Below average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Cherokee Park Rehabilitation during CMS and state inspections, most recent first.
The facility failed to provide proper tracheostomy care and suctioning for two residents, leading to deficiencies in professional standards and infection control. An LPN did not assess a resident after a significant drop in oxygen saturation, failed to suction mucus, and lacked necessary emergency equipment. Another LPN did not clean a stoma site, failed to suction before reinserting a cannula, and did not monitor oxygen saturation. Staff training gaps and inconsistent adherence to procedures were noted.
Two residents experienced a decline in their ability to perform ADLs due to the facility's failure to provide restorative care. One resident with multiple sclerosis and contractures declined from using a standing lift to requiring a Hoyer lift after the facility discontinued its restorative program. Another resident, admitted with a stroke, became dependent on a Hoyer lift after a fall and therapy, with no restorative services provided post-therapy. Staff confirmed the absence of a restorative program, leading to increased dependency on mechanical lifts and staff assistance.
The facility failed to address a grievance about the removal of a microwave used for reheating food, affecting eight residents. Despite raising the issue in resident council meetings, no alternative was provided, leading to dissatisfaction. Staff confirmed the microwave's removal due to safety concerns, but no procedure was in place for reheating food, and the issue remained unresolved.
The facility did not ensure residents were aware of the location of state survey inspection results, as required by policy. Residents and the Activity Director were unaware of where the results were posted, and the survey binder was not easily accessible. The Administrator acknowledged the need for the binder to be more accessible.
The facility failed to serve food and beverages at safe and appetizing temperatures, affecting ten residents. Residents reported cold and bland food, with issues confirmed through observations and interviews. The Dietary Manager acknowledged temperature discrepancies, and the facility lacked a system to maintain cold beverage temperatures. The administrator was aware of increased complaints following the removal of a microwave for reheating food.
A resident's electric bed was malfunctioning, with a sunken mattress and non-functional motor, which was not addressed by the facility. Despite the resident's complaints, no work orders were submitted, and the maintenance director was unaware of the issue until the bed was removed. The facility's protocol for reporting maintenance issues was not followed, leading to a deficiency in providing a safe and comfortable environment.
A resident's preference for morning showers was not honored, as she was scheduled for night showers based on room number. Despite being cognitively intact and expressing her preference, the facility's rigid scheduling led to her refusal of a late-night shower. Staff interviews revealed a lack of communication and awareness of the resident's needs, resulting in a deficiency in honoring resident rights and self-determination.
A resident was incorrectly assessed to have received insulin injections on their MDS Assessment, despite having no physician orders for insulin. The MDS Coordinator confirmed the error, highlighting a failure in accurate documentation of medication administration.
Expired medications were found on a medication cart in the facility's Affinity Unit. During an observation, several medications were identified as being past their opened dates without discard dates. Interviews with staff, including the DON and an LPN, revealed uncertainty about the timeframe for which opened medications remain valid, leading to the deficiency.
The facility failed to follow infection control guidelines during a dressing change for a resident with a pressure ulcer, as an LPN contaminated the clean barrier and did not change gloves after cleansing the wound. Additionally, a resident's nebulizer equipment was found lying unprotected on the floor, and a housekeeper swept and mopped around it without notifying clinical staff. The DON and Unit Manager acknowledged these breaches in infection control practices.
A facility failed to document care for two residents with severe cognitive impairments and incontinence issues, leading to a deficiency in maintaining accurate medical records. Despite being totally dependent on staff for ADL care, documentation was incomplete over several months. Interviews with the Unit Manager and DON suggested possible documentation errors, but the lack of records made it difficult to confirm care was provided.
