Cambridge Nursing & Rehabilitation Center
2020 Cambridge Drive, Lexington, KY 40504 · Fayette County · (859) 252-6747
108 certified beds, about 105 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2000
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185444 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 19, 2026, inspectors cited 5 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 10 health citations since September 2020 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.64 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
48.7% 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.
309/20
208/24
005/25
502/26
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 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
5E
2F
Potential for minimal harm
0A
0B
0C
February 19, 2026Standard inspection, Complaint inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and review of the facility's policies, the facility failed to ensure resident food was stored and prepared in a safe and sanitary manner. The deficient practice potentially affected 106 current residents who received food from the kitchen.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, review of the manufacturer's recommendations for the facility's glucometers, review of the Centers for Disease Control and Prevention (CDC) guidelines, and review of the facility's policy, 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 and control the development and transmission of communicable diseases. The facility failed to implement its infection prevention and control policies and procedures and identify and correct problems relating to infection prevention practices for 12 out of 24 sampled residents, Resident (R) 3, R19, R26, R35, R41, R42, R44, R48, R55, R60, R94, and R102 and for 1 of 2 working shower rooms, the East Wing Shower Room.
- 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.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure each resident's right to a safe, clean, comfortable and homelike environment by providing maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for 11 of 25 sampled resident rooms, (Rooms 4, 25, 32, 34, 49, 50, 52, 53, 58, 60, and 67). Observation on 02/16/2026 and 02/18/2026 revealed the listed rooms had maintenance issues which included damaged drywall, damaged baseboards, cracked flooring, unpainted drywall patches, an air conditioner with a corroded grille containing a black substance, wall stains, and dirty floors and baseboards. In addition, observation on 02/15/2026 revealed 2 of 2 working shower rooms with cleanliness issues. The shower on the East Unit had fecal staining, fecal deposits, mold, and a soiled shower chair. [...]
- E 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 the facility's policy, the facility failed to ensure appropriate storage of resident medications, with loose pills and undated medications found in 3 of 8 medication carts, East 1, [NAME] 1, and [NAME] 3, and 1 of 2 medication rooms, the East Wing.
- D 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 review of the facility's policy, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for 1 of 24 sampled residents, Resident (R) 60. Review of R60's Order Summary Report, revealed on 01/21/2026 an active order for the resident to receive Hospice care. However, the facility failed to develop a care plan for R60 to include Hospice Care.
May 8, 2025Standard inspection · 0 citations
August 22, 2024Complaint inspection, Infection control · 2 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, review of the facility's policy and signage, and review of the Centers for Disease Control and Prevention (CDC) Guidelines, the facility failed to maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections for 4 of 42 sampled residents, Resident (R) 9, 19, 35, and 36.
- 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 review of the facility's policy, the facility failed to have an effective system in place to ensure residents who exhibited wandering behaviors or were assessed at risk for elopement received adequate supervision and monitoring for 1 of 10 sampled residents, Resident (R) 1. On 07/22//2024, R1 was ordered to be on 15 minute checks by the Advanced Practice Nurse Practitioner (APRN)1 due to the resident's diagnosis of dementia, high elopement risk, and history with falls. However, the order was discontinued on 07/30/2024, and the APRN1 stated she did not order the 15 minute checks to be discontinued. Therefore, on 08/02/2024 at approximately 2:00 PM, R1 exited the facility without staff knowledge, unsupervised, and unescorted. [...]
September 24, 2020Standard inspection · 3 citations
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview, record review, and review of the Manufacturer's Recommendations for Use of the transfer pole, it was determined the facility failed to take appropriate precautions to ensure a safe environment to prevent avoidable accidents for five (5) of twenty (20) sampled Residents (#32, #38, #54, #70 #72). Residents #32, #38, #54, #70 #72 had a transfer pole device installed in their rooms. The facility failed to ensure the transfer devices were installed per the Manufacturer's Recommendations for Use (MRU) to prevent avoidable accidents and ensure the residents' safety.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and review of the facility's policy, it was determined the facility failed to store, prepare, and serve food under sanitary conditions. Observations, on 09/22/2020, of the tea and water cart revealed it was not cleaned between breakfast and lunch service, and the wall/baseboard in the hall in front of the steam table revealed dried food stains. Continued observations revealed the food thermometer was not properly sanitized between food items.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and review of the facility's policies, it was determined 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 to properly prevent and/or contain COVID-19. Observation of medication administration, on 09/23/2020 at 8:30 AM, revealed Licensed Practical Nurse (LPN) #1 failed to wash or re-sanitize hands between Resident #51's medication administration and Resident #39's medication administration. Further observation revealed that Licensed Practical Nurse #1 dropped a green medication capsule on the top of the medication cart, a contaminated surface, picked it up with bare hands, and placed the capsule in the medication cup to administer to Resident #39.
Fire safety inspections
11 fire safety citations on file: 1 on February 19, 2026, 6 on May 8, 2025, 4 on September 24, 2020.
Every fire safety citation11 citations
- E Install corridor and hallway doors that block smoke.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have proper medical gas storage and administration areas.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Ensure proper usage of power strips and extension cords.
