CCN 185240 · Bell County, Kentucky
Middlesboro Nursing and Rehabilitation Facility
235 New Wilson Lane, Middlesboro, KY 40965
Middlesboro Nursing and Rehabilitation Facility is a 95-bed for-profit nursing home in Middlesboro, Kentucky, first certified for Medicare or Medicaid in 1991. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 91.5 residents a day, about 96% of its certified beds. It has an active FHA-insured Section 232 loan: $7.8 million originally, at 3.25%, with $6.9 million outstanding as of September 30, 2026 and maturity in September 2054.
Facility facts
- Certified beds
- 95
- Average residents per day
- 91.5 (96.3% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Middlesboro Operations LLC
- Certified since
- Jan 22, 1991
- Chain or affiliated group
- Bluegrass Health Ky (15 facilities, chain average 3.1 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Kentucky median | US median |
|---|---|---|---|
| Overall rating | 5 of 5 | State spread: 59 at 1, 45 at 2, 55 at 3, 55 at 4, 52 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.94 | 3.75 | 3.68 |
| RN hours per resident per day | 0.49 | 0.67 | 0.58 |
| Weekend nurse hours per resident per day | 3.52 | ||
| Nursing staff turnover | 44.0% | 45.0% | 44.9% |
| Occupancy (residents / beds) | 96.3% | 90.3% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 1 (Sep 19, 2024) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Middlesboro Nursing and Rehabilitation Facility meets that part today: 5 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Kennedy Ky Holdings LLCOrganization | Direct Ownership Interest | 14% | 01/01/2023 |
| Ky Equity Partners LLCOrganization | Direct Ownership Interest | 21% | 01/01/2023 |
| Grinspan, EliIndividual | Direct Ownership Interest | 15% | 01/01/2023 |
| Greystone Servicing Company, LLC, a Delaware Limited Liability CompanyOrganization | Mortgage Interest | n/a | 08/28/2019 |
| Middlesboro Realty LLCOrganization | Mortgage Interest | n/a | 11/01/2016 |
| Valley Stream Operator I LLCOrganization | Operational / Managerial Control | n/a | 11/01/2016 |
| Fischel, MayerIndividual | Operational / Managerial Control | n/a | 11/01/2016 |
| Grinspan, EliIndividual | Operational / Managerial Control | n/a | 11/01/2016 |
| Prater, JimmieIndividual | Operational / Managerial Control | n/a | 08/16/1996 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Greystone Servicing Company, LLC, a Delaware Limited Liability Company, Middlesboro Realty LLC.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Nov 1, 2016 | Middlesboro Operations LLC | Middlesboro Manor LLC |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Aug 28, 2019 | 223(f) refinance or purchaseHUD project name: Middlesboro Nursing and Rehabilitation Facility, 95 beds. Lender at endorsement: Greystone Funding Company LLC | $7,840,000 | Active: 3.25%, $6,894,115 balanceMatures Sep 1, 2054. Servicer: Greystone Servicing Company | 08322059 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.