Menifee Meadows Nursing & Rehab LLC
195 Berryman Road, Frenchburg, KY 40322 · Menifee County · (606) 768-9001
60 certified beds, about 48 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
1 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185423 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 5, 2026, inspectors cited 2 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 9 health citations since January 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 3.66 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.
55.7% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
CMS links it to Bao Opco Holdings, an affiliated group of 5 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.
601/20
112/24
203/26
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 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
2E
0F
Potential for minimal harm
0A
0B
0C
March 5, 2026Standard inspection · 2 citations
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, record review and facility policy, the facility failed to review and revise the comprehensive care plan for 2 of 13 sampled Residents (R). (R14 and R26). Review of the facility policy titled Comprehensive Care Plans not dated, revealed it was the policy of the facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that included measurable objectives and timeframes to meet a resident's medical nursing, and mental and psychosocial needs and all services that were identified in the resident's comprehensive assessment and meet professional standards of quality. Observation on 03/03/2026 at 11:49AM revealed Resident (R) 14 wearing a soft helmet, that strapped under the chin. [...]
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, record review and facility policy, it was determined the facility failed to keep portable Oxygen available for a Resident that required continuous Oxygen during the shower. Resident 26 stated she became short of breath and upset during her shower on 03/03/2026. No portable tank was available in the shower room. Review of the facility policy titled Oxygen Administration, not dated, revealed Oxygen is administered to residents who need it, consistent with professional standards of practice, the comprehensive person-centered care plans, and the resident's goals and preferences. The policy further stated Oxygen is administered under orders of a physician, except in the case of and emergency. [...]
December 20, 2024Standard inspection · 1 citation
- 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, record review, and review of the facility's policy, it was determined the facility failed to store, prepare, and serve food in a sanitary manner and in accordance with professional standards for food service safety. During initial tour, Cook1 was observed prepping food and moving about in the kitchen production area without wearing a proper beard protector to ensure complete coverage of his facial hair. Continued observation during the tour revealed dietary equipment such as the stove top surface/back-splash, grease trap, and convection oven were dirty/soiled and in need of cleaning. This failure had the potential to affect all residents of the facility who consumed food prepared in the kitchen.
January 9, 2020Standard inspection · 6 citations
- 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 facility policy, it was determined the facility failed to prepare and serve food in accordance with professional standards for food service safety. Kitchen equipment (a can opener and a mixer) was observed soiled and a soap dispenser at one (1) of two (2) handwashing sinks did not function and dispense soap.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to accurately assess one (1) of eighteen (18) sampled residents. Review of Resident #7's Minimum Data Set (MDS) quarterly assessment revealed the facility had assessed the resident to not have oxygen therapy. However, record review and interview revealed the resident was receiving oxygen therapy during the period when the quarterly MDS assessment was completed.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure one (1) of eighteen (18) sampled residents (Resident #7) received respiratory care as ordered by the physician. Resident #7 was ordered oxygen therapy at two (2) liters via nasal cannula and was receiving oxygen therapy at one (1) liter via nasal cannula.
- 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 and interview, 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 South Hall medication room revealed the locked narcotic box in the refrigerator was not permanently affixed to the refrigerator.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and review of facility policy, it was determined the facility failed to have an effective infection control program ensuring staff wash/sanitize hands or use gloves (Personal Protective Equipment) when indicated during meal service and tray setup/delivery for one (1) of eighteen (18) sampled residents (Resident #12). On 01/07/2020 during the noon meal, a staff member removed a urinal from Resident 12's overbed table, adjusted a fall mat, and repositioned the resident, and did not utilize gloves or wash and sanitize hands. The staff member then prepared the resident's food tray and touched the resident's eating utensils.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure one (1) of five (5) sampled residents (Resident #11) that were reviewed for influenza and pneumonia vaccines received a pneumonia vaccine as required. Review of the record for Resident #11 revealed no evidence of a pneumonia vaccine.
Fire safety inspections
13 fire safety citations on file: 3 on March 5, 2026, 9 on December 20, 2024, 1 on January 9, 2020.
Every fire safety citation13 citations
- E Ensure proper usage of power strips and extension cords.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Inspect, test, and maintain automatic sprinkler systems.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- E Ensure proper usage of power strips and extension cords.
- D Install an approved automatic sprinkler system.
