211 West Oak Street, Louisville, KY 40203 · Jefferson County · (502) 589-3211
60 certified beds, about 52 residents a day · Non profit - Corporation · Medicare and Medicaid since 1984
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185175 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 3, 2025, inspectors cited 6 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
Of 28 health citations since March 2019, 4 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $16,724 in the last three years; the largest was $16,724, and the latest is dated February 24, 2024.
Nurses and nurse aides worked 4.03 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.72 of those hours.
34.7% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
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 28 health citations on file.
Inspectors wroteBased on interview, record review, and review of facility policy, the facility failed to have evidence that risks, benefits, and alternate treatments were discussed with residents and/or their representatives for 2 of 5 sampled residents reviewed for unnecessary medications (Resident (R)22, and R31).
Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to assess fall interventions related to placing a resident's bed against the wall and related to the use of a mattress with bolsters as potential restraints for 1 of 2 sampled residents reviewed for physical restraints, Resident (R) 41.
Inspectors wroteBased on interview, record review, and review of facility policy, the facility failed to ensure PRN (as needed) orders for psychotropic medications were limited to 14 days in the absence of a documented rationale for extending the use of the medication. This affected 1 of 5 sampled residents reviewed for unnecessary medications, Resident (R)42.
Inspectors wroteBased on interview, record review, and facility document review, the facility failed to provide evidence that a Level I Preadmission Screening and Resident Review (PASRR) was submitted to the state's PASRR authority and failed to have evidence of the results of the assessment for 1 of 2 residents (Resident (R) #22) reviewed for PASRR.
Inspectors wroteBased on observation, interview, record review, review of facility document and policy, the facility failed to complete a root cause analysis and determine appropriate interventions to reduce the risk of further falls for 1 of 3 residents reviewed for accidents, Resident (R)41. R41 sustained a fall on 01/30/2025 at 8:10 AM; however, there was no documented evidence the facility attempted to determine the root cause. Subsequently, R41 sustained another fall on 01/30/2025 at 9:44 PM.
Inspectors wroteBased on observation, interview, record review and review of facility policy, 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 1 of 2 residents observed for wound care, Resident (R)41. During observation of R41's wound care on 07/02/2025, Registered Nurse (RN)11 did not remove his soiled gloves or wash his hands after cleaning the resident's wound, and prior to beginning treatment to the wound bed, which was a clean process.
Inspectors wroteBased on interview, record review, and review of facility policy, the facility failed to ensure allegations of abuse were reported to the Administrator and State Agencies immediately, but not later than 2 hours after an allegation of abuse was made for 2 of 4 residents reviewed for abuse prohibition, Resident (R)23 and R201.
Inspectors wroteBased on interview, record review, and review of facility document and policy, there was no documented evidence alleged violations were thoroughly investigated for 2 of 4 residents reviewed for abuse prohibition, Resident (R)42 and R201.
Inspectors wroteBased on interview, record review, and review of the facility's video footage and policies, it was determined the facility failed to protect one (1) of seven (7) sampled residents (Resident #1) from neglect. On 01/26/2024 at approximately 7:50 PM, Resident #1 (R1) sustained a witnessed fall out of his/her wheelchair. R1 had a history of blood clots and had been receiving blood thinning medication (Eliquis, Plavix and Aspirin) prior to the fall on 01/26/2024. The resident sustained an injury to his/her head and right side of face. R1's nurse, Licensed Practical Nurse (LPN) #1 documented that she had notified the on-call physician and received orders to perform neuro checks per the facility's protocol, and to apply a cold pack to the affected area of the resident's face. However, when LPN #1's documented progress notes and neurological (neuro) check assessment
Inspectors wroteBased on interview, record review, and review of the facility's policy, it was determined the facility failed to revise the care plan timely with effective interventions to prevent recurring falls for one (1) of thirty-six (36) sampled residents, Resident #38. Record review revealed Resident #38 fell on [DATE], 04/21/2021, 05/03/2021 twice, 05/06/2021. Continued review revealed the care plan revisions did not occur timely and the resident fell again on 05/18/2021. The facility transferred Resident #38 to an acute care facility where the resident was diagnosed with a fractured clavicle.
Inspectors wrote2. Review record revealed the facility admitted Resident #2 on 06/04/2019 with diagnoses of Alzheimer's, Dementia without behaviors and Insomnia. Review of Resident #2's Minimal Data Set (MDS), dated [DATE] revealed the facility assessed the resident to require physical help with baths, with support of one (1) staff and extensive assist of one (1) staff for bed mobility, to transfer, for toilet and for personal hygiene. Record review revealed the facility assessed Resident #2 with a Brief Interview for Mental Status (BIMS) score of nine (9) out of fifteen (15) which indicated moderate cognitive impairment. Review of Resident #2's Physician's Orders revealed on 02/12/2020, the Medical Director (MD) ordered leg protectors to be on both legs at all times except at bath without an end date. [...]
