Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around October 2026
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 Altercare Of Louisville Ctr For Rehab & Nsg Care during CMS and state inspections, most recent first.
Staff failed to follow hand hygiene policies during medication administration and incontinence care. An LPN administered medications to several residents in sequence, moved between resident rooms and the medication storage room, and assisted a resident with a nasal cannula without performing hand hygiene between contacts, only washing hands after adjusting the oxygen device. In a separate incident, a cognitively intact, frequently incontinent resident who depended on staff for toileting and turning received perineal care from a nurse aide in training and an LPN; both removed soiled gloves and immediately donned new gloves without hand hygiene, and there was no hand sanitizer dispenser in the resident’s bathroom, contrary to facility policies requiring hand hygiene before handling meds, before and after resident contact, and after glove removal.
A resident with multiple medical conditions, including hemiplegia and chronic heart failure, received wound care for a right lower arm skin tear without a corresponding physician order. Staff confirmed that treatment was provided and documented, but the required physician order was not present in the medical record, contrary to facility policy and the resident's care plan.
A resident with multiple chronic conditions did not receive physician-ordered wound care for pressure ulcers when the facility failed to administer treatments as prescribed, including not applying betadine to the heels due to lack of supply. Documentation and observations confirmed that wound care was missed or altered without physician authorization, and the DON acknowledged the treatments were not provided as ordered.
A resident with diabetes did not receive prescribed weekly Mounjaro injections on multiple occasions due to a nurse's documentation error and a lack of medication supply from the pharmacy, which went unnoticed by facility management. The resident missed several doses before the issue was identified and the medication was delivered.
A resident with malignant neoplasm and other conditions did not receive scheduled doses of Gabapentin due to the facility's failure to reorder the medication timely. The resident's Medication Administration Record showed missed doses, and the physician was not informed. Interviews confirmed the deficiency, highlighting delays in medication delivery.
A resident with severe cognitive impairment bit an STNA during care, leading the STNA to slap the resident, leaving a red mark. The incident was initially unsubstantiated, but further investigation revealed conflicting staff accounts. The facility's policy requires immediate reporting and investigation of abuse incidents.
A resident with severe cognitive impairment and incontinence did not receive timely incontinence care as per facility policy, which requires care every two hours. The resident was only provided care at 9:30 A.M. and 2:00 P.M., despite being dependent on staff for all personal care activities. Family concerns about care quality were also noted, including the use of a surveillance camera to monitor the resident's care.
Failure to Perform Hand Hygiene During Med Pass and Incontinence Care
Penalty
Summary
The deficiency involves failures in hand hygiene practices during medication administration and incontinence care, contrary to the facility’s own infection control and hand hygiene policies. During a morning medication pass, an LPN dispensed and administered medications to multiple residents in succession without performing hand hygiene upon exiting resident rooms or after returning from the medication storage room. Hand hygiene was not performed before handling medications or after direct resident contact, including when the LPN assisted a resident with inserting and adjusting a nasal cannula for oxygen, and handwashing only occurred after this assistance. These actions conflicted with the facility’s Medication Administration-General Guidelines and Hand Washing-Hygiene policies, which required hand hygiene before handling medications, before direct resident contact, and after direct resident contact and contact with objects near the resident. The deficiency also includes improper hand hygiene during incontinence care for a resident with epilepsy, physical debility, Type 2 diabetes, muscle weakness, major depressive disorder, urinary incontinence, and dependence on staff for toileting hygiene and turning. During observed perineal care, a nurse aide in training removed soiled gloves and immediately donned new gloves without performing hand hygiene, then continued drying and repositioning the resident. An LPN assisting with the same incontinence care removed gloves when obtaining an incontinence brief from the bathroom, then returned, handed the brief to the aide, and immediately applied new gloves without hand hygiene before continuing to assist with positioning. There was no hand sanitizer dispenser in the resident’s bathroom. These practices were inconsistent with the facility’s Perineal Care and Hand Washing-Hygiene policies, which required hand hygiene after removing gloves and before applying new gloves, and after contact with contaminated objects and intact resident skin.
Failure to Obtain Physician Order for Skin Tear Treatment
Penalty
Summary
A deficiency occurred when the facility failed to obtain a physician order for the treatment of a right lower arm skin tear for a resident with diagnoses including hemiplegia, aphasia, and chronic systolic congestive heart failure. The resident's care plan included an intervention to perform treatments as per physician orders, and the resident was assessed as having moderate cognitive impairment. Documentation showed the skin tear was first identified and measured, and wound care was provided, but there was no corresponding physician order for the treatment in the resident's medical record for the relevant period. Observations confirmed the resident had a dressing on the right arm, and interviews with staff, including a CNA and the DON, verified that wound care was being provided without an active physician order. The DON acknowledged that although a treatment plan was obtained, it was not written as a physician order. Facility policy required wound care to be provided using professional standards of practice, which was not followed in this instance.
