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.
Middlesboro Nursing and Rehabilitation Facility
Nursing Home
Middlesboro Nursing and Rehabilitation Facility
Nursing Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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
Proprietary home
Partnership
Home revenue
$12.5M
Profit
$1.1M
Proprietary home
Partnership
Home revenue
$12,542,637.00
Profit
$1,065,758.00
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
License Status
ActiveFacility Type
Long Term Care (Nursing Facility)
License Date
January 1, 2025
Additional licensing details
License number:
100639
CMS Certification Number:
185240
County:
BELL
Ownership & operating entity
Middlesboro Nursing and Rehabilitation Facility is administrated by MELISSA ROBBINS.
Owner name:
MIDDLESBORO OPERATIONS, LLC
Safety & Compliance
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
All Levels of Care
Additional Policies & Features
Pets Allowed
Amenities & Lifestyle
Programs & Activities
Activities
Daily activities and recreational programs are offered.
Specific Programs
Rehabilitation, Skilled Nursing, Long-Term Care, Respite
Religious Services
Yes
Compare Nursing Homes around Kentucky
The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
Middlesboro Nursing and Rehabilitation Facility
-34%
-11%
+19%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 40965
95
No
ROBBINS, MELISSA
96.9%
$12,499,277.00
$3,955,300.00
31.6%
92.60
3.3437
-
1
-34%-11%+19%
Barren County Nursing and Rehabilitation
-36%
-14%
+2%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 42141
94
No
HERBSTMAN, MOSHE
82.7%
$8,631,885.00
$2,825,267.00
32.7%
88.30
3.2236
1
11
-36%-14%+2%
Auburn Nursing and Rehabilitation Center
-49%
-62%
-24%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 42206
66
No
BOLSTER, NANCY
62.0%
$4,023,909.00
$1,805,984.00
44.9%
49.60
1.4392
-
13
-49%-62%-24%
Beaver Dam Nursing and Rehab Center, Inc
-7%
+4%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 42320
71
No
-
84.3%
$7,017,998.00
$3,361,771.00
47.9%
53.80
-
-
9
-7%
-
+4%
Bardstown Heatlh & Rehabilitation
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 40004
100
No
-
-
-
-
-
-
-
-
-
-
-
Middlesboro Nursing and Rehabilitation Facility
Type of care:
SNF
AL
Community:
KY 40965
Bed Count:
95
Pets Allowed:
No
Operator:
ROBBINS, MELISSA
CCN:
185240
Occupancy:
96.9%
Home Revenue:
$12,499,277.00
Payroll Costs:
$3,955,300.00
Payroll %:
31.6%
Avg Residents/Day:
92.60
Overall Rating:
Adj Nurse Hours:
3.3437
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
1
RN share vs State Avg:
-34%
-34%
Staffing vs State Avg:
-11%
-11%
Occupancy vs State Avg:
+19%
+19%
Barren County Nursing and Rehabilitation
Type of care:
SNF
AL
Community:
KY 42141
Bed Count:
94
Pets Allowed:
No
Operator:
HERBSTMAN, MOSHE
CCN:
185229
Occupancy:
82.7%
Home Revenue:
$8,631,885.00
Payroll Costs:
$2,825,267.00
Payroll %:
32.7%
Avg Residents/Day:
88.30
Overall Rating:
Adj Nurse Hours:
3.2236
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
11
RN share vs State Avg:
-36%
-36%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
+2%
+2%
Auburn Nursing and Rehabilitation Center
Type of care:
SNF
AL
Community:
KY 42206
Bed Count:
66
Pets Allowed:
No
Operator:
BOLSTER, NANCY
CCN:
185049
Occupancy:
62.0%
Home Revenue:
$4,023,909.00
Payroll Costs:
$1,805,984.00
Payroll %:
44.9%
Avg Residents/Day:
49.60
Overall Rating:
Adj Nurse Hours:
1.4392
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
13
RN share vs State Avg:
-49%
-49%
Staffing vs State Avg:
-62%
-62%
Occupancy vs State Avg:
-24%
-24%
Beaver Dam Nursing and Rehab Center, Inc
Type of care:
SNF
AL
Community:
KY 42320
Bed Count:
71
Pets Allowed:
No
CCN:
185334
Occupancy:
84.3%
Home Revenue:
$7,017,998.00
Payroll Costs:
$3,361,771.00
Payroll %:
47.9%
Avg Residents/Day:
53.80
Overall Rating:
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-7%
-7%
Occupancy vs State Avg:
+4%
+4%Places of interest near Middlesboro Nursing and Rehabilitation Facility
0.0 miles from city center
MIDDLESBORO, KY 40965
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
133
Total Staff
120
Employees
13
Contractors
37,959
Total Hours (Quarter)
47
Avg Staff/Day
8.9
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 9 | 12.1 | No |
| Licensed Practical Nurse | 22 | 9.8 | No |
| Certified Nursing Assistant | 70 | 9.4 | No |
Staff by Category
Administration ⓘ
2 staff
4.5hs shift avg
Nursing Staff ⓘ
106 staff
9.5hs shift avg
Physicians & Practitioners ⓘ
5 staff
8hs shift avg
Therapy Services ⓘ
10 staff
6.8hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
6.9hs shift avg
Dietary Services ⓘ
6 staff
7.2hs shift avg
Other Services ⓘ
1 staff
7.4hs shift avg
Contractor Analysis
7.3%
of total hours from contractors
2,787 contractor hours this quarter
Medical Director: 1
Physical Therapy Aide: 2
Qualified Social Worker: 3
Respiratory Therapy Technician: 1
Speech Language Pathologist: 3
Physical Therapy Assistant: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Health Inspection History
Inspections
Total health citations
1
Citations per inspection
1
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
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Resident Census by Payment Source
85
Total Residents
Medicare
5
(5.9%)
ⓘ
Medicaid
74
(87.1%)
ⓘ
Private Pay/Other
6
(7.1%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Member Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Family Council
ⓘ
Active
Resident Council
ⓘ
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
$1,065,758
↑ ~$302K vs 2022
Total Payroll
$4,605,721
↑ ~$26K vs 2022
Profit Margin
8.5%
↑ 2.3pp vs 2022
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