Berea Health and Rehabilitation
601 Richmond Road, Berea, KY 40403 · Madison County · (859) 986-4710
84 certified beds, about 78 residents a day · For profit - Partnership · Medicare and Medicaid since 1993
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185384 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 10, 2025, inspectors cited 0 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
Of 7 health citations since October 2020, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 2 fines totaling $16,801 in the last three years; the largest was $10,301, and the latest is dated July 27, 2024.
Nurses and nurse aides worked 3.91 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.62 of those hours.
55.2% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
CMS links it to Bluegrass Health Ky, an affiliated group of 15 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.
510/20
004/24
207/24
004/25
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 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
2E
0F
Potential for minimal harm
0A
0B
0C
April 10, 2025Standard inspection · 0 citations
July 27, 2024Complaint inspection · 2 citations
- J Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on interview, record review, and review of the facility's policy, the facility failed to develop and implement a baseline care plan to provide effective and person-centered care of residents and meet professional standards of care for 1 of 5 sampled residents (Resident (R))1. The facility admitted R1 on [DATE] at 11:30 AM, with a diagnosis of lumbar vertebra fracture. R1's Physician's Orders included supplemental oxygen (O2) at five liters per minute (5 LPM) per nasal cannula (nc) continuously. However, the facility failed to develop and implement a baseline care plan with detailed interventions related to R1's Physician's Order for supplemental O2 per nc at 5 LPM. The facility found R1 unresponsive on [DATE], with an oxygen saturation (O2 sat) level of 41% on supplemental O2 at 2 LPM per nc (and not the ordered 5 LPM). [...]
- J Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on interview, record review, and review of the facility's policy, the facility failed to ensure a resident who needed respiratory care was provided consistent with professional standards of practice for one (1) of five (5) sampled residents (Resident (R) 1). The facility admitted R1 on [DATE], for rehabilitation after sustaining a spinal fracture. R1 was noted to have a Physician's Order dated [DATE], for oxygen at five liters per minute (5 LPM) continuously. However, R1 was sent back to the hospital on [DATE] at 12:25 AM, due to low oxygen saturation (O2 sat) level of 41% while on 2 LPM oxygen (not the ordered 5 LPM) per a nasal cannula (nc). R1 was unresponsive to stimuli (painful stimulus used to assess for brain function) with pupils fixed and non-reactive to light or accommodation. [...]
April 5, 2024Standard inspection · 0 citations
October 23, 2020Standard inspection · 5 citations
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure each resident had a person-centered comprehensive care plan developed and implemented to address the monitoring of hydration status for three (3) of twenty seven (27) sampled residents (Resident #174, #12, and #28).
- E Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure residents maintained sufficient fluid intake to maintain proper hydration and health for five (5) out of twenty seven (27) sampled residents (Resident #174, #12, #28, #72, and #55).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure residents were safe from accidents for one (1) of twenty-seven (27) sampled residents. Resident #59 was assessed by the facility to need nectar thicken liquids and was noted to have access to thin liquids.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, record review, and review of the facility policy, it was determined the facility failed to ensure one (1) of two (2) residents (Resident #55) who received respiratory care out of a sample of twenty-seven (27) residents received respiratory care consistent with professional standards of practice and the comprehensive care plan. Resident #55 was observed on 10/21/2020 and 10/22/2020, receiving oxygen via nasal cannula at two (2) liters per minute (LPM). Review of the physician orders revealed an order dated 02/08/2019 for oxygen to be delivered via nasal cannula at three (3) LPM.
- 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.
Inspectors wroteBased on observation, interview and review of facility policy, the facility failed to ensure controlled drugs were stored in a permanently affixed compartment as required in one (1) of two (2) refrigerators in the medication rooms. Observation of the second floor medication room revealed a controlled medication for Resident #63 in the refrigerator. However, the medication was not stored in permanently affixed locked narcotic box.
Fire safety inspections
4 fire safety citations on file: 4 on April 5, 2024.
Every fire safety citation4 citations
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure proper usage of power strips and extension cords.
- D Have properly installed hallway dispensers for alcohol-based hand rub.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 27, 2024 | Fine | $6,500 |
| July 27, 2024 | Fine | $10,301 |
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.
