2529 Six Mile Lane, Louisville, KY 40220 · Jefferson County · (502) 491-5560
128 certified beds, about 112 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185350 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 12, 2026, inspectors cited 0 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
Of 25 health citations since November 2019, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 2 fines totaling $10,364 in the last three years; the largest was $5,182, and the latest is dated January 3, 2025.
Nurses and nurse aides worked 4.37 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 1.03 of those hours.
55.4% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
CMS links it to Signature Healthcare, an affiliated group of 67 nursing homes.
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.
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 25 health citations on file.
Inspectors wroteBased on observation, interview, record review and review of facility's policy, the facility failed to develop and implement the care plan for one of three sampled residents, Residient (R) 1. On 01/22/2024, R1 became a ward of the state and was deemed as wholly disabled. She required assistance with managing both her personal and financial affairs. The facility, however, failed to develop the resident's care plan to include her becoming a ward of the state. On 09/17/2024, the resident exhibited exit-seeking behaviors and was placed on 15 minute checks, however, the facility failed to develop the resident's care plan to include the exit-seeking behaviors. Further, interview with facility staff revealed the resident roamed throughout the facility with personal items in her wheelchair or on her walker and verbalized delusions of going home. [...]
Inspectors wroteBased on observation, interview, record review, facility document review, facility policy review and Google Maps review, the facility failed to provide residents with adequate supervision to prevent elopement for one of three sampled residents, Resident (R)1. R1 became a ward of the state on 01/22/2024 and although the resident had a Brief Interview of Mental Status (BIMS) score of 15 (indicating cognitively intact), the resident was legally deemed wholly disabled for managing both personal and financial resources, including the right to vote, and required supervision when leaving the facility. The facility, however, failed to ensure staff were aware the resident could not exit the facility unsupervised. On 11/27/2024, exact time unknown, R1 exited the facility through the main entrance after informing the employee working at the reception desk that she was going to step outside. [...]
Inspectors wroteBased on observation, interview, review of the U.S. Food and Drug Administration (FDA) Food Code, 2022, and review of the facility's policies, it was determined the facility failed to store food in accordance with professional standards for food service safety. During observation on 08/20/2024 of the kitchen walk in refrigerator, multiple produce items were rotting. Additionally, multiple sleeves of bread were found with no label or expiration date. Also, leftover tomatoes were observed in container with no use by date.
Inspectors wroteBased on observation, interview, and review of standard of practice reference, it was determined 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 for one of six sampled residents, Resident (R) 65. Observation of medication administration revealed Registered Nurse (RN) 7 failed to perform hand hygiene after administering medications for the resident, and prior to preparing medications for another.
Inspectors wroteBased on interview, personnel record review, and facility policy review, the facility failed to ensure it had a process in place to ensure contracted employees had the Kentucky Adult Caregiver Misconduct Registry checked as required by KRS 209.032 for 2 of 5 employee files sampled.
Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to ensure drugs and biologicals were stored in accordance with State and Federal laws for one (1) of three (3) facility medication storage refrigerators. In addition, the facility also failed to ensure medications were secured during medication administration for 1 medication cart. Observation of the medication room on the facility's 100 unit revealed a personal lunch bag with food and drinks stored inside the locked medication refrigerator located in the room. Additionally, observation revealed Registered Nurse (RN) 7 prepared a resident's medications, then stepped away from the medication cart leaving the pills in a medication cup unattended, and out of view of staff.
Inspectors wroteBased on observation, interview, record review, and review of facility policy it was determined the facility failed to employ sufficient dietary staff with the appropriate competencies and skill sets to carry out the functions of food and nutrition service for 96 residents nine (nine residents received tube feeding) of 105 residents who received meals at the facility. Review of the Resident Census and Conditions of Residents, signed by the DON (Director of Nursing) on 11/12/19 revealed there were one hundred five (105) total residents and nine (9) residents received tube feeding. Observation and interview revealed there was not enough dietary staff to ensure meals were served to residents in a timely manner, per the facility posted meal times. (Refer to F809). [...]
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to provide at least three meals daily, at regular times comparable to normal mealtimes in the community or in accordance with resident needs, preferences, requests, and plan of care. Review of the facility posted Meal Times, which was not dated, revealed the lunch meal was to be served to the Gold/Main Dining Room at 12:30 PM. Observations during the meal service on 11/12/19 revealed the lunch meal was served late. Interviews with Resident's #18, #22, #28, and #155, revealed meals were often served late. Interview with Resident #155 revealed he/she would refuse prescribed short acting insulin until he/she knew for sure the trays were on the unit, due to the short acting insulin would make his/her sugar drop.
Inspectors wroteBased on observation, interview and review of the facility's Policies, it was determined the facility failed to prepare, store, distribute and serve food in accordance with professional standards for food service safety. Observation of the kitchen, on 11/12/19 revealed low fat cottage cheese with an open date 10/27/19, and turkey, which was labeled with two labels, one label documenting use by 10/7/19 and one label with the date 11/5/19, and a use by date of 11/20/19. Continued observation revealed chocolate pudding, dated to use by 11/10/19, an opened gallon of 2 percent milk with manufacturer use by date of 11/10/19, and potato salad opened 11/07/19. [...]
