Franciscan Health Care Center
3625 Fern Valley Road, Louisville, KY 40219 · Jefferson County · (502) 964-3381
87 certified beds, about 76 residents a day · For profit - Corporation · Medicare and Medicaid since 1975
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185132 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 10, 2025, inspectors cited 9 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 13 health citations since August 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.20 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.90 of those hours.
43.6% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
CMS links it to Trilogy Health Services, an affiliated group of 127 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.
208/19
107/22
106/25
912/25
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 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
2E
1F
Potential for minimal harm
0A
0B
0C
December 10, 2025Standard inspection, Complaint inspection · 9 citations
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, record review, and review of facility documentation, the facility failed to ensure necessary care and services (i.e. nail care) were provided for residents unable to carry out their own activities of daily living (ADLs) for 3 of 35 sampled residents, (Resident (R)81, 91, and 100).
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, record review, facility document and policy review, the facility failed to ensure a medication error rate of less than 5 percent (%) or less, with 6 errors out of 30 opportunities, which yielded a medication error rate of 20% involving 4 of 4 residents observed for medication administration out of the total sample of 35 (Residents (R)21, 2, 13, and 15).
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to assess residents for self-administering medications for 1 of 2 residents sampled for accidents, (Resident (R)101), out of the total sample of 35.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to provide a Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNF ABN) form 2 of 3 residents reviewed for beneficiary notification out of the total sample of 35, (Resident (R)6 and 108). Specifically, the facility failed to issue a SNF ABN to Resident #6 and Resident #108 when the facility notified the residents that they were discharged from Medicare Part A services, even though their benefit days had not been exhausted.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to timely report an allegation of abuse for 1 of 1 resident reviewed for abuse, out of the total sample of 35, (R103).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, interview, and facility policy review, the facility failed to obtain an order for the use of oxygen for 1 of 4 residents reviewed for respiratory care out of the total sample of 35 (Resident (R)17).
- D Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure a resident was assessed for bed rail use and consent obtained for the use of the bed rails for 1 of 2 residents reviewed for accidents, out of the total sample of 35 residents (Resident (R)101).
- 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.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure medication carts were clean, organized, and medications that were opened had an opened date for 5 of 5 medication carts observed (the medication carts involved were: Downtown, Berry, Bell 1, Bell 2, and TCU 1) Further observation revealed 10 total medication carts located within the facility.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure staff cleaned and disinfected glucometers (device used to monitor blood sugar levels) after use for 1 of 2 residents observed for glucometer checks, out of the total sample of 35.
June 10, 2025Complaint inspection · 1 citation
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview and record review, and review of the facility's policy, the facility failed to ensure residents received care to prevent pressure ulcers from developing for one of three residents reviewed for pressure ulcers (Resident (R) 8).
July 14, 2022Standard inspection · 1 citation
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review, interview, and document review, the facility failed to accurately complete a Preadmission Screening and Resident Review (PASARR) for one (1) of one (1) resident, Resident #60, who was reviewed with a Mental Disorder (MD) or Intellectual Disability. Findings Included: A review of the document provided by the facility titled PASRR Quick Sheet. undated revealed New Admissions: If any of the following triggers a positive response, the level 1 (MAP 409) will be checked YES on section I and/or II and contact the PASARR office. Individual has a severe mental illness/behavioral health (BH) diagnosis. Ex: Schizophrenia, Bipolar Disorder, Major Depression Disorder, Anxiety Disorder, PTSD, etc. A review of Resident #60's Face Sheet revealed the facility admitted Resident #60 on 06/09/2022 with diagnoses that included Bipolar Disorder and Depression. [...]
August 24, 2019Standard inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, record review and interview it was determined the facility failed to maintain one freezer at safe temperatures out of the two freezers in the kitchen and the satellite kitchen. In addition, staff did not wear hairnets, wash hands, and apply gloves consistently when in the kitchen.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, interview, record review, and review of facility policy it was determined the facility failed to keep a clean and orderly environment. Observation on 08/23/19 at 9:00 AM, revealed birdseed was stored in one clean linen closet on the Downtown unit out of the seven units in the facility. Further observation, on 08/23/19 at 9:05 AM with Licensed Practical Nurse (LPN) #1, revealed the birdseed bag was opened and there were flying bugs in the bag.
Fire safety inspections
7 fire safety citations on file: 2 on December 10, 2025, 5 on July 14, 2022.
Every fire safety citation7 citations
- F Meet requirements for sections of health care facilities separated by fire resistive construction.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Install a two-hour-resistant firewall separation.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Have properly located and lighted "Exit" signs.
- E Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- D Ensure proper usage of power strips and extension cords.