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure nursing staff had appropriate competencies and skill sets upon hire and annually to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Record review revealed the facility failed to document orientation/competency assessments.
Inspectors wroteBased on observation, interview and review of facility policy, it was determined the facility failed to serve food in a sanitary manor. Observations during the survey revealed dietary staff cross contaminated food with improper hand hygiene during meal services. In addition, wash/rinse temperatures and sanitization chemical levels were not documented.
Inspectors wroteBased on interview, record review, and facility policy review it was determined the facility failed to be administered in a manner that enabled it to use facility resources effectively and efficiently to attain or maintain the highest practicable physical, mental, or psychosocial wellbeing of each resident. Record review and interview revealed the facility failed to provide training, orientation, and competency to new and desisting staff per facility policy.
Inspectors wroteBased on interview, record review, and facility policy review it was determined the facility failed to review and update the facility's assessment. The facility failed to ensure to hire a part-time staff educator to coordinator, plan, execute, and document ongoing training and competency programs for all staff members at least monthly throughout the year. The facility failed to ensure newly hired staff received and completed required training and competencies for resident care and safety. In addition, the facility failed to complete yearly annual training for employed staff greater than one (1) year.
Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to maintain an infection prevention and control program to provide a safe, sanitary and comfortable environment. Observations of the residents' multiple-use shower room revealed unsanitary conditions.
Inspectors wroteBased on observation, interview, record review and review of the facility's policy it was determined the facility failed to maintain the resident's rights to receive care and services in a dignified manner for one (1) of thirty-six (36) sampled residents (Resident # 97). Observation revealed staff toileted Resident #97 and failed to close the bathroom and main room door while the resident toileted.
Inspectors wroteBased on interview, record review, and policy review it was determined the facility failed to report potential or identified abuse for one (1) of thirty-six (36) sampled residents (Resident #2). The facility initiated an investigation for an injury of unknown origin, but failed to immediately report to the administrator, and other required officials. On 04/22/2021 at 7:00 AM, Licensed Practical Nurse (LPN) #2 conducted a weekly skin assessment on Resident #2 and found a bandage on the resident's lower right leg. LPN #2 completed a facility Event at 9:54 AM and documented that the resident did not know what happened. This event was not processed as an injury of unknown source. However, the facility did not report to this management and the State Survey Agency (SSA) timely.
Inspectors wroteBased on interview, record review and facility policy review, it was determined the facility failed to develop and implement a Baseline Care Plan (BCP) for one (1) of thirty-nine (39) sampled residents, (Resident #196). Resident #196 was admitted to the facility from a Personal Care Home (PCH) after it was determined resident required a higher level of care. The facility failed to initiate a baseline care plan to ensure resident's activity of daily living needs were met.
Inspectors wroteBased on observation, interview, record review and policy review it was determined the facility failed to develop and implement a person centered Comprehensive Care Plan (CCP) for two (2) of thirty-six (36) sampled residents to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for Residents #20 and #108. Record review revealed Resident #108's care plan interventions were not implemented regarding transfer resident. Record review revealed that Resident #20 was improperly transferred by one (1) Certified Nurse Assistant (CNA), when resident was care planned for a two person assist. Resident did not have on proper footwear or non-slip socks.
Inspectors wroteBased on observation, interview, record review and review of policy it was determined the facility failed to provide Activities of Daily Living (ADL) care for three (3) of thirty-six (36) sampled residents. (Resident #38, #97, and #196).
Inspectors wroteBased on observation, interview, record review, and review of the facility's policy it was determined the facility failed to provide treatment and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for one (1) of thirty-six (36) sampled residents (Resident #97). Resident had a diagnosis of dementia. Observations revealed the resident called out Help me. and banged on a table with objects when staff delayed response to his/her call for assistance. Staff Interviews revealed they had not completed dementia and behavior management education which would include completion of competency tests prior to being scheduled to work. In addition, the facility was unable to provide documentation of newly hired staff's completed education and competencies. [...]
Inspectors wroteBased on observation, interview and record review, it was determined the facility failed to designate a member of the facility's interdisciplinary team as the Hospice Coordinator for one (1) of thirty-six (36) sampled residents (Resident #196).