Inspectors wrote5. (Refer to F689) Review of the clinical record revealed the facility admitted Resident #9 on 05/23/11. Record review revealed Resident #9 had diagnoses which included Dementia in other diseases classified elsewhere with behavioral disturbance; Displaced fracture of left radial styloid process, subsequent encounter for closed fracture with routine healing; Muscle weakness; and Difficulty in walking, not otherwise classified. Review of the MDS (Minimum Data Set) assessment dated [DATE], a Significant Change assessment, revealed the facility assessed Resident #9 as having a BIMS (Brief Interview Mental Status) score of eleven (11) out of fifteen (15). Per the MDS Assessment, the facility assessed Resident #9 as independent with no setup or physical help from staff for ambulating in room and corridor. [...]
Inspectors wroteBased on observation, record review, and interview it was determined the facility failed to provide treatment and care for one (1) of the thirty (30) sampled residents, Resident #51. Resident #51 had a physician order to be sent to the emergency room because the resident had complained of chest pain and was not sent until the following day. The physician was not notified until the next day that Resident #51 did not go out to the emergency room as the physician had ordered.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to maintain a homelike environment for two (2) of three (3) units. Observations and interviews revealed the facility had an odor of urine and the resident shower rooms for two (2) of three (3) units, had toilets with identified fecal matter. In addition, metal poles used in resident rooms were rusted and caked with white sticky matter.
Inspectors wroteBased on interview, record review, and review of the facility's Policy, it was determined the facility failed to provide written information to the resident or resident representative that specifies the duration of the state bed-hold policy for two (2) of thirty (30) sampled residents (Resident #16 and Resident #55). Record review revealed Resident #16 was transferred to the hospital for evaluation following a change of condition on 10/31/19; however, there was no documented evidence the facility provided the resident or the resident's representative written information related to the facility's Bed-hold Policy. Review of the medical record revealed Resident #55 was sent to the hospital for evaluation following a change of condition on 09/25/19; [...]
Inspectors wroteBased on observation, record review, and interview it was determined the facility failed to revise a comprehensive care plan for three (3) of the thirty (30) sampled residents. Resident #55 had a care plan for elimination however it was not revised to include the Foley catheter. Resident #79 had a care plan for nutrition however it was not revised to include the gluten free and lactose free allergies. Resident #9 had a care plan that was not updated to include dental status.
Inspectors wroteBased on observations, record review, and interview it was determined the facility failed to provide an ongoing program of activities for two (2) of the thirty (30) sampled residents from the care areas. Resident #90 and Resident #35 were to have facility provided activities, however, were observed to stay in their rooms with no activities provided.
Inspectors wroteBased on observation, record review, and interview it was determined the facility failed to provide treatment and care for one (1) of the thirty (30) sampled residents, Resident #70. Resident #70 was to have his/her leg wrapped with an ace wrap and this was not done consistently.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to provide care to prevent the development of pressure ulcers for one (1) resident of the thirty (30) sampled residents. Resident # 35 was to have heel lift boots on at all times, except when transferring or in a wheelchair. Observations revealed Resident #35 did not have heel lift boots on for two days.
Inspectors wroteBased on observation, record review, and interview and policy review it was determined the facility failed to ensure two (2) residents out of the thirty (30) sampled residents was free from potential falls, Resident #9 and #61. Resident #61 had a history of falls and was supposed to have non skid socks on to help prevent falls. Resident #9 was supposed to have a physical therapy (PT) evaluation done after a fall with a fracture and the PT evaluation was not done. In addition, the investigation of the fall was not comprehensive.
Inspectors wroteBased on observation, record review, interview and policy review it was determined the facility failed to provide services and assistance to prevent urinary tract infections and failed to have a diagnosis for Foley catheter use for two (2) residents out of the thirty (30) sampled residents, Resident #90 and #55. Resident #90 had complaints of urinary symptoms and the facility received an order to perform a urinalysis (UA), however, did not obtain the UA. Record review revealed Resident #55 was re-admitted to the facility on [DATE], with a Foley catheter and no documented evidence of a Physician's Order with a diagnosis for continuing the Foley Catheter after the re-admission. In addition, no documented evidence of monitoring or care for the catheter, and no interventions for the Foley catheter care on the resident's Comprehensive Care Plan.
Inspectors wroteBased on interview, record review, and review of policy it was determined the facility failed to ensure an individual and Comprehensive Care Plan (CCP) was developed to ensure individual care was provided for one (1) of twenty-seven (27) residents with the diagnosis of Dementia.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable. In accordance with State and Federal laws, the facility must store all drugs and biologicals in locked compartments under proper temperature controls, and permit only authorized personnel to have access to the keys for one (1) of three (3) units. Observation of the 100 hall Nourishment Refrigerator on 11/16/19 revealed medications were stored in the nourishment refrigerator with foods. [...]
