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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D8 | E10 | F3 |
| 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 | |
|---|---|---|---|---|---|---|
| Feb 19, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Feb 19, 2026 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| May 8, 2025 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| May 8, 2025 | Health | Health Standard | 0 | No citations | — | Open → |
| Aug 22, 2024 | Health | Health Complaint, Infection Control | 2 | Potential harm | — | Open → |
| Sep 24, 2020 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Sep 24, 2020 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D8 | E10 | F3 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 19, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 16, 2026 | |
| Feb 19, 2026 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 21, 2026 | Complaint |
“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 |
|---|---|---|---|---|---|
| Cambridge Operations Holdco LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2023 |
| Mjem Irrevocable Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2025 |
| Mayer Fischel | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2023 |
| Leora Grinspan | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Cambridge Operations Holdco LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2023 |
| Mjem Irrevocable Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2025 |
| Mayer Fischel | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2023 |
| Leora Grinspan | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2025 |
| 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.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Homestead Post Acute 1608 Versailles Road, Lexington, KY 40504 CCN 185144 | 1.5 km | 136 | Jul 17, 2025 | 29 | — | |
| Pine Meadows Post Acute 1608 Hill Rise Drive, Lexington, KY 40504 CCN 185215 | 1.5 km | 120 | Sep 5, 2025 | 25 | — | |
| Lexington Country Place 700 Mason Headley Road, Lexington, KY 40504 CCN 185160 | 2.6 km | 111 | May 1, 2026 | 302 IJ1 harm | $18k | |
| The Willows at Citation 1376 Silver Springs Drive, Lexington, KY 40511 CCN 185474 | 6.6 km | 54 | Apr 9, 2026 | 10 | — | |
| Mayfair Manor 3300 Tates Creek Road, Lexington, KY 40502 CCN 185069 | 7.7 km | 98 | Feb 12, 2026 | 313 IJ | $34k | |
| The Willows at Fritz Farm 2710 Man O War Boulevard, Lexington, KY 40515 CCN 185482 | 8.8 km | 54 | May 15, 2026 | 10 | — | |
| Sayre Christian Village Nursing Home 3775 Belleau Wood Drive, Lexington, KY 40517 CCN 185248 | 9.7 km | 164 | May 15, 2026 | 282 harm | $7,901 | |
| Bluegrass Care & Rehabilitation Center 3576 Pimlico Parkway, Lexington, KY 40517 CCN 185446 | 10.6 km | 124 | Jul 16, 2026 | 18 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 185444 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 185444 | 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 | 100461 | 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
| Feb 19, 2026 |
| 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 Mar 21, 2026 |
| Feb 19, 2026 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Mar 21, 2026 |
| Feb 19, 2026 | 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 | F · Potential harm Widespread | Corrected Mar 21, 2026 | Complaint |
| Feb 19, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Mar 21, 2026 |
| May 8, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 4, 2025 |
| May 8, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 4, 2025 |
| May 8, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 4, 2025 |
| May 8, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 4, 2025 |
| May 8, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 4, 2025 |
| May 8, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 4, 2025 |
| Aug 22, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 13, 2024 | ComplaintInfection control |
| Aug 22, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 13, 2024 | ComplaintInfection control |
| Sep 24, 2020 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 31, 2020 |
| Sep 24, 2020 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 31, 2020 |
| Sep 24, 2020 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 31, 2020 |
| Sep 24, 2020 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 31, 2020 |
| Sep 24, 2020 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 31, 2020 |
| Sep 24, 2020 | 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 | E · Potential harm Pattern | Corrected Oct 31, 2020 |
| Sep 24, 2020 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 31, 2020 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.98 (case-mix index 1.72).
| Valley Stream Operator I LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2023 |
| Mayer Fischel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2023 |
| Eli Grinspan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2023 |
| Mayer Fischel | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 2023 |
| Vium Cpaital Investments LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Apr 8, 2025 |
| Cambridge Property Holdco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2023 |
| Cambridge Property LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2023 |
| Mjem Irrevocable Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Valley Stream Operator I LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 9, 2025 |
| Ralph Alvarado | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2023 |
| Nina Case | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 6, 2024 |
| Mayer Fischel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2023 |
| Shishir Gauri | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 23, 2024 |
| Eli Grinspan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2023 |
| Leora Grinspan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| 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 | — |
| Ridgeway Nursing & Rehabilitation Facility 406 Wyoming Road, Owingsville, KY 40360 CCN 185254 | 99 | Jun 5, 2026 | 248 IJ | — |
| Cumberland Valley Nursing & Rehabilitation Center 301 South Main Street, Burkesville, KY 42717 CCN 185270 | 84 | Sep 12, 2025 | 122 IJ | $16k |