Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Tug Valley Arh Skilled Nursing Facility during CMS and state inspections, most recent first.
A facility failed to implement a system to account for and manage a resident's personal funds, resulting in the former Administrator having sole control and misappropriating over $8,300. The resident, who was cognitively intact and had quadriplegia, did not receive required financial statements or authorization requests for spending, and no logs or ledgers were maintained to track her funds.
The facility did not protect a resident from the wrongful use of their belongings or money, resulting in a deficiency related to safeguarding personal property and financial resources.
A resident's funds were misappropriated by the former Administrator, who also served as DON, due to the absence of policies, monitoring, and oversight. The Administrator had sole control over the resident's bank accounts, and no logs or checks and balances were in place. Staff reported concerns but were unable to verify them because of missing documentation, and the misappropriation was later confirmed by law enforcement.
The governing body did not ensure effective oversight or implement policies to prevent misappropriation of resident funds. A previous administrator, acting as payee for a resident's Social Security and Workers Compensation accounts, misappropriated over $8,300. Staff interviews confirmed there were no written policies, procedures, or training regarding financial responsibilities for resident personal funds, and monthly audits were not governed by formal policy.
Failure to Account for and Safeguard Resident's Personal Funds
Penalty
Summary
The facility failed to have a system in place to account for and manage a resident's personal funds, as required by policy. Interviews and record reviews revealed that the former Administrator had complete control over residents' funds without oversight or monitoring by other staff. There was no policy or procedure regarding staff acting as a resident's payee, and no logs or ledgers were maintained to track the spending of residents' funds. The Business Office did not provide any financial statements to the resident, and the Interim Administrator confirmed that no records or statements were given to the resident to account for her personal funds. The resident, who was cognitively intact and diagnosed with quadriplegia, reported never receiving statements or authorizing staff to spend her money except for her own use. Further investigation by law enforcement revealed that the former Administrator had misappropriated over $8,300 from the resident's funds, with the case pending with the Grand Jury. Staff interviews indicated that the former Administrator restricted the resident's spending and falsely claimed insufficient funds were available for requested purchases, despite the resident's account likely having a sufficient balance. The lack of oversight, absence of financial tracking, and failure to provide required statements enabled the misappropriation of the resident's funds to go undetected.
Failure to Protect Residents' Belongings and Money
Penalty
Summary
A deficiency was identified regarding the protection of residents from the wrongful use of their belongings or money. The report documents that the facility failed to ensure that each resident was safeguarded against unauthorized or improper use of their personal property or financial resources. Specific details about the actions or inactions that led to this deficiency, as well as information about the residents involved or their medical history, are not provided in the report.
Failure to Safeguard Resident Funds Due to Lack of Oversight and Policies
Penalty
Summary
The facility failed to administer its operations in a manner that ensured effective and efficient use of its resources, specifically regarding the management of resident funds. The former Administrator, who also served as the DON, was listed as a payee on a resident's bank accounts and had complete control over the resident's funds, including Social Security and Workers Compensation deposits. There were no logs or policies in place to monitor or track the use of resident funds, and no checks and balances existed for oversight. The Business Office Supervisor and Interim Administrator both confirmed the absence of policies and monitoring systems, and the Interim DON stated that the lack of policies prevented her from ensuring appropriate use of resident funds. An investigation by the Kentucky State Police determined that the former Administrator had misappropriated over $8,300 from a resident, with the case pending before a Grand Jury. The Interim Administrator and Interim DON reported concerns about the resident funds but were unable to verify them due to the lack of documentation. The former Administrator admitted to being overwhelmed, lacking support from the Governing Body, and not accurately tracking resident funds, which contributed to the misappropriation and failure to maintain the highest practicable well-being of the resident.
Failure to Implement Policies Preventing Misappropriation of Resident Funds
Penalty
Summary
The facility's governing body failed to provide effective oversight to ensure the implementation of policies and procedures to prevent the misappropriation of resident funds. Review of facility documents revealed that, although the facility's policy stated it must safeguard and account for resident personal funds upon written authorization, there were no written policies or procedures in place regarding staff members serving as payees for residents. This lack of guidance resulted in staff, including administrators, managing resident funds based on past practices rather than established protocols. Interviews with the interim administrator, HR manager, and director of risk and compliance confirmed the absence of written guidelines or training for staff acting as payees, and that monthly audits for resident personal funds were not governed by a formal policy. Further investigation revealed that a previous administrator was listed as a payee on a resident's bank accounts for Social Security and Workers Compensation benefits. According to the Kentucky State Police, this administrator misappropriated over $8,300 from the resident, and the case was pending with the Grand Jury. The former administrator stated there was a lack of leadership and communication from the administrative team, and she did not receive the necessary guidance to perform her duties effectively. The interim administrator and interim DON acknowledged assuming payee responsibilities for the resident without any written policies or procedures to guide their roles.
What surveyors are citing around you — mapped
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near South Williamson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Trinity Health Care Of Mingo | 2.5 mi | — | 0 | 0 |
| Good Shepherd Health And Rehabilitation | 15.3 mi | — | 0 | 0 |
| Martin County Health Care Facility | 18.3 mi | — | 3 | 0 |
| Pikeville Nursing And Rehab Center | 19.3 mi | — | 2 | 0 |
| Logan Center | 21.4 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.