- E Have exits that are accessible at all times.
- D Have restrictions on the use of portable space heaters.
- D Ensure proper usage of power strips and extension cords.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.64 | 3.95 | 3.86 |
| Registered nurses | 0.49 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.14 | 3.49 | 3.42 |
| Nurse aides | 2.27 | ||
| Licensed practical nurses | 0.88 | ||
| Nursing staff turnover (share who left in a year) | 48.7% | 46.4% | 45.8% |
| Registered nurse turnover | 56.3% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.65 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 3.84 on weekdays and 3.14 on weekends, 18% 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 3.56 in April to June 2025 to 3.64 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 | 3.64 | 0.49 | 3.84 | 3.14 | 0.0% | 0 of 90 | 105 |
| Oct to Dec 2025 | 3.60 | 0.39 | 3.81 | 3.04 | 0.0% | 0 of 92 | 106 |
| Jul to Sep 2025 | 3.57 | 0.41 | 3.74 | 3.13 | 0.0% | 0 of 92 | 106 |
| Apr to Jun 2025 | 3.56 | 0.47 | 3.74 | 3.10 | 0.0% | 0 of 91 | 104 |
| 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.
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
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Kentucky, all employers | |||
| CNAs (nursing assistants) | $18.45 | $17.38 to $21.21 | 23,410 |
| LPNs and LVNs | $29.07 | $26.10 to $31.29 | 8,570 |
| Registered nurses | $38.96 | $36.38 to $46.73 | 50,300 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
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 | 5.2 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.7 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.5 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.6 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.5 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.4 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.5 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 2.1 | 1.8 |
Owners and operators
Legal business name: CAMBRIDGE OPERATIONS 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 |
|---|---|---|---|---|
| Cambridge Operations Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 04/01/2023 |
| Mjem Irrevocable Trust | 5% or greater indirect ownership interest | Organization | 03/01/2025 | |
| Fischel, Mayer | 5% or greater indirect ownership interest | Individual | 04/01/2023 | |
| Grinspan, Leora | 5% or greater indirect ownership interest | Individual | 03/01/2025 | |
| Vium Cpaital Investments LLC | 5% or greater mortgage interest | Organization | 04/08/2025 | |
| Fischel, Mayer | Corporate officer | Individual | 04/01/2023 | |
| Valley Stream Operator I LLC | Operational/managerial control | Organization | 04/01/2023 | |
| Fischel, Mayer | Operational/managerial control | Individual | 04/01/2023 | |
| Grinspan, Eli | Operational/managerial control | Individual | 04/01/2023 | |
| Cambridge Property Holdco LLC | Adp of the SNF | Organization | 04/01/2023 | |
| Cambridge Property LLC | Adp of the SNF | Organization | 04/01/2023 | |
| Mjem Irrevocable Trust | Adp of the SNF | Organization | 03/01/2025 | |
| Valley Stream Operator I LLC | Adp of the SNF | Organization | 04/09/2025 | |
| Alvarado, Ralph | Adp of the SNF | Individual | 04/01/2023 | |
| Case, Nina | Adp of the SNF | Individual | 03/06/2024 | |
| Fischel, Mayer | Adp of the SNF | Individual | 04/01/2023 | |
| Gauri, Shishir | Adp of the SNF | Individual | 10/23/2024 | |
| Grinspan, Eli | Adp of the SNF | Individual | 04/01/2023 | |
| Grinspan, Leora | Adp of the SNF | Individual | 03/01/2025 |
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.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on February 19, 2026: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on February 19, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on August 22, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on February 19, 2026: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.14 hours per resident per day, below the Kentucky average of 3.49.
Other nursing homes nearby
- Homestead Post Acute Lexington, 0.9 mi · 3 of 5 stars · 8 citations
- Pine Meadows Post Acute Lexington, 0.9 mi · 2 of 5 stars · 16 citations
- Lexington Country Place Lexington, 1.6 mi · 1 of 5 stars · 9 citations
- The Willows at Citation Lexington, 4.1 mi · 5 of 5 stars · 9 citations
- Mayfair Manor Lexington, 4.8 mi · 1 of 5 stars · 27 citations
- The Willows at Fritz Farm Lexington, 5.5 mi · 3 of 5 stars · 9 citations
- Sayre Christian Village Nursing Home Lexington, 6 mi · 1 of 5 stars · 14 citations
- Bluegrass Care & Rehabilitation Center Lexington, 6.6 mi · 3 of 5 stars · 12 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 Cambridge Nursing & Rehabilitation Center's Medicare star rating?
- CMS rates Cambridge Nursing & Rehabilitation Center 2 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Cambridge Nursing & Rehabilitation Center get at its last inspection?
- 5 health deficiencies at the standard inspection on February 19, 2026. The Kentucky average is 2.9.
- Has Cambridge Nursing & Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Cambridge Nursing & 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 Cambridge Nursing & Rehabilitation Center?
- CMS lists 19 owners and managers, and links the home to Bluegrass Health Ky. Legal business name: CAMBRIDGE OPERATIONS 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.