a product by 3G Healthcare Real EstateExclusively SNF sell-side advisors
Skilled nursing facility · CMS certified · CCN 185172

Tug Valley Arh Skilled Nursing Facility

260 Hospital Drive, South Williamson, KY 41503 · Pike County · one of 266 skilled nursing facilities in Kentucky
34
certified beds
4 / 5
overall CMS rating
Nonprofit
ownership type
60.6%
occupancy, Oct 2026: 21 residents a day · Kentucky 87.0%
1.33
case mix, 0.94x the national average
6.45
nurse hours per resident day · Kentucky 3.95
What if · run the numbers

There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

Try it on the example building ›
How Tug Valley Arh Skilled Nursing Facility compares

Better than most of Pike County on 5 of 8 lines.

Occupancy, Oct 202660.6%Behind mostLower than all 3 other buildings in Pike County

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 87.2%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day6.45Better than mostHigher than all 3 other buildings in Pike County

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.06. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating4 / 5Better than mostHigher than 2 of the 3 other buildings in Pike County, level with 1

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating3 / 5Better than mostHigher than 2 of the 3 other buildings in Pike County

CMS's star rating for the building's recent health inspections. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating5 / 5Better than mostHigher than all 3 other buildings in Pike County

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating2 / 5Mid-packLevel with 2 of the 3 other buildings in Pike County; the other 1 are ahead

CMS's star rating for resident-care quality measures. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day2.02Better than mostHigher than all 3 other buildings in Pike County

Registered nurse hours for each resident, each day. The middle of the set: 0.52. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited1Mid-packFewer than 1 of the 3 other buildings in Pike County, the same as 1

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 1. Source: CMS Provider Information, Oct 2026 file.

Better than most of Kentucky on 5 of 8 lines.

Occupancy, Oct 202660.6%Behind mostHigher than 11 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 day6.45Better than mostHigher than 251 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 rating4 / 5Better than mostHigher than 158 of the 264 other buildings in Kentucky, level with 56

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 rating3 / 5Mid-packHigher than 110 of the 264 other buildings in Kentucky, level with 48

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 rating5 / 5Better than mostHigher than 239 of the 263 other buildings in Kentucky, level with 24

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 rating2 / 5Behind mostHigher than 29 of the 264 other buildings in Kentucky, level with 47

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 day2.02Better than mostHigher than 253 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 cited1Better than mostFewer than 158 of the 265 other buildings in Kentucky, the same as 44

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%

Opens with a free account

Medicaid share of days00.0%

Opens with a free account

Medicaid rate$000

Opens with a free account

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.

What’s your building worth?

Contact 3G to maximize proceeds. A free valuation from Stan or Christian, built from this building’s record, in a confidential conversation with no obligation.

Get my free valuation
Street view of Tug Valley Arh Skilled Nursing Facility
Google Street View · opens in Maps
Street View
260 Hospital Drive, South Williamson, KY
Map around Tug Valley Arh Skilled Nursing Facility
Map · Pike County
Pike County, Kentucky
4 skilled nursing facilities; average overall rating 2.8, Kentucky 3.0.
See how Pike 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 rating4 / 5 · state 3
Health inspection3 / 5 · state 2.9
Staffing5 / 5 · state 2.8
RN hours per resident per day2.02 · state 0.8
Overall rating, last 8 quarters
054Q3’243Q4’243Q1’254Q2’252Q3’254Q4’254Q1’263Q2’26latest
down 1 star over the 8 quarters shown

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 activities16.3%worse than state13.2%13.5%too few quarters to chart
Catheter inserted and left in4.4%worse than state0.5%0.7%too few quarters to chart
Urinary tract infection19.4%worse than state1.5%1.5%too few quarters to chart
Fall with major injury0.0%better than state3.8%3.2%too few quarters to chart
Newly given an antipsychotic (short stay)1.0%better than state1.6%1.5%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 3.2%
0.0% → 3.2%
Q3’25 to Q2’26
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%too few quarters to chart
Given an antipsychotic7.0%better than state16.2%15.4%too few quarters to chart

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
Jun 2025
last standard survey
1
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 ›
Pike County
buildingbedsoverallElkhorn Health & Rehabilitation1064 / 5Tug Valley Arh Skilled Nursing Facility344 / 5Pikeville Nursing and Rehab Center, LLC1062 / 5Good Shepherd Health and Rehabilitation1181 / 5
All Kentucky buildings in Pike 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
buildingbedsoveralloccupancyTrinity Health Care of MingoWilliamson · 2.5 mi904 / 5over 85%Good Shepherd Health and RehabilitationPhelps · 15.3 mi1181 / 570-85%Martin County Health Care FacilityInez · 18.3 mi654 / 5over 85%Pikeville Nursing and Rehab Center, LLCPikeville · 19.3 mi1062 / 5over 85%Logan CenterLogan · 21.4 mi663 / 5over 85%Trinity Health Care of LoganLogan · 22.4 mi1201 / 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 Tug Valley Arh Skilled Nursing Facility?
Tug Valley Arh Skilled Nursing Facility in South Williamson, KY carries an overall CMS rating of 4 out of 5 stars in the Oct 2026 CMS file.
How many beds does Tug Valley Arh Skilled Nursing Facility have?
Tug Valley Arh Skilled Nursing Facility is certified for 34 beds in the Oct 2026 CMS file.
How full is Tug Valley Arh Skilled Nursing Facility?
CMS's reported average residents put Tug Valley Arh Skilled Nursing Facility's occupancy in the under 70% 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.
Own or operate this building?
See the full read and watch it, free.

What is it worth?See the example buildingBook a call
Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.