Below average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Little Sisters Of The Poor during CMS and state inspections, most recent first.
Infection control and hand hygiene failures were identified when a CNA wore the same gloves while assisting one resident in a wheelchair and then helping another resident eat, touching the resident’s items without changing gloves or performing hand hygiene. The facility also did not post precaution signage or consistently apply EBP for a resident with a right leg wound and cellulitis, and leadership gave differing accounts of when precautions were required and how staff were informed.
Improper glove use and food handling during meal service led to a deficiency when DAs served salad and drinks without proper hand hygiene or glove changes after touching personal items, used dishes, cart handles, and other contaminated surfaces. One DA adjusted her earring, eyeglasses, hair net, and scratched her face while gloved, then continued serving food; another handled the ice scoop and cart with gloved hands and later returned to food service after handling butter without hand hygiene. Serving utensils were also placed directly on the salad, and the ice scoop handle contacted the ice.
Surveyors found that drugs and biologicals were not consistently labeled or removed by their expiration dates, with expired and unlabeled medications observed in a medication room refrigerator and on medication and treatment carts. Staff interviews confirmed that facility policy required regular checks and removal of expired items, but these procedures were not followed, resulting in expired and improperly labeled medications remaining in storage.
A resident with multiple chronic conditions was transferred to the hospital for sepsis related to kidney stones, but neither the resident nor their representative received the required written notification regarding the transfer, bed hold policy, or appeal rights. Facility staff confirmed that only verbal communication was provided and that written notices were not sent to the representative or the Ombudsman.
Dietary staff did not consistently follow infection control protocols during meal service, including failing to change gloves or perform hand hygiene after touching unclean surfaces, their clothing, or their face, and before handling food or serving trays to residents. Staff were observed handling food and utensils after contact with potentially contaminated items, contrary to facility policy and stated expectations.
Infection Control and Hand Hygiene Failures
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. The report also identified that sanitary practices were not maintained during food service, with the potential to affect all 29 residents in the facility. Facility policy stated that hand hygiene was required after contact with inanimate objects in the resident’s immediate vicinity and before and after glove removal, and that gloves were not a substitute for hand washing. During observation in the dining room, a CNA wearing gloves readjusted a resident in a wheelchair, touching the resident, the resident’s blanket, and the wheelchair. Without performing hand hygiene or changing gloves, the CNA then assisted another resident with lunch and touched the resident’s silverware, drinkware, and dinnerware. The first resident had diagnoses of abnormal posture and age-related physical debility and required a Broda chair for safe positioning, pressure relief, and fall prevention. The second resident had Alzheimer’s disease with late onset, dementia, and feeding difficulties and required assistance with meals as needed. The facility also failed to implement appropriate enhanced barrier precautions for a resident with cellulitis and a right lower extremity wound. The resident had diagnoses including peripheral vascular disease and venous insufficiency, had wound care orders for the right lower leg, and had antibiotic therapy ordered for right leg cellulitis. When observed in the room, the resident had the lower right leg wrapped with a kerlix dressing, and no precaution signage was posted outside the room or on the isolation cart. Interviews with the Medical Director, Infection Preventionist, DON, and Administrator showed differing understandings of when enhanced barrier precautions were required, where precaution signs should be posted, and how staff were informed of resident precautions.
Improper glove use and food handling during meal service
Penalty
Summary
The facility failed to maintain sanitary food handling practices during meal service, affecting all residents who consumed food in the dining room. Survey observations showed Dietary Aide (DA) 1 serving salad while wearing the same blue gloves across multiple tasks, including adjusting her earring, eyeglasses, hair net, and scratching her face, and then continuing to serve food without performing hand hygiene or changing gloves. DA 1 also cleared used plates from a resident table and returned to serving salad without hand hygiene or glove changes. During the same meal service, DA 1 was observed returning salad tongs directly onto the salad so the handle contacted the food, then using the same tongs to serve the next resident. DA 2 was observed filling resident cups with ice from an ice bucket on a rolling cart, touching cart handles with gloved hands, and placing the ice scoop directly in the ice so the handle contacted the ice. DA 2 later left the dining area, entered the kitchen, handled a basket of individually wrapped butter, and returned to the tray line to pick up and deliver a plate to a resident without performing hand hygiene or changing gloves. Facility policy and staff training stated gloves were not a substitute for handwashing and that staff were to perform hand hygiene after touching the face, hair, jewelry, dirty dishes, trash, or contaminated surfaces, and before returning to clean food service tasks. In interviews, the HC, DON, and Administrator stated staff were expected to wash hands and change gloves after touching contaminated items or personal items, that serving utensils should not touch the food, and that the ice scoop should not be stored directly in the ice. The DON also stated staff should not continue serving food after such contamination and should be removed from the dining room because it was a safety risk for residents.
