CCN 185094 · Pike County, Kentucky
Pikeville Nursing and Rehab Center, LLC
260 South Mayo Trail, Pikeville, KY 41501
Pikeville Nursing and Rehab Center, LLC is a 106-bed for-profit nursing home in Pikeville, Kentucky, first certified for Medicare or Medicaid in 1970. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 92.4 residents a day, about 87% of its certified beds. It has an active FHA-insured Section 232 loan: $10.3 million originally, at 4.93%, with $9.8 million outstanding as of September 30, 2026 and maturity in December 2057.
Facility facts
- Certified beds
- 106
- Average residents per day
- 92.4 (87.2% of beds)
- Ownership type
- For profit - Individual
- Certification
- Medicare and Medicaid
- Legal business name
- Pikeville Nursing and Rehab Center LLC
- Certified since
- Jun 1, 1970
- Chain or affiliated group
- Emerald Healthcare (14 facilities, chain average 1.3 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Kentucky median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 59 at 1, 45 at 2, 55 at 3, 55 at 4, 52 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 2 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.06 | 3.75 | 3.68 |
| RN hours per resident per day | 0.67 | 0.67 | 0.58 |
| Weekend nurse hours per resident per day | 2.63 | ||
| Nursing staff turnover | 22.9% | 45.0% | 44.9% |
| Occupancy (residents / beds) | 87.2% | 90.3% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 5 (Oct 30, 2024) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Pikeville Nursing and Rehab Center, LLC meets that part today: 3 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Emerald Healthcare LLCOrganization | Operational / Managerial Control | n/a | 03/17/2017 |
| Evolve Therapy Services LLCOrganization | Operational / Managerial Control | n/a | 08/01/2018 |
| Limestone Fiscal Services LLCOrganization | Operational / Managerial Control | n/a | 07/01/2024 |
| Merch Pay IncOrganization | Operational / Managerial Control | n/a | 08/01/2018 |
| Private Bancorp IncOrganization | Operational / Managerial Control | n/a | 08/01/2018 |
| Saul N Friedman & CompanyOrganization | Operational / Managerial Control | n/a | 08/01/2018 |
| Wellsky CorporationOrganization | Operational / Managerial Control | n/a | 04/01/2023 |
| Zimmet Healthcare Services Group LLCOrganization | Operational / Managerial Control | n/a | 08/01/2018 |
| Chafetz, YisroelIndividual | Operational / Managerial Control | n/a | 08/01/2018 |
| Fleischmann, DavidIndividual | Operational / Managerial Control | n/a | 01/12/2022 |
| Franklin, BrendaIndividual | Operational / Managerial Control | n/a | 10/30/2020 |
| Gopin, BrianIndividual | Operational / Managerial Control | n/a | 07/01/2024 |
| Keathley, AmyIndividual | Operational / Managerial Control | n/a | 06/17/2014 |
| Pierce, BarbaraIndividual | Operational / Managerial Control | n/a | 08/06/2019 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Nov 17, 2022 | 223(f) refinance or purchaseHUD project name: Pikeville Nursing and Rehabilitation Center, 106 beds. Lender at endorsement: Dwight Capital LLC | $10,290,000 | Active: 4.93%, $9,836,322 balanceMatures Dec 1, 2057. Servicer: Dwight Capital LLC | 08322112 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.