Cycle 1
Health 2025-03-13 · Fire 2025-03-13
7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
La Grange, KY
Richwood Nursing & Rehab
3-star overall rating with 2-star inspections with $8,788 in total fines with 7 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
1012 Richwood Way, La Grange, KY
(502) 222-3186
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
110
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pacs Group
Operator or chain grouping
Approved since
1998-01-12
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
264 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 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
0.67
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
1.46
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.42
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
4.54
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
2.12
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.59
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.87
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
0.46
CMS adjusted RN staffing hours
Adjusted total hours
3.14
CMS adjusted total nurse staffing hours
Case-mix index
1.98
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,288
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.17
Composite VBP score used to determine payment impact.
Payment multiplier
0.9834
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.97
Baseline 18.11% · Performance 20.06% · Measure score 2.97 · Achievement 2.97 · Improvement 0
Healthcare-associated infections
5.45
Baseline 6.20% · Performance 6.21% · Measure score 5.45 · Achievement 5.45 · Improvement 0
Total nurse turnover
0.70
Baseline 62.24% · Performance 60.80% · Measure score 0.70 · Achievement 0.70 · Improvement 0
Adjusted total nurse staffing
0.54
Baseline 3.43 hours · Performance 3.23 hours · Measure score 0.54 · Achievement 0.54 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.02% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 96 · Observed rate 8.33% · Lower 95% interval 6.38% |
| Discharge to community | 46.44% |
50.57%
4.1 pts worse
|
No Different than the National Rate · Eligible stays 64 · Observed rate 42.19% · Lower 95% interval 37.86% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 95.74% |
95.27%
0.5 pts better
|
Numerator 45 · Denominator 47 |
| Falls with major injury | 4.26% |
0.77%
3.5 pts worse
|
Numerator 2 · Denominator 47 |
| Discharge self-care score | 56.41% |
53.69%
2.7 pts better
|
Numerator 22 · Denominator 39 |
| Discharge mobility score | 53.85% |
50.94%
2.9 pts better
|
Numerator 21 · Denominator 39 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 47 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.21% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 39 · Observed rate 2.56% · Lower 95% interval 3.23% |
| Staff COVID-19 vaccination coverage | 4.92% |
8.2%
3.3 pts worse
|
Numerator 12 · Denominator 244 |
| Staff flu vaccination coverage | 13.21% |
42%
28.8 pts worse
|
Numerator 21 · Denominator 159 |
| Discharge function score | 69.23% |
56.45%
12.8 pts better
|
Numerator 27 · Denominator 39 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 7.41% |
25.2%
17.8 pts worse
|
Numerator 2 · Denominator 27 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.9
0.5 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.5 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
2.2
0.1 pts better
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.2 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
94.3%
4.9 pts better
|
93.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 98.9% · Q3 99.0% · Q4 100.0% · 4Q avg 99.2% |
| 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 | 3.5% |
3.8%
0.3 pts better
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 3.2% · Q3 3.1% · Q4 1.9% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 54.7% |
15.2%
39.5 pts worse
|
11.4%
43.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 50.5% · Q2 63.3% · Q3 50.5% · Q4 54.7% · 4Q avg 54.7% |
| Percentage of long-stay residents who lose too much weight | 6.0% |
6.7%
0.7 pts better
|
5.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 9.1% · Q3 5.3% · Q4 3.5% · 4Q avg 6.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.9% |
29.6%
12.7 pts better
|
19.6%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 15.9% · Q3 15.9% · Q4 20.0% · 4Q avg 16.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.7% |
17.6%
5.9 pts better
|
16.7%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 11.4% · Q3 11.4% · Q4 10.8% · 4Q avg 11.7% · 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 | 8.8% |
17.3%
8.5 pts better
|
16.3%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 7.6% · Q3 15.9% · Q4 6.5% · 4Q avg 8.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.6% |
15.6%
6 pts better
|
14.9%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 6.7% · Q3 14.5% · Q4 8.3% · 4Q avg 9.6% · 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 | 0.8% |
1.7%
0.9 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 2.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.5% |
19.8%
2.3 pts better
|
19.8%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 6.6% · Q3 21.7% · Q4 32.3% · 4Q avg 17.5% |
| Percentage of long-stay residents with pressure ulcers | 1.5% |
5.5%
4 pts better
|
5.1%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.5% · Q3 0.8% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.8% |
83.8%
10 pts better
|
81.7%
