Cambridge Nursing & Rehabilitation Center
2020 Cambridge Drive, Lexington, KY 40504 · Fayette County · 108 certified beds · avg 105 residents/day · certified since Mar 9, 2000
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: ★★☆☆☆2/5 · CMS overall rating: 2/5
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.
All citations in the current public record (10)
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 |
|---|---|---|
| Feb 19, 2026 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Feb 19, 2026 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 19, 2026 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Feb 19, 2026 | E · Potential for harm, repeated | 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. |
| Feb 19, 2026 | D · Potential for harm, one-off | 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. |
| Aug 22, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Aug 22, 2024 | 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. · from a complaint |
| Sep 24, 2020 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 24, 2020 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 24, 2020 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 3 | 0 | E |
| 2024 | 2 | 0 | E |
| 2026 | 5 | 0 | F |
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)
No fines or payment denials in the published 3-year window.
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) | 3.00 | 3.71 | 3.95 | bottom 21% in Kentucky; bottom 14% in the U.S. |
| Registered Nurse hours | 0.40 | 0.74 | 0.69 | bottom 14% in Kentucky; bottom 23% in the U.S. |
| Weekend total nurse staffing | 2.59 | 3.27 | 3.50 | bottom 17% in Kentucky; bottom 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.32 | 0.53 | 0.48 | bottom 28% in Kentucky; bottom 35% in the U.S. |
| Total nursing staff turnover (%) | 48.7 | 46.4 | 45.8 | bottom 38% in Kentucky; bottom 40% in the U.S. |
| RN turnover (%) | 56.3 | 41.8 | 42.9 | bottom 24% in Kentucky; bottom 26% 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 3.64, RN 0.49, weekend 3.14. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cambridge Operations Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2023 |
| Fischel, Mayer | Individual | 5% or Greater Indirect Ownership Interest | — | 04/01/2023 |
| Grinspan, Leora | Individual | 5% or Greater Indirect Ownership Interest | — | 03/01/2025 |
| Mjem Irrevocable Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 03/01/2025 |
| Alvarado, Ralph | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Cambridge Property Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Cambridge Property LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Case, Nina | Individual | ADP of the SNF | NOT APPLICABLE | 03/06/2024 |
| Fischel, Mayer | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2023 |
| Fischel, Mayer | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Fischel, Mayer | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Gauri, Shishir | Individual | ADP of the SNF | NOT APPLICABLE | 10/23/2024 |
| Grinspan, Eli | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Grinspan, Eli | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Grinspan, Leora | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
| Mjem Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
| Valley Stream Operator I LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Valley Stream Operator I LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/09/2025 |
| Vium Cpaital Investments LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 04/08/2025 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "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 |
|---|---|---|---|---|---|
| Homestead Post Acute | 0.9 mi | Lexington, KY | ★★★★☆ | 3/5 | |
| Pine Meadows Post Acute | 0.9 mi | Lexington, KY | ★★☆☆☆ | 3/5 | |
| Lexington Country Place | 1.6 mi | Lexington, KY | ★☆☆☆☆ | 1/5 | |
| The Willows at Citation | 4.1 mi | Lexington, KY | ★★★★☆ | 3/5 | |
| Mayfair Manor | 4.8 mi | Lexington, KY | ★☆☆☆☆ | 1/5 | |
| The Willows at Fritz Farm | 5.5 mi | Lexington, KY | ★★★☆☆ | 3/5 | |
| Sayre Christian Village Nursing Home | 6.0 mi | Lexington, KY | ★☆☆☆☆ | 2/5 | |
| Bluegrass Care & Rehabilitation Center | 6.6 mi | Lexington, KY | ★★★★☆ | 4/5 | |
| The Willows at Hamburg | 6.6 mi | Lexington, KY | ★★★☆☆ | 2/5 | |
| Lexington Premier Nursing & Rehab | 6.9 mi | Lexington, KY | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 185444.