Total health inspections
1
Kentucky average 2.9
Last Health inspection on Sep 2019
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.
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Nursing Home in Kentucky
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Middlesboro Nursing and Rehabilitation Facility
Nursing Home in Kentucky
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Middlesboro Nursing and Rehabilitation Facility
Middlesboro Nursing and Rehabilitation Facility is located in Middlesboro, Kentucky. It offers rehabilitation, skilled nursing, long-term care, and respite services. The facility provides a variety of amenities to enhance the well-being of its residents.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
95
This home is often near full
That suggests steady demand, but availability may be limited.
Occupancy rate
96.9%
Residents per day (avg)
93
Occupancy rate
96.9%
Residents per day (avg)
93
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$12.5M
Profit
$1.1M
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$12.5M
Profit
$1.1M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.5M
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.
About this community
Facility TypeLong Term Care (nursing Facility)
StatusActive
IssuanceJanuary 1, 2025
CountyBELL
License Number100639
CMS Certification Number185240
Middlesboro Nursing and Rehabilitation Facility is administrated by Melissa Robbins.
Owner NameMIDDLESBORO OPERATIONS, LLC
Rehabilitation Services
Respite Care
Skilled Nursing
Rehabilitation
Respite
Pets Allowed
Ambulance & Transportation
Beauty/Barber Salon
Cable & Phone
Complimentary Wi-Fi
Computer Access
Conference Room
Daily Activities
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
ActivitiesDaily activities and recreational programs are offered.
Specific ProgramsRehabilitation, Skilled Nursing, Long-Term Care, Respite
Religious ServicesYes
Health Inspection History
Inspections
Total health citations
1
Kentucky average 13.5
Citations per inspection
1
Kentucky average 4.4
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 3 years)
Critical Health citations
0
0
100% better than Kentucky averageKentucky average: 1.1
Serious Health citations
0
0
100% better than Kentucky averageKentucky average: 0.6
0 critical citations
0 serious citations
1 moderate citation
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Sep 26, 2019
Issues related to food quality, meal service, and resident's nutritional needs.
Sep 26, 2019
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Kentucky The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
Filter by care type
Middlesboro Nursing and Rehabilitation Facility
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Middlesboro
95
96.9%
+19%
3.34
-11%
0
1
1.0
0
93
-
-
Robbins, Melissa
$12.5M
$4.0M
31.6%
185240
Barren County Nursing and Rehabilitation
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Glasgow
94
82.7%
+2%
3.22
-14%
1
11
3.7
0
88
-
-
Herbstman, Moshe
$8.6M
$2.8M
32.7%
185229
Auburn Nursing and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Auburn
66
62.0%
-24%
1.44
-62%
0
13
3.3
0
50
-
-
Bolster, Nancy
$4.0M
$1.8M
44.9%
185049
Beaver Dam Nursing and Rehab Center, Inc
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Beaver Dam
71
84.3%
+4%
-
-
0
9
3.0
0
54
-
-
-
$7.0M
$3.4M
47.9%
185334
Bardstown Heatlh & Rehabilitation
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Bardstown
100
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
133
Employees
120
Contractors
13
Staff to resident ratio
1.56:1
11% worse than Kentucky averageKentucky average ratio: 1.75:1
Avg staff/day
47
Average shift
8.9 hours
5% better than Kentucky averageKentucky average: 8.5 hours
Total staff hours (quarter)
37,959
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
12.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
12.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
22
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
70
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
7.3%
2,787 contractor hours this quarter
Qualified Social Worker: 3
Speech Language Pathologist: 3
Physical Therapy Aide: 2
Medical Director: 1
Respiratory Therapy Technician: 1
Physical Therapy Assistant: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 70 | 0 | 70 | 18,408 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 22 | 0 | 22 | 8,413 | 91 | 100% | 9.8 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,628 | 71 | 78% | 8 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,346 | 90 | 99% | 7.5 |
| Registered Nurse | 9 | 0 | 9 | 1,345 | 84 | 92% | 12.1 |
