Loading facility…
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E2 | F2 |
| 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 | |
|---|---|---|---|---|---|---|
| May 15, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| May 15, 2026 | Health | Health Complaint, Health Standard | 4 | Potential harm | — | Open → |
| Oct 23, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Oct 23, 2024 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Dec 15, 2021 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Dec 15, 2021 | Health | Health Standard | 0 | No citations | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E2 | F2 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 15, 2026 | 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 | Past non-compliance Apr 5, 2026 | Complaint |
| May 15, 2026 | 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 | F · Potential harm Widespread | Corrected Jun 3, 2026 |
“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 2 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Patricia Gaither | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 18, 2003 |
| Generations Health Association, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 26, 1997 |
| Kathryn Campbell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 23, 2017 |
| Fredrick Dibrell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 17, 2010 |
| Buffy Gaither | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2007 |
| Patricia Gaither | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 18, 2003 |
| Robert Sapp | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 17, 2010 |
| James Campbell | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 18, 2003 |
| Kathryn Campbell | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 23, 2017 |
| David Gaither | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 18, 2003 |
| Patricia Gaither | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 18, 2003 |
| Kathryn Campbell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 23, 2017 |
| Patricia Gaither | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 18, 2003 |
| Kathryn Campbell | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 23, 2017 |
| Fredrick Dibrell | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 14, 2010 |
| Buffy Gaither | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2007 |
| Patricia Gaither | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 18, 2003 |
| Robert Sapp | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 14, 2010 |
| Facility | License type | Capacity | State rating |
|---|---|---|---|
| Generations Center of Middlesboro 504 South 24th Street, Middlesboro, KY 40965 | Personal care home | 64 | — |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 445388 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 445388 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Complaint |
| May 15, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 22, 2026 | Complaint |
| May 15, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 25, 2026 |
| Oct 23, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 13, 2024 |
| Oct 23, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 13, 2024 |
| Oct 23, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 13, 2024 |
| Oct 23, 2024 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 13, 2024 |
| Oct 23, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 13, 2024 |
| Oct 23, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 13, 2024 |
| Oct 23, 2024 | 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 Nov 8, 2024 |
| Oct 23, 2024 | 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 Nov 8, 2024 |
| Oct 23, 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 | E · Potential harm Pattern | Corrected Nov 8, 2024 |
| Oct 23, 2024 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Nov 8, 2024 |
| Oct 23, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 8, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.10 (case-mix index 1.41).