Federal inspection record · CMS data as of October 1, 2026

The Episcopal Church Home

7504 Westport Road, Louisville, KY · (502) 736-7800

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
26
Residents per day
23
Ownership
Non-Profit
Chain
Episcopal Retirement Homes, Inc.
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 1, 1991

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Kentucky homes

The Episcopal Church Home carries 16 inspection points. That is fewer than 55% of Kentucky's 265 rated homes.

5★4★3★2★1★+8 homes above 204.505102550100200inspection points → fewer is better on the leftThis home · 16 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kentucky: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–2 pts
  • 4★ 2–11 pts
  • 3★ 11–22 pts
  • 2★ 22–45 pts
  • 1★ over 45 pts

Bars show every rated home in Kentucky by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

7 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 6 4 pts
E 0 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 15, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected August 6, 2025

Everything else, by area of care

Resident Assessment and Care Planning4D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    October 27, 2022 · Standard · F656 · Corrected December 1, 2022

  2. D

    Ensure each resident receives an accurate assessment.

    December 13, 2019 · Standard · F641 · Corrected January 29, 2020

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    December 13, 2019 · Standard · F656 · Corrected January 29, 2020

  4. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    December 13, 2019 · Standard · F657 · Corrected January 29, 2020

Quality of Life and Care2D
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    December 13, 2019 · Standard · F677 · Corrected January 29, 2020

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    December 13, 2019 · Standard · F689 · Corrected January 29, 2020

Inspection history

  1. 2025-08-15

    1 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (1 deficiency)

  2. 2022-10-27

    1 health deficiencies · 5 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (1 deficiency)

  3. 2019-12-13

    5 health deficiencies · 3 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 5 h 9 min of nursing staff time a day, 59 min of it from a registered nurse.

This home

5 h 9 min

Kentucky average

3 h 59 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 32% of nursing staff and 17% of registered nurses left in the past year, along with 2 administrators.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$10,364 in federal fines on record over the past three years.

DatePenaltyAmount
2025-08-15Fine$10,364

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.2 pts worse92.9%94.1%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.8 pts better100.0%96.2%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury6.9 pts worse10.7%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms14.8 pts better4.1%18.9%13.5%
Percentage of long-stay residents who lose too much weight2 pts worse8.6%6.6%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication20.1 pts worse50.0%29.9%19.5%
Percentage of long-stay residents who received an antipsychotic medication15.8 pts worse32.0%16.2%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased32 pts worse45.2%13.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better0.0%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection1.5 pts better0.0%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.4 pts worse27.7%18.3%18.3%
Percentage of long-stay residents with pressure ulcers2.1 pts better2.6%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.5 pts better88.0%84.5%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better0.0%1.6%1.5%