| Medication Aide/Technician | 2 | 0 | 2 | 1,279 | 90 | 99% | 8.8 |
| Speech Language Pathologist | 0 | 3 | 3 | 993 | 67 | 74% | 7.8 |
| Qualified Social Worker | 0 | 3 | 3 | 677 | 67 | 74% | 6.9 |
| Physical Therapist | 1 | 0 | 1 | 499 | 57 | 63% | 8.7 |
| Administrator | 1 | 0 | 1 | 492 | 63 | 69% | 7.8 |
| RN Director of Nursing | 1 | 0 | 1 | 489 | 61 | 67% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 485 | 66 | 73% | 7.4 |
| Physical Therapy Aide | 0 | 2 | 2 | 471 | 63 | 69% | 7.1 |
| Nurse Practitioner | 1 | 0 | 1 | 467 | 59 | 65% | 7.9 |
| Physical Therapy Assistant | 0 | 1 | 1 | 440 | 55 | 60% | 8 |
| Nurse Aide in Training | 2 | 0 | 2 | 238 | 24 | 26% | 9.9 |
| Dietitian | 1 | 0 | 1 | 84 | 19 | 21% | 4.4 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 66 | 54 | 59% | 1.2 |
| Medical Director | 0 | 1 | 1 | 63 | 61 | 67% | 1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 50 | 8 | 9% | 6.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 28 | 6 | 7% | 4.7 |
70 Certified Nursing Assistant
% of Days
100%
22 Licensed Practical Nurse
% of Days
100%
4 Clinical Nurse Specialist
% of Days
78%
5 Other Dietary Services Staff
% of Days
99%
9 Registered Nurse
% of Days
92%
2 Medication Aide/Technician
% of Days
99%
3 Speech Language Pathologist
% of Days
74%
3 Qualified Social Worker
% of Days
74%
1 Physical Therapist
% of Days
63%
1 Administrator
% of Days
69%
1 RN Director of Nursing
% of Days
67%
1 Dental Services Staff
% of Days
73%
2 Physical Therapy Aide
% of Days
69%
1 Nurse Practitioner
% of Days
65%
1 Physical Therapy Assistant
% of Days
60%
2 Nurse Aide in Training
% of Days
26%
1 Dietitian
% of Days
21%
1 Respiratory Therapy Technician
% of Days
59%
1 Medical Director
% of Days
67%
1 Occupational Therapy Aide
% of Days
9%
1 Occupational Therapy Assistant
% of Days
7%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
85 residents
Residents by payment source
Medicare
5 residents (5.9%)
Medicaid
74 residents (87.1%)
Private pay or other
6 residents (7.1%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.9
25% better than Kentucky averageKentucky average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.5
23% better than Kentucky averageKentucky average: 18.9
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
12.7%
Percent of long-stay residents whose need for help with daily activities has increased
12.7%
25% better than Kentucky averageKentucky average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
13.2%
Percent of long-stay residents whose ability to move independently worsened
13.2%
33% better than Kentucky averageKentucky average: 19.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.7%
14% better than Kentucky averageKentucky average: 20.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
11% worse than Kentucky averageKentucky average: 3.8%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.1%
Percent of long-stay high risk residents with pressure ulcers
3.1%
46% better than Kentucky averageKentucky average: 5.8%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.6%
Percent of long-stay residents with a urinary tract infection
3.6%
94% worse than Kentucky averageKentucky average: 1.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.3%
Percent of long-stay residents who lose too much weight
6.3%
7% better than Kentucky averageKentucky average: 6.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
16.4%
Percent of long-stay residents who have depressive symptoms
16.4%
15% worse than Kentucky averageKentucky average: 14.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
6.7%
Percent of long-stay residents who received an antipsychotic medication
6.7%
57% better than Kentucky averageKentucky average: 15.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Kentucky averageKentucky average: 93.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Kentucky averageKentucky average: 96.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
16% better than Kentucky averageKentucky average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
57% better than Kentucky averageKentucky average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.1%
17% better than Kentucky averageKentucky average: 83.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Middlesboro Nursing and Rehabilitation Facility based on CMS SNF Cost Reports.
Occupancy Rate
96.9%
↑ 1.8pp vs 2022
Net Income
$1.1M
↑ ~$302.3K vs 2022
Total Payroll
$4.6M
↑ ~$25.7K vs 2022
Profit Margin
8.5%
↑ 2.3pp vs 2022
Loading trend charts...
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