Cycle 1
Health 2025-03-04 · Fire 2025-03-04
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Berea, KY
The Terrace Nursing and Rehabilitation Center
4-star overall rating with 5-star inspections with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1043 Brooklyn Boulevard, Berea, KY
(859) 228-0551
Overall
4 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
102
Certified beds
Average residents
98
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Bluegrass Health Ky
Operator or chain grouping
Approved since
1970-11-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
15 facilities
Chain averages 3 overall / 3 health / 1 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.34
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
1.05
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.55
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
3.95
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.40
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.42
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.16
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.26
CMS adjusted RN staffing hours
Adjusted total hours
2.96
CMS adjusted total nurse staffing hours
Case-mix index
1.82
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,110
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.79
Composite VBP score used to determine payment impact.
Payment multiplier
0.9847
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.01
Baseline 19.93% · Performance 20.96% · Measure score 1.01 · Achievement 1.01 · Improvement 0
Healthcare-associated infections
5.19
Baseline 5.76% · Performance 6.28% · Measure score 5.19 · Achievement 5.19 · Improvement 0
Total nurse turnover
4.12
Baseline 47.67% · Performance 46.85% · Measure score 4.12 · Achievement 4.12 · Improvement 0
Adjusted total nurse staffing
0.79
Baseline 2.49 hours · Performance 2.92 hours · Measure score 0.79 · Achievement 0 · Improvement 0.79
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.37% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 128 · Observed rate 12.5% · Lower 95% interval 8.69% |
| Discharge to community | 52.77% |
50.57%
2.2 pts better
|
No Different than the National Rate · Eligible stays 98 · Observed rate 48.98% · Lower 95% interval 43.21% |
| Medicare spending per beneficiary | 1.23 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 98.84% |
95.27%
3.6 pts better
|
Numerator 85 · Denominator 86 |
| Falls with major injury | 1.16% |
0.77%
0.4 pts worse
|
Numerator 1 · Denominator 86 |
| Discharge self-care score | 55.93% |
53.69%
2.2 pts better
|
Numerator 33 · Denominator 59 |
| Discharge mobility score | 62.71% |
50.94%
11.8 pts better
|
Numerator 37 · Denominator 59 |
| Pressure ulcers or injuries, new or worsened | 3.49% |
2.29%
1.2 pts worse
|
Numerator 3 · Denominator 86 · Adjusted rate 2.54% |
| Healthcare-associated infections requiring hospitalization | 6.28% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 90 · Observed rate 4.44% · Lower 95% interval 3.59% |
| Staff COVID-19 vaccination coverage | 40% |
8.2%
31.8 pts better
|
Numerator 4 · Denominator 10 |
| Staff flu vaccination coverage | 24.19% |
42%
17.8 pts worse
|
Numerator 30 · Denominator 124 |
| Discharge function score | 66.1% |
56.45%
9.6 pts better
|
Numerator 39 · Denominator 59 |
| Transfer of health information to provider | 87.5% |
95.95%
8.5 pts worse
|
Numerator 21 · Denominator 24 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 33 · Denominator 33 |
| Resident COVID-19 vaccinations up to date | 57.41% |
25.2%
32.2 pts better
|
Numerator 31 · Denominator 54 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.9
0.6 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
2.2
About the same
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.2 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.3%
5.7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.8% |
96.2%
2.6 pts better
|
95.5%
3.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.1% |
3.8%
0.7 pts better
|
3.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 5.3% · Q4 5.9% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 57.1% |
15.2%
41.9 pts worse
|
11.4%
45.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 64.9% · Q2 64.6% · Q3 50.7% · Q4 48.1% · 4Q avg 57.1% |
| Percentage of long-stay residents who lose too much weight | 10.0% |
6.7%
3.3 pts worse
|
5.4%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 9.7% · Q3 12.5% · Q4 10.1% · 4Q avg 10.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 44.3% |
29.6%
14.7 pts worse
|
19.6%
24.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 46.2% · Q2 40.0% · Q3 43.2% · Q4 47.5% · 4Q avg 44.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 34.8% |
17.6%
17.2 pts worse
|
16.7%
18.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.5% · Q2 37.9% · Q3 32.8% · Q4 32.4% · 4Q avg 34.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 31.6% |
17.3%
14.3 pts worse
|
16.3%
15.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 61.7% · 4Q avg 31.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.7% |
15.6%
1.9 pts better
|
14.9%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 16.1% · Q3 9.5% · Q4 14.1% · 4Q avg 13.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.7%
0.1 pts worse
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
1.7%
0.8 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.3% · Q3 0.0% · Q4 1.2% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.2% |
19.8%
10.4 pts worse
|
19.8%
10.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.5% · Q2 41.6% · Q3 22.4% · Q4 22.6% · 4Q avg 30.2% |
| Percentage of long-stay residents with pressure ulcers | 7.8% |
5.5%
2.3 pts worse
|
5.1%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 6.5% · Q3 9.7% · Q4 7.3% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% |
83.8%
13.6 pts better
|
81.7%
15.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.5% · Q2 96.0% · Q3 97.6% · Q4 100.0% · 4Q avg 97.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.6% |
13.9%
6.3 pts better
|
12.0%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.6% · Observed 6.6% · Expected 9.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.5% |
1.8%
2.7 pts worse
|
1.6%
2.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 3.4% · Q3 4.3% · Q4 7.4% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.9% |
83.6%
2.3 pts better
|
79.7%
6.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.1% |
24.5%
1.6 pts worse
|
23.9%
2.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.1% · Observed 26.4% · Expected 24.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-11-21 · Fire 2019-11-21
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2019-01-24 · Fire 2019-01-24
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-03-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-27
E · Potential for more than minimal harm
2025-03-04
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-03-27
E · Potential for more than minimal harm
2025-03-04
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-03-27
D · Potential for more than minimal harm
2025-03-04
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-03-27
D · Potential for more than minimal harm
2025-03-04
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-03-27
D · Potential for more than minimal harm
2019-11-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-12-13
F · Potential for more than minimal harm
2019-01-24
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2019-02-13
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-04
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-03-27
D · Potential for more than minimal harm
2024-02-13
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-28
D · Potential for more than minimal harm
2024-02-13
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-28
D · Potential for more than minimal harm
2019-01-24
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-02-13
D · Potential for more than minimal harm
2019-01-24
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2019-02-13
Penalties and ownership
What sits behind the stars
Ownership
Landa, Benjamin
5% Or Greater Direct Ownership Interest · Individual
Ky Equity Partners LLC
5% Or Greater Direct Ownership Interest · Organization
Grinspan, Eli
5% Or Greater Direct Ownership Interest · Individual
Kennedy Ky Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Fischl, Mayer
5% Or Greater Direct Ownership Interest · Individual
Bad Realty LLC
5% Or Greater Mortgage Interest · Organization
Fischl, Mayer
Operational/Managerial Control · Individual
Fischl, Mayer
Corporate Officer · Individual
Greystone Servicing Company, LLC, A Delaware Limited Liability Company
5% Or Greater Mortgage Interest · Organization
Grinspan, Eli
Operational/Managerial Control · Individual
Grinspan, Eli
Corporate Officer · Individual
Raymer, Myra
Operational/Managerial Control · Individual
Valley Stream Operator I LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Berea Health and Rehabilitation
Berea, KY
4-star overall rating with 4-star inspections with $16,801 in total fines
#2
Kenwood Health and Rehabilitation Center
Richmond, KY
5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle
#3
Madison Health and Rehabilitation Center
Richmond, KY
1-star overall rating with 2-star inspections with $11,764 in total fines with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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