- F Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
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) | 3.66 | 3.95 | 3.86 |
| Registered nurses | 0.54 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.60 | 3.49 | 3.42 |
| Nurse aides | 2.43 | ||
| Licensed practical nurses | 0.69 | ||
| Nursing staff turnover (share who left in a year) | 55.7% | 46.4% | 45.8% |
| Registered nurse turnover | 64.3% | 41.8% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.18 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 3.68 on weekdays and 3.60 on weekends, 2% 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 3.79 in April to June 2025 to 3.66 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 | 3.66 | 0.54 | 3.68 | 3.60 | 0.0% | 0 of 90 | 48 |
| Oct to Dec 2025 | 3.81 | 0.43 | 3.89 | 3.61 | 0.0% | 0 of 92 | 53 |
| Jul to Sep 2025 | 3.91 | 0.61 | 4.03 | 3.61 | 0.0% | 0 of 92 | 51 |
| Apr to Jun 2025 | 3.79 | 0.53 | 3.86 | 3.61 | 0.2% | 0 of 91 | 53 |
| 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 | 34.8 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.2 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.6 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.0 | 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 | 29.0 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.1 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 33.8 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.6 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 27.4 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 2.1 | 1.8 |
Owners and operators
Legal business name: MENIFEE MEADOWS NURSING & REHAB LLC. CMS links this home to Bao Opco Holdings, a group of 5 nursing homes averaging 1.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bao Opco Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 06/16/2025 |
| Smithey, Ashley | 5% or greater indirect ownership interest | Individual | 06/16/2025 | |
| Womack, Bryon | 5% or greater indirect ownership interest | Individual | 75% | 06/16/2025 |
| Smithey, Ashley | Managing control - governing body | Individual | 06/16/2025 | |
| Womack, Bryon | Managing control - governing body | Individual | 06/16/2025 | |
| Bao Opco Holdings LLC | Operational/managerial control | Organization | 06/16/2025 | |
| Rise SNF Management LLC | Operational/managerial control | Organization | 06/16/2025 | |
| King, Brigitte | Operational/managerial control | Individual | 06/16/2025 | |
| Kothari, Zahid | Operational/managerial control | Individual | 06/16/2025 | |
| Smithey, Ashley | Operational/managerial control | Individual | 06/16/2025 | |
| Smithey, Randy | Operational/managerial control | Individual | 06/16/2025 | |
| Webb, Geraldine | Operational/managerial control | Individual | 06/16/2025 | |
| Womack, Bryon | Operational/managerial control | Individual | 06/16/2025 | |
| Agtl Holdings, LLC | Adp of the SNF | Organization | 06/16/2025 | |
| Ba Propco Holdings, LLC | Adp of the SNF | Organization | 06/16/2025 | |
| Berryman Propco, LLC | Adp of the SNF | Organization | 06/16/2025 | |
| Evolve Therapy Services LLC | Adp of the SNF | Organization | 06/16/2025 | |
| Rise SNF Management LLC | Adp of the SNF | Organization | 06/16/2025 | |
| Bebie, Lisa | Adp of the SNF | Individual | 06/16/2025 | |
| Deitch, Lyle | Adp of the SNF | Individual | 06/16/2025 | |
| Denny, Amber | Adp of the SNF | Individual | 06/16/2025 | |
| King, Brigitte | Adp of the SNF | Individual | 06/16/2025 | |
| Kothari, Zahid | Adp of the SNF | Individual | 06/16/2025 | |
| Long, Adam | Adp of the SNF | Individual | 06/16/2025 | |
| Quinn, Timothy | Adp of the SNF | Individual | 06/16/2025 | |
| Smithey, Ashley | Adp of the SNF | Individual | 06/16/2025 | |
| Smithey, Randy | Adp of the SNF | Individual | 06/16/2025 | |
| Webb, Geraldine | Adp of the SNF | Individual | 06/16/2025 | |
| Womack, Bryon | Adp of the SNF | Individual | 06/16/2025 | |
| Womack, Grady | Adp of the SNF | Individual | 06/16/2025 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on March 5, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- 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 March 5, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
- 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 December 20, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on January 9, 2020: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Stanton Nursing and Rehabilitation Center Stanton, 13 mi · 3 of 5 stars · 8 citations
- Wolfe County Health & Rehabilitation Center Campton, 13.3 mi · 4 of 5 stars · 1 citation
- Ridgeway Nursing & Rehabilitation Facility Owingsville, 17.3 mi · 3 of 5 stars · 20 citations
- Mt. Sterling Health & Rehab, LLC Mount Sterling, 19.4 mi · 1 of 5 stars · 26 citations
- West Liberty Nursing and Rehabilitation West Liberty, 19.4 mi · 3 of 5 stars · 14 citations
- Life Care Center of Morehead Morehead, 21.5 mi · 2 of 5 stars · 13 citations
- Irvine Nursing and Rehabilitation Center Irvine, 24.1 mi · 4 of 5 stars · 8 citations
- Lee County Care & Rehabilitation Center Beattyville, 24.7 mi · 3 of 5 stars · 6 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 Menifee Meadows Nursing & Rehab LLC's Medicare star rating?
- CMS rates Menifee Meadows Nursing & Rehab LLC 3 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Menifee Meadows Nursing & Rehab LLC get at its last inspection?
- 2 health deficiencies at the standard inspection on March 5, 2026. The Kentucky average is 2.9.
- Has Menifee Meadows Nursing & Rehab LLC been fined?
- CMS lists no fines in the last three years.
- Does Menifee Meadows Nursing & Rehab LLC 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 Menifee Meadows Nursing & Rehab LLC?
- CMS lists 30 owners and managers, and links the home to Bao Opco Holdings. Legal business name: MENIFEE MEADOWS NURSING & REHAB 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.