Menifee Meadows Nursing & Rehab LLC

Name: Menifee Meadows Nursing & Rehab LLC
Address: 195 Berryman Road, Frenchburg, KY, 40322, US
Telephone: 6067689001

195 Berryman Road, Frenchburg, KY 40322 · Menifee County · 60 certified beds · avg 48 residents/day · certified since May 14, 1996

Part of chain: BAO OPCO HOLDINGS (3 facilities, chain avg rating 2.0★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.41

Nurse hours/resident/day (adjusted)

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.

All citations in the current public record (9)

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
Mar 5, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Mar 5, 2026	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.
Dec 20, 2024	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.
Jan 9, 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.
Jan 9, 2020	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 9, 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.
Jan 9, 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.
Jan 9, 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.
Jan 9, 2020	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 2).

Year	Citations	Worst severity that year
2020	6	E
2024	1	E
2026	2	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)	4.41	3.71	3.95	top 16% in Kentucky; top 26% in the U.S.
Registered Nurse hours	0.65	0.74	0.69	top 48% in Kentucky; top 41% in the U.S.
Weekend total nurse staffing	4.34	3.27	3.50	top 11% in Kentucky; top 15% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.49	0.53	0.48	top 41% in Kentucky; top 34% in the U.S.
Total nursing staff turnover (%)	55.7	46.4	45.8	bottom 21% in Kentucky; bottom 24% in the U.S.
RN turnover (%)	64.3	41.8	42.9	bottom 13% in Kentucky; bottom 16% 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 3.66, RN 0.54, weekend 3.60. Staffing rating: 3/5.

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: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Bao Opco Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	06/16/2025
Smithey, Ashley	Individual	5% or Greater Indirect Ownership Interest	—	06/16/2025
Womack, Bryon	Individual	5% or Greater Indirect Ownership Interest	75%	06/16/2025
Agtl Holdings, LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/16/2025
Ba Propco Holdings, LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/16/2025
Bao Opco Holdings LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/16/2025
Bebie, Lisa	Individual	ADP of the SNF	NOT APPLICABLE	06/16/2025
Berryman Propco, LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/16/2025
Deitch, Lyle	Individual	ADP of the SNF	NOT APPLICABLE	06/16/2025
Denny, Amber	Individual	ADP of the SNF	NOT APPLICABLE	06/16/2025
Evolve Therapy Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/16/2025
King, Brigitte	Individual	Operational/Managerial Control	NOT APPLICABLE	06/16/2025
King, Brigitte	Individual	ADP of the SNF	NOT APPLICABLE	06/16/2025
Kothari, Zahid	Individual	Operational/Managerial Control	NOT APPLICABLE	06/16/2025
Kothari, Zahid	Individual	ADP of the SNF	NOT APPLICABLE	06/16/2025
Long, Adam	Individual	ADP of the SNF	NOT APPLICABLE	06/16/2025
Quinn, Timothy	Individual	ADP of the SNF	NOT APPLICABLE	06/16/2025
Rise SNF Management LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/16/2025
Rise SNF Management LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/16/2025
Smithey, Ashley	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/16/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"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
Stanton Nursing and Rehabilitation Center	12.9 mi	Stanton, KY	★★★☆☆	4/5
Wolfe County Health & Rehabilitation Center	13.3 mi	Campton, KY	★★★★☆	5/5
Ridgeway Nursing & Rehabilitation Facility	17.3 mi	Owingsville, KY	★★★☆☆	3/5
Mt. Sterling Health & Rehab, LLC	19.4 mi	Mount Sterling, KY	★☆☆☆☆	1/5
West Liberty Nursing and Rehabilitation	19.4 mi	West Liberty, KY	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Frenchburg →

Facility data as of CMS processing date 2026-08-01. CCN 185423.

The Care File

Visit checklist — Menifee Meadows Nursing & Rehab LLC

195 Berryman Road, Frenchburg, KY 40322 · 6067689001

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 185423 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)