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Belmont Terrace Nursing and Rehabilitation Center

7300 Woodspoint Drive, Florence, KY 41042 · Boone County · (859) 371-5731

151 certified beds, about 128 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1969

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 185090 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 12, 2026, inspectors cited 1 health deficiency (the Kentucky average is 2.9, the national average 9.2).

Of 37 health citations since March 2024, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 6 fines totaling $35,980 in the last three years; the largest was $16,801, and the latest is dated March 8, 2024.

Nurses and nurse aides worked 3.75 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.

59.1% of nursing staff left within the year CMS measured (Kentucky average 46.4%).

CMS links it to Encore Health Partners, an affiliated group of 12 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 37 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
1H
0I
Potential for more than minimal harm
20D
9E
6F
Potential for minimal harm
0A
0B
0C
June 12, 2026Standard inspection · 1 citation
  1. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on observation, interview, record review, and review of the facility's policies, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment, and to help prevent the development and transmission of communicable diseases and infections for 1 of 6 sampled residents reviewed for infection control, Resident (R) 65. Observation on 06/11/2026 on the 100 Unit Hall of medication administration for R65 revealed Licensed Practical Nurse (LPN) 4 dispensed R65's medication from a blister pack into his bare hand and then into the medicine cup. Continued observation revealed LPN4 used his bare hands to break scored medication in half, and then he placed it into the medicine cup.
April 24, 2025Standard inspection, Complaint inspection · 4 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on observation, interview, record review, review of the Centers for Disease Control and Prevention (CDC) guidelines, and review of the facility's policy, the facility failed to implement its infection prevention and control policies and procedures and identify and correct problems relating to infection prevention practices, for 1 of 27 sampled residents, Resident (R) 84. The facility also failed to provide sanitary storage of residents' supplies to help prevent the development and transmission of communicable diseases and infections, which had the potential to affect all of the current 114 residents. 1. Observation of the 200 Hall revealed R84 was seated in his wheelchair self-ambulating down the hall outside of his room with his suprapubic catheter bag anchored to the underside of the seat of the wheelchair. The bag was dragging on the floor as he ambulated. 2. [...]
  2. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on interview, record review, review of the Centers for Disease Control and Prevention (CDC) document, and review of the facility's policy, the facility failed to provide immunization as required or appropriate; to ensure the resident or the resident's representative had the opportunity to refuse immunizations; and failed to ensure the medical record included documentation of the resident's or resident representative's education regarding the benefits and potential side effects of immunizations for 5 of 6 sampled residents, Resident (R) 23, R50, R74, R99, and R103.
  3. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 31, 2025
    Inspectors wroteBased on observation, interview, record review, review of the facility's Incident Reports, and review of the facility's policies, the facility failed to keep residents free from abuse and neglect for 3 of 11 sampled residents, Resident (R) 36, R40, and R169. 1. On 02/28/2025, R36 reported to a day shift State Registered Nurse Aide (SRNA) that the previous night shift SRNA purposefully removed his call device from the wall and replaced it with something plastic so he would be unable to use the call device during the previous night shift. The day shift SRNA observed R36's call device was not plugged in, and a plastic device had been put in the call device port. 2. On 11/15/2024, R169 walked into R40's room. R40 hit R169, causing a nose bleed. R40 fell while hitting R169, injuring her ankle.
  4. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on interview, record review, and review of the facility's policies, the facility failed to notify the State Guardian and a representative from the Office of the State Long-Term Care (LTC) Ombudsman of its intentions to discharge a resident and the reasons for the discharge in writing for 1 of 27 sampled residents, Resident (R) 219. R219 was transferred to a Behavioral Health (BH) facility on 11/02/2024 from the facility for a psychiatric evaluation. On 11/11/2024, the Discharge Planner (DCP) at the BH facility notified the State Guardian that after discussions with the facility, the facility would not be accepting R219 back. The facility did not communicate this with the State Guardian or obtain the approval of the State Guardian. [...]
March 8, 2024Standard inspection, Complaint inspection · 32 citations
  1. H
