01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-15 | 1 | 2025-08-15 | 6 |
| Cycle 2 | 2022-10-27 | 1 | 2022-10-27 | 5 |
| Cycle 3 | 2019-12-13 | 5 | 2019-12-13 | 3 |
CMS CCN 1853102026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
The Episcopal Church Home
7504 Westport Road · Louisville, KY 40222 · Jefferson County
Certified beds26CMS provider file
Recent citation rows21current CMS citation release
Penalty rows1current 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
21 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-15 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2025-09-112025-08-15 · FIREE0029Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop a communication plan.
Correction field: Deficient, Provider has date of correction · 2025-09-112025-08-15 · 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 · complaint2025-08-15 · FIREK0293Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2025-09-122025-08-15 · FIREK0712Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-09-112025-08-15 · 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 · 2025-09-112025-08-15 · FIREK0921Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2025-09-162022-10-27 · 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 · 2022-12-012022-10-27 · FIREK0131Severity F · widespread; potential for more than minimal harm
Construction Deficiencies
Meet requirements for sections of health care facilities separated by fire resistive construction.
Correction field: Deficient, Provider has date of correction · 2023-01-312022-10-27 · FIREK0222Severity F · widespread; 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 · 2022-11-242022-10-27 · FIREK0351Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2023-03-012022-10-27 · 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 · 2023-03-142022-10-27 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2022-12-042019-12-13 · 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 · 2020-01-292019-12-13 · 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 · 2020-01-292019-12-13 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2020-01-292019-12-13 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2020-01-292019-12-13 · 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 · 2020-01-292019-12-13 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2020-01-292019-12-13 · FIREK0918Severity D · isolated; 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 · 2019-12-132019-12-13 · FIREK0919Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Correction field: Deficient, Provider has date of correction · 2019-12-1303 / 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 | $10,364 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- EPISCOPAL CHURCH HOME FOUNDATION INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST20% · since 10/05/2016
- EPISCOPAL RETIREMENT SERVICESOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST80% · since 10/05/2016
- EPISCOPAL RETIREMENT HOMES, INC.Organization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2023
- MORTON, LAURAIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2023
- COLEMAN, JOMIYAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 07/15/2021
- EDWARDS, BEVERLYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 10/06/2016
- FRASER, BONITAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/15/2022
- LAMB, LAURAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 10/05/2016
- STEWARD, DANIELIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 10/21/2019
- ANIM, DORAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- COOPER, W.Individual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- ELIN, REVEREND DARRENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- FRITSCHNER, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- HAGOPIAN, JOANNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/05/2016
- HARTMAN, ALANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- HOPKINS, GREGORYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- KEARNEY, ERICIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- KOEPKE, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/05/2016
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 hours5.02per resident day
RN hours0.98per resident day
Weekend nurse hours4.68per resident day
Staff turnover27.0%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