Why this was flagged
Medicare paid far more per patient than peers
In 2024 this provider was paid $38,550 per patient, against a typical $17,247 for the same kind of provider in KY. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.
Source CMS Skilled Nursing Facility Enrollments · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 02c2f9
Other providers at this street address (1)
ROCKCASTLE COUNTY HOSPITAL, INC.
Incorporated Feb 28, 1956
Owners and managing parties of record
CHRISTOPHER BASTIN
CORPORATE OFFICER · I · 50% ownership · since May 27, 2014
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
STEPHEN ESTES
CORPORATE OFFICER · I · 50% ownership · since Jul 1, 2002
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
JOSEPH LAMBERT
MANAGING CONTROL - GOVERNING BODY · I · since Nov 1, 1987
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
JOSEPH LAMBERT
TRUSTEE OF THE SNF · I · since Nov 1, 1987
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
STEPHEN ESTES
OPERATIONAL/MANAGERIAL CONTROL · I · since Jul 1, 2002
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
STEPHEN ESTES
ADP OF THE SNF · I · since Jun 2, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
JEFFREY BURDETTE
MANAGING CONTROL - GOVERNING BODY · I · since Jun 30, 2009
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
JEFFREY BURDETTE
TRUSTEE OF THE SNF · I · since Jun 30, 2009
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
DEBRA LAMBERT
MANAGING CONTROL - GOVERNING BODY · I · since Nov 27, 2001
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
DEBRA LAMBERT
TRUSTEE OF THE SNF · I · since Nov 27, 2001
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
BIGE TOWERY
MANAGING CONTROL - GOVERNING BODY · I · since Jul 12, 1983
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
KAREN B SAYLOR
ADP OF THE SNF · I · since Apr 28, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
BIGE TOWERY
TRUSTEE OF THE SNF · I · since May 28, 1983
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Source timeline
Every flag on this provider is built from one or more published government files. Below is each file that contributed, the weekly pulls we have of it, and the actual records read from it.
- Medicare paid far more per patient than peers
Weekly refreshes
- 18 Sept 2026 (in use)14,410 records14,410 added · 0 changed · 0 removedpublisher data as of 17 Aug 2026
Records read from this file
- ROCKCASTLE COUNTY HOSPITAL, INC.NPI 1457324246 · certification 185157 · 145 NEWCOMB AVE, MOUNT VERNON, KY
- ROCKCASTLE COUNTY HOSPITAL, INC.same street address in the same file
CMS Skilled Nursing Facility All Owners
Weekly refreshes
- 18 Sept 2026 (in use)295,083 recordspublisher data as of 17 Aug 2026
Records read from this file
- CHRISTOPHER BASTINCORPORATE OFFICER · 50% share · since 2014-05-27
- STEPHEN ESTESCORPORATE OFFICER · 50% share · since 2002-07-01
- JOSEPH LAMBERTMANAGING CONTROL - GOVERNING BODY · since 1987-11-01
- JOSEPH LAMBERTTRUSTEE OF THE SNF · since 1987-11-01
- STEPHEN ESTESOPERATIONAL/MANAGERIAL CONTROL · since 2002-07-01
- STEPHEN ESTESADP OF THE SNF · since 2025-06-02
- JEFFREY BURDETTEMANAGING CONTROL - GOVERNING BODY · since 2009-06-30
- JEFFREY BURDETTETRUSTEE OF THE SNF · since 2009-06-30
cms_snf_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Rockcastle Regional Hospital And Respiratory Care — 2024$1,156,508 paid · 30 patients
Where every detail came from
Each value below is traced to the published file it was read from, the day we downloaded it, and the weekly version it belongs to. Open the link to check the original record yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | ROCKCASTLE COUNTY HOSPITAL, INC. | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Trading name | ROCKCASTLE REGIONAL HOSPITAL AND RESPIRATORY CARE CENTER | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| NPI | 1457324246 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Medicare certification number | 185157 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| CMS associate ID | 6103727433 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Provider type | PART A PROVIDER - SKILLED NURSING FACILITY | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Organisation type | CORPORATION | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Incorporation date | 1956-02-28 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| State of incorporation | KY | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Street address | 145 NEWCOMB AVE | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| City | MOUNT VERNON | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| State | KY | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| ZIP | 404562728 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
What changed
How this provider's public record has moved between weekly refreshes. See the whole week.
Nothing has changed for this provider since we started comparing weekly refreshes.
Public research history
Nobody has worked this lead yet. Notes published by investigators stay here even after a claim expires.
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