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Middlesboro Nursing and Rehabilitation Facility

Nursing Home & Skilled Nursing · Middlesboro, KY

CMS overall rating

235 New Wilson Lane, Middlesboro, KY 40965 View map

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Middlesboro Nursing and Rehabilitation Facility accepts Medicare, Medicaid, and private pay.

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Middlesboro Nursing and Rehabilitation Facility accepts Medicare, Medicaid, and private pay.

Overview of Middlesboro Nursing and Rehabilitation Facility

Middlesboro Nursing and Rehabilitation Facility is located at 235 New Wilson Lane in Middlesboro, Kentucky. Melissa Robbins owns this 95-bed building, which coordinates billing through standard payment channels like private funds, Medicare, and Medicaid. The surrounding area maintains a moderate Walk Score of 62, which enables visiting families and guests to complete a fair number of daily tasks on foot without always needing a vehicle.

Residents typically stay in the facility for an average of 198 days. Because of this timeline, the daily floor schedule is divided between short-term therapy after a hospital stay, temporary respite care, and traditional long-term skilled nursing. The staff covers the building around the clock, averaging 3 hours and 21 minutes of direct nursing care per resident each day to manage ongoing clinical tracking, wound management, and basic physical assistance.

The interior layout features furnished private and semi-private bedrooms, a library, family visiting lounges, and building-wide Wi-Fi. To minimize external travel for residents, the staff organizes on-site diagnostic services like X-rays, laboratory tests, and pharmacy access, alongside regular dental, podiatry, vision, and hearing clinics. Daily workflows combine house maintenance and laundry services with a pet-friendly policy, open visiting hours, chapel services, a mobile garden, and scheduled group outings.

Prospective representatives can look into how the modern campus manages its 24-hour nursing schedules, integrated diagnostic services, and short-term therapy options. The home pairs these primary clinical programs with traditional accommodations, including private room configurations, flexible visiting rules, courtyard access, and local transit.

Facility Direct Line (606) 298-0091

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 21m per day

vs avg

3 of 6 metrics below state avg

Standout metric LPN / LVN is +30% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	26m per day	▼ 44% State avg: 46m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	1h 4m per day	▲ 30% State avg: 49m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 26m per day	■ Avg State avg: 2h 26m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 27m per day	■ Avg State avg: 3h 30m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	0m per day	▼ 90% State avg: 4m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	13m per day	▼ 57% State avg: 31m per day · National avg: 28m per day

Capacity and availability

198 days

95-bed community

A larger shared setting that may offer more common spaces and organized community services.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 62 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

97%

Higher than the Kentucky average: 81.3%

Occupied beds

92 / 95

Average occupied beds in Kentucky homes 80 beds

Facility TypeLong Term Care (nursing Facility)

StatusActive

IssuanceJanuary 1, 2025

CountyBell

License Number100639

CMS Certification Number185240

Middlesboro Nursing and Rehabilitation Facility is administered by Melissa Robbins.

Owner NameMiddlesboro Operations, LLC

Rehabilitation Services

Respite Care

Pets Allowed

Ambulance & Transportation

Beauty/Barber Salon

Cable & Phone

Complimentary Wi-Fi

Computer Access

Conference Room

Dental

Podiatry

Optometry

& Audiology Services

Electronic Security System

Family/Resident Lounges

Furnished Private & Semi-Private Rooms

Group Outings

Housekeeping

Linen

& Laundry Services

Library

Mobile Garden

On-Site Religious Services

Open Visiting Hours

Outdoor Courtyard

Oxygen Services

Personal And Medical Supplies

Pet Friendly

Pharmacy

State-Of-The-Art Therapy Equipment

X-Ray And Laboratory Services

Activities

Religious Services

Since 2018 · 8 years of data 1 deficiency 3 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Kentucky state average

