Nursing homeActive
Middlesboro Nursing and Rehabilitation Facility
235 New Wilson Lane, Middlesboro, KY 40965606298009195 certified beds · 92 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2018
Deficiencies
2
● 0● 2● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-06-12
Complaint
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 2
Quality 5
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 |
|---|---|---|---|---|
| 2026-06-12 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-09-19 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2019-09-26 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2018-07-12 | Standard | 000 | 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.
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 185240-20260612-F684
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-10-11Record 185240-20190926-F804
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.49
Facility
Kentucky
National
Kentucky 0.79 · National 0.69
Total nurse hours per resident day3.94
Facility
Kentucky
National
Kentucky 3.95 · National 3.86
Weekend total nurse hours3.52
Facility
Kentucky
National
Kentucky 3.48 · National 3.42
Total nursing staff turnover44%
Facility
Kentucky
National
Kentucky 46% · National 46%
Registered nurse turnover27%
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 | 2.6% | 4.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.6% | 3.9% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 4.8% | 16.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.9% | 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 | 11.3% | 13.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.4% | 6.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 32.0% | 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% | — | — |
| Fischel, Mayer Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Grinspan, Eli Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Prater, Jimmie 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 | — | — |
| David, Rochel Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| David, Rochel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Edelstein, Joel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Edelstein, Joel Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Epperson, Thomas Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fischel, Mayer Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Fischel, Mayer Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Freund, Israel Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Freund, Israel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Friedman, Leah Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Friedman, Leah Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Fuchs, Bernard Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Fuchs, Bernard Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fuchs, Gerald Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Fuchs, Gerald Individual | ADP OF THE SNF | 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 Equity Partners LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Landa, Benjamin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Leifer, Joel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Leifer, Joel Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Middlesboro Realty LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Middlesboro Realty LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Prater, Jimmie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Robbins, Melissa 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 | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Zahler, Chaya Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zahler, David Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Zahler, David Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zahler, Jacob Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zahler, Jacob Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Zf Realty LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zupnick, Joel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zupnick, Joel Individual | INDIRECT OWNERSHIP INTEREST | 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 Bell.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Tri State Health And Rehabilitation Center Harrogate | 6.7 mi | 2025-12-17 | 075 |
| Mountain View Rehabilitation and Healthcare Center Pineville | 10.1 mi | 2025-11-14 | 080 |
| Buchanan Place New Tazewell | 14.5 mi | 2026-06-24 | 071 |
| Claiborne Health And Rehabilitation Center Tazewell | 14.9 mi | 2025-11-20 | 080 |
| Barbourville Health and Rehabilitation Center Barbourville | 19.1 mi | 2025-08-28 | 094 |
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 |