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · Actual harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wrote8. Review of Resident #86's Face Sheet revealed the facility admitted the resident on 09/28/2020 with diagnoses of metabolic encephalopathy, dysphagia, and chronic kidney disease. Review of Resident #86's Quarterly Minimum Data Set (MDS) Assessment, Section C, dated 02/21/2024, revealed there was no score on the resident's BIMS. The resident was assessed as rarely/never understood. Review of Resident #86's Comprehensive Care Plan, revised 08/11/2023, revealed an intervention that included the skin around the gastrostomy (G-tube) site was monitored, skin care was performed, and dressing placed as ordered. Observation of Resident #86's G-tube insertion site on 02/28/2024 at 8:18 AM, revealed the absence of a gauze dressing. [...]
  2. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to provide services to prevent pressure ulcers for one (1) of one hundred and four (104) sampled residents (Resident #3). Resident #3's admission Minimum Data Set (MDS) Assessment, dated 01/09/2023, indicated the resident had no skin breakdown. However, thirty-seven (37) days from admission the Advanced Practice Registered Nurse (APRN) documented a wound on Resident #3's left ischium (lower part of the hip) as moisture associated breakdown. Additionally, seventy-one (71) days from admission the APRN documented Resident #3's wound as a stage 4 pressure wound. Observation during the survey revealed Resident #3 sat in a heavily soiled brief, which caused the dressing to be displaced. [...]
  3. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) June 5, 2024
    Inspectors wroteBased on observation, interview, record review, and review of the facility's documents and assessment, it was determined, the facility failed to ensure sufficient numbers of nursing staff, to include nurse aides, on a 24-hour basis to provide necessary nursing care for residents in accordance with their care plans. On 03/03/2024, the facility failed to have a sufficient number of nurse aides on Sunday 03/03/2024, and triggered for low weekend staffing and a 1-star staffing rating on the Payroll Based Journal (PBJ). Residents and staff reported insufficient aides to provide timely incontinence care and insufficient nursing staff to deliver medications timely on the weekends. Additionally, Resident #152 entered the hospital on [DATE], wearing two (2) briefs which were saturated with urine upon arrival. [...]
  4. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service in the kitchen. Observation during the initial kitchen tour on 02/26/2024 revealed one (1) container of thickened orange juice, undated; a pan of chicken thawing out, unlabled and undated; one (1) dumpling bag opened, undated; and sugar cookie dough opened, undated. Further observation of the tray line area in the kitchen revealed a mop container, half filled with brown water sitting next to the tray line; a dirty rag lying on top of the garbage can lid, lying on the floor; and a light fixture over the tray line with dust noted on the fixture. Observation during the follow up kitchen tour on 02/28/2024 revealed canned spaghetti in the pantry with no delivery date; [...]
  5. F
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 5, 2024
    Inspectors wroteBased on observation, interview, review of the facility's staffing documents, and review of the facility's Plan of Correction (POC) submitted for the 03/08/2024 survey, the facility failed to ensure it was administered in a manner that enabled it to use its resources effectively and efficiently to attain and maintain the highest practicable physical, mental, and psychosocial well-being of each resident. The facility failed to have an effective process in place to address systemic failures through the Quality Assurance Performance Improvement (QAPI) process. As a result, the facility failed to ensure standards for quality of care regarding performance improvement measures were achieved and sustained. This had the potential to affect all 129 current residents. The State Survey Agency (SSA) identified continued non-compliance in the areas of 42 CFR 483.10 Resident Rights; [...]
  6. F
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 5, 2024
    Inspectors wroteBased on interview, record review, review of the facility's documents, and review of the facility's Plan of Correction (POC) submitted for the 03/08/2024 survey, the facility failed to have an effective process in place to address systemic failures through the Quality Assurance Performance Improvement (QAPI) process. As a result, the facility failed to ensure standards for quality of care regarding performance improvement measures were achieved and sustained. The facility failed to effectively track staffing patterns and staff failing to provide basic care, including showers. The facility failed to ensure there was an effective system in place to accurately collect and analyze audit data, including data collected under the QAPI program, and act on available data to make improvements, and maintain substantial compliance. This had the potential to affect all 129 current residents. [...]
  7. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 5, 2024
    Inspectors wroteBased on observation, interview, record review, and review of the Centers for Disease Control and Prevention (CDC) guidelines on standard precautions, hand hygiene, and disinfection of shared low-level equipment; review of the manufacturers' directions for use for the Assure Prism Blood Glucose Monitoring System and Sani-Cloth Germicidal Wipes; and review of the facility's policy, it was determined the facility failed to identify and correct problems related to infection prevention practices for 8 of 104 sampled residents (Residents #24, #31, #114, #117, #120, #154, #103 and #105).
