Letcher Manor
73 Piedmont Drive, Whitesburg, KY 41858 · Letcher County · 142 certified beds · avg 121 residents/day · certified since Oct 2, 1989
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: ★★★☆☆3/5 · 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 (12)
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 |
|---|---|---|
| Apr 16, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Feb 27, 2025 | 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. |
| Feb 27, 2025 | D · Potential for harm, one-off | 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. |
| Feb 27, 2025 | 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. |
| Feb 27, 2025 | 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 |
| Apr 5, 2024 | E · Potential for harm, repeated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Nov 7, 2019 | 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. |
| Nov 7, 2019 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Nov 7, 2019 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Nov 7, 2019 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 4 | 0 | E |
| 2024 | 2 | 0 | E |
| 2025 | 5 | 0 | D |
| 2026 | 1 | 0 | D |
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) | 2.93 | 3.71 | 3.95 | bottom 16% in Kentucky; bottom 11% in the U.S. |
| Registered Nurse hours | 0.36 | 0.74 | 0.69 | bottom 6% in Kentucky; bottom 16% in the U.S. |
| Weekend total nurse staffing | 2.64 | 3.27 | 3.50 | bottom 20% in Kentucky; bottom 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.53 | 0.48 | bottom 32% in Kentucky; bottom 42% in the U.S. |
| Total nursing staff turnover (%) | 46.2 | 46.4 | 45.8 | bottom 47% in Kentucky; bottom 47% in the U.S. |
| RN turnover (%) | 37.5 | 41.8 | 42.9 | top 46% in Kentucky; top 42% 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 3.47, RN 0.42, weekend 3.13. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Berkowitz, Cheskel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| David, Rochel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Edelstein, Joel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Freund, Israel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Friedman, Leah | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Fuchs, Bernard | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Fuchs, Gerald | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Fuchs, Tova | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Grinspan, Eli | Individual | 5% or Greater Direct Ownership Interest | 15% | 01/01/2023 |
| Kennedy Ky Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 14% | 01/01/2023 |
| Ky 90 Equities LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Ky Equity Partners LLC | Organization | 5% or Greater Direct Ownership Interest | 21% | 01/01/2023 |
| Leifer, Joel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Zahler, Charles | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Zahler, Chaya | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Zahler, David | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Zahler, Jacob | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Zupnick, Joel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Zupnick, Miriam | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Berkowitz, Cheskel | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "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 |
|---|---|---|---|---|---|
| Norton Community Hospital SNF Unit | 15.5 mi | Norton, VA | ★★★★★ | 4/5 | |
| Tri Cities Rehabilitation and Healthcare Center | 15.8 mi | Cumberland, KY | ★★☆☆☆ | 2/5 | |
| Heritage Hall Big Stone Gap | 16.7 mi | Big Stone Gap, VA | ★★★★☆ | 3/5 | |
| Knott County Health & Rehabilitation Center | 16.8 mi | Hindman, KY | ★★★☆☆ | 4/5 | |
| Heritage Hall Wise | 17.0 mi | Wise, VA | ★★★★☆ | 4/5 | |
| Heritage Hall Clintwood | 19.5 mi | Clintwood, VA | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 185200.