B+
82/100

The Episcopal Church Home Inspection Report, Violations & Safety Grade (Louisville, Kentucky)

7504 Westport Road, Louisville, Kentucky 40222

Phone: 5027367800

CMS Overall:4/5

Overview & Bed Count

Certified Beds
26
Avg Residents/Day
22.7
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Jefferson
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing5/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityKentucky AvgDifference
RN Hours per Resident per Day0.980.80+0.18
Total Nurse Hours per Resident per Day5.163.99+1.16
CMS Staffing Rating5/52.8/5-
Nursing Staff Turnover32.4%45.4%-

Health Citation History

7 health citations on record

DateCategoryDescriptionSeverity
2025-08-15Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2022-10-27Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2019-12-13Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2019-12-13Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2019-12-13Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2019-12-13Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2019-12-13Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential

Fire Safety Citation History

14 fire safety citations on record

DateCategoryDescriptionSeverity
2025-08-15Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2025-08-15Emergency Preparedness DeficienciesDevelop a communication plan.F – Moderate Harm Potential
2025-08-15Egress DeficienciesHave properly located and lighted "Exit" signs.F – Moderate Harm Potential
2025-08-15Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-08-15Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.F – Moderate Harm Potential
2025-08-15Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.E – Moderate Harm Potential
2022-10-27Construction DeficienciesMeet requirements for sections of health care facilities separated by fire resistive construction.F – Moderate Harm Potential
2022-10-27Egress DeficienciesAdd 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.F – Moderate Harm Potential
2022-10-27Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2022-10-27Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2022-10-27Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2019-12-13Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2019-12-13Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2019-12-13Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use of electrical equipment.D – Moderate Harm Potential

Total Penalties & Fines

$10,364
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2025-08-15Fine$10,364-

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