  8. E
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, it was determined, the facility failed to provide services with reasonable accommodation of resident needs and preferences for six (6) of one hundred and four (104) sampled residents (Residents #71, #101, #5, #105, #1 and #65). 1. On 01/02/2024, the facility was notified Resident #71's wheelchair brake was broken; however, the facility failed to repair his/her wheelchair in a timely manner, placing the resident at risk for falls during transfers. The facility provided Resident #71 an another wheelchair while waiting to have his/her assigned wheelchair repaired, which had brakes that failed to hold the wheelchair in place when applied during transfers. [...]
  9. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on observation, interview, and review of the facility's policies, it was determined the facility failed to ensure residents had a safe, clean, comfortable, and homelike environment. Observations included a strong urine and feces odor throughout the facility; cracked and misshapen ceiling tiles; dirty air intake vents; dirty floors with stains; a loose and warped metal plate in the floor; and clean and dirty items stored together.
  10. E
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on observation, interview, record review, review of the facility's investigation reports, and review of the facility's policies, it was determined the facility failed to protect residents from abuse and neglect for eight (8) of one hundred and four (104) sampled residents (Residents #101, #112, #115, #152, #70, #88, #142, and #43). 1. Staff observed Residents #101 and #112 on two (2) separate occasions on 06/26/2023 engaged in sexual activity. Both residents were cognitively impaired and therefore unable to provide consent. 2. Resident #115 was verbally abused by a housekeeping staff who had not been trained on abuse on 03/27/2023. 3. Resident #152 was sent to hospital wearing two soiled briefs on 01/07/2024, indicating facility neglect. 4. [...]
  11. E
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on interview, record review, review of the facility's incident report forms and policy, it was determined the facility failed to ensure residents remained free from misappropriation of property for six (6) of one hundred and four (104) sampled residents (Residents #11, #42, #65, #122, #148, and #150). Resident #127 took items belonging to the five (5) of the six (6) residents. 1. The facility identified Resident #127 as responsible for multiple allegations of misappropriation of other residents' property which included taking $100 from Resident #148 on [DATE], and $15 from the same resident on [DATE]; and taking $10 from Resident #65 on [DATE]. 2. On [DATE] at 7:00 AM, at shift change it was identified a blister pack containing thirteen (13) pills of Hydrocodone 5/325 mg and three (3) Gabapentin tablets of 100 mg were missing during the shift change narcotic count. [...]
  12. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on observation, interview, record review, review of the facility's investigation reports, review of the 135DE Secure Care System Installation Manual, review of google.com/maps, and review of the facility's policy, it was determined the facility failed to ensure the residents' environment remained free of accident and hazards as possible and failed to identify, evaluate, and implement interventions to reduce hazards and risks for eleven (11) out of one hundred and four (104) sampled residents. The facility failed to have accurate Elopement Binders which had correct or thorough information for ten (10) residents who were at high risk for elopement (Residents #32, #43, #67, #75, #82, #88, #112, #115, #127, and #156). 2. The facility failed to provide appropriate supervision for two (2) residents to prevent elopement (Residents #63 and #112). 3. [...]
  13. E
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 5, 2024
    Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to ensure nurse aides were able to demonstrate competency in skills and techniques necessary to care for residents' needs, as identified through resident assessments, and described in the plan of care. Staff interviewed stated they had not received training in the areas of behavior management, catheter care, and providing for a resident's dignity. In addition, the facility failed to provide training for abuse, neglect and exploitation for one (1) out of thirty-five (35) State Registered Nursing Assistants (SRNA's). SRNA #34 stated in a phone interview that he/she was not given training for abuse neglect, and exploitation when he/she began working at the facility six (6) months ago.
  14. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on interview, record review, and review of the facility's policy, it was determined the facility failed to have an effective antibiotic stewardship program to monitor antibiotic use as part of the overall infection prevention and control program (IPCP). Furthermore, the facility failed to incorporate monitoring and assessment of antibiotic use for five (5) of one hundred and four (104) sampled residents (Residents #20, #45 #71, #97, and #158). In addition, the facility failed to track antibiotic use in the facility and failed to report regularly on antibiotic use and resistance to the facility's leadership.