Overall vs. KY average

Latest Inspection September 19, 2024 Annual Inspection

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	KY Average	vs. KY Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	1	6	This facility has 83% fewer total deficiencies than a typical Kentucky assisted living residence (1 vs. KY avg 6).↓ 83% better
Deficiencies per year Average deficiencies per year since 2018.	0.1	0.8	This facility has 88% fewer deficiencies per year than a typical Kentucky assisted living residence (0.1 vs. KY avg 0.8).↓ 88% better
Deficiencies per inspection Average deficiencies per inspection.	0.3	1.5	This facility has 80% fewer deficiencies per inspection than a typical Kentucky assisted living residence (0.3 vs. KY avg 1.5).↓ 80% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	KY Average	vs. KY Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	3	4	This facility has had 25% fewer total inspections than the Kentucky average (3 vs. KY avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↓ 25% fewer

Show Inspection Reports

Inspections since 2019

Total health inspections 1

State average N/A

Last Health inspection on Sep 2019

Total health citations

State average N/A

Citations per inspection

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 1 citation resulted from standard inspections.

Breakdown of citation severity (last 7 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

1 moderate citation State average: N/A

0 minor citations State average: N/A

Citations history (last 7 years)

Nutrition moderate citation Sep 26, 2019

Corrected

Total staff 125

Employees 109

Contractors 16

Staff to resident ratio 1.47 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 48

Average shift 8.8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 38,698

Nursing staff breakdown

11.5 hours

9.8 hours

9.3 hours

Contractor staffing

2,768 contractor hours this quarter

Speech Language Pathologist: 4 Qualified Social Worker: 3 Physical Therapy Aide: 2 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 2 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	60	0	60	18,575	92	100%	9.3
Licensed Practical Nurse	20	0	20	8,504	92	100%	9.8
Clinical Nurse Specialist	4	0	4	1,703	73	79%	8.1
Registered Nurse	10	0	10	1,469	89	97%	11.5
Other Dietary Services Staff	4	0	4	1,361	92	100%	7
Medication Aide/Technician	3	0	3	1,255	91	99%	8.9
Speech Language Pathologist	0	4	4	874	67	73%	7.2
Qualified Social Worker	0	3	3	723	67	73%	7
Nurse Aide in Training	2	0	2	669	50	54%	11.7
Physical Therapy Aide	0	2	2	496	64	70%	7.5
Dental Services Staff	1	0	1	495	64	70%	7.7
Physical Therapy Assistant	0	2	2	494	61	66%	7.9
Administrator	1	0	1	488	61	66%	8
Nurse Practitioner	1	0	1	480	60	65%	8
RN Director of Nursing	1	0	1	462	60	65%	7.7
Physical Therapist	1	0	1	454	56	61%	8.1
Medical Director	0	1	1	77	63	68%	1.2
Respiratory Therapy Technician	0	2	2	56	50	54%	1.1
Occupational Therapy Assistant	0	1	1	27	6	7%	4.5
Occupational Therapy Aide	0	1	1	21	5	5%	4.3
Dietitian	1	0	1	15	11	12%	1.4

