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Home / Kentucky / Louisville

Chestnut Ridge Health & Rehabilitation

1015 West Magazine Street, Louisville, KY 40203 · Jefferson County · (502) 815-6460

92 certified beds, about 71 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2012

Special Focus Facility candidate Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 185468 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 13, 2025, inspectors cited 4 health deficiencies (the Kentucky average is 2.9, the national average 9.2).

Of 32 health citations since November 2019, 7 were rated as actual harm or immediate jeopardy to residents (5 immediate jeopardy).

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.40 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.79 of those hours.

61.3% of nursing staff left within the year CMS measured (Kentucky average 46.4%).

CMS links it to Lyon Healthcare, an affiliated group of 12 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 32 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
3J
2K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
12D
8E
5F
Potential for minimal harm
0A
0B
0C
December 13, 2025Standard inspection, Complaint inspection · 4 citations
  1. J
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to develop and implement a comprehensive, individualized care plan that accurately reflected the nutritional and dietary needs for 1 of 7 residents sampled for dietary needs out of the total sample of 21 residents, (Resident (R)86). The facility failed to develop and ensure R86's care plans accurately reflected the resident's risk for choking, the Speech Therapy (ST) recommendations, dietary consistency requirements, and safe snack provisions consistent with the resident's physician's orders and with interventions necessary to address the risk. On 04/25/2025, Certified Nurse Aide (CNA) 11 gave R86 a peanut butter sandwich, the resident choked on the sandwich, became unresponsive, and eventually expired at the hospital. [...]
  2. J
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview, record review and review of the facility's policy, the facility failed to ensure residents received a therapeutic diet per the physician's order for 1 of 7 residents sampled for diets out of the total sample of 21 residents, (Resident (R)86). The physician ordered a pureed diet for R86; however, on 04/25/2025, a Certified Nurse Assistant (CNA) gave the resident a peanut butter sandwich. R86 choked on the sandwich and subsequently lost his pulse. The Emergency Medical Services (EMS) transferred R86 to a hospital where R86 expired. Review of the official Kentucky Certificate of Death listed the immediate cause of death as, choking on a food bolus. Immediate Jeopardy was identified on 09/19/2025 and was determined to exist as of 04/25/2025 (the day R86 choked on the sandwich), in the area of 42 CFR 483.60, Food and Nutrition Services. [...]
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 24, 2025
    Inspectors wroteBased on observation, interview, record review, and facility policy review the facility failed to ensure it had an effective system to prevent the transmission of infection on 3 of 4 units for 5 of 21 sampled residents (R) 9, R12, R41, R63 and R77.
  4. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 23, 2025
    Inspectors wroteBased on interview, record review, and facility documentation, the facility failed to complete all pre-employment checks for 2 of 8 sampled new employees' files, (a Dietary Aide and Activities Assistant).
December 19, 2023Complaint inspection · 2 citations
  1. G
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 3, 2024
    Inspectors wroteBased on observation, interview, record review, and review of the facility's policies, it was determined the facility failed to have an effective system in place to ensure residents' care plans were implemented to provide the proper care, monitoring and documentation to enable residents to have effective coping skills for one (1) of thirteen (13) sampled residents (Resident (R) 6). On 12/14/2023, R6 threw coffee on R8 and R8 sustained an open blister/burn on his/her upper chest. Documentation provided by the facility revealed it failed to implement R6's comprehensive care plan to monitor the resident's behaviors and document observed behaviors, and attempted interventions after facility staff documented R6 was having behaviors on 08/09/2023. [...]
  2. G
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 3, 2024
    Inspectors wroteBased on observation, interview, record review, and review of the facility's policies, it was determined the facility failed to provide necessary behavioral health services to thoroughly address the physical, mental, and psychosocial needs for one (1) of thirteen (13) sampled residents (Resident 6). On 08/09/2023, Resident (R) 6, exhibited behaviors that initiated a Behavior Comprehensive Care Plan (CCP), on 08/10/2023, for staff to monitor and document R6's observed behaviors. Staff; however, were unable to recall the behavior that prompted the resident's care plan, and the behavior was not addressed in the Behavior Logbook or Behavior Charting. [...]
October 20, 2023Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 8, 2023
    Inspectors wroteBased on observation, interview, record review, review of the facility's investigation report, and review of the facility's policies, it was determined the facility failed to ensure a safe environment that was free from accidents and hazards to ensure resident safety and supervision for one (1) of thirty one (31) sampled residents (Resident #595). On 10/07/2023 at approximately 1:00 PM, Resident #595, whom the facility assessed to lack safety awareness, was seen by the Regional Director of Operations for Food/Nutrition Services, outside, behind the facility, sitting in his/her wheelchair near the street unsupervised by facility staff. By the time staff inside the facility were alerted by the Regional Director of Operations for Food/Nutrition Services, the resident was found two (2) blocks away from the facility.
August 7, 2023Standard inspection · 20 citations
  1. K