  15. E
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on interview, record review, review of the Centers for Disease Control and Prevention (CDC) document, and review of the facility's policies, it was determined the facility failed to educate and offer COVID-19 immunization as required or appropriate for two (2) of five (5) sampled residents (Residents #126 and #128). In addition, the facility failed to maintain documentation of screening, education, offering, and current COVID-19 vaccination status.
  16. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2024
    Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure a dignified existence for two (2) of one hundred and four (104) sampled residents (Residents #105 and #103). Resident #105 was not afforded privacy, as the State Registered Nursing Assistant (SRNA), did not close the curtain before performing catheter care. Additionally, Resident #105 was observed with no dignity bag for his/her catheter on 02/26/2024, 03/05/2024, 03/06/2024, and 03/07/2024. Resident #103 was not provided a privacy bag for his/her catheter in order to afford privacy, prevent embarrassment, and respect and dignity.
  17. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on interview, record review, and review of the facility's policy, it was determined the facility failed to ensure the rights of the residents or his/her representative were observed for either the resident or the resident's representative to plan and participate in the care planning process for one (1) of one hundred and four (104) sampled residents (Resident #66). Resident #66 stated that he/she was not involved in his/her care planning. Record review revealed there were no notes in Resident #66's chart for the last care plan meeting on 01/11/2024.
  18. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on interview, record review, and review of the facility's policies, it was determined the facility failed to follow its policy regarding Advanced Directives for three (3) of one hundred and two (102) sampled residents (Residents #22, #57, and #103). Review of Residents #22's, #57's, and #103's medical records revealed the facility failed to ensure the resident's right to create an Advance Directive concerning their medical care, including the right to accept or refuse treatment.
  19. D
    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
    F603 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on observation, interview, record review and review of the facility's policy, it was determined the facility failed to protect residents from involuntary seclusion for one (1) of one hundred and four (104) sampled residents (Resident #112). On 03/03/2024 at 7:45 PM, State Registered Nurse Aide (SRNA) #26 was observed escorting Resident #112 to his/her room and shutting the door tight, preventing the resident from opening the door and exiting the room. SRNA #26 stated he had not been told by the facility that he was not allowed to close the door on a resident who lacked the ability to open the door at will and/or without the resident asking for the door to be closed.
  20. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on interview, record review, and review of the facility's policy, it was determined the facility failed to provide a complete and thorough investigation into the allegation of sexual abuse for two (2) of one hundred and four (104) sampled residents (Resident #101, and Resident #112). The facility failed to investigate the report, which involved Resident #101 and Resident #112, who were both severely cognitive impaired, were found in bed together with their hands down each other's pants and; failed to prevent further potential abuse while the investigation was in progress. The facility reported to state agencies on 06/26/2023, that Resident #101 and Resident #112 engaged in inappropriate sexual relations. The facility's report revealed Resident #101 had a Brief Interview of Mental Status (BIMS) score of 99 and Resident #112 had a BIMS of six (6). [...]
  21. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on observation, interview, record review, and review of the Centers for Medicare and Medicaid Services (CMS) Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual, it was determined the facility failed to ensure the MDS assessment accurately reflected the resident's status for two (2) of one hundred four (104) sampled residents (Residents #52 and #55). Resident #55's MDS assessment revealed the resident did not wear oxygen. However, the State Survey Agency (SSA) surveyor observed the resident wearing oxygen. Review of Physician's Orders revealed an order for oxygen. Additionally, the facility failed to assess dental care for Resident #52.
  22. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 5, 2024
    Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to ensure residents who were unable to carry out Activities of Daily Living (ADLs) received the necessary services to maintain good grooming, personal, and oral hygiene for one (1) of one hundred four (104) sampled residents (Resident #117).
