Louisville, KY

Parkwood Health & Rehabilitation

1-star overall rating with 1-star inspections with $10,209 in total fines with 6 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

900 Gagel Avenue, Louisville, KY

(502) 368-5827

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

101

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Lyon Healthcare

Operator or chain grouping

Approved since

1974-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

14 facilities

Chain averages 2 overall / 2 health / 2 staffing / 3 quality stars

Changed ownership

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

0.31

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

1.89

Nurse aide staffing · state 2.43 · national 2.35

Total nurse hours

3.02

All reported nurse hours · state 4.01 · national 3.89

Licensed hours

1.13

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

2.70

Weekend nurse staffing · state 3.50 · national 3.43

Weekend RN hours

0.28

Weekend registered nurse coverage · state 0.52 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.27

CMS adjusted RN staffing hours

Adjusted total hours

2.67

CMS adjusted total nurse staffing hours

Case-mix index

1.55

Higher values indicate more complex resident acuity

RN turnover

60%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,224

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

7.36

Composite VBP score used to determine payment impact.

Payment multiplier

0.9807

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Baseline 6.21% · Performance 10.29% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

1.05

Baseline 64.91% · Performance 59.41% · Measure score 1.05 · Achievement 1.05 · Improvement 0.87

Adjusted total nurse staffing

1.16

Baseline 2.16 hours · Performance 2.76 hours · Measure score 1.16 · Achievement 0 · Improvement 1.16

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.17%	10.72% 0.6 pts better	No Different than the National Rate · Eligible stays 42 · Observed rate 9.52% · Lower 95% interval 6.81%
Discharge to community	38.94%	50.57% 11.6 pts worse	No Different than the National Rate · Eligible stays 30 · Observed rate 20% · Lower 95% interval 23.59%
Medicare spending per beneficiary	1.13	1.02 0.1 pts worse
Drug regimen review with follow-up	84%	95.27% 11.3 pts worse	Numerator 21 · Denominator 25
Falls with major injury	4%	0.77% 3.2 pts worse	Numerator 1 · Denominator 25
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	4%	2.29% 1.7 pts worse	Numerator 1 · Denominator 25 · Adjusted rate 3.73%
Healthcare-associated infections requiring hospitalization	10.29%	7.12% 3.2 pts worse	No Different than the National Rate · Eligible stays 26 · Observed rate 26.92% · Lower 95% interval 6.21%
Staff COVID-19 vaccination coverage	4.17%	8.2% 4 pts worse	Numerator 6 · Denominator 144
Staff flu vaccination coverage	5.07%	42% 36.9 pts worse	Numerator 7 · Denominator 138
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	1.9 About the same	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.6 · Expected 2.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.3	2.2 0.1 pts worse	1.8 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 3.0 · Expected 2.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	61.6%	94.3% 32.7 pts worse	93.4% 31.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 71.2% · Q2 64.2% · Q3 62.8% · Q4 49.4% · 4Q avg 61.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	60.0%	96.2% 36.2 pts worse	95.5% 35.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 60.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.0%	3.8% 0.8 pts better	3.3% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 4.9% · Q3 0.0% · Q4 0.0% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	47.1%	15.2% 31.9 pts worse	11.4% 35.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 73.6% · Q2 69.0% · Q3 39.2% · Q4 8.1% · 4Q avg 47.1%
Percentage of long-stay residents who lose too much weight	9.2%	6.7% 2.5 pts worse	5.4% 3.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q2 10.0% · Q3 7.3% · Q4 8.3% · 4Q avg 9.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	24.5%	29.6% 5.1 pts better	19.6% 4.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.0% · Q2 27.5% · Q3 19.0% · Q4 17.4% · 4Q avg 24.5%
Percentage of long-stay residents who received an antipsychotic medication	13.6%	17.6% 4 pts better	16.7% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 10.4% · Q3 11.3% · Q4 13.8% · 4Q avg 13.6% · 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	12.3%	17.3% 5 pts better	16.3% 4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 18.0% · Q3 8.5% · Q4 4.2% · 4Q avg 12.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.3%	15.6% 10.3 pts better	14.9% 9.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 6.8% · Q3 2.6% · Q4 3.9% · 4Q avg 5.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.5%	0.7% 0.8 pts worse	1.0% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.8% · Q3 2.0% · Q4 0.0% · 4Q avg 1.5% · 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 5.0% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.4%	19.8% 7.6 pts worse	19.8% 7.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 27.3% · Q3 33.6% · Q4 21.9% · 4Q avg 27.4%
Percentage of long-stay residents with pressure ulcers	5.1%	5.5% 0.4 pts better	5.1% About the same	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.6% · Q3 8.4% · Q4 6.7% · 4Q avg 5.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	24.2%	83.8% 59.6 pts worse	81.7% 57.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 25.0% · Q3 21.2% · Q4 24.5% · 4Q avg 24.2%
Percentage of short-stay residents who had an outpatient emergency department visit	15.4%	13.9% 1.5 pts worse	12.0% 3.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.4% · Observed 18.9% · Expected 13.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.9%	1.8% 0.1 pts worse	1.6% 0.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	14.8%	83.6% 68.8 pts worse	79.7% 64.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 14.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.6%	24.5% 2.1 pts worse	23.9% 2.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.6% · Observed 32.4% · Expected 29.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-07-03 · Fire 2024-07-03

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 2 Health 2019-06-24 · Fire 2019-06-24

15 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2018-03-29 · Fire 2018-03-29

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (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 2024-07-03

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-08-03

F · Potential for more than minimal harm 2024-07-03

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-08-03

E · Potential for more than minimal harm 2024-07-03

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-08-03

E · Potential for more than minimal harm 2024-07-03

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-08-03

E · Potential for more than minimal harm 2024-07-03

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-03

E · Potential for more than minimal harm 2024-07-03

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-08-03

D · Potential for more than minimal harm 2024-07-03

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-08-03

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-02

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.

Not marked corrected

J · Immediate jeopardy 2024-07-03

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 2022-09-13

F · Potential for more than minimal harm 2024-07-03

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 2024-08-03

E · Potential for more than minimal harm 2024-07-03

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-08-03

E · Potential for more than minimal harm 2024-07-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-03

D · Potential for more than minimal harm 2024-07-03

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 2024-08-03

D · Potential for more than minimal harm 2024-07-03

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-08-03

J · Immediate jeopardy 2019-06-24

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2019-07-23

J · Immediate jeopardy 2019-06-24

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2019-07-23

J · Immediate jeopardy 2019-06-24

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2019-07-23

J · Immediate jeopardy 2019-06-24

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2019-07-23

G · Actual harm 2019-06-24

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 2019-07-23

G · Actual harm 2019-06-24