Failure to Administer Ordered Pressure Ulcer Care Due to Lack of Supplies
Penalty
Summary
A deficiency occurred when a resident with diagnoses including end stage renal disease, cellulitis of both lower limbs, and chronic pain did not receive pressure ulcer care as ordered by the physician. The resident's care plan required wound treatments to the left medial ankle, posterior Achilles, and bilateral heels, including the use of normal saline, iodoform, betadine, and xeroform dressings. Documentation revealed that on specific dates, wound care was not administered as ordered: the wound care was placed on hold without physician authorization, and betadine was not available for use on the resident's heels. Observations confirmed that dressings were not changed as scheduled, and betadine was not applied during wound care treatments. Further review and interviews established that the facility had run out of betadine, and the DON confirmed that the resident had not received the prescribed wound care. There was no evidence in the medical record that the physician had ordered wound care to be held. The facility's policy required identification of residents at risk for pressure injuries and provision of care for existing wounds, but these interventions were not followed for this resident, resulting in a failure to provide pressure ulcer care as ordered.
Failure to Administer Diabetic Medication as Ordered
Penalty
Summary
Resident #81, who had a diagnosis of type two diabetes mellitus and was at risk for pressure injuries, was not administered his prescribed diabetic medication, Mounjaro, according to physician orders. The resident was admitted with intact cognition and required substantial assistance with mobility. Physician orders specified a weekly subcutaneous injection of Mounjaro, but review of the Medication Administration Record (MAR) showed missed doses on three separate occasions. The MAR comments incorrectly indicated the medication was discontinued or on hold, and the resident only received one dose during the period in question. Further review and interviews revealed that a nurse erroneously documented the discontinuation of Mounjaro when only the resident's Lantus insulin had been discontinued. Additionally, after the initial dose was administered, the pharmacy did not send further doses, and facility management was unaware of the missing medication until several weeks later. As a result, the resident missed multiple scheduled doses because the medication was not available in the facility, and the issue was not identified or addressed in a timely manner.
Failure to Timely Reorder Pain Medication
Penalty
Summary
The facility failed to ensure timely reordering of pain medication for Resident #29, who was diagnosed with malignant neoplasm of the head, face, neck, and tongue, as well as dysphagia and gastrostomy status. The resident, who was mildly impaired with a BIMS score of 12, had a physician's order for Gabapentin 600 mg to be administered orally twice daily. However, the Medication Administration Record indicated that the resident did not receive the scheduled doses on February 10 and February 11, 2025, due to the medication being on hold while awaiting pharmacy delivery. There was no documentation in the nurse progress notes indicating that the physician was informed of the missed doses. Interviews conducted with the Director of Nursing and Resident #29 confirmed the deficiency. The Director of Nursing acknowledged that the facility nurses did not reorder the Gabapentin in a timely manner, resulting in the missed doses. Resident #29 reported experiencing delays in receiving his pain medication and missing doses because the facility failed to order the medications promptly. This deficiency was identified during an investigation of Complaint OH00162436.
Failure to Protect Resident from Physical Abuse
Penalty
Summary
The facility failed to protect a resident from staff-to-resident physical abuse. The incident involved a resident with severe cognitive impairment who was admitted with diagnoses including vascular dementia and muscle weakness. During an attempt to provide personal care, the resident became agitated and bit a State tested Nursing Assistant (STNA) on the forearm, drawing blood. In response, the STNA slapped the resident, leaving a red handprint on the resident's face. The incident was initially unsubstantiated, but further investigation revealed conflicting accounts from the staff involved. The resident's medical record and Minimum Data Set (MDS) assessment indicated severe cognitive impairment, which may have contributed to the resident's behavioral response during care. The incident occurred when two STNAs attempted to provide incontinence care, leading to the resident's agitation and subsequent biting of the STNA. The STNA's reaction to the bite was to slap the resident, which was later confirmed by the facility's Administrator during an interview. The facility's policy on abuse, neglect, and misappropriation requires immediate reporting and investigation of such incidents, which was not fully adhered to in this case.
Failure to Provide Timely Incontinence Care
Penalty
Summary
The facility failed to provide timely incontinence care for a resident with severe cognitive impairment and incontinence of bowel and bladder. The resident, who was dependent on staff for all activities of daily living, including toileting hygiene, was observed to have received incontinence care at 9:30 A.M. and again at 2:00 P.M., despite the facility's policy requiring care every two hours. This lapse in care was confirmed by a State Tested Nursing Assistant (STNA) who acknowledged that the resident was not checked and changed every two hours as required. The resident's medical record indicated a history of Alzheimer's disease with early onset, altered mental status, and adult failure to thrive. The resident was also dependent on a Hoyer mechanical lift for transfers and required assistance with all personal care activities. Despite these needs, the facility did not adhere to its policy of routine resident checks every two hours, which was intended to ensure the safety and well-being of residents. Interviews with staff and family members revealed additional concerns, including the use of a surveillance camera by the resident's family to monitor care. The family expressed worries about the adequacy of care, including the frequency of showers and nail care, and the proper use of the Hoyer lift. The facility's failure to provide timely incontinence care was documented as a deficiency under a complaint investigation.
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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) |
|---|---|---|---|---|
| Saint Joseph Care Center | 2.1 mi | — | 17 | 0 |
| Green Meadows Skilled Nursing And Rehab | 2.5 mi | — | 0 | 0 |
| Louisville Gardens Care Center | 5.2 mi | — | 4 | 0 |
| Canterbury Villa Of Alliance | 5.9 mi | — | 3 | 0 |
| Windsor Medical Center Inc | 6.1 mi | — | 1 | 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.