  23. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on observation, interview, record review, and review of the facility's policies, it was determined the facility failed to ensure an ongoing program of activities was developed to meet the individual needs of two (2) of one hundred and four (104) sampled residents (Residents #55 and #117). The facility failed to provide individualized activities based on the comprehensive assessment, the care plan, and the personal preferences of each resident.
  24. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for three (3) of one hundred four (104) sampled residents (Residents #91, #86, and #126). 1. On 03/02/2024, the facility failed to ensure Resident #91's sacral wound dressing was changed as ordered by the physician to be completed on every day shift. 2(a). Observation of Resident #86's jejunostomy tube (J-tube; a soft, plastic tube placed through the skin of the abdomen into the midsection of the small intestine) site revealed the area surrounding the J-tube insertion site was crusted with an approximate dime-sized amount of purulent drainage. Continued observation revealed no visual evidence of the ordered gauze dressing to cover that area. 2(b). [...]
  25. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, it was determined, the facility failed to maintain acceptable parameters of nutritional status, to include weight, for one (1) of one hundred four (104) residents (Residents #126). The facility failed to ensure physician's orders for Resident #126's enteral tube feedings were followed.
  26. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to ensure the medication error rate was less then five percent (5%). Observation during medication administration on 02/28/2024 revealed the nurse made eight (8) medication errors out of thirty (30) opportunities for a medication administration error rate of 26.67%. Observation also revealed Resident #63 and Resident #37 resided in the same room, and Licensed Practical Nurse (LPN) #6 administered eight (8) medications to Resident #63 that were prescribed for Resident #37.
  27. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on observation, interview, review of the [NAME] website nursing references on medication administration, Nursing Rights of Medication Administration, and review of the facility's policy, it was determined the facility failed to ensure it was free of significant medication errors for one (1) of one hundred four (104) sampled residents (Resident #63). Observation during medication administration on 02/28/2024 revealed the nurse failed accurately identify residents in their room resulting in Resident #63 receiving medications prescribed for Resident #37.
  28. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to have an effective system to ensure the residents' medications were properly labeled for two (2) of one hundred and four (104) sampled residents (Residents #128 and #285). On 02/28/2024, State Registered Nurse Aide/Kentucky Medication Aide (SRNA #12/KMA #1) failed to properly label and store drugs in accordance with currently accepted professional principles. She put Resident #285's and #128's medications in medication cups and put them in the top drawer of the medication cart. There was no label on the medication cups indicating the names of the residents.
  29. D
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    F800 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on observation, interview, and review of the facility's policies, it was determined the facility failed to provide residents with a nourishing, palatable, well-balanced diet that met the daily nutritional and special dietary needs, taking into consideration the preferences of each resident for two (2) of one hundred and four (104) residents (Resident #58 and #70). Observation of the tray line service on 02/26/2024, revealed Resident #58 was ordered a controlled carbohydrate (CCHO) diet with large portions of vegetables but only received one (1) small scoop of potato salad and one (1) small scoop of mashed potatoes. In addition, there were no alternative/substitutions for the CCHO diet. Observation of the dinner meal on 03/01/2024, revealed Resident #70 did not receive fish, as identified on the residents list of personal preference for fish at lunch and supper meal.
  30. D
    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.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to follow the menu and provide the required nutritional needs for one (1) of one hundred and four (104) sampled residents (Resident #50).
  31. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on observation, interview, and review of the facility's policies, it was determined the facility failed to provide food that was palatable, attractive, and at an appetizing temperature for three (3) of one hundred and four (104) sampled residents (Residents #35, #66, and #113).
  32. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on interview, record review, review of the Centers for Disease Control and Prevention (CDC) document, and review of the facility's policies, it was determined the facility failed to provide immunization as required or appropriate; to ensure the resident or the resident's representative had the opportunity to refuse immunizations; and failed to ensure the medical record included documentation of the resident's or resident representative's education regarding the benefits and potential side effects of immunizations for one (1) of one hundred four (104) sampled residents, Resident #128.