Inspectors wroteBased on observations, interviews, and record review, it was determined the facility failed to maintain an infection prevention and control program to provide a safe, sanitary and comfortable environment to prevent the development and transmission of diseases and infections for four (4) of thirty-six (36) sampled residents (Residents #8, #16, #36, and #38).
Inspectors wroteBased on observation, interview, facility policy review, and review of manufacturer's recommendations, it was determined the facility failed to have an effective system to maintain an infection control program to ensure a safe environment and to help prevent the development and transmission of infection for four (4) of six (6) sampled residents, Resident #11, #26, #28, and #238. Observation and interview revealed the facility utilized a hand held meter to collect blood to test the International Normalized Ratio (INR) levels of residents. Staff cleaned the outside of the meter, but not where the test strip was inserted. Observation revealed the meter was soiled at the test strip insertion site. The facility used the same meter for the residents on standard precautions and the residents on isolation precautions. There were no meters dedicated to the isolation rooms. [...]
Inspectors wroteBased on observation and interview, it was determined the facility failed to store food items in accordance with professional standards for food safety. Three (3) containers of spices were not labeled with the date opened.
Inspectors wroteBased on observation, interview, and facility policy review, it was determined the facility failed to implement the care plan for one (1) of twelve (12) sampled residents, Resident #23. Resident #23 was to have a padded rail in the bathroom per the care plan; however, observation revealed no padded rail in the resident's bathroom.
Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to label drugs and/or biologicals when opened in accordance with currently accepted professional principles. Observation revealed staff failed to label one (1) bottle of a liquid multivitamin, and one (1) bottle of flax oil.
9 fire safety citations on file: 5 on July 3, 2025, 4 on March 22, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| February 24, 2024 | Fine | $16,724 |
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) | 4.03 | 3.95 | 3.86 |
| Registered nurses | 0.72 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.57 | 3.49 | 3.42 |
| Nurse aides | 2.18 | ||
| Licensed practical nurses | 1.12 | ||
| Nursing staff turnover (share who left in a year) | 34.7% | 46.4% | 45.8% |
| Registered nurse turnover | 30.0% | 41.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.03 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 4.22 on weekdays and 3.57 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.22 in April to June 2025 to 4.03 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 | 4.03 | 0.72 | 4.22 | 3.57 | 6.9% | 0 of 90 | 52 |
| Oct to Dec 2025 | 4.16 | 0.74 | 4.43 | 3.47 | 8.9% | 0 of 92 | 51 |
| Jul to Sep 2025 | 4.34 | 0.88 | 4.64 | 3.58 | 8.6% | 0 of 92 | 48 |
| Apr to Jun 2025 | 4.22 | 0.93 | 4.46 | 3.62 | 10.3% | 1 of 91 | 47 |
| 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. If you work here, your report helps start one.
| 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 | 11.4 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.3 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.2 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.6 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.9 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 0.8 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 33.5 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 2.6 | 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 | 1.9 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Treyton Oak Towers's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (62.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
62.0% this home
Better than 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. 61 eligible stays.
9.5% 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. 76 eligible stays.
7.0% 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. 37 eligible stays.
46.0% 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. 37 residents counted.
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. 50 residents counted.
4.0% 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. 50 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. 17 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: THIRD AND OAK CORPORATION.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| McArthur, Anne | W-2 managing employee | Individual | 04/01/2024 | |
| Noah, Kristi | W-2 managing employee | Individual | 08/26/2024 | |
| Barnett, Susan | Corporate director | Individual | 10/25/2016 | |
| Brinkman, Scott | Corporate director | Individual | 10/13/2020 | |
| Evits, Katherine | Corporate director | Individual | 10/25/2016 | |
| Fekete, Albert | Corporate director | Individual | 10/21/2014 | |
| Gary, James | Corporate director | Individual | 10/13/2020 | |
| Hardy, Alvah | Corporate director | Individual | 10/13/2020 | |
| Houze, Richard | Corporate director | Individual | 10/25/2016 | |
| Lope, Paul | Corporate director | Individual | 10/13/2020 | |
| McCarter, Robert | Corporate director | Individual | 11/03/2009 | |
| Partenheimer, Philip | Corporate director | Individual | 11/16/2012 | |
| Ragland, Deatra | Corporate director | Individual | 11/08/2011 | |
| Riley, Joe | Corporate director | Individual | 10/09/2012 | |
| Simonis, Patricia | Corporate director | Individual | 10/13/2020 | |
| Smith, John | Corporate director | Individual | 11/03/2009 | |
| Wheeler, Patricia | Corporate director | Individual | 10/09/2012 | |
| Willett, William | Corporate director | Individual | 10/25/2016 | |
| McArthur, Anne | Corporate officer | Individual | 04/01/2024 |
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.