 2020
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across KY.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 646 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 48 | 3.4 | 2.3 |
| Mon Jun | 49 | 3.4 | 2.3 |
| Fri May | 49 | 3.3 | 2.3 |
| Wed Apr | 52 | 3.3 | 2.3 |
| Sun Mar | 54 | 3.2 | 2.5 |
| Sun Feb | 58 | 3.2 | 2.5 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 2, 2026)
Provide appropriate foot care.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 2, 2026)
No health-deficiency rows were deterministically linked to this inspection.
Keep all essential equipment working safely.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Feb 15, 2026)
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 20, 2025)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 20, 2025)
Respond appropriately to all alleged violations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 20, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2024)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2024)
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2024)
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2024)
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 21, 2020)
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 21, 2020)
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 21, 2020)
Respond appropriately to all alleged violations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 21, 2020)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 21, 2020)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Oct 21, 2020)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Oct 21, 2020)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Oct 21, 2020)
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 21, 2020)
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 21, 2020)
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 21, 2020)
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 21, 2020)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 21, 2020)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 21, 2020)
Penalties & enforcement
Published fine amount: $1,398.00
Questions to ask
Facility history
7 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
8 deficiencies were recorded.
CMS · Recorded event date · View related evidence
CMS recorded a $1,398 civil monetary penalty.
CMS · Recorded event date · View related evidence
14 deficiencies were recorded. That includes 3 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: PADUCAH OPERATING COMPANY LLC.
PADUCAH HEALTH FACILITIES LP → PADUCAH OPERATING COMPANY LLC
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.569 | 2.964 |
| RN categories | 0.896 | 0.592 |
Contract staff accounted for 5.6% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.071 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.626 | 0.681 | 0.794 | 1.994 | 18.2% | 91 |
| 2025Q3 | 3.515 | 0.681 | 0.795 | 1.767 | 8.7% | 92 |
| 2025Q4 | 3.557 | 0.737 | 0.633 | 1.927 | 3.2% | 92 |
| 2026Q1 | 3.395 | 0.808 | 0.503 | 1.899 | 5.6% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
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