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · Immediate jeopardy to resident health or safety, pattern · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wrote9. Review of Resident #84's medical record revealed the facility admitted the resident on 05/03/32023, with diagnoses of Post-Traumatic Stress Disorder, Chronic Obstructive Pulmonary Disease, Anxiety, and Diabetes Mellitus type 2. Review of the admission MDS assessment dated [DATE] revealed the facility assessed Resident #84 as having a BIMS score of fifteen (15) out of fifteen (15) indicating he/she was cognitively intact. Continued MDS review of section I, revealed Resident #84 triggered for Post Traumatic Disorder (PTSD). Review of Resident #84's Comprehensive Care Plan dated 05/16/2023 revealed no documented evidence of care plan formulated for the resident's PTSD. Continued review of the Comprehensive Care Plan revealed a list of diagnoses under Resident #84's potential nutrition problem dated 05/16/2023, which listed PTSD with the resident's other diagnoses. [...]
  2. K
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, pattern · Corrected (the home has a date of correction) November 8, 2023
    Inspectors wroteBased on observation, interview, record review and review of facility policy, it was determined the facility failed to have an effective system in place to ensure adequate supervision and monitoring to prevent falls and accident hazards for four (4) of sixty-one (61) sampled residents, Residents #6, #15, #51, and #72. Observation on 07/23/2023, revealed Resident #6 being transferred by a mechanical lift with the assistance of one (1) staff member. The facility assessed Resident #6 to require extensive assistance of two (2) staff to move between surfaces on 06/21/2023. Record review revealed Resident #15 had a fall on 06/28/2023 and was diagnosed with a right hip fracture on 07/07/2023. Review revealed Resident #15 was noted to be rolling to the edge of the bed on 07/28/2023. Further record review revealed Resident #15 fell from his/her bed on 07/28/2023. [...]
  3. J
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on interview, record review, and review of the facility's policy, it was determined the facility failed to ensure residents, who required dialysis/hemodialysis received such services, consistent with professional standards of practice for four (4) of nineteen (19) sampled residents who received dialysis (Residents #242, #243, #244, and #11). In addition, the facility failed to ensure communication sheets, used to communicate information on the resident, were completed for each dialysis treatment. 1. The facility failded to secure and set-up Resident #243's dialysis treatments prior to admission to the facility on [DATE]. The facility failed to ensure Resident #243 received his/her dialysis treatment on 07/12/2023. The resident was discharged on 07/14/2023, and transported to the hospital for acute care dialysis. 2. [...]
  4. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on observation, interview, review of facility records and policy, it was determined the facility failed to ensure there were adequate, competent staff to ensure the safety of its residents. Observation on 08/07/2023 revealed three (3) Certified Nursing Assistants (CNAs) called off for day shift leaving one (1) CNA on the two hundred (200) hall.
  5. F
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on observation, interview, and review of the facility's menus, it was determined the facility failed to follow its menus. Observation revealed the menus were not always followed as posted. In addition, portion sizes were not always used according to the guidance on the production sheets.
  6. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on observation, interview, and review of the facility's policy, it was determined the facility failed to store, and prepare food under sanitary conditions. Observations, during the initial kitchen tour, revealed an ice scoop left stored in the ice machine; staff's personal drink cup was left sitting on the production table; and the snack room had food items not labeled and dated. Additionally, there was tube feeding, dated 04/01/2023, stored on a shelf available for use. The dishwasher temperature log was incomplete from 07/25/2023 to 07/30/2023.
  7. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to ensure residents' right to a dignified existence and communication with and access to persons and services inside and outside the facility for four (4) of sixty-one (61) sampled residents (Residents #4, #40, #51, and #57). Resident #4 stated staff entered his/her room while he/she was having a private phone conversation with his/her family. Resident #40 stated staff members often turned his/her call light off, left the room not changing him/her, while telling the residents that all the residents were waiting to be changed. Observation revealed staff rolled his eyes at Resident #51 and stated how much he hated sitting with the resident in front of the resident. Resident #57 stated staff had been rude to him/her and laughed at him/her.
  8. E
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on observation, interview, record review, and review of facility policies, it was determined the facility failed to protect residents from physical and verbal abuse for seven (7) of sixty-one (61) sampled residents, Residents #2, #44, #243, #492, #493, #31, and #39. On 07/16/2022, staff responded to yelling and entered room shared by Resident #44, and Resident #492, witnessing Resident #492 yelling at Resident #44 and swinging an empty urinal at Resident #44. Resident #44 was covered in urine. On 04/17/2023, Resident #2 was observed pushing Resident #493 out of the doorway of Resident #2's room, causing Resident #493 to fall. On 07/13/2023, it was reported to the Administrator Resident #243 was at the nurses station upset and speaking loudly. [...]
  9. E
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on observation, interview, and review of the facility's mealtimes it was determined the facility failed to serve meals at regular times comparable to normal mealtimes in the community for eight (8) of twenty-seven (27) sampled residents (Residents #4, #40, #46, #55, #56, #71, #75, and #86) on the 400 Unit. Observations, during the survey, revealed breakfast, lunch and dinner meals were served two (2) hours after the posted mealtimes, on the 400 Unit. The residents did not receive dinner trays until 9:00 PM on 07/30/2023. In addition, interviews revealed the residents did not receive or were offered food from the always available menu.
  10. E
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    F813 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on observation, interview, and review of the facility's policy, it was determined the facility failed to label and date residents' food items. Observations of the residents' refrigerator and freezer revealed unidentified or undated residents' food items.
