Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Middlesboro Nursing And Rehabilitation Facility during CMS and state inspections, most recent first.
A resident with cerebrovascular disease, schizophrenia, and bipolar disorder received multiple scheduled meds by rectum even though the MAR ordered them by mouth and there was no documented change in route. Staff interviews and the facility investigation showed the nurse complied with the resident’s request to change the route instead of obtaining a provider order, and the event was documented as a medication error.
Medication Given by Wrong Route After Resident Requested Rectal Administration
Penalty
Summary
The facility failed to administer medications in accordance with provider orders and established nursing practice for one resident. The resident had diagnoses including unspecified cerebrovascular disease, paranoid schizophrenia, and bipolar disorder, and the record showed he was cognitively intact with a BIMS score of 12 out of 15. His orders indicated a controlled carbohydrate diet with regular texture and thin liquids, and that he took medications whole by mouth. On the evening of the incident, the resident received multiple scheduled medications that were ordered by mouth, including atorvastatin, finasteride, trazodone, Amitiza, benztropine, celecoxib, haloperidol, metoprolol, Mucinex, baclofen, Depakote Sprinkles, gabapentin, polyethylene glycol, and sucralfate. The medical record did not document any change in the route of administration. Facility investigation and staff interviews showed that the resident requested medications be given rectally rather than orally, and the nurse complied with that request by crushing medications and administering them per rectum. The investigation also showed that the nurse did not contact the provider for an order to change the route of administration before giving the medications rectally. Staff interviews confirmed that the resident had refused oral medication and that the route was changed based on the resident’s request rather than a provider order. The resident was assessed afterward and was documented as alert, oriented, and without injury or distress, and the incident was identified by the facility as a medication error.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Middlesboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Tri State Health And Rehabilitation Center | 6.7 mi | ★★★★★ | 8 | 0 |
| Mountain View Rehabilitation And Healthcare Center | 10.1 mi | ★★★★★ | 2 | 0 |
| Buchanan Place | 14.5 mi | ★★★★★ | 6 | 0 |
| Claiborne Health And Rehabilitation Center | 14.9 mi | ★★★★★ | 10 | 0 |
| Barbourville Health And Rehabilitation Center | 19.1 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.