Louisville, KY
4-star overall rating with 3-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
6415 Calm River Way, Louisville, KY
(502) 297-8590
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
70
Certified beds
Average residents
59
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Trilogy Health Services
Operator or chain grouping
Approved since
2006-07-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
125 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.99
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.80
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
1.85
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
3.64
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.79
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.30
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.90
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.79
CMS adjusted RN staffing hours
Adjusted total hours
2.91
CMS adjusted total nurse staffing hours
Case-mix index
1.71
Higher values indicate more complex resident acuity
RN turnover
77%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
3,236
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.33
Composite VBP score used to determine payment impact.
Payment multiplier
0.9985
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.67
Baseline 23.50% · Performance 18.86% · Measure score 6.67 · Achievement 5.55 · Improvement 6.67
Healthcare-associated infections
5.16
Baseline 7.51% · Performance 6.29% · Measure score 5.16 · Achievement 5.16 · Improvement 4.35
Total nurse turnover
5.36
Baseline 50.00% · Performance 41.79% · Measure score 5.36 · Achievement 5.36 · Improvement 2.76
Adjusted total nurse staffing
0.95
Baseline 3.33 hours · Performance 3.35 hours · Measure score 0.95 · Achievement 0.95 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.83% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 363 · Observed rate 10.74% · Lower 95% interval 8.12% |
| Discharge to community | 67.57% |
50.57%
17 pts better
|
Better than the National Rate · Eligible stays 345 · Observed rate 66.38% · Lower 95% interval 62.26% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 214 · Denominator 214 |
| Falls with major injury | 1.4% |
0.77%
0.6 pts worse
|
Numerator 3 · Denominator 214 |
| Discharge self-care score | 68% |
53.69%
14.3 pts better
|
Numerator 119 · Denominator 175 |
| Discharge mobility score | 56.57% |
50.94%
5.6 pts better
|
Numerator 99 · Denominator 175 |
| Pressure ulcers or injuries, new or worsened | 0.93% |
2.29%
1.4 pts better
|
Numerator 2 · Denominator 214 · Adjusted rate 0.77% |
| Healthcare-associated infections requiring hospitalization | 6.29% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 218 · Observed rate 4.59% · Lower 95% interval 3.51% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 97 |
| Staff flu vaccination coverage | 34.06% |
42%
7.9 pts worse
|
Numerator 47 · Denominator 138 |
| Discharge function score | 71.43% |
56.45%
15 pts better
|
Numerator 125 · Denominator 175 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 55 · Denominator 55 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 148 · Denominator 148 |
| Resident COVID-19 vaccinations up to date | 44.64% |
25.2%
19.4 pts better
|
Numerator 50 · Denominator 112 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.9
0.7 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.4 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.2 |
2.2
2 pts better
|
1.8
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.3%
5.7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 84.2% |
96.2%
12 pts worse
|
95.5%
11.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 84.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.7% |
3.8%
0.9 pts worse
|
3.3%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 2.9% · Q3 3.1% · Q4 5.9% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.8% |
15.2%
7.4 pts better
|
11.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 5.9% · Q3 7.7% · Q4 14.3% · 4Q avg 7.8% |
| Percentage of long-stay residents who lose too much weight | 2.8% |
6.7%
3.9 pts better
|
5.4%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 3.6% · Q3 3.8% · Q4 0.0% · 4Q avg 2.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.0% |
29.6%
2.6 pts better
|
19.6%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 21.4% · Q3 33.3% · Q4 29.0% · 4Q avg 27.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.4% |
17.6%
13.2 pts better
|
16.7%
12.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 4.3% · Q3 0.0% · Q4 3.8% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 3.7% |
17.3%
13.6 pts better
|
16.3%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 1.8% |
15.6%
13.8 pts better
|
14.9%
13.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.6% · Q3 0.0% · Q4 3.2% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.7%
0.7 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.7% |
19.8%
4.9 pts worse
|
19.8%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.0% · Q2 20.5% · Q3 16.0% · Q4 28.3% · 4Q avg 24.7% |
| Percentage of long-stay residents with pressure ulcers | 1.4% |
5.5%
4.1 pts better
|
5.1%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
83.8%
15.2 pts better
|
81.7%
17.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 95.8% · 4Q avg 99.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 2.7% |
13.9%
11.2 pts better
|
12.0%
9.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 2.7% · Observed 2.5% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.8%
0.8 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.3% · Q3 0.7% · Q4 0.7% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.8% |
83.6%
14.2 pts better
|
79.7%
18.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.1% |
24.5%
4.4 pts better
|
23.9%
3.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.1% · Observed 19.2% · Expected 22.7% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2025-06-17
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-06-12
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-06-17
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-06-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-14
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-03-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-11
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-04-12
Inspection history
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-07-08
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-07-08
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-08
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-08
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-07-08
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-04-19
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-04-19
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-19
Health
Provide appropriate foot care.
Corrected 2024-04-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-19
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-04-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-05-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-05-25
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-05-25
Health
Provide and implement an infection prevention and control program.
Corrected 2019-05-25
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Mortgage Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Jeffersontown, KY
2-star overall rating with 2-star inspections with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Louisville, KY
1-star overall rating with 1-star inspections with $10,364 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Louisville, KY
5-star overall rating with 4-star inspections with 3 fire-safety deficiencies in the latest cycle
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