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Skilled nursing facility · CMS certification number 185240

Middlesboro Nursing and Rehabilitation Facility

Middlesboro, Kentucky · Medicare and Medicaid

Certified beds, as filed in Care Compare: 95

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on 22 May 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$11,447,379CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$192,383CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,639,762CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,201,244CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,438,518CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,539CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,447,057CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,447,056 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components95CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components34,770CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,282CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days24,321CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days6,901CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components33,504CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges33CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges23CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges79CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components135CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days69.15CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,057.43CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days248.18CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1423591, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 November 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$12,499,277CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,910,403CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,588,874CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,566,472CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,022,402CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$43,360CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,065,762CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,065,758 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,632CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components170CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days63.88CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days839.69CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days197.84CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1442484, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 May 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$12,278,638CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,529,338CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,749,300CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,743,605CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$5,695CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$757,722CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$763,417CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $763,418 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,974CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components146CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days111.62CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days473.64CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days225.85CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1379007, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 March 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$10,399,670CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$849,257CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,550,413CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,298,573CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$251,840CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,468,605CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,720,445CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,720,444 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,089CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components138CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days60.48CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days869.31CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days239.78CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1345161, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 December 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$10,246,139CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$560,132CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,686,007CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,039,553CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$646,454CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$720,071CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,366,525CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,366,525 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,659CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components128CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days84.97CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days753.73CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days255.15CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1306799, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 April 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$10,070,045CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,132,778CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,937,267CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,029,237CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$91,970CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,569CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$84,401CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$84,401 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,531CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components128CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days693CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days261.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1282135, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 October 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$9,658,165CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,138,795CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,519,370CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,859,707CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$340,337CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$18,416CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$321,921CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$321,921 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,562CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components103CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.88CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,088.64CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days325.84CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1245104, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 November 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$9,298,327CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,231,171CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,067,156CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,422,230CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$355,074CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$30,049CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$325,025CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$325,025 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,533CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components126CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days50.85CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,349.37CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days266.13CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1213705, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 October 2016

Cost report for 1 January 2016 to 31 October 2016 — a reporting period of 304 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$7,452,471CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$835,506CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,616,965CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,109,571CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$507,394CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$25,809CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$533,203CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $533,203 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,522CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components152CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.29CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days489.07CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days181.07CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188964, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 January 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$8,348,750CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$820,004CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,528,746CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,015,220CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$513,526CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$32,680CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$546,206CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $546,206 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,744CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components155CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.65CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days532.34CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days211.25CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1150789, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 April 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$8,303,123CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$919,855CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,383,268CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,861,534CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$521,734CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$40,886CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$562,620CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $562,620 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,100CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components158CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.68CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days521.04CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days209.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1121833, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 August 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$8,072,674CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$841,106CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,231,568CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,553,091CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$678,477CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$29,464CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$707,941CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $707,941 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,862CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components137CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days82.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days585.88CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days247.17CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1106904, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 June 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$8,604,915CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,125,557CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,479,358CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,677,294CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$802,064CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$45,221CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$847,285CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $847,285 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components97CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,610CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components163CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days78.65CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days406.36CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days212.33CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1068669, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 February 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$8,211,362CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$572,442CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,638,920CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,389,534CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,249,386CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$56,381CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,305,767CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,305,767 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components97CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,040CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components383CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days83.26CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days127.53CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days91.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1024799, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 31 October 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$6,862,502CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,918,014CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$944,488CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$53,644CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $998,132 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components97CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,466CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components447CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days47.51CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days98.91CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days74.87CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 433512, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 May 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$6,525,874CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,637,453CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$888,421CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$66,869CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $955,290 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components97CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,811CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components342CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days61.18CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days109.91CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days98.86CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 400467, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 7 May 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$6,612,053CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,567,341CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,044,712CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$49,098CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,093,810 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components95CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,248CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components149CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days61.65CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days402CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days223.14CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 369064, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 April 2009.

None of these figures is carried on this report.

CMS report record 336839, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 January 2008.

None of these figures is carried on this report.

CMS report record 301151, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 31 December 2005

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 February 2007.

