Menifee Meadows Nursing & Rehab LLC
195 Berryman Road, Frenchburg, KY 40322
Menifee Meadows Nursing & Rehab LLC is a nursing home in Frenchburg, Kentucky. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating3 of 5
- Last standard health inspectionMarch 5, 2026 (8 months ago)
- Health citations since January 9, 20209 (Kentucky average 12)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 8, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Name
CMS lists a new legal business name for this home.
Ownership
CMS lists this home under a new chain.
CMS update of July 29, 2026
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
CMS update of March 25, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
Health inspection on March 5, 2026
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on March 27, 2026.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on March 27, 2026.
CMS has cited this home for F0695 2 times since 2020.
Fire safety inspection on March 5, 2026
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0920. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on March 27, 2026.
CMS has cited this home for K0920 2 times since 2024.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on March 27, 2026.
CMS has cited this home for K0321 2 times since 2024.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on March 27, 2026.
CMS has cited this home for K0353 2 times since 2024.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Name
CMS lists a new name for this home. It was EDGEWOOD ESTATES.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Health inspection on December 20, 2024
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on January 16, 2025.
CMS has cited this home for F0812 2 times since 2020.
Fire safety inspection on December 20, 2024
9 citationsCMS lists this as a standard inspection.
Show the 9 citations
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on January 24, 2025.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on January 24, 2025.
Citation K0914. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on January 24, 2025.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on January 24, 2025.
Citation K0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on January 24, 2025.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on January 24, 2025.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on January 24, 2025.
Citation K0920. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on January 24, 2025.
Citation K0351. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on January 24, 2025.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS update of August 29, 2024
CMS abuse icon
CMS removed its abuse icon from this home.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Staffing
Total nurse staffing reported to CMS went from 5.5 to 4.4 hours per resident per day.
CMS update of April 25, 2024
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 4 of 5.
CMS update of December 21, 2023
Fine
CMS changed the fine from February 22, 2023 from $362,846 to $306,248.
Health inspection on January 9, 2020
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on January 25, 2020.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on January 24, 2020.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on January 28, 2020.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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 lists it as corrected on January 24, 2020.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on January 28, 2020.
Citation F0883. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on January 28, 2020.
Fire safety inspection on January 9, 2020
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0771. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
CMS lists it as corrected on January 14, 2020.
CMS star ratings
- 3 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 1 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (606) 768-9001
- Last standard health inspection
- March 5, 2026 (8 months ago)
- Certified beds
- 60
- Residents per day, on average
- 48.6
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Menifee Meadows Nursing & Rehab LLC
- Chain
- Bao Opco Holdings
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Kentucky average (9 vs 12).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- BAO OPCO HOLDINGS LLC5% or greater direct ownership interest · 100% · since 06/16/2025
- SMITHEY, ASHLEY5% or greater indirect ownership interest · no percentage provided · since 06/16/2025
- WOMACK, BRYON5% or greater indirect ownership interest · 75% · since 06/16/2025
- BAO OPCO HOLDINGS LLCOperational/managerial control · not applicable · since 06/16/2025
- RISE SNF MANAGEMENT LLCOperational/managerial control · not applicable · since 06/16/2025
Show 6 more
- KING, BRIGITTEOperational/managerial control · not applicable · since 06/16/2025
- KOTHARI, ZAHIDOperational/managerial control · not applicable · since 06/16/2025
- SMITHEY, ASHLEYOperational/managerial control · not applicable · since 06/16/2025
- SMITHEY, RANDYOperational/managerial control · not applicable · since 06/16/2025
- WEBB, GERALDINEOperational/managerial control · not applicable · since 06/16/2025
- WOMACK, BRYONOperational/managerial control · not applicable · since 06/16/2025
Questions
When was Menifee Meadows Nursing & Rehab LLC last inspected?
CMS lists March 5, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Menifee Meadows Nursing & Rehab LLC have?
CMS lists 9 health citations since January 9, 2020. CMS also calls these deficiencies.
Has Menifee Meadows Nursing & Rehab LLC been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Menifee Meadows Nursing & Rehab LLC?
Its CMS overall star rating is 3 of 5.
Is Menifee Meadows Nursing & Rehab LLC a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.