Fire safety inspections

14 fire safety citations on file: 14 on March 8, 2024.

Every fire safety citation14 citations
  1. F
    Create arrangements with other facilities to receive patients.
    E 25 · March 8, 2024 · Corrected (the home has a date of correction)
  2. F
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · March 8, 2024 · Corrected (the home has a date of correction)
  3. F
    Install an approved automatic sprinkler system.
    K 351 · March 8, 2024 · Corrected (the home has a date of correction)
  4. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · March 8, 2024 · Corrected (the home has a date of correction)
  5. F
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · March 8, 2024 · Corrected (the home has a date of correction)
  6. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · March 8, 2024 · Corrected (the home has a date of correction)
  7. F
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · March 8, 2024 · Corrected (the home has a date of correction)
  8. E
    Have properly located and lighted "Exit" signs.
    K 293 · March 8, 2024 · Corrected (the home has a date of correction)
  9. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · March 8, 2024 · Corrected (the home has a date of correction)
  10. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 8, 2024 · Corrected (the home has a date of correction)
  11. E
    Install corridor and hallway doors that block smoke.
    K 363 · March 8, 2024 · Corrected (the home has a date of correction)
  12. E
    Meet Health Care Facilities Code mechanical requirements.
    K 900 · March 8, 2024 · Corrected (the home has a date of correction)
  13. E
    Ensure proper usage of power strips and extension cords.
    K 920 · March 8, 2024 · Corrected (the home has a date of correction)
  14. D
    Have power receptacles that are properly grounded.
    K 912 · March 8, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
March 8, 2024Fine $5,346
March 8, 2024Fine $6,682
March 8, 2024Fine $16,801
March 8, 2024Payment Denial 59 days from April 7, 2024
January 8, 2024Fine $2,258
January 2, 2024Fine $1,748
December 11, 2023Fine $3,145

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeKentuckyUnited States
All nursing staff (RN, LPN and aides)3.753.953.86
Registered nurses0.340.790.69
All nursing staff on weekends3.473.493.42
Nurse aides2.42
Licensed practical nurses0.99
Nursing staff turnover (share who left in a year)59.1%46.4%45.8%
Registered nurse turnover72.2%41.8%42.9%
Administrators who left0

CMS expects 4.90 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.86 on weekdays and 3.47 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.87 in April to June 2025 to 3.75 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.750.343.863.47 0.0%0 of 90128
Oct to Dec 20254.080.294.213.77 0.0%0 of 92121
Jul to Sep 20254.150.404.253.87 0.0%0 of 92113
Apr to Jun 20253.870.374.033.47 0.0%0 of 91111
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Kentucky, Jan to Mar 20263.850.714.043.403.2%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Kentucky

JobMedianMiddle halfEmployed
Kentucky, all employers
CNAs (nursing assistants)$18.45$17.38 to $21.2123,410
LPNs and LVNs$29.07$26.10 to $31.298,570
Registered nurses$38.96$36.38 to $46.7350,300
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeKentuckyUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
5.113.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.20.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.51.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.43.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.11.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
1.914.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.24.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
18.716.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
32.224.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.713.712.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.31.91.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.62.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Belmont Terrace Nursing and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (30.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

30.2% this home

Worse than the national rate

US median of homes 51.5% · Kentucky: 38 better, 49 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 46 eligible stays.

Potentially preventable readmissions

10.1% this home

No different from the national rate

US median of homes 10.7% · Kentucky: 0 better, 12 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 61 eligible stays.

Infections that led to a hospital stay

7.4% this home

No different from the national rate

US median of homes 7.1% · Kentucky: 0 better, 6 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 38 eligible stays.

Self-care and mobility at discharge

43.8% this home

Median of homes: Kentucky49.5% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 32 residents counted.

Falls with major injury

0.0% this home

Median of homes: Kentucky0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 39 residents counted.