12.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.4% · Q2 92.5% · Q3 91.9% · Q4 95.2% · 4Q avg 93.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 25.4% |
13.9%
11.5 pts worse
|
12.0%
13.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.4% · Observed 21.3% · Expected 9.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.8%
1.1 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.4% |
83.6%
4.8 pts better
|
79.7%
8.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.6% |
24.5%
7.9 pts better
|
23.9%
7.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 14.9% · Expected 21.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-07-26 · Fire 2019-07-26
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
9 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Cycle 3
Health 2018-05-17 · Fire 2018-05-17
4 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-03-13
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 2025-04-08
F · Potential for more than minimal harm
2025-03-13
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-08
E · Potential for more than minimal harm
2025-03-13
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-08
D · Potential for more than minimal harm
2025-03-13
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-04-16
D · Potential for more than minimal harm
2025-03-13
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-08
D · Potential for more than minimal harm
2025-03-13
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-04-08
D · Potential for more than minimal harm
2025-03-13
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-16
F · Potential for more than minimal harm
2019-07-26
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-10-01
F · Potential for more than minimal harm
2019-07-26
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-10-01
E · Potential for more than minimal harm
2019-07-26
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-10-01
D · Potential for more than minimal harm
2019-07-26
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2019-10-01
D · Potential for more than minimal harm
2019-07-26
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2019-10-01
D · Potential for more than minimal harm
2019-07-26
K361 · Smoke Deficiencies
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2019-10-01
D · Potential for more than minimal harm
2019-07-26
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-10-01
D · Potential for more than minimal harm
2019-07-26
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2019-10-01
D · Potential for more than minimal harm
2019-07-26
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-10-01
E · Potential for more than minimal harm
2018-05-17
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2018-06-20
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-03-13
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-04-16
D · Potential for more than minimal harm
2025-03-13
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 2025-04-16
D · Potential for more than minimal harm
2025-03-13
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-04-16
D · Potential for more than minimal harm
2025-03-13
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 2025-04-16
D · Potential for more than minimal harm
2025-03-13
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-16
D · Potential for more than minimal harm
2025-03-13
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 2025-04-16
D · Potential for more than minimal harm
2025-03-13
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-16
G · Actual harm
2025-01-31
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 2024-06-02
D · Potential for more than minimal harm
2019-07-26
F567 · Resident Rights Deficiencies
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2019-09-09
E · Potential for more than minimal harm
2018-05-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2018-06-20
D · Potential for more than minimal harm
2018-05-17
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 2018-06-20
D · Potential for more than minimal harm
2018-05-17
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2018-06-20
C · Minimal harm
2018-05-17
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2018-06-20
Penalties and ownership
What sits behind the stars
$8,788
2025-01-31
Fine
Fine · fine $8,788
Fine
Ownership
Providence Group Of Kentucky LLC
5% Or Greater Direct Ownership Interest · Organization
Apt, Frederick
Corporate Officer · Individual
Einfeldt, Blair
W-2 Managing Employee · Individual
Hancock, Mark
5% Or Greater Indirect Ownership Interest · Individual
Hancock, Mark
Corporate Officer · Individual
Jergensen, Joshua
Corporate Officer · Individual
Mitchell, John
Corporate Officer · Individual
Murray, Jason
5% Or Greater Indirect Ownership Interest · Individual
Omoruyi, Osawaru
Contracted Managing Employee · Individual
Pacs Group, Inc.
5% Or Greater Indirect Ownership Interest · Organization
Pacs Holdings, LLC
5% Or Greater Indirect Ownership Interest · Organization
Providence Group Nh, LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
The Springs At Oldham Reserve
La Grange, KY
0-star overall rating with 0-star inspections with $18,878 in total fines
#2
Forest Springs Health Campus
Louisville, KY
5-star overall rating with 5-star inspections
#3
New Castle Nursing & Rehab
New Castle, KY
5-star overall rating with 5-star inspections with 7 fire-safety deficiencies in the latest cycle
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