60 Certified Nursing Assistant

% of Days 100%

20 Licensed Practical Nurse

% of Days 100%

4 Clinical Nurse Specialist

% of Days 79%

10 Registered Nurse

% of Days 97%

4 Other Dietary Services Staff

% of Days 100%

3 Medication Aide/Technician

% of Days 99%

4 Speech Language Pathologist

% of Days 73%

3 Qualified Social Worker

% of Days 73%

2 Nurse Aide in Training

% of Days 54%

2 Physical Therapy Aide

% of Days 70%

1 Dental Services Staff

% of Days 70%

2 Physical Therapy Assistant

% of Days 66%

1 Administrator

% of Days 66%

1 Nurse Practitioner

% of Days 65%

1 RN Director of Nursing

% of Days 65%

1 Physical Therapist

% of Days 61%

1 Medical Director

% of Days 68%

2 Respiratory Therapy Technician

% of Days 54%

1 Occupational Therapy Assistant

% of Days 7%

1 Occupational Therapy Aide

% of Days 5%

1 Dietitian

% of Days 12%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 7.9

25% better than State average

State average: 10.5

Functional decline score 14.5

23% better than State average

State average: 18.9

Long-stay resident measures

Significantly above average State avg: 3.5

Need for Help with Daily Activities Increased 12.7%

25% better than State average

State average: 16.8%

Walking Ability Worsened 13.2%

33% better than State average

State average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence 17.7%

14% better than State average

State average: 20.5%

Falls with Major Injury 4.2%

11% worse than State average

State average: 3.8%

High Risk Residents with Pressure Ulcers 3.1%

46% better than State average

State average: 5.8%

Urinary Tract Infection 3.6%

94% worse than State average

State average: 1.9%

Lost Too Much Weight 6.3%

7% better than State average

State average: 6.8%

Depressive Symptoms 16.4%

15% worse than State average

State average: 14.3%

Antipsychotic Use 6.7%

57% better than State average

State average: 15.6%

Pneumococcal Vaccine 100.0%

6% better than State average

State average: 93.9%

Influenza Vaccine 100.0%

In line with State average

State average: 96.2%

Hospitalizations per 1,000 days 0.84

55% better than State average

State average: 1.87

ED visits per 1,000 days 2.03

7% better than State average

State average: 2.19

Short-stay resident measures

Average State avg: 2.2

Pneumococcal Vaccine 97.0%

16% better than State average

State average: 83.7%

Antipsychotic medication increase 0.8%

57% better than State average

State average: 1.9%

Influenza Vaccine 98.1%

17% better than State average

State average: 83.6%

Re-hospitalized after SNF stay 27.9%

14% worse than State average

State average: 24.5%

Emergency department visits 12.9%

7% better than State average

State average: 13.9%

Falls with major injury 5.3%

583% worse than State average

State average: 0.8%

Ability to care for self at discharge 34.8%

35% worse than State average

State average: 53.7%

Successful return to home or community 52.3%

In line with State average

State average: 50.6%

Breakdown by payment type

Medicare

38% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

51% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

11% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Total residents 85

Medicare

5.9% of residents

Medicaid

87.1% of residents

Private pay or other

7.1% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Middlesboro Nursing and Rehabilitation Facility from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 96.9% ↑ 1.8pp vs 2022

Net Patient Income $1.0M ↑ ~$1.0M vs 2022

Payroll Costs $4.6M ↑ ~$25.7K vs 2022

Operating Margin 9.7% ↑ 9.6pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	99.0%	97.5%	97.7%	95.5%	94.4%	95.0%	96.7%	96.8%	96.7%	93.9%	95.4%	95.1%	96.9%
Beds	97	97	95	95	95	95	95	95	95	95	95	95	95
Net Income	$1,305,767	$847,285	$707,941	$562,620	$546,206	$533,203	-$325,025	-$321,921	-$84,401	$1,366,525	$2,720,444	$763,418	$1,065,758
Gross Revenue	$8,211,362	$8,604,915	$8,072,674	$8,303,123	$8,348,750	$7,452,471	$9,298,327	$9,658,165	$10,070,045	$10,246,139	$10,399,670	$12,278,638	$12,499,277
Operating Expenses	$6,389,534	$6,677,294	$6,553,091	$6,861,534	$7,015,220	$6,109,571	$8,422,230	$8,859,707	$9,029,237	$9,039,553	$9,298,573	$9,743,605	$9,566,472
Net Patient Income	$1,249,386	$802,064	$678,477	$521,734	$513,526	$507,394	-$355,074	-$340,337	-$91,970	$646,454	$251,840	$5,695	$1,022,402
Net Patient Revenue	$7,638,920	$7,479,358	$7,231,568	$7,383,268	$7,528,746	$6,616,965	$8,067,156	$8,519,370	$8,937,267	$9,686,007	$9,550,413	$9,749,300	$10,588,874
Payroll Costs	$3,551,350	$3,738,606	$3,920,566	$3,884,524	$4,049,061	$3,516,741	$4,013,289	$3,852,898	$3,955,812	$4,025,769	$4,200,592	$4,579,995	$4,605,721
Operating Margin %	16.4%	10.7%	9.4%	7.1%	6.8%	7.7%	-4.4%	-4.0%	-1.0%	6.7%	2.6%	0.1%	9.7%
Medicare %	13.8%	11.1%	11.0%	12.7%	12.6%	15.0%	13.2%	10.8%	12.2%	19.3%	12.1%	12.5%	9.6%
Medicaid %	69.5%	75.1%	74.4%	70.8%	76.4%	72.9%	76.5%	81.1%	76.5%	69.2%	68.3%	67.5%	72.5%
Private %	16.7%	13.7%	14.6%	16.5%	11.0%	12.1%	10.4%	8.1%	11.4%	11.5%	19.6%	20.0%	17.9%
Net Patient Revenue/Day	$218	$216	$214	$223	$230	$240	$241	$254	$267	$297	$289	$296	$315
Cost/Day	$182	$193	$194	$207	$214	$222	$251	$264	$269	$277	$281	$295	$285
Avg Length of Stay	91.4 days	211.8 days	249.0 days	209.5 days	211.3 days	181.1 days	266.1 days	325.8 days	262.0 days	255.2 days	239.8 days	225.9 days	197.7 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$10.6M

