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Signature Healthcare of South Louisville

1120 Cristland Road, Louisville, KY 40214 · Jefferson County · (502) 367-0104

100 certified beds, about 95 residents a day · For profit - Corporation · Medicare and Medicaid since 1992

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 185335 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 26, 2026, inspectors cited 4 health deficiencies (the Kentucky average is 2.9, the national average 9.2).

None of its 15 health citations since October 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 3.87 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 1.22 of those hours.

46.8% 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.

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 15 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
1E
2F
Potential for minimal harm
0A
0B
0C
February 26, 2026Standard inspection · 4 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) March 20, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety. Observations revealed dented canned food items in the storage area, available for use. Additionally, observation revealed staff failed to practice hand hygiene during plating of meals.
  2. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2026
    Inspectors wroteBased on interview, record and facility policy review the facility failed to develop and implement a baseline care plan for each resident that included the instructions needed to provide effective, person-centered care for 1 of 2 residents sampled for respiratory services (Resident (R) 76). Record review revealed the baseline care plan for R76 did not address the resident's CPAP (continuous positive air pressure) equipment use.
  3. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2026
    Inspectors wroteBased on observation, interview, record and policy review the facility failed to ensure a resident with pressure ulcers received care consistent with professional standards of practice to promote healing for 1 of 2 residents (Resident (R) 84). Observations revealed an ordered pressure relieving device not in place as ordered.
  4. 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) March 20, 2026
    Inspectors wroteBased on observation, interview, and review of facility policy review and records, the facility failed to ensure medication was securely stored for 1 (Resident #22) of 3 residents reviewed for accident hazards. The facility also failed to ensure medication carts were free from loose pills and debris, which affected 1 (West Wing Cart #1) of 3 medication carts observed.
January 23, 2025Standard inspection · 4 citations
  1. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 25, 2025
    Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure physician orders were followed related to the administration of supplemental oxygen for 1 of 5 residents residents sampled for respiratory care (Resident (R)18) of a total resident sample of 24 residents.
  2. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 25, 2025
    Inspectors wroteBased on observation, interview, record review, the insulin manufacturers' instructions for use, and facility policy review, the facility failed to ensure the medication error rate was less than 5%. This was evidenced by 2 medication errors out of 34 opportunities, resulting in a medication error rate of 5.88%, which affected 1 of 5 residents observed during medication pass (Resident (R) 63) out of a total resident sample of 24.
  3. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 25, 2025
    Inspectors wroteBased on interview, record review, facility document and policy review, the facility failed to maintain a complete and accurate medical record for 1 of 5 residents sampled for unnecessary medications (Resident (R) 18) out of a total resident sample of 24. Observation revealed staff did not accurately document the correct dosage of insulin administered to R18.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 25, 2025
    Inspectors wroteBased on observation, interview, facility document and policy review, the facility failed to ensure it established and maintained 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 1 of 2 residents sampled for enhanced barrier precautions (Resident (R)298) out of a total resident sample of 24. Observation revealed staff failed to wear the proper personal protective equipment (PPE) when providing care to R298, who was on enhanced barrier precautions (EBP).
October 11, 2019Standard inspection · 7 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) December 1, 2019
    Inspectors wroteBased on observation, interview, record review and facility policy review it was determined the facility failed to store food in accordance with professional standards for food service safety as evidence by opened stored foods were undated and canned food labels were damaged/undated.
  2. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 1, 2019
    Inspectors wroteBased on observation, interview, record review, and facility policy it was determined the facility failed to ensure staff documented reconciliation of controlled medications at shift change. In addition, staff failed to immediately document removal of controlled medications; and, failed to keep medication carts locked and secured when unattended. Observations revealed staff failed to document removal of controlled medications, document verification of controlled substance medication counts at shift change, and insure medication carts were locked when unattended on three (3) of four (4) medication carts.
  3. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 1, 2019
    Inspectors wroteBased on record review and interview it was determined the facility failed to ensure a discharge Minimum Data Set (MDS) was transmitted within fourteen (14) days for one (1) of eighteen (18) sampled resident's, Resident #2. The facility discharged Resident #2 to an acute care hospital on [DATE], with his/her return anticipated; however did not submit the MDS discharge data.
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 1, 2019
    Inspectors wroteBased on observation, record review, and interview it was determined the facility failed to code the annual Minimum Data Set (MDS) accurately for (1) resident of the eighteen (18) sampled residents. Resident #46 smoked cigarettes but the MDS revealed no tobacco use.
  5. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 1, 2019
    Inspectors wroteBased on observation, record review, and interview it was determined the facility failed to follow physician's orders for one (1) of the eighteen (18) sampled residents, Resident #34. Resident #34 had orders for oxygen administered at four (4) liters (L). Observation revealed the oxygen concentrator set at three (3) L.
  6. 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) December 1, 2019
    Inspectors wroteBased on observation, interview, record review and review of policy it was determined the facility failed to ensure two (2) of two (2) refrigerated scheduled medication boxes were affixed to the medication refrigerators. Observations revealed the facility gray metal scheduled medication box in the East and [NAME] Unit were able to be completely removed from the refrigerators. In addition, the facility failed to ensure the pharmacy emergency scheduled medication kit was secured within an affixed box or area. Observation revealed the East Unit medication refrigerator contained a separate pharmacy medication container which contained scheduled medications and were closed with a green tug tie's and was not in a locked box or secured area. Interviews revealed the scheduled narcotic box was not audited by staff every shift.
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 1, 2019
    Inspectors wroteBased on observation, interview, and facility policy it was determined the facility failed to ensure staff performed hand hygiene during medication administration. Multiple observations revealed no hand hygiene performed by staff before or after medication administration and between residents.