  11. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on observation, interview, and review of the facility's policy, it was determined the facility failed to establish and maintain an infection prevention and control program as witnessed by staff using expired disinfectant wipes, dated [DATE], for cleaning the glucometers on [DATE], for two (2) of sixty-one (61) sampled residents, Resident #46 and #11.
  12. D
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    F568 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on interview, record review, review of store receipts, and review of the facility's policy, it was determined the facility failed to ensure proper bookkeeping techniques. The facility's bookkeeping techniques failed to include an individual record established for each resident on which only those transactions involving his/her personal funds were recorded and maintained. The transactions failed to include information related to when the transactions occurred, what they were, the ongoing balance, and a receipt to give the resident and the facility to retain, for one (1) of sixty-one (61) sampled residents (Resident #14).
  13. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on observation, interview, and review of facility's policy, the facility failed to protect resident rights to privacy related to electronic medical records (EMRs) as determined by observations of the computer located on top of the medication /treatment cart, on 08/01/2023 and 08/04/2023, being left open and viewable with resident information.
  14. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on interview, record review, and review of the facility's policy, it was determined the facility failed to notify and failed to send a copy of the notice to a representative of the Office of the State Long-Term Care Ombudsman for three (3) of sixty-one (61) sampled residents, Resident #15, #51, and #56).
  15. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on interview, record review, and review of the Kentucky Pre-admission Screening and Resident Review (PASARR) Manual, it was determined the facility failed to refer residents with newly evident or a possible serious mental disorder for a Level II PASARR screening for one (1) of sixty-one (61) sampled residents, Resident #55.
  16. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on interview, record review, and review of the Kentucky Pre-admission Screening and Resident Review (PASARR) Manual, it was determined the facility failed to complete a PASARR screening Level I identification of individuals with a mental disorder (MD) or intellectual disability (ID) that was completed prior to admission to a nursing facility for two (2) of sixty-one (61) sampled residents, Resident #73 and #55.
  17. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on observation, interview, record review and review of the facility's policy, it was determined the facility failed to ensure a resident whp was incontinent of bladder received appropriate treatment and service realted to incontinence care for one (1) of sixty-one (61) sampled residents, Resident #40.
  18. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on interview, record review, and review of the facility's policy, it was determined the facility failed to ensure residents who were trauma survivors received culturally competent, trauma-informed care in accordance with professional standards of practice. The facility also failed to account for the resident's experiences and preferences in order to eliminate or mitigate triggers that might cause re-traumatization of the resident for one (1) of sixty-one (61) sampled residents (Resident #84).
  19. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on observation, interview, and review of the facility's policy, it was determined the facility failed to ensure drugs and biologicals were secured in locked compartments under proper temperature controls. The facility also failed to ensure only authorized personnel to have access to the drugs and biologicals. Observation of one (1) treatment cart located on the 400 Hall, on 08/06/2023 at 11:10 AM, revealed the treatment cart was unlocked and unattended.
  20. D
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on observation, interview, and review of the Maintenance Director's job description, it was determined the facility failed to ensure the resident care equipment was maintained in safe operating condition for one (1) of sixty-one (61) sampled residents (Resident #35). Resident #35's bed was broken for more than two (2) years.
November 27, 2019Standard inspection · 5 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 31, 2020
    Inspectors wroteBased on observation, interview, record review, and facility policy review it was determined the facility failed to ensure staff served foods in sanitary conditions to prevent food borne illnesses. Observations and record review revealed the facility was aware of improper temperatures with the wash and rinse cycle of the facility dishwasher but continued to use the machine for sanitization of cookware, resident plates and silverware. Other observations revealed kitchen staff removed wet items from the dishwasher and used the dishes for redistribution of food to residents. Continued observations revealed the facility food equipment contained encrusted dried food like matter and food items unlabled.
  2. F
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 31, 2020
    Inspectors wroteThe facility failed to ensure essential kitchen equipment was in proper working order to meet the sanitization needs of the dish and silverware utilized for resident meals. Observations revealed the dishwasher temperatures were lower than the required temperature range of one hundred sixty to one hundred eighty (160/180) during the wash/rinse cycle.
  3. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 31, 2020
    Inspectors wroteBased on observation, interview, record review, and facility policy review it was determined the facility failed to implement the Care Plan related to Activities of Daily Living (ADL) for one (1) of eighteen (18) sampled residents, Resident #20.
  4. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 31, 2020
    Inspectors wroteBased on observation, interview, record review, and facility policy review it was determined the facility failed to provide Activities of Daily Living (ADL) care to maintain nail hygiene for two (2) of eighteen (18) sampled residents, Resident #20, and #66.
  5. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2020
    Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure medications were not expired. Observations in the medication room revealed two (2) vials of Lantus in the refrigerator, available for use, opened and undated. Additionally, observations revealed a suppository with an expiration date of 08/2018.

