Nursing homeActive
Letcher Manor
73 Piedmont Drive, Whitesburg, KY 418586066331434142 certified beds · 121 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2019
Deficiencies
12
● 0● 12● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-16
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 3
Staffing 1
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Kentucky Office of Inspector General · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-16 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-02-27 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-04-05 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2019-11-07 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Kentucky Office of Inspector General publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-13Record 185200-20260416-F755
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-18Record 185200-20250227-F640
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-18Record 185200-20250227-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-18Record 185200-20250227-F689
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-18Record 185200-20250227-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-18Record 185200-20250227-F880
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 185200-20240405-F602
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 185200-20240405-F759
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-28Record 185200-20191107-F636
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-11-28Record 185200-20191107-F656
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-28Record 185200-20191107-F661
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-11-28Record 185200-20191107-F695
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.42
Facility
Kentucky
National
Kentucky 0.79 · National 0.69
Total nurse hours per resident day3.47
Facility
Kentucky
National
Kentucky 3.95 · National 3.86
Weekend total nurse hours3.13
Facility
Kentucky
National
Kentucky 3.48 · National 3.42
Total nursing staff turnover46%
Facility
Kentucky
National
Kentucky 46% · National 46%
Registered nurse turnover38%
Facility
Kentucky
National
Kentucky 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Kentucky | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 6.1% | 4.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.2% | 3.9% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 22.8% | 16.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 1.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 13.1% | 13.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 8.7% | 6.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 31.7% | 29.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Grinspan, Eli Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | — | — |
| Kennedy Ky Holdings LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 14% | — | — |
| Ky Equity Partners LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 21% | — | — |
| Bowling, Amanda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fischel, Mayer Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Grinspan, Eli Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Valley Stream Operator I LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Berkowitz, Cheskel Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Berkowitz, Cheskel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bowling, Amanda Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Combs, Kimberly Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| David, Rochel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| David, Rochel Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Djlm Realty LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Djlm Realty LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Edelstein, Joel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Edelstein, Joel Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Fischel, Mayer Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fischel, Mayer Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Freund, Israel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Freund, Israel Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Friedman, Leah Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Friedman, Leah Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fuchs, Bernard Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Fuchs, Bernard Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fuchs, Gerald Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fuchs, Gerald Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Fuchs, Tova Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fuchs, Tova Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Greystone Servicing Company, LLC, A Delaware Limited Liability Company Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Grinspan, Eli Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Grinspan, Eli Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kennedy Ky Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ky 90 Equities LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Ky 90 Equities LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ky Equity Partners LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Landa, Benjamin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Leifer, Joel Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Leifer, Joel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Raichel, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Valley Stream Operator I LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zahler, Charles Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zahler, Charles Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Zahler, Chaya Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zahler, Chaya Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Zahler, David Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Zahler, David Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zahler, Jacob Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Zahler, Jacob Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zf Realty LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zupnick, Joel Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Zupnick, Joel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zupnick, Miriam Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zupnick, Miriam Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Bluegrass Health Ky — 15 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Kentucky.
No county cost figures on file for Letcher.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Heritage Hall Big Stone Gap Big Stone Gap | 16.7 mi | 2024-11-19 | 013 |
| Norton Community Hospital SNF Unit Norton | 15.5 mi | 2026-02-12 | 051 |
| Knott County Health & Rehabilitation Center Hindman | 16.8 mi | 2025-09-10 | 020 |
| Tri Cities Rehabilitation and Healthcare Center Cumberland | 15.8 mi | 2026-02-12 | 0140 |
| Heritage Hall Wise Wise | 17.0 mi | 2024-08-01 | 030 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |