01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-07-03 | 6 | 2025-07-03 | 5 |
| Cycle 2 | 2021-06-24 | 17 | 2021-06-24 | 0 |
| Cycle 3 | 2019-03-22 | 5 | 2019-03-22 | 4 |
CMS CCN 1851752026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Treyton Oak Towers
211 West Oak Street · Louisville, KY 40203 · Jefferson County
Certified beds60CMS provider file
Recent citation rows37current 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
37 rows in the current release
4 rows carry G–L scope/severity codes; 2 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-07-03 · FIREE0026Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Correction field: Deficient, Provider has date of correction · 2025-09-122025-07-03 · HEALTHF0552Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2025-08-242025-07-03 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2025-08-242025-07-03 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2025-08-242025-07-03 · 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 · 2025-08-24 · complaint2025-07-03 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-08-24 · complaint2025-07-03 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2025-08-242025-07-03 · 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 · 2025-08-242025-07-03 · 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 · 2025-08-242025-07-03 · 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 · 2025-08-242025-07-03 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-08-242025-07-03 · FIREK0914Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2025-08-242025-07-03 · FIREK0920Severity D · isolated; 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 · 2025-08-242024-02-24 · HEALTHF0600Severity J · isolated 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 · 2024-03-19 · complaint2021-06-24 · 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 · 2021-08-122021-06-24 · 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 · 2021-08-122021-06-24 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
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: Deficient, Provider has date of correction · 2021-08-122021-06-24 · 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 · 2021-08-122021-06-24 · HEALTHF0657Severity G · isolated actual 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 · 2021-08-122021-06-24 · 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 · 2021-08-122021-06-24 · HEALTHF0689Severity G · isolated actual 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 · 2021-08-122021-06-24 · HEALTHF0726Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Correction field: Deficient, Provider has date of correction · 2021-08-122021-06-24 · HEALTHF0744Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Correction field: Deficient, Provider has date of correction · 2021-08-122021-06-24 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2021-07-2803 / 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 |
|---|---|---|---|
| 2024-02-24 | Fine | $16,724 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- MCARTHUR, ANNEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 04/01/2024
- NOAH, KRISTIIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/26/2024
- BARNETT, SUSANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/25/2016
- BRINKMAN, SCOTTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/13/2020
- EVITS, KATHERINEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/25/2016
- FEKETE, ALBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/21/2014
- GARY, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/13/2020
- HARDY, ALVAHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/13/2020
- HOUZE, RICHARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/25/2016
- LOPE, PAULIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/13/2020
- MCCARTER, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/03/2009
- PARTENHEIMER, PHILIPIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/16/2012
- RAGLAND, DEATRAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/08/2011
- RILEY, JOEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/09/2012
- SIMONIS, PATRICIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/13/2020
- SMITH, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/03/2009
- WHEELER, PATRICIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/09/2012
- WILLETT, WILLIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/25/2016
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 hours4.03per resident day
RN hours0.72per resident day
Weekend nurse hours3.57per resident day
Staff turnover34.7%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