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Deficiency Records for Louisville Gardens Care Center
View the most recent health deficiencies and inspection results for Louisville Gardens Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Louisville Gardens Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-12-11 | 2025-12-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-11 | 2025-12-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-11 | 2025-12-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-12-11 | 2025-12-29 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-04 | 2025-10-04 | N |
| 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. | Fire Safety | 2025-09-04 | 2025-10-04 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-09-04 | 2025-10-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-04 | 2025-10-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-09-04 | 2025-10-04 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-09-04 | 2025-10-04 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-09-04 | 2025-10-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-09-04 | 2025-10-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-09-04 | 2025-10-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-09-04 | 2025-10-04 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-09-04 | 2025-10-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-09-04 | 2025-10-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-04 | 2025-06-18 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2025-04-16 | 2025-04-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-28 | 2025-02-07 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-03-11 | 2024-04-11 | Y |
| Post nurse staffing information every day. | Health | 2024-03-11 | 2024-04-11 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-03-11 | 2024-04-11 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-03-11 | 2024-04-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-11 | 2024-04-11 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-03-11 | 2024-04-11 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-11-15 | 2024-04-11 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-11-15 | 2024-04-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-11 | 2024-04-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-09 | 2024-02-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-15 | 2024-02-08 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-02-16 | 2023-04-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-16 | 2023-04-01 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-02-16 | 2023-04-01 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-02-16 | 2023-04-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-16 | 2023-04-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-16 | 2023-04-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-16 | 2023-04-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-16 | 2023-04-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-16 | 2023-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-16 | 2023-04-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-02-16 | 2023-04-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-16 | 2023-04-01 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-02-16 | 2023-04-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-02-16 | 2023-04-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-16 | 2023-04-01 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-02-16 | 2023-04-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-27 | 2021-09-08 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-04-27 | 2021-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-27 | 2021-09-08 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-04-27 | 2021-09-08 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-04-27 | 2021-09-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-04-27 | 2021-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-27 | 2021-09-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-27 | 2021-09-08 | N |
| Provide activities to meet all resident's needs. | Health | 2021-04-27 | 2021-09-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-27 | 2021-09-08 | N |
| 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. | Health | 2021-04-27 | 2021-09-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-27 | 2021-09-08 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-04-27 | 2021-09-08 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-04-27 | 2021-09-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-27 | 2021-09-02 | N |
| 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. | Fire Safety | 2021-04-27 | 2021-09-02 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-04-27 | 2021-09-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-27 | 2021-09-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-27 | 2021-09-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-27 | 2021-09-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-27 | 2021-09-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-27 | 2021-09-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-27 | 2021-09-02 | N |