Nursing Home Lookup

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

Middlesboro Nursing and Rehabilitation Facility

235 New Wilson Lane, Middlesboro, KY · (606) 298-0091

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
95
Residents per day
92
Ownership
For-Profit
Chain
Bluegrass Health Ky
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 22, 1991

1

How this home got 5 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

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Kentucky homes

Middlesboro Nursing and Rehabilitation Facility carries 5 inspection points. That is fewer than 79% of Kentucky's 265 rated homes.

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

2 health citations on record since 2019. 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 1 4 pts
E 1 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

Quality of Life and Care1D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    June 12, 2026 · Complaint · F684 · Not yet marked corrected

Nutrition and Dietary1E
  1. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    September 26, 2019 · Standard · F804 · Corrected October 11, 2019

Inspection history

  1. 2024-09-19

    1 health deficiencies · 0 fire-safety deficiencies

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

  2. 2019-09-26

    1 health deficiencies · 0 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

  3. 2018-07-12

    0 health deficiencies · 0 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 3 h 56 min of nursing staff time a day, 24 min of it from a registered nurse.

This home

3 h 56 min

Kentucky average

3 h 59 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 39% of nursing staff and 33% 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 days0.9 pts better1.01.91.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better1.82.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts better100.0%94.1%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.8 pts better100.0%96.2%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts better2.7%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms7.5 pts better11.4%18.9%13.5%
Percentage of long-stay residents who lose too much weight0.8 pts better5.8%6.6%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.5 pts worse33.4%29.9%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.6 pts better5.6%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 worsened2.3 pts better10.0%12.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.8 pts better10.4%13.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse0.6%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.9 pts better0.6%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.3 pts better11.0%18.3%18.3%
Percentage of long-stay residents with pressure ulcers1.9 pts better2.8%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15 pts better99.5%84.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.9 pts better10.3%13.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse1.7%1.6%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.3 pts better100.0%83.7%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission12.5 pts better11.4%23.9%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Ky Equity Partners LLC5% Or Greater Direct Ownership Interest · Organization21%12 facilities
Grinspan, Eli5% Or Greater Direct Ownership Interest · Individual15%29 facilities
Kennedy Ky Holdings LLC5% Or Greater Direct Ownership Interest · Organization14%12 facilities
Berkowitz, CheskelIndirect Ownership Interest · Individual0%23 facilities
Berkowitz, CheskelAdp Of The SNF · Individual0%23 facilities
David, RochelIndirect Ownership Interest · Individual0%13 facilities
David, RochelAdp Of The SNF · Individual0%13 facilities
Edelstein, JoelIndirect Ownership Interest · Individual0%15 facilities
Edelstein, JoelAdp Of The SNF · Individual0%15 facilities
Epperson, ThomasAdp Of The SNF · Individual0%1 facilities
Fischel, MayerCorporate Officer · Individual0%50 facilities
Fischel, MayerOperational/Managerial Control · Individual0%50 facilities
Fischel, MayerAdp Of The SNF · Individual0%50 facilities
Freund, IsraelIndirect Ownership Interest · Individual0%14 facilities
Freund, IsraelAdp Of The SNF · Individual0%14 facilities
Friedman, LeahIndirect Ownership Interest · Individual0%16 facilities
Friedman, LeahAdp Of The SNF · Individual0%16 facilities
Fuchs, BernardIndirect Ownership Interest · Individual0%17 facilities
Fuchs, BernardAdp Of The SNF · Individual0%17 facilities
Fuchs, GeraldIndirect Ownership Interest · Individual0%15 facilities
Fuchs, GeraldAdp Of The SNF · Individual0%15 facilities
Fuchs, TovaIndirect Ownership Interest · Individual0%14 facilities
Fuchs, TovaAdp Of The SNF · Individual0%14 facilities
Greystone Servicing Company, LLC, A Delaware Limited Liability Company5% Or Greater Mortgage Interest · Organization0%15 facilities
Grinspan, EliCorporate Officer · Individual0%29 facilities
Grinspan, EliOperational/Managerial Control · Individual0%29 facilities
Grinspan, EliAdp Of The SNF · Individual0%29 facilities
Kennedy Ky Holdings LLCAdp Of The SNF · Organization0%12 facilities
Ky 90 Equities LLCIndirect Ownership Interest · Organization0%10 facilities
Ky Equity Partners LLCAdp Of The SNF · Organization0%12 facilities
Landa, BenjaminAdp Of The SNF · Individual0%43 facilities
Leifer, JoelIndirect Ownership Interest · Individual0%40 facilities
Leifer, JoelAdp Of The SNF · Individual0%40 facilities
Middlesboro Realty LLC5% Or Greater Mortgage Interest · Organization0%1 facilities
Middlesboro Realty LLCAdp Of The SNF · Organization0%1 facilities
Prater, JimmieOperational/Managerial Control · Individual0%1 facilities
Prater, JimmieAdp Of The SNF · Individual0%1 facilities
Robbins, MelissaAdp Of The SNF · Individual0%1 facilities
Valley Stream Operator I LLCOperational/Managerial Control · Organization0%14 facilities
Valley Stream Operator I LLCAdp Of The SNF · Organization0%14 facilities
Zahler, CharlesIndirect Ownership Interest · Individual0%13 facilities
Zahler, CharlesAdp Of The SNF · Individual0%13 facilities
Zahler, ChayaIndirect Ownership Interest · Individual0%12 facilities
Zahler, ChayaAdp Of The SNF · Individual0%12 facilities
Zahler, DavidIndirect Ownership Interest · Individual0%12 facilities
Zahler, DavidAdp Of The SNF · Individual0%12 facilities
Zahler, JacobIndirect Ownership Interest · Individual0%22 facilities
Zahler, JacobAdp Of The SNF · Individual0%22 facilities
Zf Realty LLCAdp Of The SNF · Organization0%11 facilities
Zupnick, JoelIndirect Ownership Interest · Individual0%26 facilities
Zupnick, JoelAdp Of The SNF · Individual0%26 facilities
Zupnick, MiriamIndirect Ownership Interest · Individual0%13 facilities
Zupnick, MiriamAdp Of The SNF · Individual0%13 facilities

·

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