Berea Health and Rehabilitation
601 Richmond Road, Berea, KY 40403 · Madison County · 84 certified beds · avg 78 residents/day · certified since Sep 28, 1993
Part of chain: BLUEGRASS HEALTH KY (15 facilities, chain avg rating 3.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jul 27, 2024 · F-0655 · triggered by a complaint
The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Why it matters: In the critical first days, staff may not know a new resident's medications, diet, or fall risks.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 13, 2024 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Jul 27, 2024 · F-0695 · triggered by a complaint
The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Why it matters: Mistakes in breathing care can quickly become life-threatening for residents who depend on oxygen or equipment.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 13, 2024 (Past Non-Compliance)
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 27, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| Jul 27, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Oct 23, 2020 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Oct 23, 2020 | E · Potential for harm, repeated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Oct 23, 2020 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 23, 2020 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Oct 23, 2020 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 5 | 0 | E |
| 2024 | 2 | 2 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $16,801.
| Date | Type | Amount / length |
|---|---|---|
| Jul 27, 2024 | Fine | $6,500 |
| Jul 27, 2024 | Fine | $10,301 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Kentucky avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.76 | 3.71 | 3.95 | bottom 9% in Kentucky; bottom 7% in the U.S. |
| Registered Nurse hours | 0.44 | 0.74 | 0.69 | bottom 21% in Kentucky; bottom 28% in the U.S. |
| Weekend total nurse staffing | 2.29 | 3.27 | 3.50 | bottom 4% in Kentucky; bottom 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.52 | 0.53 | 0.48 | top 38% in Kentucky; top 30% in the U.S. |
| Total nursing staff turnover (%) | 55.2 | 46.4 | 45.8 | bottom 22% in Kentucky; bottom 25% in the U.S. |
| RN turnover (%) | 84.6 | 41.8 | 42.9 | bottom 2% in Kentucky; bottom 3% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.91, RN 0.62, weekend 3.24. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Grinspan, Eli | Individual | 5% or Greater Direct Ownership Interest | 33% | 01/31/2023 |
| Berea Realty Holdings LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 01/31/2023 |
| Berea Realty Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2016 |
| Berkowitz, Cheskel | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| David, Rochel | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| Devers, Dustin | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2017 |
| Edelstein, Joel | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| Fischel, Mayer | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2016 |
| Fischel, Mayer | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2016 |
| Fischel, Mayer | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2016 |
| Freund, Israel | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| Friedman, Leah | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| Fuchs, Bernard | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| Fuchs, Gerald | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| Fuchs, Tova | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| Grinspan, Eli | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2016 |
| Grinspan, Eli | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2016 |
| Grinspan, Eli | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2016 |
| Hollins, Cynthia | Individual | ADP of the SNF | NOT APPLICABLE | 06/12/2023 |
| Huntington Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 01/31/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| The Terrace Nursing and Rehabilitation Center | 0.8 mi | Berea, KY | ★★★★☆ | 5/5 | |
| Kenwood Health and Rehabilitation Center | 9.9 mi | Richmond, KY | ★★★★★ | 5/5 | |
| Madison Health and Rehabilitation Center | 9.9 mi | Richmond, KY | ★☆☆☆☆ | 3/5 | |
| Telford Terrace | 11.5 mi | Richmond, KY | ★★★★★ | 5/5 | |
| Rockcastle Health & Rehabilitation Center | 15.3 mi | Brodhead, KY | ★★☆☆☆ | 2/5 | |
| Landmark of Lancaster Rehabilitation and Nursing C | 16.7 mi | Lancaster, KY | ★★☆☆☆ | 2/5 | |
| Rockcastle Regional Hospital and Respiratory Care | 16.9 mi | Mount Vernon, KY | ★★★★★ | 4/5 | |
| Irvine Nursing and Rehabilitation Center | 18.7 mi | Irvine, KY | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 185384.