Middlesboro Nursing and Rehabilitation Facility
Within standard 12-15 month inspection cycle. Federal law requires annual inspections.
Middlesboro Nursing and Rehabilitation Facility has received a Trust Grade of A, which indicates an excellent rating and suggests it is highly recommended for care. It ranks #23 out of 266 nursing homes in Kentucky, placing it in the top half of facilities, and is the best option in Bell County. The facility is improving, with no reported issues in 2024 compared to one in 2019. However, staffing is a concern with a rating of 2 out of 5 stars and a turnover rate of 47%, which is average for the state. While there have been no fines recorded, which is a positive sign, the facility has less RN coverage than 87% of Kentucky's facilities, meaning there may be fewer registered nurses available to catch potential issues. Specific incidents include residents reporting that the food served is bland and unappetizing, which raises concerns about meal quality and satisfaction. Overall, while the facility has strong ratings and is improving, families should consider the staffing concerns and food quality when evaluating care options.
- Trust Score
- A
- In Kentucky
- #23/266
- Safety Record
- Low Risk
- Inspections
- Getting Better
- Staff Stability ⚠ Watch
- 47% turnover. Above average. Higher turnover means staff may not know residents' routines.
- Penalties ✓ Good
- No fines on record. Clean compliance history, better than most Kentucky facilities.
- Skilled Nurses ⚠ Watch
- Each resident gets only 24 minutes of Registered Nurse (RN) attention daily — below average for Kentucky. Fewer RN minutes means fewer trained eyes watching for problems.
- Violations ✓ Good
- Only 1 deficiencies on record. Cleaner than most facilities. Minor issues only.
The Good
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4-Star Quality Measures · Strong clinical quality outcomes
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Full Sprinkler Coverage · Fire safety systems throughout facility
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No fines on record
Facility shows strength in quality measures, fire safety.
The Bad
Near Kentucky avg (46%)
Higher turnover may affect care consistency
Part of a multi-facility chain
Ask about local staffing decisions and management
The Ugly 1 deficiencies on record
Sept 2019
1 deficiency
CONCERN
(E)
Potential for Harm - no one hurt, but risky conditions existed
Deficiency F0804
(Tag F0804)
Could have caused harm · This affected multiple residents
Based on observation, interview, record review, and review of facility policy, it was determined that food served to residents during the evening meal on 09/25/19 was not palatable. Interviews with un...
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Understanding Severity Codes (click to expand)
Questions to Ask on Your Visit
- "Can I speak with families of current residents?"
- "What's your RN coverage like on weekends and overnight?"
Our Honest Assessment
- • Grade A (90/100). Above average facility, better than most options in Kentucky.
- • No major safety red flags. No abuse findings, life-threatening violations, or SFF status.
- • No fines on record. Clean compliance history, better than most Kentucky facilities.
- • Only 1 deficiencies on record. Cleaner than most facilities. Minor issues only.
- • No significant concerns identified. This facility shows no red flags across CMS ratings, staff turnover, or federal penalties.
About This Facility
What is Middlesboro Nursing And Rehabilitation Facility's CMS Rating?
CMS assigns Middlesboro Nursing and Rehabilitation Facility an overall rating of 5 out of 5 stars, which is considered much above average nationally. Within Kentucky, this rating places the facility higher than 99% of the state's 100 nursing homes. This rating reflects solid performance across the metrics CMS uses to evaluate nursing home quality.
How is Middlesboro Nursing And Rehabilitation Facility Staffed?
CMS rates Middlesboro Nursing and Rehabilitation Facility's staffing level at 2 out of 5 stars, which is below average compared to other nursing homes. Staff turnover is 47%, compared to the Kentucky average of 46%.
What Have Inspectors Found at Middlesboro Nursing And Rehabilitation Facility?
State health inspectors documented 1 deficiencies at Middlesboro Nursing and Rehabilitation Facility during 2019. These included: 1 with potential for harm.
Who Owns and Operates Middlesboro Nursing And Rehabilitation Facility?
Middlesboro Nursing and Rehabilitation Facility is owned by a for-profit company. For-profit facilities operate as businesses with obligations to shareholders or private owners. The facility is operated by BLUEGRASS HEALTH KY, a chain that manages multiple nursing homes. With 95 certified beds and approximately 92 residents (about 97% occupancy), it is a smaller facility located in Middlesboro, Kentucky.
How Does Middlesboro Nursing And Rehabilitation Facility Compare to Other Kentucky Nursing Homes?
Compared to the 100 nursing homes in Kentucky, Middlesboro Nursing and Rehabilitation Facility's overall rating (5 stars) is above the state average of 2.8, staff turnover (47%) is near the state average of 46%, and health inspection rating (5 stars) is much above the national benchmark.
What Should Families Ask When Visiting Middlesboro Nursing And Rehabilitation Facility?
Based on this facility's data, families visiting should ask: "Can you walk me through typical staffing levels on day, evening, and night shifts?" "Can I visit during a mealtime to observe dining assistance and food quality?" "How do you handle medical emergencies, and what is your hospital transfer rate?" "Can I speak with family members of current residents about their experience?" These questions are particularly relevant given the below-average staffing rating.
Is Middlesboro Nursing And Rehabilitation Facility Safe?
Based on CMS inspection data, Middlesboro Nursing and Rehabilitation Facility has a clean safety record: no substantiated abuse findings (meaning no confirmed cases of resident harm), no Immediate Jeopardy citations (the most serious violation level indicating risk of serious injury or death), and is not on the Special Focus Facility watch list (a federal program monitoring the lowest-performing 1% of nursing homes). The facility has a 5-star overall rating and ranks #1 of 100 nursing homes in Kentucky. While no facility is perfect, families should still ask about staff-to-resident ratios and recent inspection results during their visit.
Do Nurses at Middlesboro Nursing And Rehabilitation Facility Stick Around?
Middlesboro Nursing and Rehabilitation Facility has a staff turnover rate of 47%, which is about average for Kentucky nursing homes (state average: 46%). Moderate turnover is common in nursing homes, but families should still ask about staff tenure and how the facility maintains care continuity when employees leave.
Was Middlesboro Nursing And Rehabilitation Facility Ever Fined?
Middlesboro Nursing and Rehabilitation Facility has no federal fines on record. CMS issues fines when nursing homes fail to meet care standards or don't correct problems found during inspections. The absence of fines suggests the facility has either maintained compliance or corrected any issues before penalties were assessed. This is a positive indicator, though families should still review recent inspection reports for the full picture.
Is Middlesboro Nursing And Rehabilitation Facility on Any Federal Watch List?
Middlesboro Nursing and Rehabilitation Facility is not on any federal watch list. The most significant is the Special Focus Facility (SFF) program, which identifies the bottom 1% of nursing homes nationally based on persistent, serious quality problems. Not being on this list means the facility has avoided the pattern of deficiencies that triggers enhanced federal oversight. This is a positive indicator, though families should still review the facility's inspection history directly.