Inspectors wroteBased on interview, record review, and review of facility policy it was determined the facility failed to ensure residents were provided or obtained from an outside resource, dental services to meet the needs of each resident, to include routine dental services (to the extent covered under the State plan), and assist the resident in making appointments; and arranging for transportation to and from the dental services locations for one (1) of thirty (30) sampled residents (Resident #9). Resident #9 was evaluated by the dentist on 07/18/19, and received a referral to Oral Surgery for extractions. There was no evidence the resident was seen by Oral Surgery as of 11/16/19. The Findings Include: Review of facility policy titled Dental Services, dated last reviewed 06/05/18, revealed the facility must assist residents in obtaining routine and twenty four (24) hour emergency dental care. [...]
Inspectors wroteBased on observation, interview, record review and review of facility policy it was determined the facility failed to ensure each resident received and the facility provided food that accommodated resident allergies, intolerances, and preferences for one (1) of thirty (30) sampled residents (Resident #79). Observation during tray line on 11/13/19 revealed regular bread was placed on the tray for Resident #79, who was ordered a gluten free diet. The Findings Include: Review of the facility policy Food Allergy/Intolerance Awareness, dated revised 08/31/18, revealed food that accommodates resident allergies, intolerances, and preferences should be prepared and served. Continued review of the policy revealed a food substitute for the food allergy, intolerance, or preference should be consistent with the usual or ordinary food item provided to the community. [...]
Inspectors wroteBased on observation, interview, record review and facility policy review, it was determined the facility failed to maintain an accurate and complete clinical record for one (1) of thirty (30) sampled residents, Resident #51. Record review revealed a physician order, dated 8/31/19, for the facility to transport Resident #51 to the emergency room. Further review revealed no documented evidence the facility staff communicated with the physician after emergency services would not transport the resident.
Inspectors wroteBased on observation, record review, and interview it was determined the facility failed to maintain an infection prevention program that was to provide a sanitary environment and help prevent the transmission of disease and infections for one (1) resident out of the thirty (30) sampled residents. Staff was observed to provide care to Resident #61 and did not wash or sanitize their hands after care. In addition the same staff was observed to throw linens on the floor that had urine in them.
5 fire safety citations on file: 2 on August 23, 2024, 3 on November 16, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| January 3, 2025 | Fine | $5,182 |
| January 3, 2025 | Fine | $5,182 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 4.37 | 3.95 | 3.86 |
| Registered nurses | 1.03 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.62 | 3.49 | 3.42 |
| Nurse aides | 2.34 | ||
| Licensed practical nurses | 1.00 | ||
| Nursing staff turnover (share who left in a year) | 55.4% | 46.4% | 45.8% |
| Registered nurse turnover | 50.0% | 41.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.51 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.68 on weekdays and 3.62 on weekends, 23% 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 4.08 in April to June 2025 to 4.37 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 | 4.37 | 1.03 | 4.68 | 3.62 | 0.0% | 0 of 90 | 112 |
| Oct to Dec 2025 | 4.28 | 0.92 | 4.53 | 3.62 | 0.0% | 0 of 92 | 115 |
| Jul to Sep 2025 | 4.19 | 0.80 | 4.44 | 3.55 | 0.0% | 0 of 92 | 113 |
| Apr to Jun 2025 | 4.08 | 0.70 | 4.37 | 3.37 | 1.2% | 0 of 91 | 110 |
| 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.
Staff pay reports
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Kentucky, all employers | |||
| CNAs (nursing assistants) | $18.45 | $17.38 to $21.21 | 23,410 |
| LPNs and LVNs | $29.07 | $26.10 to $31.29 | 8,570 |
| Registered nurses | $38.96 | $36.38 to $46.73 | 50,300 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
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 | 5.2 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.1 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.6 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.4 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.2 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.0 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.0 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.8 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Signature Healthcare of East Louisville's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (58.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
58.0% this home
No different from the national rate
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. 151 eligible stays.
11.7% 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. 165 eligible stays.
6.3% this home
No different from the national rate
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. 94 eligible stays.
40.5% this home
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. 42 residents counted.
1.2% this home
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. 83 residents counted.
1.9% this home
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. 83 residents counted.
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. 18 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.
Legal business name: LP LOUISVILLE EAST LLC. CMS links this home to Signature Healthcare, a group of 67 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| LP Cr Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 11/01/2007 |
| Agemo Holdings LLC | 5% or greater indirect ownership interest | Organization | 10/01/2016 | |
| Jjla LLC | 5% or greater indirect ownership interest | Organization | 11/01/2007 | |
| Lpsnf II LLC | 5% or greater indirect ownership interest | Organization | 10/01/2016 | |
| Wheaten LLC | 5% or greater indirect ownership interest | Organization | 11/01/2007 | |
| Steier III, Elmer | 5% or greater indirect ownership interest | Individual | 11/01/2007 | |
| Meredith, Kara | W-2 managing employee | Individual | 04/01/2024 | |
| Harrison, John | Corporate officer | Individual | 11/01/2007 |
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.
Chosen from this home's own inspection record.
These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.