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.
| Measure | This home | Kentucky | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.20 | 3.95 | 3.86 |
| Registered nurses | 0.90 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.88 | 3.49 | 3.42 |
| Nurse aides | 2.14 | ||
| Licensed practical nurses | 1.16 | ||
| Nursing staff turnover (share who left in a year) | 43.6% | 46.4% | 45.8% |
| Registered nurse turnover | 53.3% | 41.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.37 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 4.32 on weekdays and 3.88 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.09 in April to June 2025 to 4.20 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.20 | 0.90 | 4.32 | 3.88 | 0.0% | 0 of 90 | 76 |
| Oct to Dec 2025 | 4.15 | 0.76 | 4.32 | 3.71 | 0.0% | 0 of 92 | 76 |
| Jul to Sep 2025 | 4.05 | 0.69 | 4.25 | 3.54 | 0.0% | 0 of 92 | 76 |
| Apr to Jun 2025 | 4.09 | 0.66 | 4.27 | 3.64 | 0.0% | 0 of 91 | 78 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kentucky, Jan to Mar 2026 | 3.85 | 0.71 | 4.04 | 3.40 | 3.2% | 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kentucky | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.8 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.4 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.6 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.8 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.4 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.2 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.0 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.2 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 2.1 | 1.8 |
Owners and operators
Legal business name: TRILOGY HEALTHCARE OF JEFFERSON, LLC. CMS links this home to Trilogy Health Services, a group of 127 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Continental Merger Sub LLC | 5% or greater indirect ownership interest | Organization | 100% | 10/01/2021 |
| Orix Real Estate Capital LLC | 5% or greater mortgage interest | Organization | 01/01/2023 | |
| Barney, Leigh | Managing control - governing body | Individual | 11/01/2019 | |
| Conner, Gregory | Managing control - governing body | Individual | 06/03/2021 | |
| Davis, David | Managing control - governing body | Individual | 08/21/2017 | |
| McNamara, Donald | Managing control - governing body | Individual | 08/01/2024 | |
| Mehaffey, Todd | Managing control - governing body | Individual | 01/31/2022 | |
| Pietrowski, Cristina | Managing control - governing body | Individual | 01/31/2022 | |
| Prosky, Danny | Managing control - governing body | Individual | 12/01/2015 | |
| Willhite, Gabriel | Managing control - governing body | Individual | 08/15/2023 | |
| Corbin, Kathy | Operational/managerial control | Individual | 01/10/2010 | |
| Fightmaster, Lisa | Operational/managerial control | Individual | 03/24/2025 | |
| Maluleke, Oppah | Operational/managerial control | Individual | 12/01/2023 | |
| Pietrowski, Cristina | Operational/managerial control | Individual | 01/31/2022 | |
| Saleem, Waqar | Operational/managerial control | Individual | 01/01/2025 | |
| American Healthcare Reit Holdings LP | Adp of the SNF | Organization | 12/01/2015 | |
| American Healthcare Reit Inc | Adp of the SNF | Organization | 10/01/2021 | |
| Continental Merger Sub LLC | Adp of the SNF | Organization | 10/01/2021 | |
| Gahc3 Trilogy Jv LLC | Adp of the SNF | Organization | 10/01/2021 | |
| Gahc4 Trilogy Jv LLC | Adp of the SNF | Organization | 10/01/2021 | |
| Trilogy Investors LLC | Adp of the SNF | Organization | 10/01/2021 | |
| Trilogy Management Services LLC | Adp of the SNF | Organization | 05/02/2025 | |
| Trilogy Real Estate Investment Trust | Adp of the SNF | Organization | 10/01/2021 | |
| Trilogy Reit Holdings LLC | Adp of the SNF | Organization | 12/01/2015 | |
| Corbin, Kathy | Adp of the SNF | Individual | 01/10/2011 | |
| Fightmaster, Lisa | Adp of the SNF | Individual | 03/23/2015 | |
| Maluleke, Oppah | Adp of the SNF | Individual | 05/02/2025 | |
| Saleem, Waqar | Adp of the SNF | Individual | 05/02/2025 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on December 10, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on December 10, 2025: "Allow residents to self-administer drugs if determined clinically appropriate."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on December 10, 2025: "Ensure medication error rates are not 5 percent or greater."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on December 10, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Regency Nursing and Rehabilitation Center Louisvile, 2.7 mi · 3 of 5 stars · 21 citations
- Wesley Manor Louisville, 3.2 mi · 4 of 5 stars · 6 citations
- Little Sisters of the Poor Louisville, 4.2 mi · 2 of 5 stars · 9 citations
- Nazareth Home Louisville, 4.4 mi · 5 of 5 stars · 0 citations
- Cherokee Park Rehabilitation Louisville, 4.7 mi · 2 of 5 stars · 35 citations
- Klondike Nursing and Rehabilitation Center Louisville, 4.7 mi · 4 of 5 stars · 20 citations
- Eastway Health & Rehabilitation Louisville, 5 mi · 1 of 5 stars · 41 citations
- Highlands Nursing and Rehabilitation Louisville, 5 mi · 4 of 5 stars · 13 citations
Kentucky contacts for a concern about a nursing home
These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Kentucky Office of Inspector General, Division of Health Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Kentucky State Long-Term Care Ombudsman Program, Nursing Home Ombudsman Agency of the Bluegrass, (800) 372-2991. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Kentucky OIG Nursing Home Inspection Findings, where Kentucky publishes its own records on licensed homes.
Common questions
- What is Franciscan Health Care Center's Medicare star rating?
- CMS rates Franciscan Health Care Center 3 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Franciscan Health Care Center get at its last inspection?
- 9 health deficiencies at the standard inspection on December 10, 2025. The Kentucky average is 2.9.
- Has Franciscan Health Care Center been fined?
- CMS lists no fines in the last three years.
- Does Franciscan Health Care Center 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 Franciscan Health Care Center?
- CMS lists 28 owners and managers, and links the home to Trilogy Health Services. Legal business name: TRILOGY HEALTHCARE OF JEFFERSON, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.