Deficient Tracheostomy Care and Suctioning Practices
Penalty
Summary
The facility failed to provide tracheostomy care and tracheal suctioning consistent with professional standards of practice and infection control processes for two residents, R54 and R61. For R54, an LPN did not assess the resident after oxygen saturation levels dropped significantly, failed to suction the resident when mucus was expectorated, and did not have necessary emergency equipment such as a Yankaur suction tip and Ambu-bag readily available. The LPN also did not monitor the resident's oxygen saturation during the tracheostomy care, which was not performed according to the physician's orders. For R61, another LPN did not clean the tracheostomy stoma site as ordered, failed to suction the resident to ensure a clear airway before reinserting the cannula, and did not monitor oxygen saturation during the procedure. The LPN also did not change gloves between clean and dirty procedures and did not have an Ambu-bag present in the room. The tracheostomy care was not performed per the physician's orders, and the LPN did not follow sterile procedures. Interviews with staff revealed gaps in training and adherence to procedures. LPNs reported receiving training in nursing school and through annual skills check-offs, but there was no consistent in-person observation of skills. The facility's policy required tracheostomy care to be performed according to physician orders and professional standards, but this was not consistently followed, leading to the identified deficiencies.
Failure to Provide Restorative Care Leads to Decline in Resident Function
Penalty
Summary
The facility failed to provide restorative care and services to maintain the highest level of functioning for two residents, R55 and R58, resulting in a decline in their ability to perform activities of daily living (ADLs). R55, who was admitted with multiple sclerosis and contractures, experienced a decline in physical abilities after the facility discontinued its restorative care program in 2021. Despite receiving therapy, R55 did not receive restorative services post-therapy, leading to a decline from being able to use a standing lift to requiring a Hoyer mechanical lift for transfers. Interviews with staff confirmed the absence of a restorative program and the resident's decline in function. R58, admitted with a cerebral infarction and cognitive communication deficit, also experienced a decline in ADLs. Initially able to use a sit-to-stand lift, R58 became dependent on a Hoyer lift after a fall and subsequent therapy. The facility's lack of a restorative program meant R58 did not receive services to maintain abilities post-therapy, contributing to a decline in function. Observations during the survey showed R58's increased dependency on staff for ADLs and the absence of restorative care. Interviews with facility staff, including the Administrator and Director of Nursing, confirmed the discontinuation of the restorative program during COVID and the reliance on group exercise programs offered by the activity department. The facility's failure to provide restorative care and services led to a decline in the residents' functional abilities, as evidenced by the increased dependency on mechanical lifts and staff assistance for transfers and other ADLs.
Failure to Address Resident Grievance on Food Reheating
Penalty
Summary
The facility failed to address a grievance repeatedly voiced by residents regarding the removal of a microwave used for reheating food, which affected eight out of 23 sampled residents. The residents expressed dissatisfaction with the inability to heat their food, which they had previously been able to do. The facility's policy stated that staff should assist residents with food brought in by family or visitors, but no alternative mechanism was provided after the microwave was removed. During interviews, residents reported that they had raised the issue multiple times in resident council meetings without receiving a satisfactory response. The Dietary Manager confirmed that the microwave had been removed due to cross-contamination concerns, and no system was in place to reheat food. The Administrator was unaware that residents could not get their food reheated and mentioned safety concerns as the reason for the microwave's removal. Staff interviews revealed that there were other microwaves in the building, but no procedure was in place for reheating residents' food. The Activity Director acknowledged that the issue had been raised in resident council meetings multiple times and was a significant problem. Despite the residents' willingness to provide thermometers for safe reheating, the facility had not implemented a solution, leading to ongoing dissatisfaction among residents.
Failure to Inform Residents of Survey Results Location
Penalty
Summary
The facility failed to ensure that residents were aware of the location of the state survey inspection results and did not make these results readily accessible for review. This deficiency was identified through observations, interviews, and a review of the facility's policies and resident council meeting minutes. The facility's policy on Resident Rights, dated March 22, 2022, states that residents have the right to examine the results of the most recent survey conducted by federal or state surveyors. However, a review of five months of Resident Council Meeting Minutes revealed no documentation of discussions regarding the state survey inspection results or their location. During a resident meeting, five residents confirmed they were unaware of where the survey results were posted, expressing a desire for this information to be shared during council meetings. The Activity Director also admitted to not knowing where the survey results were posted and had not reviewed them with residents. The Administrator stated that the survey results were kept in a binder in a cabinet, which was observed to be not easily accessible to residents, families, or visitors. The Administrator acknowledged that the survey binder should be more accessible and available for residents to see.
