ElderGrade
D

43.5/100

Below average

Berea Health And Rehabilitation

601 Richmond Road, Berea, KY 40403

CMS 3/5 stars #5 of 5 in Madison County (859) 986-4710
Certified beds
84
Occupancy
93%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $16,801 in federal fines

    CMS has fined this facility across 2 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

10/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 2 immediate-jeopardy citation(s) in the last 3 years

Staffing

8.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 2.76 total nurse hours per resident per day (national median 3.77)
  • 0.62 RN hours per resident per day
  • Weekend staffing drops 17% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 55% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $16,801 in federal fines across 2 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.91 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.62 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.24 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 55.20%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: April 10, 2025 (1 year ago). That inspection produced no citations — the findings below are older.

J Jul 27, 2024 F0655 From a complaint

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Immediate jeopardy to resident health or safety

J Jul 27, 2024 F0695 From a complaint

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Immediate jeopardy to resident health or safety

E Oct 23, 2020 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

E Oct 23, 2020 F0692

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

No actual harm, potential for more than minimal harm

D Oct 23, 2020 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Oct 23, 2020 F0695

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

No actual harm, potential for more than minimal harm

D Oct 23, 2020 F0761

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled...

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of BLUEGRASS HEALTH KY, which operates 15 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BEREA REALTY HOLDINGS LLC Organization 5% OR GREATER MORTGAGE INTEREST
HUNTINGTON BANK Organization 5% OR GREATER MORTGAGE INTEREST
FISCHEL, MAYER Individual CORPORATE OFFICER
GRINSPAN, ELI Individual CORPORATE OFFICER
VALLEY STREAM OPERATOR I LLC Organization OPERATIONAL/MANAGERIAL CONTROL
FISCHEL, MAYER Individual OPERATIONAL/MANAGERIAL CONTROL
GRINSPAN, ELI Individual OPERATIONAL/MANAGERIAL CONTROL
MULLINS, CHRISTAL Individual OPERATIONAL/MANAGERIAL CONTROL
BERKOWITZ, CHESKEL Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
DAVID, ROCHEL Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
EDELSTEIN, JOEL Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
FREUND, ISRAEL Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...

What families say

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Common questions about Berea Health And Rehabilitation

What is the ElderGrade for Berea Health And Rehabilitation? +

Berea Health And Rehabilitation holds an ElderGrade of D (43.5 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Berea Health And Rehabilitation? +

Residents receive an average of 3.91 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Berea Health And Rehabilitation been cited for harming residents? +

Yes. 2 of the 7 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Berea Health And Rehabilitation accept Medicaid? +

Yes, Berea Health And Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.