Middlesboro Nursing And Rehabilitation Facility
Middlesboro, Bell County, Kentucky · CCN 185240 · For-profit (Corporation) · part of Bluegrass Health Ky (15 facilities, chain average 3.1 stars)
CMS rates Middlesboro Nursing And Rehabilitation Facility 5 of 5 overall as of August 2026. 95 certified beds, 92 residents a day on average. 2 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 3.93662 hours per resident per day |
|---|---|
| Registered nurses | 0.48833 hours per resident per day |
| Weekend total | 3.52273 hours per resident per day |
| Nursing staff turnover | 44% (registered nurses 27.3%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-06-12 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance |
| 2019-09-26 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-10-11 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Kennedy Ky Holdings LLC Organization | 5% or greater direct ownership interest | 14% | 2023-01-01 |
| Ky Equity Partners LLC Organization | 5% or greater direct ownership interest | 21% | 2023-01-01 |
| Greystone Servicing Company, LLC, A Delaware Limited Liability Company Organization | 5% or greater mortgage interest | — | 2019-08-28 |
| Middlesboro Realty LLC Organization | 5% or greater mortgage interest | — | 2016-11-01 |
| Kennedy Ky Holdings LLC Organization | adp of the snf | — | 2023-01-01 |
| Ky Equity Partners LLC Organization | adp of the snf | — | 2023-01-01 |
| Middlesboro Realty LLC Organization | adp of the snf | — | 2016-11-01 |
| Valley Stream Operator I LLC Organization | adp of the snf | — | 2025-03-27 |
| Zf Realty LLC Organization | adp of the snf | — | 2023-01-01 |
| Ky 90 Equities LLC Organization | indirect ownership interest | — | 2023-01-01 |
| Valley Stream Operator I LLC Organization | operational/managerial control | — | 2016-11-01 |
| Grinspan, Eli Individual | 5% or greater direct ownership interest | 15% | 2023-01-01 |
| Berkowitz, Cheskel Individual | adp of the snf | — | 2023-01-01 |
| David, Rochel Individual | adp of the snf | — | 2023-01-01 |
| Edelstein, Joel Individual | adp of the snf | — | 2023-01-01 |
| Epperson, Thomas Individual | adp of the snf | — | 2016-11-01 |
| Fischel, Mayer Individual | adp of the snf | — | 2016-11-01 |
| Freund, Israel Individual | adp of the snf | — | 2023-01-01 |
| Friedman, Leah Individual | adp of the snf | — | 2023-01-01 |
| Fuchs, Bernard Individual | adp of the snf | — | 2023-01-01 |
| Fuchs, Gerald Individual | adp of the snf | — | 2023-01-01 |
| Fuchs, Tova Individual | adp of the snf | — | 2023-01-01 |
| Grinspan, Eli Individual | adp of the snf | — | 2016-11-01 |
| Landa, Benjamin Individual | adp of the snf | — | 2023-01-01 |
| Leifer, Joel Individual | adp of the snf | — | 2023-01-01 |
| Prater, Jimmie Individual | adp of the snf | — | 1996-08-16 |
| Robbins, Melissa Individual | adp of the snf | — | 2006-05-30 |
| Zahler, Charles Individual | adp of the snf | — | 2023-01-01 |
| Zahler, Chaya Individual | adp of the snf | — | 2023-01-01 |
| Zahler, David Individual | adp of the snf | — | 2023-01-01 |
| Zahler, Jacob Individual | adp of the snf | — | 2023-01-01 |
| Zupnick, Joel Individual | adp of the snf | — | 2023-01-01 |
| Zupnick, Miriam Individual | adp of the snf | — | 2023-01-01 |
| Fischel, Mayer Individual | corporate officer | — | 2016-11-01 |
| Grinspan, Eli Individual | corporate officer | — | 2016-11-01 |
| Berkowitz, Cheskel Individual | indirect ownership interest | — | 2023-01-01 |
| David, Rochel Individual | indirect ownership interest | — | 2023-01-01 |
| Edelstein, Joel Individual | indirect ownership interest | — | 2023-01-01 |
| Freund, Israel Individual | indirect ownership interest | — | 2023-01-01 |
| Friedman, Leah Individual | indirect ownership interest | — | 2023-01-01 |
| Fuchs, Bernard Individual | indirect ownership interest | — | 2023-01-01 |
| Fuchs, Gerald Individual | indirect ownership interest | — | 2023-01-01 |
| Fuchs, Tova Individual | indirect ownership interest | — | 2023-01-01 |
| Leifer, Joel Individual | indirect ownership interest | — | 2023-01-01 |
| Zahler, Charles Individual | indirect ownership interest | — | 2023-01-01 |
| Zahler, Chaya Individual | indirect ownership interest | — | 2023-01-01 |
| Zahler, David Individual | indirect ownership interest | — | 2023-01-01 |
| Zahler, Jacob Individual | indirect ownership interest | — | 2023-01-01 |
| Zupnick, Joel Individual | indirect ownership interest | — | 2023-01-01 |
| Zupnick, Miriam Individual | indirect ownership interest | — | 2023-01-01 |
| Fischel, Mayer Individual | operational/managerial control | — | 2016-11-01 |
| Grinspan, Eli Individual | operational/managerial control | — | 2016-11-01 |
| Prater, Jimmie Individual | operational/managerial control | — | 1996-08-16 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Middlesboro Nursing And Rehabilitation Facility.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Bell County.