Deficiency in Food Temperature and Palatability
Penalty
Summary
The facility failed to ensure that food and beverages were served at safe and appetizing temperatures, affecting ten residents. During a resident group meeting, five residents expressed concerns about the food being served cold and lacking seasoning. Additional interviews with five other residents revealed similar complaints, including issues with the texture and seasoning of specific food items like broccoli and mashed potatoes. Observations confirmed that hot foods were served below the recommended temperature of 121 degrees Fahrenheit, and cold foods were above 50 degrees Fahrenheit. The Dietary Manager acknowledged that the hot foods should have been served at a minimum of 121 degrees Fahrenheit, and cold foods should have been below 50 degrees Fahrenheit. However, during a test tray observation, scrambled eggs were found to be 117 degrees Fahrenheit, fried potatoes were 95 degrees Fahrenheit, and apple juice was 66 degrees Fahrenheit. The test tray also revealed issues with food presentation, such as soggy toast without margarine or butter. The facility's policy stated that meals should be nourishing and palatable, but the observations and resident feedback indicated a failure to meet these standards. Additionally, the facility lacked a system to maintain cold beverage temperatures during meal service. Beverages intended to be served cold, such as milk, juice, and tea, were observed at room temperature with no mechanism to keep them cold. The Dietary Manager confirmed that beverages were served from carts without ice or other means to maintain appropriate temperatures. The facility's administrator was aware of the food complaints, which increased after the removal of a microwave used for reheating residents' food.
Resident's Bed Malfunction Not Addressed
Penalty
Summary
The facility failed to ensure a resident had a properly functioning bed, which is a violation of the resident's rights to a dignified existence and a safe, comfortable, and homelike environment. The resident, who was cognitively intact, reported that her electric bed was not functioning properly, as it did not raise up or down, and the mattress was sunken in on one side. Despite the resident informing the staff about the issue, the bed remained unfixed for an extended period. The maintenance director was not made aware of the bed's malfunction until the day it was removed from the resident's room. The maintenance director confirmed that the motor actuator was failing and the mattress was visibly sunken. However, no work orders had been submitted for the bed, and the maintenance director had not conducted a bed check on the resident's side of the unit since October 2023. The facility's system for tracking repairs, TELS, was not utilized by the staff to report the issue. Interviews with the Director of Nursing and the Administrator revealed that they were also unaware of the bed's malfunction. They stated that their expectation was for the CNAs to inform the nurses, who would then submit a work order into the TELS system and report the issue to maintenance. The lack of communication and failure to follow the facility's protocol for reporting and addressing maintenance issues led to the deficiency.
Failure to Honor Resident's Shower Preferences
Penalty
Summary
The facility failed to honor a resident's choice regarding shower times, which is a violation of resident rights and self-determination. The resident, who was cognitively intact and had expressed a preference for morning showers, was scheduled for showers during the night shift. This scheduling did not align with her stated preferences, leading to her refusal of a shower when it was offered late at night. The resident expressed that she was too tired and groggy to take a shower at that time, and she was asked to sign a refusal form without being fully aware of what she was signing due to her state of tiredness. The facility's shower schedule was based on room numbers, with certain rooms assigned to night or day shifts. This rigid scheduling did not take into account individual resident preferences, as evidenced by the resident's experience. The CNAs and nursing staff did not communicate effectively with the resident to understand her preferences or to adjust the schedule accordingly. The resident's refusal was documented, but there was no follow-up to address her preference for morning showers until after the surveyor's observation. Interviews with facility staff, including CNAs and the Unit Manager, revealed a lack of awareness and communication regarding the resident's preferences. The staff followed a pre-existing schedule without questioning or verifying if it met the residents' needs. The Director of Nursing acknowledged that the schedule was in place before their tenure and stated that accommodations should be made for resident preferences, but this was not done in practice for the resident in question.
Inaccurate MDS Assessment for Insulin Administration
Penalty
Summary
The facility failed to ensure an accurate Minimum Data Set (MDS) Assessment for one of the sampled residents. The resident, who was admitted with diagnoses including atrial fibrillation, anemia, and dementia, was incorrectly assessed to have received insulin injections during the look-back period. The MDS Coordinator confirmed that the insulin information was erroneously checked on the MDS Assessment. Upon review of the resident's medical records, it was found that the resident did not have any physician orders for insulin administration during the specified period. This discrepancy was identified during an interview with the MDS Coordinator, who acknowledged the error in the MDS Assessment, indicating a failure in accurately documenting the resident's medication administration.