None of these figures is carried on this report.

CMS report record 273381, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 28 February 2006.

None of these figures is carried on this report.

CMS report record 243778, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 September 2005.

None of these figures is carried on this report.

CMS report record 232471, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 31 December 2002

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 March 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$4,301,947CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,675,730CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$626,217CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$46,975CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $673,192 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components97CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,548CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components163CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.09CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days424.24CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days211.95CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 170847, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 31 December 2001

Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 April 2003.

None of these figures is carried on this report.

CMS report record 139555, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 31 December 2000

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 11 February 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$3,611,665CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,106,508CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$505,157CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$47,103CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $552,260 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components97CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,757CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components166CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days29.53CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days432.8CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days209.38CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 114318, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 31 December 1999

Cost report for 1 November 1999 to 31 December 1999 — a reporting period of 60 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 18 September 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$548,377CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$487,121CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$61,256CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$9,696CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $70,952 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components97CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components5,785CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components17CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days48.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days495.89CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days340.29CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 21088, read from the public cost report file SNFFY2000.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
GRINSPAN, ELI5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual15%since 01/01/2023
KENNEDY KY HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization14%since 01/01/2023
KY EQUITY PARTNERS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization21%since 01/01/2023
GREYSTONE SERVICING COMPANY, LLC, A DELAWARE LIMITED LIABILITY COMPANY5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 08/28/2019
MIDDLESBORO REALTY LLC5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 11/01/2016
BERKOWITZ, CHESKELADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
DAVID, ROCHELADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
EDELSTEIN, JOELADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
EPPERSON, THOMASADP OF THE SNFIndividualNOT APPLICABLEsince 11/01/2016
FISCHEL, MAYERADP OF THE SNFIndividualNOT APPLICABLEsince 11/01/2016
FREUND, ISRAELADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
FRIEDMAN, LEAHADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
FUCHS, BERNARDADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
FUCHS, GERALDADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
FUCHS, TOVAADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
GRINSPAN, ELIADP OF THE SNFIndividualNOT APPLICABLEsince 11/01/2016
KENNEDY KY HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2023
KY EQUITY PARTNERS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2023
LANDA, BENJAMINADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
LEIFER, JOELADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
MIDDLESBORO REALTY LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2016
PRATER, JIMMIEADP OF THE SNFIndividualNOT APPLICABLEsince 08/16/1996
ROBBINS, MELISSAADP OF THE SNFIndividualNOT APPLICABLEsince 05/30/2006
VALLEY STREAM OPERATOR I LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/27/2025
ZAHLER, CHARLESADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
ZAHLER, CHAYAADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
ZAHLER, DAVIDADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
ZAHLER, JACOBADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
ZF REALTY LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2023
ZUPNICK, JOELADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
ZUPNICK, MIRIAMADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
FISCHEL, MAYERCORPORATE OFFICERIndividualNOT APPLICABLEsince 11/01/2016
GRINSPAN, ELICORPORATE OFFICERIndividualNOT APPLICABLEsince 11/01/2016
BERKOWITZ, CHESKELINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
DAVID, ROCHELINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
EDELSTEIN, JOELINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
FREUND, ISRAELINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
FRIEDMAN, LEAHINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
FUCHS, BERNARDINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
FUCHS, GERALDINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
FUCHS, TOVAINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
KY 90 EQUITIES LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 01/01/2023
LEIFER, JOELINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
ZAHLER, CHARLESINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
ZAHLER, CHAYAINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
ZAHLER, DAVIDINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
ZAHLER, JACOBINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
ZUPNICK, JOELINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
ZUPNICK, MIRIAMINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
FISCHEL, MAYEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/01/2016
GRINSPAN, ELIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/01/2016
PRATER, JIMMIEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/16/1996
VALLEY STREAM OPERATOR I LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 11/01/2016

