River Valley Nursing Home — nursing home in Butler, KY

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 60 CMS-certified beds (not state-licensed beds)
Licensed beds: 60 state-licensed beds · Kentucky Cabinet for Health and Family Services
State license: 100362 active · licensee CF OPCO LLC
Average residents per day: 57.4 CMS, MDS-derived
CMS Certification Number: 185355
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 24, 1992
Ownership type: For profit - Corporation
Operator (legal business name): Cf Opco LLC
CMS chain: Not part of a CMS-reported chain
Phone: (859) 472-2217
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jul 23, 2026

Citations

15

7 health · 8 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D6	E4	F5
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 185355
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 60
First approved: Jun 24, 1992
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 30, 2026
Evidence: Verified

State license

Authority: Kentucky Cabinet for Health and Family Services, Office of Inspector General
License number: 100362
State facility ID: 100362
License type: Long-term care license (60 nursing facility beds)
License status: active
Licensed beds: 60
Link to CMS record: Linked by exact street address + ZIP Inferred
Licensee: CF OPCO LLC
Current license: Jun 1, 2026 → May 31, 2027
As of: Oct 30, 2026
Evidence: Inferred source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 23, 2026	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jul 23, 2026	Health	Health Standard	2	Potential harm	—	Open →
Jun 26, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jun 26, 2025	Health	Health Standard	2	Potential harm	—	Open →
Sep 6, 2024	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Sep 6, 2024	Health	Health Complaint, Health Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D6	E4	F5
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 23, 2026	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 13, 2026
Jul 23, 2026	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 13, 2026
Jul 23, 2026	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 7, 2026
Jul 23, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Sep 7, 2026
Jun 26, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 31, 2025
Jun 26, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 31, 2025
Sep 6, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 30, 2024
Sep 6, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 29, 2024
Sep 6, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 30, 2024
Sep 6, 2024	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 8, 2024
Sep 6, 2024	K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 4, 2024
Sep 6, 2024	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 9, 2024
Sep 6, 2024	F-0727	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Oct 8, 2024
Sep 6, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 8, 2024	Complaint
Sep 6, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Oct 2, 2024

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.9

Staffingstate 2.8

Quality measuresstate 3.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.56

State avg 3.99US avg 3.90

Registered nurse (RN)0.76

State avg 0.80US avg 0.69

Licensed practical nurse0.62

State avg 0.80US avg 0.86

Nurse aide2.18

State avg 2.39US avg 2.35

Weekend total nurse3.27

State avg 3.48US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.21 (case-mix index 1.55).

Staff turnover

Total nursing staff turnover42.1%

State avg 45.4%US avg 45.3%

Registered nurse turnover40.0%

State avg 40.8%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jul 23, 2026
Cycle 1 health score: 12
Total weighted score: 12

Operating entity

Cf Opco LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

2

Organizations

0

Individuals

2

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Mattisyahu Nussbaum	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	96%	May 8, 2023

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Mattisyahu Nussbaum	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	96%	May 8, 2023
Mattisyahu Nussbaum	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 8, 2023

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 305 Taylor Street, Butler, KY 41006
ZIP: 41006
County: Pendleton County FIPS 21191
State: Kentucky
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Grant Healthcare and Rehabilitation 201 Kimberly Lane, Williamstown, KY 41097 CCN 185265	23.7 km	95		Sep 12, 2025	25	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	185355	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	185355	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
Kentucky OIG Long Term Care Directory KY	100362	state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN).	Inferred	Oct 30, 2026	Nov 7, 2026

Record-level source links for CCN 185355

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction