CCN 185293 · Clay County, Kentucky
Landmark of Laurel Creek Rehabilitation and Nursin
1033 North Highway 11, Manchester, KY 40962
Landmark of Laurel Creek Rehabilitation and Nursin is a 106-bed for-profit nursing home in Manchester, Kentucky, first certified for Medicare or Medicaid in 1991. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 94.2 residents a day, about 89% of its certified beds. It has an active FHA-insured Section 232 loan: $10.7 million originally, at 2.69%, with $9.5 million outstanding as of September 30, 2026 and maturity in June 2055.
Facility facts
- Certified beds
- 106
- Average residents per day
- 94.2 (88.9% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Landmark of Laurel Creek Rehabilitation and Nursing Center
- Certified since
- Aug 15, 1991
- Chain or affiliated group
- Lyon Healthcare (12 facilities, chain average 1.8 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 | 2 of 5 | ||
| Total nurse hours per resident per day | 3.14 | 3.75 | 3.68 |
| RN hours per resident per day | 0.53 | 0.67 | 0.58 |
| Weekend nurse hours per resident per day | 2.70 | ||
| Nursing staff turnover | 31.6% | 45.0% | 44.9% |
| Occupancy (residents / beds) | 88.9% | 90.3% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 5 (Jul 3, 2025) | ||
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). Landmark of Laurel Creek Rehabilitation and Nursin 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 |
|---|---|---|---|
| A&m Healthcare Investments LLCOrganization | Direct Ownership Interest | 100% | 05/01/2018 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Jun 1, 2018 | Landmark of Laurel Creek Rehabilitation and Nursing Center | Laurel Creek Healthcare and Rehabilitation Center LLC |
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 |
|---|---|---|---|---|
| May 27, 2020 | 223(f) refinance or purchaseHUD project name: Landmark of Laurel Creek, 106 beds. Lender at endorsement: Walker and Dunlop LLC | $10,744,000 | Active: 2.69%, $9,485,504 balanceMatures Jun 1, 2055. Servicer: Walker and Dunlop LLC | 08322095 |
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.