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Skilled nursing facility · CMS certified · CCN 185157

Rockcastle Regional Hospital and Respiratory Care

145 Newcomb Avenue, Mount Vernon, KY 40456 · Rockcastle County · one of 266 skilled nursing facilities in Kentucky
CMS High Performing · Medicare's High Performing icon, the gold trophy on Care Compare: five-star buildings with clean recent inspections and no recent change of ownership.
143
certified beds
5 / 5
overall CMS rating
Nonprofit
ownership type
79.7%
occupancy, Oct 2026: 114 residents a day · Kentucky 87.0%
3.69
case mix, 2.62x the national average
7.05
nurse hours per resident day · Kentucky 3.95
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There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

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How Rockcastle Regional Hospital and Respiratory Care compares

Rockcastle County has 1 other certified building, too few to compare, so this is against Kentucky. 266 buildings.

Better than most of Kentucky on 5 of 8 lines.

Occupancy, Oct 202679.7%Behind mostHigher than 41 of the 262 other buildings in Kentucky

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 90.3%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day7.05Better than mostHigher than 256 of the 259 other buildings in Kentucky

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.75. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating5 / 5Better than mostHigher than 215 of the 264 other buildings in Kentucky, level with 49

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating4 / 5Better than mostHigher than 159 of the 264 other buildings in Kentucky, level with 72

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating3 / 5Mid-packHigher than 119 of the 263 other buildings in Kentucky, level with 59

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating5 / 5Better than mostHigher than 202 of the 264 other buildings in Kentucky, level with 62

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day2.34Better than mostHigher than 254 of the 259 other buildings in Kentucky

Registered nurse hours for each resident, each day. The middle of the set: 0.67. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited3Behind mostFewer than 84 of the 265 other buildings in Kentucky, the same as 33

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 2. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Kentucky
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Rockcastle Regional Hospital and Respiratory Care
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Street View
145 Newcomb Avenue, Mount Vernon, KY
Map around Rockcastle Regional Hospital and Respiratory Care
Map · Rockcastle County
Rockcastle County, Kentucky
2 skilled nursing facilities; average overall rating 4.0, Kentucky 3.0.
See how Rockcastle County compares ›
Cost report, against Kentucky
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Kentucky. The rank counts from the top: 1st is the highest figure among Kentucky's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

No full-year Medicare cost report on file for this building for FY2024 to FY2026. What the buildings in Kentucky that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
89.8%
249
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
6.3%
252
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
76.3%
251
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$403
252
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$367
252
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$42
252
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
10.1%
251
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating5 / 5 · state 3
Health inspection4 / 5 · state 2.9
Staffing3 / 5 · state 2.8
RN hours per resident per day2.34 · state 0.8
Overall rating, last 8 quarters
055Q3’245Q4’245Q1’255Q2’254Q3’255Q4’255Q1’265Q2’26latest
back to 5 / 5 over the 8 quarters shown, having been as low as 4 / 5

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingKentuckynationrecent quarters
Needed more help with daily activities10.5%better than state13.2%13.5%2025Q2: 2.6%2025Q3: 18.4%2025Q4: 6.5%2026Q1: 3.2%2026Q2: 12.1%
2.6% → 12.1%
Q2’25 to Q2’26
Catheter inserted and left in10.1%worse than state0.5%0.7%2025Q2: 9.5%2025Q3: 13.3%2025Q4: 9.3%2026Q1: 10.6%2026Q2: 7.0%
9.5% → 7.0%
Q2’25 to Q2’26
Urinary tract infection4.5%worse than state1.5%1.5%2025Q2: 3.5%2025Q3: 1.7%2025Q4: 8.3%2026Q1: 3.6%2026Q2: 4.5%
3.5% → 4.5%
Q2’25 to Q2’26
Fall with major injury0.2%better than state3.8%3.2%2025Q2: 0.0%2025Q3: 0.9%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)too few residents to report1.6%1.5%too few quarters to chart
Ability to walk independently worsenedtoo few residents to report12.3%12.7%too few quarters to chart
Pressure ulcers9.6%worse than state4.7%4.5%2025Q2: 11.2%2025Q3: 10.2%2025Q4: 6.3%2026Q1: 10.0%2026Q2: 11.9%
11.2% → 11.9%
Q2’25 to Q2’26
Given an antipsychotic8.5%better than state16.2%15.4%2025Q2: 9.4%2025Q3: 7.4%2025Q4: 7.7%2026Q1: 8.2%2026Q2: 10.4%
9.4% → 10.4%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Apr 2026
last standard survey
3
deficiencies cited · Kentucky avg 3.2
$0
fines, last 3 years
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Kentucky
state rate files
$379
median daily rate across the Kentucky buildings in our rate book, Jul 2026 file
Kentucky rates and what changed ›
Rockcastle County
buildingbedsoverallRockcastle Regional Hospital and Respiratory Care1435 / 5Rockcastle Health & Rehabilitation Center1043 / 5
All Kentucky buildings in Rockcastle County ›
Kentucky at a glance
266
buildings
25,380
licensed beds
86%
occupancy
83%
for-profit
Kentucky market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyRockcastle Health & Rehabilitation CenterBrodhead · 5.7 mi1043 / 5over 85%The Terrace Nursing and Rehabilitation CenterBerea · 16.4 mi1023 / 5over 85%Berea Health and RehabilitationBerea · 16.9 mi841 / 5over 85%Laurel Heights Home for the ElderlyLondon · 20.6 mi1604 / 5over 85%Signature Healthcare at Jackson Manor Rehab and WeAnnville · 20.9 mi511 / 5over 85%Stanford CrossingStanford · 22.2 mi1281 / 5over 85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Rockcastle Regional Hospital and Respiratory Care?
Rockcastle Regional Hospital and Respiratory Care in Mount Vernon, KY carries an overall CMS rating of 5 out of 5 stars in the Oct 2026 CMS file.
Is Rockcastle Regional Hospital and Respiratory Care a CMS High Performing nursing home?
Yes. Rockcastle Regional Hospital and Respiratory Care in Mount Vernon, KY carries Medicare's High Performing icon, the gold trophy on Care Compare, given to five-star buildings with clean recent inspections and no recent change of ownership.
How many beds does Rockcastle Regional Hospital and Respiratory Care have?
Rockcastle Regional Hospital and Respiratory Care is certified for 143 beds in the Oct 2026 CMS file.
How full is Rockcastle Regional Hospital and Respiratory Care?
CMS's reported average residents put Rockcastle Regional Hospital and Respiratory Care's occupancy in the 70-85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.