Federal inspection record · CMS data as of October 1, 2026

Menifee Meadows Nursing & Rehab LLC

195 Berryman Road, Frenchburg, KY · (606) 768-9001

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
60
Residents per day
49
Ownership
For-Profit
Chain
Bao Opco Holdings
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 14, 1996

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    −1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Kentucky homes

Menifee Meadows Nursing & Rehab LLC carries 8 inspection points. That is fewer than 71% of Kentucky's 265 rated homes.

5★4★3★2★1★+8 homes above 204.505102550100200inspection points → fewer is better on the leftThis home · 8 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kentucky: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–2 pts
  • 4★ 2–11 pts
  • 3★ 11–22 pts
  • 2★ 22–45 pts
  • 1★ over 45 pts

Bars show every rated home in Kentucky by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

9 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 7 4 pts
E 2 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Assessment and Care Planning2D
  1. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    March 5, 2026 · Standard · F657 · Corrected March 27, 2026

  2. D

    Ensure each resident receives an accurate assessment.

    January 9, 2020 · Standard · F641 · Corrected January 24, 2020

Quality of Life and Care2D
  1. D

    Provide safe and appropriate respiratory care for a resident when needed.

    March 5, 2026 · Standard · F695 · Corrected March 27, 2026

  2. D

    Provide safe and appropriate respiratory care for a resident when needed.

    January 9, 2020 · Standard · F695 · Corrected January 28, 2020

Nutrition and Dietary2E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    December 20, 2024 · Standard · F812 · Corrected January 16, 2025

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 9, 2020 · Standard · F812 · Corrected January 25, 2020

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    January 9, 2020 · Standard · F880 · Corrected January 28, 2020

  2. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    January 9, 2020 · Standard · F883 · Corrected January 28, 2020

Pharmacy Service1D
  1. D

    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.

    January 9, 2020 · Standard · F761 · Corrected January 24, 2020

Inspection history

  1. 2026-03-05

    2 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (1 deficiency)

  2. 2024-12-20

    1 health deficiencies · 9 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

  3. 2020-01-09

    6 health deficiencies · 1 fire-safety deficiencies

    Top issue: Infection Control (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 30 min of nursing staff time a day, 37 min of it from a registered nurse.

This home

3 h 30 min

Kentucky average

3 h 59 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 56% of nursing staff and 57% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts worse2.21.91.8
Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse3.02.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts better97.9%94.1%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccineAbout the same96.2%96.2%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts better3.1%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms16.3 pts better2.6%18.9%13.5%
Percentage of long-stay residents who lose too much weight1.6 pts better5.0%6.6%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2.7 pts worse32.6%29.9%19.5%
Percentage of long-stay residents who received an antipsychotic medication17.6 pts worse33.8%16.2%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened17.4 pts worse29.7%12.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased21.6 pts worse34.8%13.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.8 pts worse2.3%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection1.3 pts worse2.8%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.7 pts worse24.0%18.3%18.3%
Percentage of long-stay residents with pressure ulcers4.1 pts better0.6%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.2 pts worse66.3%84.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.3 pts worse15.5%13.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts worse2.7%1.6%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine21.8 pts worse61.9%83.7%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission14.6 pts worse38.5%23.9%23.4%

·

Who owns and runs it

30 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Bao Opco Holdings LLC5% Or Greater Direct Ownership Interest · Organization100%4 facilities
Womack, Bryon5% Or Greater Indirect Ownership Interest · Individual75%5 facilities
Agtl Holdings, LLCAdp Of The SNF · Organization0%2 facilities
Ba Propco Holdings, LLCAdp Of The SNF · Organization0%2 facilities
Bao Opco Holdings LLCOperational/Managerial Control · Organization0%4 facilities
Bebie, LisaAdp Of The SNF · Individual0%1 facilities
Berryman Propco, LLCAdp Of The SNF · Organization0%1 facilities
Deitch, LyleAdp Of The SNF · Individual0%2 facilities
Denny, AmberAdp Of The SNF · Individual0%4 facilities
Evolve Therapy Services LLCAdp Of The SNF · Organization0%11 facilities
King, BrigitteOperational/Managerial Control · Individual0%2 facilities
King, BrigitteAdp Of The SNF · Individual0%2 facilities
Kothari, ZahidOperational/Managerial Control · Individual0%6 facilities
Kothari, ZahidAdp Of The SNF · Individual0%6 facilities
Long, AdamAdp Of The SNF · Individual0%2 facilities
Quinn, TimothyAdp Of The SNF · Individual0%3 facilities
Rise SNF Management LLCOperational/Managerial Control · Organization0%5 facilities
Rise SNF Management LLCAdp Of The SNF · Organization0%5 facilities
Smithey, Ashley5% Or Greater Indirect Ownership Interest · Individual0%5 facilities
Smithey, AshleyManaging Control - Governing Body · Individual0%5 facilities
Smithey, AshleyOperational/Managerial Control · Individual0%5 facilities
Smithey, AshleyAdp Of The SNF · Individual0%5 facilities
Smithey, RandyOperational/Managerial Control · Individual0%1 facilities
Smithey, RandyAdp Of The SNF · Individual0%1 facilities
Webb, GeraldineOperational/Managerial Control · Individual0%1 facilities
Webb, GeraldineAdp Of The SNF · Individual0%1 facilities
Womack, BryonManaging Control - Governing Body · Individual0%5 facilities
Womack, BryonOperational/Managerial Control · Individual0%5 facilities
Womack, BryonAdp Of The SNF · Individual0%5 facilities
Womack, GradyAdp Of The SNF · Individual0%2 facilities

·

Fire safety

13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7F
  1. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    March 5, 2026 · K321 · Corrected March 27, 2026

  2. D

    Inspect, test, and maintain automatic sprinkler systems.

    March 5, 2026 · K353 · Corrected March 27, 2026

  3. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    December 20, 2024 · K345 · Corrected January 24, 2025

  4. F

    Inspect, test, and maintain automatic sprinkler systems.

    December 20, 2024 · K353 · Corrected January 24, 2025

  5. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    December 20, 2024 · K321 · Corrected January 24, 2025

  6. E

    Install corridor and hallway doors that block smoke.

    December 20, 2024 · K363 · Corrected January 24, 2025

  7. D

    Install an approved automatic sprinkler system.

    December 20, 2024 · K351 · Corrected January 24, 2025

Gas, Vacuum, and Electrical Systems5F
  1. E

    Ensure proper usage of power strips and extension cords.

    March 5, 2026 · K920 · Corrected March 27, 2026

  2. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    December 20, 2024 · K914 · Corrected January 24, 2025

  3. F

    Have generator or other power source capable of supplying service within 10 seconds.

    December 20, 2024 · K918 · Corrected January 24, 2025

  4. F

    Ensure that testing and maintenance of electrical equipment is performed.

    December 20, 2024 · K921 · Corrected January 24, 2025

  5. E

    Ensure proper usage of power strips and extension cords.

    December 20, 2024 · K920 · Corrected January 24, 2025

Miscellaneous1F
  1. F

    Ensure that smoke control systems are tested and documented in accordance with established engineering principles.

    January 9, 2020 · K771 · Corrected January 14, 2020

·

Other homes nearby

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    D
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    3 h 51 min
    Fines
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    4 h 22 min
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