New or worsened pressure ulcers

2.5% this home

Median of homes: Kentucky2.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 39 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Kentucky98.1% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 5 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: BRIDGE POINT HEALTH CENTER LLC. CMS links this home to Encore Health Partners, a group of 12 nursing homes averaging 3.6 stars overall.

NameRoleTypeShareSince
Encore Parent Holdings LLC5% or greater direct ownership interestOrganization100%10/20/2023
Encore Investors 2 LLC5% or greater indirect ownership interestOrganization10/20/2023
Encore Investors LLC5% or greater indirect ownership interestOrganization10/20/2023
Grinspan, Eli5% or greater indirect ownership interestIndividual10/20/2023
Grinspan, Isaac5% or greater indirect ownership interestIndividual10/20/2023
Rubenstein, David5% or greater indirect ownership interestIndividual10/20/2023
7300 Woodspoint Drive Realty LLC5% or greater mortgage interestOrganization10/20/2023
Dwight Mortgage Trust LLC5% or greater mortgage interestOrganization09/05/2025
Fischel, MayerCorporate officerIndividual10/20/2023
Grinspan, EliCorporate officerIndividual10/20/2023
Encore Health Partners 2 LLCOperational/managerial controlOrganization10/20/2023
Fischel, MayerOperational/managerial controlIndividual10/20/2023
Graves, KennethOperational/managerial controlIndividual10/20/2023
Grinspan, EliOperational/managerial controlIndividual10/20/2023
Shemwell, JoanOperational/managerial controlIndividual10/20/2023
Thompson, MonicaOperational/managerial controlIndividual10/20/2023
7300 Woodspoint Drive Realty LLCAdp of the SNFOrganization10/20/2023
Balt M4 LLCAdp of the SNFOrganization10/20/2023
Encore Health Partners 2 LLCAdp of the SNFOrganization03/10/2025
Encore Realty 2 LLCAdp of the SNFOrganization10/20/2023
Gefner Family Holding LLCAdp of the SNFOrganization10/20/2023
J & R Family Investments, LLCAdp of the SNFOrganization10/20/2023
J&r Kc Derby Ky Family Investments LLCAdp of the SNFOrganization10/20/2023
Kc Derby Ky Jv LLCAdp of the SNFOrganization10/20/2023
Kc Derby Ky Parent LLCAdp of the SNFOrganization10/20/2023
Kc Derby Ky Partners LLCAdp of the SNFOrganization10/20/2023
Landau Family Investment TrustAdp of the SNFOrganization10/20/2023
Perigrove 1034 LLCAdp of the SNFOrganization10/20/2023
Bloom, DavidAdp of the SNFIndividual10/20/2023
Fischel, MayerAdp of the SNFIndividual10/20/2023
Graves, KennethAdp of the SNFIndividual10/20/2023
Grinspan, EliAdp of the SNFIndividual10/20/2023
Grinspan, IsaacAdp of the SNFIndividual10/20/2023
Rubenstein, DavidAdp of the SNFIndividual10/20/2023
Shemwell, JoanAdp of the SNFIndividual03/11/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 7 problems in this area, most recently on June 12, 2026: "Provide and implement an infection prevention and control program."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on April 24, 2025: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on March 8, 2024: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on April 24, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.47 hours per resident per day, below the Kentucky average of 3.49.

Other nursing homes nearby

Kentucky contacts for a concern about a nursing home

These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.

Common questions

What is Belmont Terrace Nursing and Rehabilitation Center's Medicare star rating?
CMS rates Belmont Terrace Nursing and Rehabilitation Center 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Belmont Terrace Nursing and Rehabilitation Center get at its last inspection?
1 health deficiency at the standard inspection on June 12, 2026. The Kentucky average is 2.9.
Has Belmont Terrace Nursing and Rehabilitation Center been fined?
Yes. CMS lists 6 fines totaling $35,980 in the last three years.
Does Belmont Terrace Nursing and Rehabilitation Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Belmont Terrace Nursing and Rehabilitation Center?
CMS lists 35 owners and managers, and links the home to Encore Health Partners. Legal business name: BRIDGE POINT HEALTH CENTER LLC.

Sources

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