Fire safety inspections

23 fire safety citations on file: 7 on December 13, 2025, 13 on August 7, 2023, 3 on November 27, 2019.

Every fire safety citation23 citations
  1. F
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · December 13, 2025 · Corrected (the home has a date of correction)
  2. E
    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.
    K 222 · December 13, 2025 · Corrected (the home has a date of correction)
  3. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · December 13, 2025 · Corrected (the home has a date of correction)
  4. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · December 13, 2025 · Corrected (the home has a date of correction)
  5. D
    Install corridor and hallway doors that block smoke.
    K 363 · December 13, 2025 · Corrected (the home has a date of correction)
  6. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · December 13, 2025 · Corrected (the home has a date of correction)
  7. D
    Ensure proper usage of power strips and extension cords.
    K 920 · December 13, 2025 · Corrected (the home has a date of correction)
  8. F
    Install a two-hour-resistant firewall separation.
    K 133 · August 7, 2023 · Corrected (the home has a date of correction)
  9. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 7, 2023 · Corrected (the home has a date of correction)
  10. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 7, 2023 · Corrected (the home has a date of correction)
  11. E
    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.
    K 222 · August 7, 2023 · Corrected (the home has a date of correction)
  12. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 7, 2023 · Corrected (the home has a date of correction)
  13. E
    Provide properly protected cooking facilities.
    K 324 · August 7, 2023 · Corrected (the home has a date of correction)
  14. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · August 7, 2023 · Corrected (the home has a date of correction)
  15. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · August 7, 2023 · Corrected (the home has a date of correction)
  16. E
    Have a properly installed and maintained dumbwaiter or escalator.
    K 532 · August 7, 2023 · Corrected (the home has a date of correction)
  17. E
    Ensure proper usage of power strips and extension cords.
    K 920 · August 7, 2023 · Corrected (the home has a date of correction)
  18. E
    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
    K 927 · August 7, 2023 · Corrected (the home has a date of correction)
  19. D
    Install corridor and hallway doors that block smoke.
    K 363 · August 7, 2023 · Corrected (the home has a date of correction)
  20. D
    Have restrictions on the use of portable space heaters.
    K 781 · August 7, 2023 · Corrected (the home has a date of correction)
  21. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · November 27, 2019 · Corrected (the home has a date of correction)
  22. D
    Have restrictions on the use of portable space heaters.
    K 781 · November 27, 2019 · Corrected (the home has a date of correction)
  23. D
    Ensure proper usage of power strips and extension cords.
    K 920 · November 27, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeKentuckyUnited States
All nursing staff (RN, LPN and aides)3.403.953.86
Registered nurses0.790.790.69
All nursing staff on weekends3.103.493.42
Nurse aides2.02
Licensed practical nurses0.59
Nursing staff turnover (share who left in a year)61.3%46.4%45.8%
Registered nurse turnover60.0%41.8%42.9%
Administrators who left0

CMS expects 5.28 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.53 on weekdays and 3.10 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 13.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.12 in April to June 2025 to 3.40 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.400.793.533.10 13.6%0 of 9071
Oct to Dec 20253.390.693.543.02 6.6%0 of 9272
Jul to Sep 20253.210.513.342.87 5.6%0 of 9273
Apr to Jun 20253.120.513.322.61 11.8%0 of 9173
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Kentucky, Jan to Mar 20263.850.714.043.403.2%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Kentucky