Expired Medications Found on Medication Cart
Penalty
Summary
The facility failed to ensure that one of three medication carts observed was free of expired medications, which could potentially affect the efficacy of the medications. During an observation of the Affinity Unit medication cart, several medications were found to be past their opened dates without being dated with a discard date. Specifically, a bottle of Tums was marked as opened on January 30, 2024, Robafen DM on February 3, 2024, Fluticasone-Salmeterol on April 9, 2024, and Albuterol HFA on March 2, 2024. These findings were confirmed during an interview with the Unit Manager, the Affinity Unit Program Director, and an LPN, who acknowledged that the medications had been kept past their opened dates. The Director of Nursing (DON) stated that it was her expectation for staff to dispose of medications within 28 or 30 days after being opened. However, during interviews, it was revealed that there was uncertainty among staff regarding the exact duration for which opened medications were considered valid. The LPN interviewed was unsure about the specific timeframe, believing it to be 30 days. The DON reiterated that staff were expected to check expiration and opened dates whenever passing medications and to dispose of any expired medications. This lack of adherence to the facility's policy on medication storage and disposal led to the deficiency identified by the surveyors.
Infection Control Deficiencies in Wound Care and Equipment Handling
Penalty
Summary
The facility failed to implement its infection control guidelines during a dressing change for a resident with a stage four pressure ulcer. The Licensed Practical Nurse (LPN) contaminated the clean barrier with the old dressing and did not change gloves after cleansing the wound, which is against the facility's policy. The LPN admitted to forgetting the procedure due to nervousness, and both the Unit Manager and Director of Nursing acknowledged the breach in infection control practices. Another deficiency was observed with a resident's nebulizer equipment, which was found lying unprotected on the floor. The nebulizer tubing and mouthpiece were not stored in a container or bag, and a housekeeper was seen sweeping and mopping around the equipment without notifying clinical staff. The housekeeper was unaware of the need to report such findings, which was confirmed during an interview with the Housekeeping/Laundry Supervisor. The Director of Nursing and Unit Manager expressed that the nebulizer equipment should have been replaced immediately and stored properly to prevent infection control issues. The housekeeper's actions were not aligned with the facility's expectations, as they should have informed clinical staff to address the situation. The lack of communication and adherence to infection control protocols led to the deficiencies observed in the facility.
Deficiency in Documentation of Resident Care
Penalty
Summary
The facility failed to ensure proper documentation of care and services for two residents, leading to a deficiency in maintaining accurate medical records. The first resident, admitted with a history of intracranial injury, epileptic seizures, and urinary incontinence, was assessed as severely impaired and totally dependent on staff for activities of daily living (ADL) care. However, documentation revealed that personal hygiene and incontinence care were not consistently recorded over several months, indicating a lack of adherence to the facility's policy on incontinence care. The second resident, diagnosed with Alzheimer's disease and weakness, also required extensive assistance with ADL care, including personal hygiene and incontinence management. Similar to the first resident, documentation for this resident was incomplete, with several days lacking records of care being provided. This inconsistency in documentation was noted over multiple months, raising concerns about the reliability of the care provided. Interviews with the Unit Manager and Director of Nursing confirmed the absence of documentation, which they attributed to potential documentation errors. However, they acknowledged that without proper records, it was challenging to verify whether the necessary care was delivered. The facility's failure to document care as per professional standards resulted in a deficiency in safeguarding resident-identifiable information and maintaining accurate medical records.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Louisville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nazareth Home | 1.4 mi | ★★★★★ | 0 | 0 |
| Highlands Nursing And Rehabilitation | 1.5 mi | ★★★★★ | 0 | 0 |
| Seneca Place | 1.6 mi | ★★★★★ | 0 | 0 |
| Little Sisters Of The Poor | 2.2 mi | ★★★★★ | 0 | 0 |
| Nazareth Home Clifton | 2.3 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.