·

Who owns and runs it

48 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Episcopal Retirement Services5% Or Greater Direct Ownership Interest · Organization80%2 facilities
Episcopal Church Home Foundation Inc5% Or Greater Direct Ownership Interest · Organization20%1 facilities
Anim, DoraCorporate Director · Individual0%3 facilities
Coleman, JomiyaW-2 Managing Employee · Individual0%1 facilities
Coleman, JomiyaOperational/Managerial Control · Individual0%1 facilities
Coleman, JomiyaAdp Of The SNF · Individual0%1 facilities
Cooper, W.Corporate Director · Individual0%3 facilities
Edwards, BeverlyW-2 Managing Employee · Individual0%3 facilities
Edwards, BeverlyCorporate Officer · Individual0%3 facilities
Edwards, BeverlyOperational/Managerial Control · Individual0%3 facilities
Edwards, BeverlyAdp Of The SNF · Individual0%3 facilities
Elin, Reverend DarrenCorporate Director · Individual0%3 facilities
Episcopal Church Home Foundation IncOperational/Managerial Control · Organization0%1 facilities
Episcopal Church Home Foundation IncAdp Of The SNF · Organization0%1 facilities
Episcopal Retirement Homes, Inc.Indirect Ownership Interest · Organization0%3 facilities
Episcopal Retirement Homes, Inc.Operational/Managerial Control · Organization0%3 facilities
Episcopal Retirement Homes, Inc.Adp Of The SNF · Organization0%3 facilities
Episcopal Retirement ServicesOperational/Managerial Control · Organization0%2 facilities
Episcopal Retirement ServicesAdp Of The SNF · Organization0%2 facilities
Fraser, BonitaW-2 Managing Employee · Individual0%3 facilities
Fraser, BonitaOperational/Managerial Control · Individual0%3 facilities
Fraser, BonitaAdp Of The SNF · Individual0%3 facilities
Fritschner, JohnCorporate Director · Individual0%3 facilities
Hagopian, JoannCorporate Director · Individual0%3 facilities
Hartman, AlanCorporate Director · Individual0%3 facilities
Hopkins, GregoryCorporate Director · Individual0%3 facilities
Kearney, EricCorporate Director · Individual0%3 facilities
Koepke, JohnCorporate Director · Individual0%3 facilities
Lamb, LauraW-2 Managing Employee · Individual0%3 facilities
Lamb, LauraCorporate Director · Individual0%3 facilities
Lamb, LauraCorporate Officer · Individual0%3 facilities
Lamb, LauraOperational/Managerial Control · Individual0%3 facilities
Lamb, LauraAdp Of The SNF · Individual0%3 facilities
Mcknight, GerronCorporate Director · Individual0%3 facilities
Morton, LauraContracted Managing Employee · Individual0%2 facilities
Morton, LauraAdp Of The SNF · Individual0%2 facilities
Payne, JenniferCorporate Director · Individual0%3 facilities
Pope, AprylCorporate Director · Individual0%3 facilities
Regan, ThomasCorporate Director · Individual0%3 facilities
Retford, DavidCorporate Director · Individual0%3 facilities
Smitherman, AlbertCorporate Director · Individual0%3 facilities
Steward, DanielW-2 Managing Employee · Individual0%3 facilities
Steward, DanielCorporate Officer · Individual0%3 facilities
Steward, DanielOperational/Managerial Control · Individual0%3 facilities
Steward, DanielAdp Of The SNF · Individual0%3 facilities
Woods, WilliamCorporate Director · Individual0%2 facilities
Workman, DavidCorporate Director · Individual0%9 facilities
Zwilling, ElizabethCorporate Director · Individual0%3 facilities

·

Fire safety

14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems4F
  1. F

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

    August 15, 2025 · K918 · Corrected September 11, 2025

  2. F

    Ensure that testing and maintenance of electrical equipment is performed.

    August 15, 2025 · K921 · Corrected September 16, 2025

  3. D

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

    December 13, 2019 · K918 · Corrected December 13, 2019

  4. D

    Meet requirements for the use of electrical equipment.

    December 13, 2019 · K919 · Corrected December 13, 2019

Smoke4F
  1. F

    Install an approved automatic sprinkler system.

    October 27, 2022 · K351 · Corrected March 1, 2023

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    October 27, 2022 · K353 · Corrected March 14, 2023

  3. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    October 27, 2022 · K374 · Corrected December 4, 2022

  4. E

    Install corridor and hallway doors that block smoke.

    December 13, 2019 · K363 · Corrected January 29, 2020

Emergency Preparedness2F
  1. F

    Develop a communication plan.

    August 15, 2025 · E29 · Corrected September 11, 2025

  2. F

    Develop and maintain an Emergency Preparedness Program (EP).

    August 15, 2025 · E4 · Corrected September 11, 2025

Egress2F
  1. F

    Have properly located and lighted "Exit" signs.

    August 15, 2025 · K293 · Corrected September 12, 2025

  2. F

    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.

    October 27, 2022 · K222 · Corrected November 24, 2022

Miscellaneous1E
  1. E

    Have simulated fire drills held at unexpected times.

    August 15, 2025 · K712 · Corrected September 11, 2025

Construction1F
  1. F

    Meet requirements for sections of health care facilities separated by fire resistive construction.

    October 27, 2022 · K131 · Corrected January 31, 2023

·

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