JobMedianMiddle halfEmployed
Kentucky, all employers
CNAs (nursing assistants)$18.45$17.38 to $21.2123,410
LPNs and LVNs$29.07$26.10 to $31.298,570
Registered nurses$38.96$36.38 to $46.7350,300
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Chestnut Ridge Health & Rehabilitation. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Employed by
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Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeKentuckyUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
1.213.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.41.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.43.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.91.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
0.814.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.14.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
19.916.115.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.81.91.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.52.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Chestnut Ridge Health & Rehabilitation's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 51.5% · Kentucky: 38 better, 49 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 13 eligible stays.

Potentially preventable readmissions

10.4% this home

No different from the national rate

US median of homes 10.7% · Kentucky: 0 better, 12 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 28 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Kentucky: 0 better, 6 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 18 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Kentucky49.5% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 9 residents counted.

Falls with major injury

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Kentucky0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 10 residents counted.

New or worsened pressure ulcers

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Kentucky2.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 10 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Kentucky98.1% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 1 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: CHESTNUT SNF OPERATIONS LLC. CMS links this home to Lyon Healthcare, a group of 12 nursing homes averaging 1.8 stars overall.

NameRoleTypeShareSince
Jml 1836 Holdings LLCIndirect ownership interestOrganization01/01/2025
Jnl 2024 Fam TrIndirect ownership interestOrganization01/01/2025
Joel a Schwartz 2017 Family TrustIndirect ownership interestOrganization01/01/2025
Mjl 2024 Family TrustIndirect ownership interestOrganization01/01/2025
Tziporah Schwartz 2017 Family TrustIndirect ownership interestOrganization01/01/2025
Botwinick, MichaelIndirect ownership interestIndividual01/01/2025
Anderson, RobertManaging control - governing bodyIndividual03/10/2025
Autrey, SheritaManaging control - governing bodyIndividual01/01/2025
Ky 10 SNF Operations Holdings LLCOperational/managerial controlOrganization01/02/2025
Ky10 SNF Opco Manager LLCOperational/managerial controlOrganization01/01/2025
Anderson, RobertOperational/managerial controlIndividual03/10/2025
Autrey, SheritaOperational/managerial controlIndividual01/01/2025
Carver, DillionOperational/managerial controlIndividual01/01/2025
Hackett, DebraOperational/managerial controlIndividual01/01/2025
Idels, ShimonOperational/managerial controlIndividual01/01/2025
Gottesman, DanielIndividual is an owner, partner or trustee of any ADP of the SNFIndividual02/10/2026
Lustbader, AndrewIndividual is an owner, partner or trustee of any ADP of the SNFIndividual02/10/2026
Lustbader, JonathanIndividual is an owner, partner or trustee of any ADP of the SNFIndividual02/10/2026
Hvh Ky 10 SNF Consulting LLCAdp of the SNFOrganization01/01/2025
Ky 10 SNF Operations Holdings LLCAdp of the SNFOrganization01/02/2025
LTC Consulting Services LLCAdp of the SNFOrganization04/07/2025
Lyon Healthcare LLCAdp of the SNFOrganization01/01/2025
Roth & Co, LLPAdp of the SNFOrganization01/01/2025
Anderson, RobertAdp of the SNFIndividual03/10/2025
Autrey, SheritaAdp of the SNFIndividual01/01/2025
Hackett, DebraAdp of the SNFIndividual01/01/2025
Idels, ShimonAdp of the SNFIndividual01/01/2005

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on December 19, 2023: "Ensure each resident must receive and the facility must provide necessary behavioral health care and services."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on December 13, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on December 13, 2025: "Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on August 7, 2023: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.10 hours per resident per day, below the Kentucky average of 3.49.

Other nursing homes nearby

Kentucky contacts for a concern about a nursing home

These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.

Common questions

What is Chestnut Ridge Health & Rehabilitation's Medicare star rating?
CMS rates Chestnut Ridge Health & Rehabilitation 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Chestnut Ridge Health & Rehabilitation get at its last inspection?
4 health deficiencies at the standard inspection on December 13, 2025. The Kentucky average is 2.9.
Has Chestnut Ridge Health & Rehabilitation been fined?
CMS lists no fines in the last three years.
Does Chestnut Ridge Health & Rehabilitation accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Chestnut Ridge Health & Rehabilitation?
CMS lists 27 owners and managers, and links the home to Lyon Healthcare. Legal business name: CHESTNUT SNF OPERATIONS LLC.

Sources

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