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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K2 | L2 |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E2 | F4 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 5, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jun 5, 2026 | Health | Health Standard | 1 | Potential harm | — | Open → |
| May 8, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 8, 2025 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Mar 31, 2022 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Mar 31, 2022 | Health | Health Standard | 12 | Immediate jeopardy | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K2 | L2 |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E2 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 5, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jul 1, 2026 | |
| May 8, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 30, 2025 | |
| May 8, 2025 | K-0363 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
15 facilities in 1 states. CMS chain ID 748.
Chain average overall rating (CMS): 3.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ky Equity Partners LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 21% | Jan 1, 2023 |
| Eli Grinspan | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | Jan 1, 2023 |
| Kennedy Ky Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 14% | Jan 1, 2023 |
| Miriam Zupnick | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ky Equity Partners LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 21% | Jan 1, 2023 |
| Eli Grinspan | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | Jan 1, 2023 |
| Kennedy Ky Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 14% | Jan 1, 2023 |
| Miriam Zupnick | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2023 |
| Valley Stream Operator I LLC |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| The Terrace Nursing and Rehabilitation Center 1043 Brooklyn Boulevard, Berea, KY 40403 CCN 185103 | 102 | Apr 2, 2026 | 9 | — | |
| Letcher Manor 73 Piedmont Drive, Whitesburg, KY 41858 CCN 185200 | 142 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 185254 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 185254 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Kentucky OIG Long Term Care Directory KY | 100427 | state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN). | Inferred | Oct 30, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected May 30, 2025 |
| May 8, 2025 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 30, 2025 |
| May 8, 2025 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 4, 2025 |
| May 8, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 4, 2025 | Complaint |
| May 8, 2025 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 4, 2025 | Complaint |
| May 8, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 4, 2025 |
| May 8, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 4, 2025 |
| May 8, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 4, 2025 |
| May 8, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 4, 2025 |
| Mar 31, 2022 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected May 2, 2022 |
| Mar 31, 2022 | F-0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Corrected May 2, 2022 |
| Mar 31, 2022 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected May 2, 2022 |
| Mar 31, 2022 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected May 2, 2022 |
| Mar 31, 2022 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected May 2, 2022 |
| Mar 31, 2022 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected May 2, 2022 |
| Mar 31, 2022 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | L · Immediate jeopardy Widespread | Corrected May 2, 2022 |
| Mar 31, 2022 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | L · Immediate jeopardy Widespread | Corrected May 2, 2022 |
| Mar 31, 2022 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 27, 2022 |
| Mar 31, 2022 | F-0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 2, 2022 |
| Mar 31, 2022 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 2, 2022 |
| Mar 31, 2022 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 2, 2022 |
| Mar 31, 2022 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 2, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.92 (case-mix index 1.94).
| Organization |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Nov 1, 2016 |
| Mayer Fischel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2016 |
| Eli Grinspan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2016 |
| Christy Viars | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 26, 2016 |
| Mayer Fischel | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 1, 2016 |
| Eli Grinspan | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 1, 2016 |
| Greystone Servicing Company, LLC, a Delaware Limited Liability Company | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Aug 28, 2019 |
| Ridgeway Nrf Realty LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Nov 1, 2016 |
| Kennedy Ky Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Ky 90 Equities LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Ky Equity Partners LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Ridgeway Nrf Realty LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2016 |
| Valley Stream Operator I LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 17, 2025 |
| Zf Realty LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Cheskel Berkowitz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Rezkalla Butros | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 14, 2019 |
| Mayer Fischel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2016 |
| Eli Grinspan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2016 |
| Benjamin Landa | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Joel Leifer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Brittany Tatman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 10, 2025 |
| Christy Viars | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 26, 2016 |
| Joel Zupnick | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Miriam Zupnick | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Apr 16, 2026 |
24 |
| — |
| Maysville Nursing and Rehabilitation Facility 620 Parker Road, Maysville, KY 41056 CCN 185207 | 130 | Jul 9, 2026 | 16 | — |
| Somerset Nursing and Rehabilitation Facility 106 Gover Street, Somerset, KY 42501 CCN 185218 | 123 | Apr 17, 2026 | 244 harm | — |
| Middlesboro Nursing and Rehabilitation Facility 235 New Wilson Lane, Middlesboro, KY 40965 CCN 185240 | 95 | Jun 12, 2026 | 2 | — |
| Oakmont Manor 1100 Grandview Drive, Flatwoods, KY 41139 CCN 185250 | 85 | Apr 22, 2026 | 20 | — |
| Cumberland Valley Nursing & Rehabilitation Center 301 South Main Street, Burkesville, KY 42717 CCN 185270 | 84 | Sep 12, 2025 | 122 IJ | $16k |
| Dover Nursing & Rehabilitation Center 112 Dover Drive, Georgetown, KY 40324 CCN 185295 | 85 | Mar 19, 2026 | 411 harm | $164k |