Fire safety inspections

5 fire safety citations on file: 1 on January 23, 2025, 1 on June 21, 2024, 3 on October 11, 2019.

Every fire safety citation5 citations
  1. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · January 23, 2025 · Corrected (the home has a date of correction)
  2. D
    Provide a written emergency evacuation plan.
    K 711 · June 21, 2024 · Corrected (the home has a date of correction)
  3. D
    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 · October 11, 2019 · Corrected (the home has a date of correction)
  4. D
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · October 11, 2019 · Corrected (the home has a date of correction)
  5. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · October 11, 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)3.873.953.86
Registered nurses1.220.790.69
All nursing staff on weekends3.213.493.42
Nurse aides2.05
Licensed practical nurses0.61
Nursing staff turnover (share who left in a year)46.8%46.4%45.8%
Registered nurse turnover29.2%41.8%42.9%
Administrators who left0

CMS expects 3.91 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 4.14 on weekdays and 3.21 on weekends, 22% 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 3.83 in April to June 2025 to 3.87 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.871.224.143.21 0.0%0 of 9095
Oct to Dec 20254.021.244.253.43 0.0%0 of 9288
Jul to Sep 20253.841.124.083.23 0.0%0 of 9292
Apr to Jun 20253.831.134.043.30 0.0%0 of 9193
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.

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.

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
10.913.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.11.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.83.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.414.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.74.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.116.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.424.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.213.712.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Signature Healthcare of South Louisville's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

52.0% 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. 165 eligible stays.

Potentially preventable readmissions

13.9% 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. 171 eligible stays.

Infections that led to a hospital stay

7.4% 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. 114 eligible stays.

Self-care and mobility at discharge

71.2% 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. 59 residents counted.

Falls with major injury

0.0% 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. 105 residents counted.

New or worsened pressure ulcers

0.0% 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. 105 residents counted.

Medication list given at discharge

92.0% this home

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. 50 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: LP LOUISVILLE SOUTH LLC. CMS links this home to Signature Healthcare, a group of 67 nursing homes averaging 3.1 stars overall.

NameRoleTypeShareSince
LP Cr Holdings LLC5% or greater direct ownership interestOrganization100%11/01/2007
Agemo Holdings LLC5% or greater indirect ownership interestOrganization10/01/2016
Jjla LLC5% or greater indirect ownership interestOrganization11/01/2007
Lpsnf II LLC5% or greater indirect ownership interestOrganization10/01/2016
Wheaten LLC5% or greater indirect ownership interestOrganization11/01/2007
Steier III, Elmer5% or greater indirect ownership interestIndividual11/01/2007
Little, TyraW-2 managing employeeIndividual10/30/2023
Harrison, JohnCorporate officerIndividual11/01/2007
Signature Healthcare LLCOperational/managerial controlOrganization05/07/2018

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. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on February 26, 2026: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on February 26, 2026: "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."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on February 26, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on February 26, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.21 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 Signature Healthcare of South Louisville's Medicare star rating?
CMS rates Signature Healthcare of South Louisville 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Signature Healthcare of South Louisville get at its last inspection?
4 health deficiencies at the standard inspection on February 26, 2026. The Kentucky average is 2.9.
Has Signature Healthcare of South Louisville been fined?
CMS lists no fines in the last three years.
Does Signature Healthcare of South Louisville 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 Signature Healthcare of South Louisville?
CMS lists 9 owners and managers, and links the home to Signature Healthcare. Legal business name: LP LOUISVILLE SOUTH LLC.

Sources

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