The Terrace Nursing and Rehabilitation Center
1043 Brooklyn Boulevard, Berea, KY 40403 · Madison County · (859) 228-0551
102 certified beds, about 97 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1970
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185103 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 2, 2026, inspectors cited 0 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 3 health citations since November 2019 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 3.92 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.
41.2% 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.
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 3 health citations on file.
April 2, 2026Standard inspection · 0 citations
March 4, 2025Standard inspection · 1 citation
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on interview, record review, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to electronically transmit the discharge assessment within 14 days for one (1) resident, Resident (R) 19. R19's discharge date was 11/14/2024, but R19's Minimum Data Set (MDS) was not transmitted until 03/02/2025.
February 13, 2024Complaint inspection · 2 citations
- 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 interview, record review, and review of the facility's policy, it was determined the facility failed to develop and implement a comprehensive person-centered care plan (CCP) for one (1) of sixteen (16) sampled residents, (Resident #3). On [DATE] at 10:25 AM, State Registered Nurse Aide (SRNA) #12 failed to follow the intervention in place on Resident #3's CCP that stated Resident #3 was a two (2) person assist for bed mobility for bottom to top and side to side changes, and as a result, SRNA #12 caused Resident #3 to roll out of the bed and on to the floor.
- D 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 facility's policy, it was determined the facility failed to provide supervision to each resident to prevent avoidable accidents for one (1) of sixteen (16) sampled residents, (Resident #3). On [DATE] at 10:25 AM, State Registered Nurse Aide (SRNA) #12 failed to follow the intervention in place on Resident #3's Comprehensive Care Plan (CCP) that stated Resident #3 was a two (2) person assist for bed mobility for bottom to top and side to side changes, and as a result, SRNA #12 caused Resident #3 to roll out of the bed and onto the floor.
November 21, 2019Standard inspection · 0 citations
Fire safety inspections
6 fire safety citations on file: 5 on March 4, 2025, 1 on November 21, 2019.
Every fire safety citation6 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- E Install an approved automatic sprinkler system.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Install corridor and hallway doors that block smoke.
- D Inspect, test, and maintain automatic sprinkler systems.
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) | 3.92 | 3.95 | 3.86 |
| Registered nurses | 0.34 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.36 | 3.49 | 3.42 |
| Nurse aides | 2.53 | ||
| Licensed practical nurses | 1.05 | ||
| Nursing staff turnover (share who left in a year) | 41.2% | 46.4% | 45.8% |
| Registered nurse turnover | 50.0% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 5.04 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 4.15 on weekdays and 3.36 on weekends, 19% 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 3.82 in April to June 2025 to 3.92 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 | 3.92 | 0.34 | 4.15 | 3.36 | 0.0% | 1 of 90 | 97 |
| Oct to Dec 2025 | 3.71 | 0.29 | 3.90 | 3.22 | 0.0% | 1 of 92 | 98 |
| Jul to Sep 2025 | 3.95 | 0.34 | 4.15 | 3.42 | 0.0% | 0 of 92 | 98 |
| Apr to Jun 2025 | 3.82 | 0.28 | 4.04 | 3.28 | 0.0% | 0 of 91 | 95 |
| 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 | 16.9 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.3 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.8 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 27.3 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.5 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 30.9 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.6 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.9 | 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 | 1.8 | 2.1 | 1.8 |
Owners and operators
Legal business name: BEREA 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 |
|---|---|---|---|---|
| Kennedy Ky Holdings LLC | 5% or greater direct ownership interest | Organization | 14% | 01/01/2023 |
| Ky Equity Partners LLC | 5% or greater direct ownership interest | Organization | 21% | 01/01/2023 |
| Grinspan, Eli | 5% or greater direct ownership interest | Individual | 15% | 01/01/2023 |
| Farkovits, Joshua | Direct ownership interest | Individual | 01/01/2023 | |
| Ky 90 Equities LLC | Indirect ownership interest | Organization | 01/01/2023 | |
| Berkowitz, Cheskel | Indirect ownership interest | Individual | 01/01/2023 | |
