Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.62 hours per resident day in 2026Q1, calculated from CMS PBJ records.
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Berea Health and Rehabilitation has 84 certified beds in Berea, Kentucky. The CMS overall rating is 3 of 5, compared with the Kentucky average of 3.0. The CMS health inspection rating is 4 of 5, compared with the Kentucky average of 3.0. The CMS staffing rating is 1 of 5. The latest standard health survey on Apr 10, 2025 lists 0 deficiencies, compared with the Kentucky average of 2.3. CMS records a fine of $6,500 dated Jul 27, 2024. CMS records a fine of $10,301 dated Jul 27, 2024. Total nurse staffing is 3.91 hours per resident day in 2026Q1, compared with the Kentucky average of 3.99.
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 185384.
At a glance
3 of 5
4 of 5
1 of 5
4 of 5
CMS has published 1 ownership-change record for this provider.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2017-09-29.
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
Source freshness
Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.
Methodology
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
CMS designations
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
MDS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
Fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.62 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Apr 10, 2025 cited 0 deficiencies.
View inspection evidenceCMS-published records list 61 ownership or control parties.
CMS records show an ownership change effective September 2017.
View ownership evidenceCMS groups this facility with a chain covering 15 facilities across 1 states or territories.
View chain evidenceCMS records show a $6,500 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
14 currently connected nursing homes share this CMS organization identity with VALLEY STREAM OPERATOR I LLC.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 33%
Association date reported to CMS: Jan 31, 2023
Organization · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Jan 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across KY.
Organization · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Jan 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across KY.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2016
Other facilities connected through this exact CMS organization identity: 0 across KY.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2017
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2016
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2016
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 12, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 2, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 14, 2025
Other facilities connected through this exact CMS organization identity: 0 across KY.
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 1, 2016
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 1, 2016
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Jul 10, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Jul 10, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Jul 10, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Jul 10, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Jul 10, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Jul 10, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Jul 10, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Jul 10, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Jul 10, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Jul 10, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Jul 10, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Jul 10, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Jul 10, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Jul 10, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Jul 10, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2016
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2016
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 2, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2016
Other facilities connected through this exact CMS organization identity: 0 across KY.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.33%
Association date reported to CMS: Jan 31, 2023
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.33%
Association date reported to CMS: Jan 31, 2023
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.34%
Association date reported to CMS: Jan 31, 2023
Organization · 5% OR GREATER MORTGAGE INTEREST
Published ownership percentage: 79%
Association date reported to CMS: Jan 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across KY.
Organization · 5% OR GREATER MORTGAGE INTEREST
Published ownership percentage: 79%
Association date reported to CMS: Jan 31, 2023
Other facilities connected through this exact CMS organization identity: 4 across KY, MI, OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2016
Other facilities connected through this exact CMS organization identity: 0 across KY.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2017
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2016
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2016
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 12, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2016
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2016
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2016
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 14, 2025
Other facilities connected through this exact CMS organization identity: 0 across KY.
Organization · ADP OF THE SNF
Association date reported to CMS: May 9, 2025
Other facilities connected through this exact CMS organization identity: 0 across KY.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2016
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2016
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 2, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 14, 2025
CMS classifications: Chain / home office, Management services company
Other facilities connected through this exact CMS organization identity: 13 across KY.
Individual · CORPORATE OFFICER
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2016
Individual · CORPORATE OFFICER
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2016
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2016
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2016
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 2, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2016
CMS classifications: Chain / home office, Management services company
Other facilities connected through this exact CMS organization identity: 13 across KY.
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across KY.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 748 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 15 | 3.1 | 1.6 |
| Mon Jun | 15 | 2.9 | 1.5 |
| Fri May | 15 | 3.1 | 1.5 |
| Wed Apr | 15 | 2.9 | 1.5 |
| Sun Mar | 15 | 2.7 | 1.3 |
| Sun Feb | 15 | 2.7 | 1.3 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Past Non-Compliance (Jun 13, 2024)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Past Non-Compliance (Jun 13, 2024)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 13, 2020)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 11, 2020)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 13, 2020)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 4, 2020)
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 4, 2020)
Penalties & enforcement
Published fine amount: $6,500.00
Published fine amount: $10,301.00
Questions to ask
Facility history
10 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
RN staffing increased from 0.51 to 0.62 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
0.51 → 0.62
CMS · Reported in a source release · View related evidence
RN staffing increased from 0.37 to 0.51 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
0.37 → 0.51
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 3.40 to 3.66 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
3.40 → 3.66
CMS · Reported in a source release · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
CMS recorded a $10,301 civil monetary penalty.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
CMS recorded a $6,500 civil monetary penalty.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: BEREA HEALTHCARE LLC.
BEREA HEALTH CARE, INC. → BEREA HEALTHCARE LLC
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 4.178 | 3.239 |
| RN categories | 0.664 | 0.52 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.108 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.403 | 0.344 | 0.927 | 2.058 | 0% | 91 |
| 2025Q3 | 3.664 | 0.371 | 0.985 | 2.207 | 0% | 92 |
| 2025Q4 | 3.812 | 0.515 | 0.953 | 2.281 | 0% | 92 |
| 2026Q1 | 3.909 | 0.623 | 0.923 | 2.285 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.
How corrections workSource register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.