Cycle 1
Health 2025-04-17 · Fire 2025-04-17
0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Louisville, KY
Nazareth Home
5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle
2000 Newburg Road, Louisville, KY
(502) 459-9681
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
118
Certified beds
Average residents
110
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1976-04-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
Hours and turnover
RN hours / resident day
0.98
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
1.47
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.87
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
5.32
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
2.46
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.74
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.68
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.01
CMS adjusted RN staffing hours
Adjusted total hours
5.46
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
32%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
26%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
176
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
79.77
Composite VBP score used to determine payment impact.
Payment multiplier
1.0258
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.92
Baseline 14.31% · Performance 18.23% · Measure score 6.92 · Achievement 6.92 · Improvement 0
Healthcare-associated infections
10
Baseline 3.42% · Performance 4.45% · Measure score 10 · Achievement 10 · Improvement 0
Total nurse turnover
7.42
Baseline 31.41% · Performance 33.33% · Measure score 7.42 · Achievement 7.42 · Improvement 0
Adjusted total nurse staffing
7.57
Baseline 5.22 hours · Performance 5.23 hours · Measure score 7.57 · Achievement 7.57 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.67% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 432 · Observed rate 8.1% · Lower 95% interval 8.51% |
| Discharge to community | 64.73% |
50.57%
14.2 pts better
|
Better than the National Rate · Eligible stays 416 · Observed rate 66.83% · Lower 95% interval 60.3% |
| Medicare spending per beneficiary | 0.67 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 95.18% |
95.27%
0.1 pts worse
|
Numerator 217 · Denominator 228 |
| Falls with major injury | 1.32% |
0.77%
0.6 pts worse
|
Numerator 3 · Denominator 228 |
| Discharge self-care score | 85.5% |
53.69%
31.8 pts better
|
Numerator 171 · Denominator 200 |
| Discharge mobility score | 60.5% |
50.94%
9.6 pts better
|
Numerator 121 · Denominator 200 |
| Pressure ulcers or injuries, new or worsened | 2.19% |
2.29%
0.1 pts better
|
Numerator 5 · Denominator 228 · Adjusted rate 2.31% |
| Healthcare-associated infections requiring hospitalization | 4.45% |
7.12%
2.7 pts better
|
No Different than the National Rate · Eligible stays 247 · Observed rate 1.21% · Lower 95% interval 2.48% |
| Staff COVID-19 vaccination coverage | 2.82% |
8.2%
5.4 pts worse
|
Numerator 10 · Denominator 354 |
| Staff flu vaccination coverage | 97.87% |
42%
55.9 pts better
|
Numerator 322 · Denominator 329 |
| Discharge function score | 79.5% |
56.45%
23 pts better
|
Numerator 159 · Denominator 200 |
| Transfer of health information to provider | 98.17% |
95.95%
2.2 pts better
|
Numerator 107 · Denominator 109 |
| Transfer of health information to patient | 97.5% |
96.28%
1.2 pts better
|
Numerator 78 · Denominator 80 |
| Resident COVID-19 vaccinations up to date | 49.17% |
25.2%
24 pts better
|
Numerator 59 · Denominator 120 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.9
1.1 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.8 · Expected 1.8 · 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 1.5 · 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 | 100.0% |
96.2%
3.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
3.8%
0.9 pts better
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.2% · Q3 4.8% · Q4 3.6% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.0% |
15.2%
14.2 pts better
|
11.4%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.2% · Q3 1.4% · Q4 0.0% · 4Q avg 1.0% |
| 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 0.0% · Q2 4.2% · Q3 5.5% · Q4 1.9% · 4Q avg 2.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.7% |
29.6%
10.9 pts better
|
19.6%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 19.0% · Q3 16.9% · Q4 16.1% · 4Q avg 18.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.8% |
17.6%
8.8 pts better
|
16.7%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 8.8% · Q3 8.5% · Q4 10.2% · 4Q avg 8.8% · 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 | 14.9% |
17.3%
2.4 pts better
|
16.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 17.8% · Q3 14.7% · Q4 11.0% · 4Q avg 14.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.8% |
15.6%
0.2 pts worse
|
14.9%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 21.1% · Q3 20.7% · Q4 14.5% · 4Q avg 15.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.7%
0.3 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.8% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.5% |
1.7%
0.2 pts better
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.2% · Q3 0.0% · Q4 2.4% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.0% |
19.8%
2.2 pts worse
|
19.8%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 26.9% · Q3 20.2% · Q4 20.9% · 4Q avg 22.0% |
| Percentage of long-stay residents with pressure ulcers | 7.6% |
5.5%
2.1 pts worse
|
5.1%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 10.0% · Q3 8.4% · Q4 5.9% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
83.8%
14.8 pts better
|
81.7%
16.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 98.5% · Q3 100.0% · Q4 100.0% · 4Q avg 98.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.3% |
13.9%
8.6 pts better
|
12.0%
6.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.3% · Observed 4.6% · Expected 9.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.8%
0.7 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 1.4% · Q3 1.4% · Q4 0.9% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.1% |
83.6%
12.5 pts better
|
79.7%
16.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.8% |
24.5%
7.7 pts better
|
23.9%
7.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.8% · Observed 12.4% · Expected 17.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-12-12 · Fire 2019-12-12
0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2018-11-09 · Fire 2018-11-09
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-17
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-05-02
F · Potential for more than minimal harm
2025-04-17
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-09
E · Potential for more than minimal harm
2025-04-17
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-09
D · Potential for more than minimal harm
2019-12-12
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2020-01-17
D · Potential for more than minimal harm
2019-12-12
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-01-17
D · Potential for more than minimal harm
2019-12-12
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-01-17
D · Potential for more than minimal harm
2018-11-09
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2018-11-30
Inspection history
Recent health citations
Penalties and ownership
What sits behind the stars
Ownership
Askin, Sarah
Operational/Managerial Control · Individual
Bricker, Paul
Operational/Managerial Control · Individual
Brosky, Joseph
Corporate Director · Individual
Cobb, Greg
Corporate Director · Individual
Elder, Erin
Operational/Managerial Control · Individual
Fegenbush, Carolyn
Corporate Director · Individual
Hammer, William
Corporate Director · Individual
Haynes, Mary
Operational/Managerial Control · Individual
Haynes, Mary
Corporate Officer · Individual
Hobson, Kimberly
Operational/Managerial Control · Individual
Lucchese, John
Corporate Director · Individual
Miles, Rebecca
Corporate Director · Individual
Passafiume, Clara
Corporate Director · Individual
Smith, Jason
Corporate Director · Individual
Terriaco, Tiffany
Operational/Managerial Control · Individual
Thomas Kuerzi, Jennifer
Corporate Director · Individual
Weikert, Sharon
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Highlands Nursing and Rehabilitation
Louisville, KY
2-star overall rating with 2-star inspections with $17,523 in total fines with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Little Sisters of the Poor
Louisville, KY
2-star overall rating with 3-star inspections with 3 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Eastway Health & Rehabilitation
Louisville, KY
2-star overall rating with 1-star inspections with $13,762 in total fines with 2 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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