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C
Below Standard

Middlesboro Nursing and Rehabilitation Facility

235 New Wilson Lane · Middlesboro, KY 40965

6062980091 · For profit - Corporation

95 beds91.3 residents120 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Middlesboro Nursing and Rehabilitation Facility receives an overall staffing grade of C (Below Standard). With 3.8637 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4343 HPRD, below the recommended 0.75. It is 0.03 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.34% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4343 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.8637hrs/resident/day▼ 0.03
CMS benchmark: 3.48
RN HPRD
0.4343hrs/resident/day▼ 0.25
Recommended: 0.75
Weekend Drop-off
17.34%
4.0628 weekday → 3.3582 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1798hrs/resident/day
Direct care aides
LPN HPRD
1.0636hrs/resident/day
Licensed practical nurses
Consistency
0.3971std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Bell County Average+0.25 HPRD
3.61
03.86 HPRD
vs. Kentucky State Average-0.18 HPRD
4.05
03.86 HPRD
vs. National Average-0.03 HPRD
3.90
03.86 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Middlesboro Nursing and Rehabilitation Facility ★
Middlesboro · This facility
—
C
3.86370.4343★★★★★
Mountain View Rehabilitation and Healthcare Center
Pineville
10.1 mi
C
3.35830.9476★★★★☆
Barbourville Health and Rehabilitation Center
Barbourville
19.1 mi
B
3.76150.9539★☆☆☆☆
Williamsburg Health & Rehabilitation Center
Williamsburg
24.7 mi
B
5.39580.7287★★★☆☆
Harlan Health and Rehabilitation Center
Harlan
27.9 mi
A
4.43290.8798★☆☆☆☆
Corbin Health and Rehabilitation Center
Corbin
29 mi
B
4.80940.6306★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

1
Inspections
1
Total Deficiencies
$0
Fines Assessed
Sep 26, 2019Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.