Failure to Properly Label and Remove Expired Medications and Biologicals
Penalty
Summary
Surveyors identified that the facility failed to ensure drugs and biologicals were labeled and stored according to professional standards in one of two medication rooms observed. Specifically, an insulin pen in the medication room refrigerator lacked a resident label, and another insulin pen was found to be expired. Additionally, review of a resident's Medication Administration Record revealed that an insulin pen had been discontinued but was still present in storage. Multiple medications and biologicals on medication and treatment carts were found to be stored beyond their labeled expiration dates, including oral medications, eye drops, normal saline vials, dressings, and skin protection wipes. Some items also lacked required documentation of opened or expiration dates. Interviews with nursing staff, the DON, and the Administrator confirmed that facility policy required regular checks for expired medications and immediate removal of outdated or discontinued drugs. Staff acknowledged the importance of discarding expired medications to ensure effectiveness and resident safety. Despite these policies and expectations, expired and improperly labeled medications and supplies were observed in active storage areas, indicating a failure to follow established procedures for medication management.
Failure to Provide Required Written Notification for Resident Transfer and Bed Hold
Penalty
Summary
The facility failed to provide written notification to a resident and the resident's representative regarding a transfer to the hospital, including the reasons for the move, in a language and manner they understood. The required notice was also missing key information such as the reason, date, and location of the transfer, as well as a statement of the resident's appeal rights and contact information for the state Long-Term Care Ombudsman. Instead, the facility relied on verbal communication with the resident's representative and did not send written documentation as required by policy and regulation. The resident involved had a history of type II diabetes mellitus with hyperglycemia, hyperlipidemia, mild cognitive impairment, and hypertension. She was hospitalized for abdominal pain and sepsis due to kidney stones and later returned to the facility. Interviews with facility staff, including the ADON, DON, SSD, and Administrator, confirmed that written notifications were not provided to the resident's representative or the Ombudsman, and that the facility's practice was to discuss bed hold policies only at admission, not at the time of transfer or discharge.
Failure to Maintain Infection Control During Meal Service
Penalty
Summary
Dietary staff failed to maintain proper infection control practices during meal service, as observed during multiple instances of food plating and tray setup. Staff were seen touching various unclean surfaces, such as the food service cart, tape dispenser, trays, their aprons, and even the floor, with gloved hands and then proceeding to handle residents' food without changing gloves or performing hand hygiene in between tasks. One staff member was observed opening a bun and then opening the service cart door without changing gloves or sanitizing hands, while another touched her face and then handled a resident's silverware. Additionally, a meal ticket that had fallen to the floor was picked up and placed on a resident's tray without glove change or hand hygiene. Interviews with dietary staff indicated a belief that gloves and hand hygiene were only necessary between certain tasks, not consistently after every potential contamination. The Dietary Manager, Assistant Director of Nursing, and Administrator all stated expectations that staff should change gloves and perform hand hygiene after touching unclean surfaces, their clothing, or their face, and between serving each resident. However, these expectations were not consistently followed, as evidenced by the observed actions during meal service.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 265 citations issued within 25 miles in the last 12 months — including the 6 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
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 | 0.8 mi | ★★★★★ | 2 | 0 |
| Eastway Health & Rehabilitation | 0.8 mi | ★★★★★ | 0 | 0 |
| Highlands Nursing And Rehabilitation | 1.2 mi | ★★★★★ | 6 | 0 |
| Kindred Hospital - Louisville | 2 mi | ★★★★★ | 3 | 0 |
| Cherokee Park Rehabilitation | 2.2 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Little Sisters Of The Poor.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.