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MIDDLESBORO OPERATIONS LLC (enrollment ID O20170406003282).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
BENJAMIN LANDAIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST29.851/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ELI GRINSPANIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST15.251/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KENNEDY KY HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST14.251/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
KY EQUITY PARTNERS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST20.91/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
MAYER FISCHELIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST10.251/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GREYSTONE SERVICING COMPANY, LLC, A DELAWARE LIMITED LIABILITY COMPANYOrganization5% OR GREATER MORTGAGE INTEREST748/28/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
MIDDLESBORO REALTY LLCOrganization5% OR GREATER MORTGAGE INTEREST7411/1/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
BENJAMIN LANDAIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BERNARD FUCHSIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHARLES ZAHLERIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHAYA ZAHLERIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHESKEL DAVID BERKOWITZIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID ZAHLERIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ELI GRINSPANIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GERALD B FUCHSIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ISRAEL D FREUNDIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JACOB J ZAHLERIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JIMMIE PRATERIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/16/1996
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOEL EDELSTEINIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOEL LEIFERIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOEL ZUPNICKIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KENNEDY KY HOLDINGS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
KY EQUITY PARTNERS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
LEAH FRIEDMANIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MAYER FISCHELIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MELISSA ROBBINSIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/30/2006
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MIDDLESBORO REALTY LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
MIRIAM ZUPNICKIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROCHEL DAVIDIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THOMAS N EPPERSONIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TOVA L FUCHSIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
VALLEY STREAM OPERATOR I LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/27/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
ZF REALTY LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/27/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/27/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ELI GRINSPANIndividualCORPORATE OFFICER10011/1/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MAYER FISCHELIndividualCORPORATE OFFICER10011/1/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.IndividualDIRECT OWNERSHIP INTEREST4.751/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationDIRECT OWNERSHIP INTEREST4.751/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
BERNARD FUCHSIndividualINDIRECT OWNERSHIP INTEREST2.851/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHARLES ZAHLERIndividualINDIRECT OWNERSHIP INTEREST0.951/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHAYA ZAHLERIndividualINDIRECT OWNERSHIP INTEREST0.481/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHESKEL DAVID BERKOWITZIndividualINDIRECT OWNERSHIP INTEREST4.671/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID ZAHLERIndividualINDIRECT OWNERSHIP INTEREST0.481/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GERALD B FUCHSIndividualINDIRECT OWNERSHIP INTEREST2.851/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ISRAEL D FREUNDIndividualINDIRECT OWNERSHIP INTEREST2.851/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JACOB J ZAHLERIndividualINDIRECT OWNERSHIP INTEREST0.951/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOEL EDELSTEINIndividualINDIRECT OWNERSHIP INTEREST2.851/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOEL LEIFERIndividualINDIRECT OWNERSHIP INTEREST4.671/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOEL ZUPNICKIndividualINDIRECT OWNERSHIP INTEREST4.671/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KY 90 EQUITIES LLCOrganizationINDIRECT OWNERSHIP INTEREST3.81/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
LEAH FRIEDMANIndividualINDIRECT OWNERSHIP INTEREST0.951/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MIRIAM ZUPNICKIndividualINDIRECT OWNERSHIP INTEREST3.091/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROCHEL DAVIDIndividualINDIRECT OWNERSHIP INTEREST0.951/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TOVA L FUCHSIndividualINDIRECT OWNERSHIP INTEREST2.851/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ELI GRINSPANIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JIMMIE PRATERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/16/1996
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MAYER FISCHELIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
VALLEY STREAM OPERATOR I LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
119 September 202419 September 202410
226 September 201926 September 201910
312 July 201812 July 201800

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

2 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
12 June 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesPast Non-Compliance
26 September 2019HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correction11 October 2019

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameMIDDLESBORO OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid Services1991-01-22
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishBell
Telephone Number6062980091
Chain NameBLUEGRASS HEALTH KY
Chain ID748
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilBoth
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds95
Average Number of Residents per Day91.5
Overall Rating5
Health Inspection Rating4
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating5
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Get an email when this record changes

One email a day naming what moved on Middlesboro Nursing and Rehabilitation Facility: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: MAYER FISCHL no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for Middlesboro Nursing and Rehabilitation Facility

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Kentucky at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 185240.