01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-05 | 2 | 2025-09-05 | 5 |
| Cycle 2 | 2024-07-19 | 10 | 2024-07-19 | 14 |
| Cycle 3 | 2019-05-16 | 4 | 2019-05-16 | 1 |
CMS CCN 1851782026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Louisville East Post Acute
4200 Browns Lane · Louisville, KY 40220 · Jefferson County
Certified beds178CMS provider file
Recent citation rows36current CMS citation release
Penalty rows2current 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
36 rows in the current release
2 rows carry G–L scope/severity codes; 2 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-09-05 · 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 · 2025-10-082025-09-05 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-10-082025-09-05 · FIREK0372Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2025-10-082025-09-05 · 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 · 2025-10-082025-09-05 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-10-082025-08-15 · HEALTHF0655Severity J · isolated immediate jeopardy
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Past Non-Compliance · 2025-08-04 · complaint2025-08-15 · HEALTHF0689Severity J · isolated immediate jeopardy
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: Past Non-Compliance · 2025-08-04 · complaint2024-07-19 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2024-09-012024-07-19 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2024-09-012024-07-19 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-09-012024-07-19 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-09-01 · complaint2024-07-19 · HEALTHF0755Severity D · isolated; 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 · 2024-09-012024-07-19 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2024-09-012024-07-19 · HEALTHF0804Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2024-09-01 · complaint2024-07-19 · HEALTHF0814Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2024-09-012024-07-19 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-09-012024-07-19 · HEALTHF0925Severity F · widespread; 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 · 2024-09-01 · complaint2024-07-19 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add 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.
Correction field: Deficient, Provider has date of correction · 2024-09-152024-07-19 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-09-152024-07-19 · FIREK0293Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2024-09-152024-07-19 · FIREK0321Severity E · pattern; 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 · 2024-09-152024-07-19 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-09-152024-07-19 · FIREK0351Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2024-09-152024-07-19 · 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 · 2024-09-1503 / 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 |
|---|---|---|---|
| 2025-08-15 | Fine | $6,370 | 0 |
| 2025-08-15 | Fine | $6,370 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- PROVIDENCE GROUP OF KENTUCKIANA LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 10/07/2015
- OMORUYI, OSAWARUIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 04/01/2016
- BREDNICH, BENJAMINIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 04/12/2020
- APT, FREDERICKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2024
- JERGENSEN, JOSHUAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2024
- MITCHELL, JOHNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2024
- BREDNICH, BENJAMINIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/12/2020
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 hours3.84per resident day
RN hours0.71per resident day
Weekend nurse hours3.43per resident day
Staff turnover43.6%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 rowsClifton Heights110 beds · CMS overall 1/549 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 rows