CCN 185384 · Madison County, Kentucky
Berea Health and Rehabilitation
601 Richmond Road, Berea, KY 40403
Berea Health and Rehabilitation is a 84-bed for-profit nursing home in Berea, Kentucky, first certified for Medicare or Medicaid in 1993. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 78.3 residents a day, about 93% of its certified beds. It has an active FHA-insured Section 232 loan: $7 million originally, at 5.92%, with $6.9 million outstanding as of September 30, 2026 and maturity in October 2060.
Facility facts
- Certified beds
- 84
- Average residents per day
- 78.3 (93.2% of beds)
- Ownership type
- For profit - Partnership
- Certification
- Medicare and Medicaid
- Legal business name
- Berea Healthcare LLC
- Certified since
- Sep 28, 1993
- 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 | 3 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 | 4 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.91 | 3.75 | 3.68 |
| RN hours per resident per day | 0.62 | 0.67 | 0.58 |
| Weekend nurse hours per resident per day | 3.24 | ||
| Nursing staff turnover | 55.2% | 45.0% | 44.9% |
| Occupancy (residents / beds) | 93.2% | 90.3% | 85.7% |
| Fines reported by CMS | 2 totaling $16,801 | ||
| Health deficiencies, latest standard survey | 0 (Apr 10, 2025) | ||
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). Berea Health and Rehabilitation meets that part today: 3 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 |
|---|---|---|---|
| Grinspan, EliIndividual | Direct Ownership Interest | 33% | 01/31/2023 |
| Berea Realty Holdings LLCOrganization | Mortgage Interest | n/a | 01/31/2023 |
| Huntington BankOrganization | Mortgage Interest | n/a | 01/31/2023 |
| 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 |
| Mullins, ChristalIndividual | Operational / Managerial Control | n/a | 10/02/2024 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Berea Realty Holdings LLC, Huntington Bank.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Sep 29, 2017 | Berea Healthcare LLC | Berea Health Care, Inc. |
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 |
|---|---|---|---|---|
| Sep 22, 2025 | 223(f) refinance or purchaseHUD project name: Berea Health and Rehabilitation, 84 beds. Lender at endorsement: Greystone Funding Company LLC | $6,982,700 | Active: 5.92%, $6,926,411 balanceMatures Oct 1, 2060. Servicer: Greystone Servicing Company | 08322133 |
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.