Federal inspection record · CMS data as of October 1, 2026
Highlands Nursing and Rehabilitation
1705 Stevens Avenue, Louisville, KY · (502) 451-7330
- Certified beds
- 154
- Residents per day
- 145
- Ownership
- For-Profit
- Chain
- David Marx
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1967
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kentucky homes
Highlands Nursing and Rehabilitation carries 11 inspection points. That is fewer than 65% of Kentucky's 265 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kentucky: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–2 pts
- 4★ 2–11 pts
- 3★ 11–22 pts
- 2★ 22–45 pts
- 1★ over 45 pts
Bars show every rated home in Kentucky by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
13 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights3E
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
Pharmacy Service2D
- D
Ensure that residents are free from significant medication errors.
- D
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.
Quality of Life and Care2D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide or obtain dental services for each resident.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Resident Assessment and Care Planning1D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2026-04-02
1 health deficiencies · 5 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2025-02-28
7 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-03-23
5 health deficiencies · 8 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 25 min of nursing staff time a day, 54 min of it from a registered nurse.
This home
3 h 25 min
Kentucky average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 25% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$17,523 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-23 | Fine | $6,780 |
| 2024-03-23 | Fine | $10,743 |
| 2024-03-23 | Payment Denial · 8 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.7 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.6 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts worse | 82.8% | 94.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts worse | 93.2% | 96.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts worse | 5.3% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14.2 pts worse | 33.1% | 18.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts worse | 7.0% | 6.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication20.6 pts better | 9.3% | 29.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.2 pts better | 13.0% | 16.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.9 pts better | 5.4% | 12.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.1 pts better | 8.1% | 13.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts better | 1.4% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.2 pts worse | 28.5% | 18.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.2 pts better | 2.5% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine28.9 pts worse | 55.6% | 84.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.9 pts better | 10.3% | 13.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better | 1.4% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.1 pts worse | 68.6% | 83.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission10.5 pts worse | 34.4% | 23.9% | 23.4% |
·
Who owns and runs it
26 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Highlands Nursing And Rehabilitation Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| 1705 Stevens Ave SNF Realty LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| 1705 Stevens Ave SNF Realty LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Alexander, David | Operational/Managerial Control · Individual | 0% | 26 facilities |
| Alexander, David | Adp Of The SNF · Individual | 0% | 26 facilities |
| Bluegrass Consulting Group LLC | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Bluegrass Consulting Group LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Bogard, Ken | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bogard, Ken | Adp Of The SNF · Individual | 0% | 1 facilities |
| Chagua, Marlon | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Chagua, Marlon | Adp Of The SNF · Individual | 0% | 2 facilities |
| Chamberlain, Margaret | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Chamberlain, Margaret | Adp Of The SNF · Individual | 0% | 32 facilities |
| Ltc Consulting Services LLC | Operational/Managerial Control · Organization | 0% | 36 facilities |
| Ltc Consulting Services LLC | Adp Of The SNF · Organization | 0% | 36 facilities |
| Pruitt, Paul | Managing Control - Governing Body · Individual | 0% | 32 facilities |
| Pruitt, Paul | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Pruitt, Paul | Adp Of The SNF · Individual | 0% | 32 facilities |
| Rewa, Angela | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Rewa, Angela | Adp Of The SNF · Individual | 0% | 32 facilities |
| Russell, Robert | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Russell, Robert | Adp Of The SNF · Individual | 0% | 32 facilities |
| Shatrov, Anzhelika | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Shatrov, Anzhelika | Adp Of The SNF · Individual | 0% | 32 facilities |
| Wolfe, Eric | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Wolfe, Eric | Adp Of The SNF · Individual | 0% | 32 facilities |
·
Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install an approved automatic sprinkler system.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous4E
- E
Meet Health Care Facilities Code mechanical requirements.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems4F
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
Egress3F
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
·
Other homes nearby
-
Nazareth Home
Louisville, KY
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 5 h 39 min
- Fines
- $0
-
Eastway Health & Rehabilitation
Louisville, KY · Lyon Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 33 min
- Fines
- $10,868
-
Little Sisters of the Poor
Louisville, KY
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 6 h 42 min
- Fines
- $0