| David, Rochel | Indirect ownership interest | Individual | 01/01/2023 | |
| Edelstein, Joel | Indirect ownership interest | Individual | 01/01/2023 | |
| Freund, Israel | Indirect ownership interest | Individual | 01/01/2023 | |
| Friedman, Leah | Indirect ownership interest | Individual | 01/01/2023 | |
| Fuchs, Bernard | Indirect ownership interest | Individual | 01/01/2023 | |
| Fuchs, Gerald | Indirect ownership interest | Individual | 01/01/2023 | |
| Fuchs, Tova | Indirect ownership interest | Individual | 01/01/2023 | |
| Leifer, Joel | Indirect ownership interest | Individual | 01/01/2023 | |
| Zahler, Charles | Indirect ownership interest | Individual | 01/01/2023 | |
| Zahler, Chaya | Indirect ownership interest | Individual | 01/01/2023 | |
| Zahler, David | Indirect ownership interest | Individual | 01/01/2023 | |
| Zahler, Jacob | Indirect ownership interest | Individual | 01/01/2023 | |
| Zupnick, Joel | Indirect ownership interest | Individual | 01/01/2023 | |
| Zupnick, Miriam | Indirect ownership interest | Individual | 01/01/2023 | |
| Bad Realty LLC | 5% or greater mortgage interest | Organization | 11/01/2016 | |
| Greystone Servicing Company, LLC, a Delaware Limited Liability Company | 5% or greater mortgage interest | Organization | 08/28/2019 | |
| 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 | |
| Raymer, Myra | Operational/managerial control | Individual | 01/13/2025 | |
| Bad Realty LLC | Adp of the SNF | Organization | 11/01/2016 | |
| Kennedy Ky Holdings LLC | Adp of the SNF | Organization | 01/01/2023 | |
| Ky 90 Equities LLC | Adp of the SNF | Organization | 01/01/2023 | |
| Ky Equity Partners LLC | Adp of the SNF | Organization | 01/01/2023 | |
| Valley Stream Operator I LLC | Adp of the SNF | Organization | 04/09/2025 | |
| Zf Realty LLC | Adp of the SNF | Organization | 01/01/2023 | |
| Berkowitz, Cheskel | Adp of the SNF | Individual | 01/01/2023 | |
| David, Rochel | Adp of the SNF | Individual | 01/01/2023 | |
| Devers, Dustin | Adp of the SNF | Individual | 06/01/2017 | |
| Edelstein, Joel | Adp of the SNF | Individual | 01/01/2023 | |
| Farkovits, Joshua | Adp of the SNF | Individual | 01/01/2023 | |
| Fischel, Mayer | Adp of the SNF | Individual | 11/01/2016 | |
| Freund, Israel | Adp of the SNF | Individual | 01/01/2023 | |
| Friedman, Leah | Adp of the SNF | Individual | 01/01/2023 | |
| Fuchs, Bernard | Adp of the SNF | Individual | 01/01/2023 | |
| Fuchs, Gerald | Adp of the SNF | Individual | 01/01/2023 | |
| Fuchs, Tova | Adp of the SNF | Individual | 01/01/2023 | |
| Grinspan, Eli | Adp of the SNF | Individual | 11/01/2016 | |
| Hill, Chadwick | Adp of the SNF | Individual | 03/01/2022 | |
| Landa, Benjamin | Adp of the SNF | Individual | 01/01/2023 | |
| Leifer, Joel | Adp of the SNF | Individual | 01/01/2023 | |
| Raymer, Myra | Adp of the SNF | Individual | 01/13/2025 | |
| Zahler, Charles | Adp of the SNF | Individual | 01/01/2023 | |
| Zahler, Chaya | Adp of the SNF | Individual | 01/01/2023 | |
| Zahler, David | Adp of the SNF | Individual | 01/01/2023 | |
| Zahler, Jacob | Adp of the SNF | Individual | 01/01/2023 | |
| Zupnick, Joel | Adp of the SNF | Individual | 01/01/2023 | |
| Zupnick, Miriam | Adp of the SNF | Individual | 01/01/2023 |
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 4, 2025: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on February 13, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.36 hours per resident per day, below the Kentucky average of 3.49.
Other nursing homes nearby
- Berea Health and Rehabilitation Berea, 0.8 mi · 3 of 5 stars · 7 citations
- Kenwood Health and Rehabilitation Center Richmond, 10.2 mi · 5 of 5 stars · 1 citation
- Madison Health and Rehabilitation Center Richmond, 10.2 mi · 1 of 5 stars · 9 citations
- Telford Terrace Richmond, 11.8 mi · 5 of 5 stars · 7 citations
- Rockcastle Health & Rehabilitation Center Brodhead, 14.6 mi · 2 of 5 stars · 20 citations
- Landmark of Lancaster Rehabilitation and Nursing C Lancaster, 16 mi · 2 of 5 stars · 9 citations
- Rockcastle Regional Hospital and Respiratory Care Mount Vernon, 16.4 mi · 5 of 5 stars · 4 citations
- Irvine Nursing and Rehabilitation Center Irvine, 19.5 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 The Terrace Nursing and Rehabilitation Center's Medicare star rating?
- CMS rates The Terrace Nursing and Rehabilitation Center 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Terrace Nursing and Rehabilitation Center get at its last inspection?
- 0 health deficiencies at the standard inspection on April 2, 2026. The Kentucky average is 2.9.
- Has The Terrace Nursing and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does The 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 The Terrace Nursing and Rehabilitation Center?
- CMS lists 56 owners and managers, and links the home to Bluegrass Health Ky. Legal business name: BEREA 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.