2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Louisville, KY
4-star overall rating with 4-star inspections with 2 recent health deficiencies
3526 Dutchman's Lane, Louisville, KY
(502) 452-6331
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
122
Certified beds
Average residents
113
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
David Marx
Operator or chain grouping
Approved since
2005-02-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
1.56
Registered nurse staffing
LPN hours / resident day
0.20
Licensed practical nurse staffing
Aide hours / resident day
1.61
Nurse aide staffing
Weekend hours
2.94
Weekend nurse staffing
RN turnover
31%
Annual RN turnover
Total nurse turnover
41%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.9
0.1 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
2.2
0.3 pts better
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
94.3%
5.4 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.1% |
96.2%
0.9 pts better
|
95.5%
1.6 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.5% |
3.8%
2.3 pts better
|
3.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 62.4% |
15.2%
47.2 pts worse
|
11.4%
51 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 3.4% |
6.7%
3.3 pts better
|
5.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.3% |
29.6%
21.3 pts better
|
19.6%
11.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 14.1% |
17.6%
3.5 pts better
|
16.7%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 1.5% |
17.3%
15.8 pts better
|
16.3%
14.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.9% |
15.6%
12.7 pts better
|
14.9%
12 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.7%
0.5 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.0% |
19.8%
0.2 pts worse
|
19.8%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 6.2% |
5.5%
0.7 pts worse
|
5.1%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.8% |
83.8%
13 pts better
|
81.7%
15.1 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.7% |
13.9%
1.2 pts better
|
12.0%
0.7 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
1.8%
About the same
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 79.5% |
83.6%
4.1 pts worse
|
79.7%
0.2 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.3% |
24.5%
8.8 pts worse
|
23.9%
9.4 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Infection Control (2 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Resident Rights (6 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-15
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-03-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-03-15
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-03-15
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-03-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-15
Fire Safety
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.
Corrected 2024-03-15
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-03-15
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-03-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-03-15
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2024-03-15
Fire Safety
Meet other general requirements that are deficient.
Corrected 2021-05-10
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2021-05-10
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2021-05-10
Fire Safety
Have exits that are accessible at all times.
Corrected 2021-05-10
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2021-05-10
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-05-10
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-05-10
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2021-05-10
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-05-10
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2021-05-10
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2021-05-10
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-05-10
Inspection history
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2025-08-05
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-08-05
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-07
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-03-11
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-11
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 2024-03-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-11
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-03-11
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 2024-03-11
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-11
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2021-05-10
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2021-05-10
Health
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected 2021-05-10
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2021-05-10
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-05-10
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2021-05-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-05-10
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2021-05-10
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2021-05-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-05-10
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2021-05-10
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2021-05-10
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 2021-05-10
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2021-05-10
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 2021-05-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-05-10
Health
Provide and implement an infection prevention and control program.
Corrected 2021-05-10
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2021-05-10
Health
Ensure each resident receives an accurate assessment.
Corrected 2021-05-10
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2021-05-10
Health
Keep residents' personal and medical records private and confidential.
Corrected 2021-05-10
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2021-05-10
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-05-10
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2021-05-10
Penalties and ownership
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
W-2 Managing Employee · Individual
Nearby options
Louisville, KY
3-star overall rating with 2-star inspections with $33,062 in total fines with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Louisville, KY
2-star overall rating with 2-star inspections with $12,054 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Louisville, KY
3-star overall rating with 2-star inspections with $12,740 in total fines with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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