| Measure | This home | Kentucky | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.91 | 3.95 | 3.86 |
| Registered nurses | 0.62 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.24 | 3.49 | 3.42 |
| Nurse aides | 2.36 | ||
| Licensed practical nurses | 0.92 | ||
| Nursing staff turnover (share who left in a year) | 55.2% | 46.4% | 45.8% |
| Registered nurse turnover | 84.6% | 41.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 5.43 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 4.18 on weekdays and 3.24 on weekends, 22% 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 3.40 in April to June 2025 to 3.91 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.91 | 0.62 | 4.18 | 3.24 | 0.0% | 0 of 90 | 78 |
| Oct to Dec 2025 | 3.81 | 0.51 | 4.07 | 3.15 | 0.0% | 0 of 92 | 78 |
| Jul to Sep 2025 | 3.66 | 0.37 | 3.92 | 3.02 | 0.0% | 0 of 92 | 78 |
| Apr to Jun 2025 | 3.40 | 0.34 | 3.60 | 2.91 | 0.0% | 0 of 91 | 79 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kentucky, Jan to Mar 2026 | 3.85 | 0.71 | 4.04 | 3.40 | 3.2% | 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kentucky | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 4.8 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.0 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.7 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.8 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.3 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.4 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.4 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.5 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 2.1 | 1.8 |
Owners and operators
Legal business name: BEREA HEALTHCARE LLC. CMS links this home to Bluegrass Health Ky, a group of 15 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Grinspan, Eli | 5% or greater direct ownership interest | Individual | 33% | 01/31/2023 |
| Berea Realty Holdings LLC | 5% or greater mortgage interest | Organization | 01/31/2023 | |
| Huntington Bank | 5% or greater mortgage interest | Organization | 01/31/2023 | |
| Fischel, Mayer | Corporate officer | Individual | 11/01/2016 | |
| Grinspan, Eli | Corporate officer | Individual | 11/01/2016 | |
| Valley Stream Operator I LLC | Operational/managerial control | Organization | 11/01/2016 | |
| Fischel, Mayer | Operational/managerial control | Individual | 11/01/2016 | |
| Grinspan, Eli | Operational/managerial control | Individual | 11/01/2016 | |
| Mullins, Christal | Operational/managerial control | Individual | 10/02/2024 | |
| Berkowitz, Cheskel | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/10/2025 | |
| David, Rochel | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/10/2025 | |
| Edelstein, Joel | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/10/2025 | |
| Freund, Israel | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/10/2025 | |
| Friedman, Leah | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/10/2025 | |
| Fuchs, Bernard | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/10/2025 | |
| Fuchs, Gerald | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/10/2025 | |
| Fuchs, Tova | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/10/2025 | |
| Leifer, Joel | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/10/2025 | |
| Zahler, Charles | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/10/2025 | |
| Zahler, Chaya | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/10/2025 | |
| Zahler, David | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/10/2025 | |
| Zahler, Jacob | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/10/2025 | |
| Zupnick, Joel | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/10/2025 | |
| Zupnick, Miriam | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/10/2025 | |
| Berea Realty Holdings LLC | Adp of the SNF | Organization | 11/01/2016 | |
| Valley Stream Operator I LLC | Adp of the SNF | Organization | 04/14/2025 | |
| Devers, Dustin | Adp of the SNF | Individual | 10/01/2017 | |
| Fischel, Mayer | Adp of the SNF | Individual | 11/01/2016 | |
| Grinspan, Eli | Adp of the SNF | Individual | 11/01/2016 | |
| Hollins, Cynthia | Adp of the SNF | Individual | 06/12/2023 | |
| Landa, Benjamin | Adp of the SNF | Individual | 01/01/2023 | |
| Mullins, Christal | Adp of the SNF | Individual | 10/02/2024 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on July 27, 2024: "Provide safe and appropriate respiratory care for a resident when needed."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on July 27, 2024: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on October 23, 2020: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.24 hours per resident per day, below the Kentucky average of 3.49.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- The Terrace Nursing and Rehabilitation Center Berea, 0.8 mi · 3 of 5 stars · 3 citations
- Kenwood Health and Rehabilitation Center Richmond, 9.9 mi · 5 of 5 stars · 1 citation
- Madison Health and Rehabilitation Center Richmond, 9.9 mi · 1 of 5 stars · 9 citations
- Telford Terrace Richmond, 11.5 mi · 5 of 5 stars · 7 citations
- Rockcastle Health & Rehabilitation Center Brodhead, 15.3 mi · 2 of 5 stars · 20 citations
- Landmark of Lancaster Rehabilitation and Nursing C Lancaster, 16.7 mi · 2 of 5 stars · 9 citations
- Rockcastle Regional Hospital and Respiratory Care Mount Vernon, 16.9 mi · 5 of 5 stars · 4 citations
- Irvine Nursing and Rehabilitation Center Irvine, 18.7 mi · 4 of 5 stars · 8 citations
Kentucky contacts for a concern about a nursing home
These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Kentucky Office of Inspector General, Division of Health Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Kentucky State Long-Term Care Ombudsman Program, Nursing Home Ombudsman Agency of the Bluegrass, (800) 372-2991. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Kentucky OIG Nursing Home Inspection Findings, where Kentucky publishes its own records on licensed homes.
Common questions
- What is Berea Health and Rehabilitation's Medicare star rating?
- CMS rates Berea Health and Rehabilitation 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Berea Health and Rehabilitation get at its last inspection?
- 0 health deficiencies at the standard inspection on April 10, 2025. The Kentucky average is 2.9.
- Has Berea Health and Rehabilitation been fined?
- Yes. CMS lists 2 fines totaling $16,801 in the last three years.
- Does Berea Health and Rehabilitation 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 Berea Health and Rehabilitation?
- CMS lists 32 owners and managers, and links the home to Bluegrass Health Ky. Legal business name: BEREA HEALTHCARE LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.