Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Signature Healthcare Of South Louisville during CMS and state inspections, most recent first.
A resident with chronic respiratory conditions was observed receiving supplemental oxygen at a rate higher than the physician-ordered 3 liters per minute. Nursing staff failed to consistently monitor and adhere to the prescribed oxygen rate, and there was no documentation of notifying the physician about the change. The facility's Director of Nursing and CEO acknowledged the need for adherence to physician orders.
The facility failed to maintain a medication error rate below 5%, with two errors out of 34 opportunities, resulting in a 5.88% error rate. A resident with type 2 diabetes was affected when RN 7 administered Lantus insulin without performing a safety test and Humalog insulin without priming the pen, contrary to manufacturer's instructions. Interviews revealed a lack of adherence to guidelines, with staff not following proper procedures for insulin administration.
A resident with type 2 diabetes mellitus received incorrect insulin dosage documentation by an LPN, who recorded dosages that did not match the physician's order of 35 units. The LPN admitted to entering wrong dosages due to interruptions, despite knowing the correct dose. The facility's policy required accurate charting and adherence to physician orders, which was not followed in this case.
A facility failed to ensure proper infection control practices for a resident on enhanced barrier precautions (EBP). The resident, with a surgical incision and indwelling catheter, required staff to wear a gown and gloves during care. However, a CNA was observed using only gloves while emptying the resident's catheter bag. Interviews with the CNA, DON, and CEO confirmed the expectation for full PPE use, highlighting a lapse in adherence to infection control policies.
Failure to Follow Physician Orders for Oxygen Administration
Penalty
Summary
The facility failed to adhere to physician orders regarding the administration of supplemental oxygen for a resident, identified as R18, who was admitted with diagnoses including acute on chronic diastolic heart failure, acute and chronic respiratory failure with hypoxia, and chronic obstructive pulmonary disease. The resident's care plan required oxygen therapy, with a specific order for supplemental oxygen to be administered via nasal cannula at 3 liters per minute continuously. However, an observation revealed that the oxygen concentrator was set at 4 liters per minute, contrary to the physician's order. Interviews with nursing staff indicated a lack of consistent monitoring and adherence to the prescribed oxygen rate. RN 2 admitted that the oxygen rate should have been checked every morning, but it was not done on the day of the observation. RN 4, who worked the night shift prior to the observation, stated that the oxygen was set correctly at 3 liters per minute at the end of her shift. RN 3, who worked the day shift when the discrepancy was noted, claimed to have checked the oxygen rate and found it correct in the morning, but was unaware of any changes made later. The resident, R18, confirmed that they did not alter the oxygen settings themselves. The facility's failure to notify the physician or nurse practitioner about the increase in supplemental oxygen was also noted, as there was no documentation of such communication in the resident's progress notes. The Director of Nursing and the Chief Executive Officer/Administrator both acknowledged that nurses should follow physician orders and check oxygen rates during medication administration and resident checks. The nurse practitioner emphasized the importance of notifying medical staff if changes to oxygen levels were necessary to prevent dependency on supplemental oxygen.
Medication Error Rate Exceeds 5% Due to Non-Compliance with Insulin Administration Guidelines
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, as evidenced by two medication errors out of 34 opportunities, resulting in a 5.88% error rate. This affected one resident, identified as R63, during a medication pass. The facility's policy on medication administration requires that medications be administered as prescribed and in accordance with manufacturers' instructions. However, the facility did not adhere to these guidelines, leading to the observed errors. Resident R63, who has a medical history of type 2 diabetes mellitus, was involved in the medication errors. The resident was prescribed Lantus Solostar insulin and Humalog KwikPen insulin, with specific instructions for administration. During an observation, RN 7 administered 16 units of Lantus insulin without performing the required safety test, as per the manufacturer's instructions. Additionally, RN 7 administered Humalog insulin without priming the pen, contrary to the manufacturer's guidelines. Interviews with RN 7, the Facility Pharmacist, the Nurse Practitioner, the Director of Nursing, and the CEO/Administrator revealed a lack of adherence to the manufacturer's instructions and facility policies. RN 7 admitted to not following the priming instructions, believing it would waste insulin. The Facility Pharmacist and Nurse Practitioner emphasized the importance of following the manufacturer's instructions to ensure proper medication administration. The Director of Nursing and CEO/Administrator confirmed the expectation for staff to follow physician's orders and guidelines.
Inaccurate Insulin Dosage Documentation
Penalty
Summary
The facility failed to maintain a complete and accurate medical record for a resident diagnosed with type 2 diabetes mellitus. The resident, who was assessed as having intact cognition, was receiving insulin injections daily. The facility's policy required physician orders to be followed and reviewed to ensure proper care delivery. However, the Medication Administration History revealed discrepancies in the insulin dosages documented by an LPN. The LPN recorded incorrect dosages on multiple occasions, deviating from the physician's order of 35 units of insulin glargine. The LPN admitted to entering the wrong dosage in the electronic health record due to interruptions, despite knowing the correct dose. The facility's job description for charge nurses emphasized the importance of accurate charting and medication administration as per physician orders. Despite this, the LPN documented incorrect insulin dosages, which were not aligned with the active physician's order. The Director of Nursing expressed an expectation for accurate documentation in residents' medical records. This deficiency highlights a failure in maintaining accurate medical records and ensuring adherence to physician orders, as evidenced by the incorrect documentation of insulin dosages for the resident.
Inadequate Use of PPE for Resident on Enhanced Barrier Precautions
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the improper use of personal protective equipment (PPE) by staff when caring for a resident on enhanced barrier precautions (EBP). The resident, identified as R298, was admitted with a fracture and had a surgical incision and an indwelling catheter, necessitating EBP. The facility's policy required staff to wear a gown and gloves during high-contact care activities for residents on EBP. However, during an observation, a Certified Nursing Assistant (CNA) was seen emptying the resident's urinary catheter bag while wearing only gloves, contrary to the facility's policy. Interviews with the CNA, the Director of Nursing (DON), and the Chief Executive Director (CEO)/Administrator confirmed the expectation that staff should wear both a gown and gloves when providing care to residents on EBP. The CNA acknowledged the oversight, and both the DON and CEO/Administrator reiterated the importance of adhering to the facility's infection control guidelines. The deficiency was identified through a review of the facility's policies, the resident's care plan, and physician orders, which all indicated the need for EBP due to the resident's medical condition.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Louisville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Parkwood Health & Rehabilitation | 2.3 mi | — | 9 | 0 |
| Essex Rehabilitation And Healthcare Center | 2.4 mi | — | 0 | 0 |
| Park Terrace Health Campus | 3.3 mi | — | 0 | 0 |
| Signature Healthcare At Rockford Rehab & Wellness | 3.6 mi | — | 2 | 0 |
| Signature Healthcare At Summerfield Rehab & Wellne | 4.1 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.