Net patient income

$1.0M

For-profit Corporation

Net patient revenue

$10.6M

Net patient income

$1.0M

Other income

$43.4K

Payroll costs

$4.6M 43.5% of net patient revenue

Other operating costs

$5.0M

Total costs

$9.6M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (51% of admissions), and a typical private pay stay runs around 2 - 3 months.

Coverage residents most often arrive under.

Medicare 38%

Private pay 51%

Medicaid 11%

Coverage residents most often leave under.

Medicare 30%

Private pay 53%

Medicaid 17%

0.0 miles from city center Estimated distance in miles from Middlesboro's city center to Middlesboro Nursing and Rehabilitation Facility's address, calculated via Google Maps.

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The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.


Westport Place Health Campus	NH AL RC SNF	Louisville	-	22	-	47	Studio
Hermitage Care & Rehabilitation Center	NH SNF	Owensboro	-	92	A+	49	-
Twin Rivers Nursing And Rehab Center	NH HOS PC RC SNF	Owensboro	-	132	A+	52	Private Rooms / Semi-Private Rooms
Nazareth Home	NH AL IL MC PC SNF	Louisville (Newburg Road)	-	168	-	49	-
Middlesboro Nursing and Rehabilitation Facility	NH SNF	Middlesboro	-	95	-	62	-

Nursing Home Explorer

Who is the owner of Middlesboro Nursing and Rehabilitation Facility?

Middlesboro Nursing and Rehabilitation Facility is legally operated by Middlesboro Operations, LLC, and administered by Melissa Robbins.

Is Middlesboro Nursing and Rehabilitation Facility in a walkable area?

Middlesboro Nursing and Rehabilitation Facility has a walk score of 62. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Middlesboro Nursing and Rehabilitation Facility?

According to KY state health department records, Middlesboro Nursing and Rehabilitation Facility's license number is 100639.

What is the occupancy rate at Middlesboro Nursing and Rehabilitation Facility?

Middlesboro Nursing and Rehabilitation Facility's occupancy is 97%.

Does Middlesboro Nursing and Rehabilitation Facility operate as a for-profit or non-profit?

Middlesboro Nursing and Rehabilitation Facility is registered as a for-profit in KY.

Who is the administrator of Middlesboro Nursing and Rehabilitation Facility?

Melissa Robbins is the administrator of Middlesboro Nursing and Rehabilitation Facility.

How many beds does Middlesboro Nursing and Rehabilitation Facility have?

Middlesboro Nursing and Rehabilitation Facility has 95 beds.

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Middlesboro Nursing and Rehabilitation Facility

Overview of Middlesboro Nursing and Rehabilitation Facility

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Additional Policies & Features

Amenities & Lifestyle

Contact Middlesboro Nursing and Rehabilitation Facility

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

60 Certified Nursing Assistant

20 Licensed Practical Nurse

4 Clinical Nurse Specialist

10 Registered Nurse

4 Other Dietary Services Staff

3 Medication Aide/Technician

4 Speech Language Pathologist

3 Qualified Social Worker

2 Nurse Aide in Training

2 Physical Therapy Aide

1 Dental Services Staff

2 Physical Therapy Assistant

1 Administrator

1 Nurse Practitioner

1 RN Director of Nursing

1 Physical Therapist

1 Medical Director

2 Respiratory Therapy Technician

1 Occupational Therapy Assistant

1 Occupational Therapy Aide

1 Dietitian

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Family Member Group

Active Family Council

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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