Cycle 1
Health 2024-08-02 · Fire 2024-08-02
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Jeffersontown, KY
Jeffersontown Rehabilitation
2-star overall rating with 2-star inspections with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
3500 Good Samaritan Way, Jeffersontown, KY
(502) 267-7403
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
98
Certified beds
Average residents
90
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Simcha Hyman & Naftali Zanziper
Operator or chain grouping
Approved since
1991-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
94 facilities
Chain averages 2 overall / 3 health / 2 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.87
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.82
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
1.81
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
3.50
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.69
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.13
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.54
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.85
CMS adjusted RN staffing hours
Adjusted total hours
3.40
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,117
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.70
Composite VBP score used to determine payment impact.
Payment multiplier
0.9835
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 16.71% · Performance 22.91% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0.61
Baseline 4.26% · Performance 7.65% · Measure score 0.61 · Achievement 0.61 · Improvement 0
Total nurse turnover
7.81
Baseline 55.45% · Performance 31.77% · Measure score 7.81 · Achievement 7.81 · Improvement 7.24
Adjusted total nurse staffing
1.46
Baseline 3.86 hours · Performance 3.49 hours · Measure score 1.46 · Achievement 1.46 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.55% |
10.72%
3.8 pts worse
|
No Different than the National Rate · Eligible stays 132 · Observed rate 21.21% · Lower 95% interval 10.71% |
| Discharge to community | 52.38% |
50.57%
1.8 pts better
|
No Different than the National Rate · Eligible stays 86 · Observed rate 47.67% · Lower 95% interval 43.08% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 83.12% |
95.27%
12.1 pts worse
|
Numerator 64 · Denominator 77 |
| Falls with major injury | 3.9% |
0.77%
3.1 pts worse
|
Numerator 3 · Denominator 77 |
| Discharge self-care score | 43.75% |
53.69%
9.9 pts worse
|
Numerator 21 · Denominator 48 |
| Discharge mobility score | 43.75% |
50.94%
7.2 pts worse
|
Numerator 21 · Denominator 48 |
| Pressure ulcers or injuries, new or worsened | 7.79% |
2.29%
5.5 pts worse
|
Numerator 6 · Denominator 77 · Adjusted rate 6.1% |
| Healthcare-associated infections requiring hospitalization | 7.65% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 78 · Observed rate 8.97% · Lower 95% interval 4.98% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 115 |
| Staff flu vaccination coverage | 24.71% |
42%
17.3 pts worse
|
Numerator 21 · Denominator 85 |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 24 · Denominator 48 |
| Transfer of health information to provider | 88.46% |
95.95%
7.5 pts worse
|
Numerator 23 · Denominator 26 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 60.53% |
25.2%
35.3 pts better
|
Numerator 23 · Denominator 38 |
Quality measures
Resident outcomes and process scores
| 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 1.5 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
2.2
1.4 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.8 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 75.4% |
94.3%
18.9 pts worse
|
93.4%
18 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 75.3% · Q2 75.6% · Q3 72.2% · Q4 78.5% · 4Q avg 75.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.0% |
96.2%
4.2 pts worse
|
95.5%
3.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% |
3.8%
2.2 pts better
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.2% · Q3 2.5% · Q4 1.3% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.4% |
15.2%
13.8 pts better
|
11.4%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% |
| Percentage of long-stay residents who lose too much weight | 4.8% |
6.7%
1.9 pts better
|
5.4%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 5.3% · Q3 4.1% · Q4 5.4% · 4Q avg 4.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.7% |
29.6%
7.9 pts better
|
19.6%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 22.8% · Q3 21.6% · Q4 23.7% · 4Q avg 21.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.7% |
17.6%
4.9 pts better
|
16.7%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 11.6% · Q3 14.3% · Q4 11.3% · 4Q avg 12.7% · 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 | 19.6% |
17.3%
2.3 pts worse
|
16.3%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.1% |
15.6%
2.5 pts better
|
14.9%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 19.1% · Q3 14.5% · Q4 3.0% · 4Q avg 13.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.7%
0.4 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.3% · Q4 0.0% · 4Q avg 0.3% · 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 | 23.8% |
19.8%
4 pts worse
|
19.8%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 20.0% · Q3 34.6% · Q4 12.4% · 4Q avg 23.8% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
5.5%
0.7 pts better
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 3.5% · Q3 3.5% · Q4 4.7% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 44.2% |
83.8%
39.6 pts worse
|
81.7%
37.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 45.3% · Q2 54.5% · Q3 43.3% · Q4 35.5% · 4Q avg 44.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.7% |
13.9%
0.8 pts worse
|
12.0%
2.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.7% · Observed 14.5% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.4% |
1.8%
0.6 pts worse
|
1.6%
0.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 4.0% · Q3 3.4% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 52.6% |
83.6%
31 pts worse
|
79.7%
27.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 52.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.2% |
24.5%
10.7 pts worse
|
23.9%
11.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 35.2% · Observed 38.2% · Expected 25.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-05-10 · Fire 2019-05-10
13 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2018-03-29 · Fire 2018-03-29
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-08-02
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2024-08-23
F · Potential for more than minimal harm
2024-08-02
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-23
E · Potential for more than minimal harm
2024-08-02
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-09-18
E · Potential for more than minimal harm
2024-08-02
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-08-23
D · Potential for more than minimal harm
2024-08-02
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-08-23
F · Potential for more than minimal harm
2019-05-10
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-07-02
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-08-02
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-24
G · Actual harm
2019-05-10
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-07-02
G · Actual harm
2019-05-10
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-07-02
G · Actual harm
2019-05-10
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-07-02
F · Potential for more than minimal harm
2019-05-10
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-07-02
E · Potential for more than minimal harm
2019-05-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-07-02
D · Potential for more than minimal harm
2019-05-10
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-07-02
D · Potential for more than minimal harm
2019-05-10
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2019-07-02
D · Potential for more than minimal harm
2019-05-10
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-07-02
D · Potential for more than minimal harm
2019-05-10
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-07-02
D · Potential for more than minimal harm
2019-05-10
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-07-02
D · Potential for more than minimal harm
2019-05-10
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2019-07-02
D · Potential for more than minimal harm
2019-05-10
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2019-07-02
D · Potential for more than minimal harm
2019-05-10
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2019-07-02
E · Potential for more than minimal harm
2018-03-29
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2018-04-22
Penalties and ownership
What sits behind the stars
Ownership
Clearview Ky SNF Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
Clearview Healthcare Management Ky LLC
Operational/Managerial Control · Organization
Hc Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Knox, Donald
W-2 Managing Employee · Individual
Shnz Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Sweet Home Management LLC
5% Or Greater Indirect Ownership Interest · Organization
Vujanovic, Mick
Corporate Officer · Individual
Zanziper Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Signature Healthcare of East Louisville
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
#2
The Springs at Stony Brook
Louisville, KY
5-star overall rating with 4-star inspections with 3 fire-safety deficiencies in the latest cycle
#3
Glen Ridge Health Campus
Louisville, KY
4-star overall rating with 3-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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