01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-04 | 4 | 2025-12-04 | 7 |
| Cycle 2 | 2023-06-11 | 14 | 2023-06-11 | 5 |
| Cycle 3 | 2019-03-01 | 17 | 2019-03-01 | 2 |
CMS CCN 1851762026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Clifton Heights
446 Mt. Holly Avenue · Louisville, KY 40206 · Jefferson County
Certified beds110CMS provider file
Recent citation rows49current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
49 rows in the current release
10 rows carry G–L scope/severity codes; 9 carry J–L. 8 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-12-04 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-12-17 · complaint2025-12-04 · HEALTHF0925Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Correction field: Deficient, Provider has date of correction · 2025-12-17 · complaint2025-12-04 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-12-172025-12-04 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-12-172025-12-04 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-12-172025-12-04 · FIREK0712Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-12-172025-12-04 · FIREK0900Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Meet Health Care Facilities Code mechanical requirements.
Correction field: Deficient, Provider has date of correction · 2025-12-172025-12-04 · FIREK0916Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Correction field: Deficient, Provider has date of correction · 2025-12-172025-12-04 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-12-172025-11-22 · HEALTHF0697Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2025-12-17 · complaint2025-11-22 · HEALTHF0776Severity G · isolated actual harm
Administration Deficiencies
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Correction field: Deficient, Provider has date of correction · 2025-12-17 · complaint2023-08-11 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2023-09-23 · complaint2023-08-11 · HEALTHF0600Severity K · pattern of immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2023-09-23 · complaint2023-08-11 · HEALTHF0607Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2023-09-23 · complaint2023-08-11 · HEALTHF0609Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2023-09-23 · complaint2023-08-11 · HEALTHF0684Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2023-09-23 · complaint2023-08-11 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2023-09-23 · complaint2023-08-11 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2023-09-23 · complaint2023-08-11 · HEALTHF0835Severity K · pattern of immediate jeopardy
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Correction field: Deficient, Provider has date of correction · 2023-09-23 · complaint2023-08-11 · HEALTHF0867Severity K · pattern of immediate jeopardy
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2023-09-23 · complaint2023-06-11 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2023-09-232023-06-11 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2023-09-232023-06-11 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2023-09-232023-06-11 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2023-09-2303 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- JOURNEY CZ OF KY LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 08/01/2024
- JOURNEY CZ KY HEALTHCARE HOLDINGS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 08/01/2024
- MCGUINNESS, BERNARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/01/2024
- KAPOOR, SANDEEPIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/01/2024
- MCGUINNESS, BERNARDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2024
- SMITH, RHONDAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/01/2024
- KAPOOR, SANDEEPIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/23/2025
- SMITH, RHONDAIndividual · ADP OF THE SNFNOT APPLICABLE · since 08/01/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.61per resident day
RN hours0.68per resident day
Weekend nurse hours3.28per resident day
Staff turnover78.9%CMS reported field
06 / LOCAL RECORDS
Open the Louisville ledger →Other published facilities nearby
Cherokee Park Rehabilitation104 beds · CMS overall 2/546 citation rowsChestnut Ridge Health & Rehabilitation92 beds · CMS overall 1/555 citation rowsEastway Health & Rehabilitation252 beds · CMS overall 1/558 citation rowsEssex Rehabilitation And Healthcare Center128 beds · CMS overall 2/513 citation rowsForest Springs Health Campus58 beds · CMS overall 4/59 citation rowsFranciscan Health Care Center87 beds · CMS overall 3/520 citation rowsGlen Ridge Health Campus70 beds · CMS overall 4/524 citation rowsHighlands Nursing And Rehabilitation154 beds · CMS overall 2/553 citation rows