Chestnut Ridge Health & Rehabilitation
1015 West Magazine Street · Louisville, KY · 40203 · 5028156460
92 certified beds For profit - Corporation Chain: Lyon Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (5 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
5 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
68% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.39 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.69 | 0.55–0.75 |
| Weekend hours / resident-day | 3.02 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | 1 · $306,141 |
Inspection citations (36 in the current record)
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Immediate jeopardy · J December 13, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 29, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J December 13, 2025 · found via complaint
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.
Corrected April 29, 2025 · Nutrition and Dietary
-
Potential for harm · D December 13, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G December 19, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 3, 2024 · Resident Assessment and Care Planning
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Actual harm · G December 19, 2023 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected January 3, 2024 · Quality of Life and Care
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Potential for harm · D October 20, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 8, 2023 · Quality of Life and Care
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Immediate jeopardy · K August 7, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 30, 2023 · Resident Assessment and Care Planning
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Immediate jeopardy · J August 7, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected August 30, 2023 · Quality of Life and Care
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Immediate jeopardy · K August 7, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 8, 2023 · Quality of Life and Care
-
Potential for harm · E August 7, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 30, 2023 · Resident Rights
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Potential for harm · D August 7, 2023
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected August 30, 2023 · Resident Rights
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Potential for harm · D August 7, 2023
Keep residents' personal and medical records private and confidential.
Corrected August 30, 2023 · Resident Rights
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Potential for harm · E August 7, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 30, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 7, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected August 30, 2023 · Resident Rights
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Potential for harm · D August 7, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 30, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected August 30, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 30, 2023 · Quality of Life and Care
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Potential for harm · D August 7, 2023
Provide care or services that was trauma informed and/or culturally competent.
Corrected August 30, 2023 · Quality of Life and Care
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Potential for harm · D August 7, 2023
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.
Corrected August 30, 2023 · Pharmacy Service
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Potential for harm · F August 7, 2023
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.
Corrected August 30, 2023 · Nutrition and Dietary
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Potential for harm · E August 7, 2023
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected August 30, 2023 · Nutrition and Dietary
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Potential for harm · F August 7, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 30, 2023 · Nutrition and Dietary
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Potential for harm · E August 7, 2023
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected August 30, 2023 · Nutrition and Dietary
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Potential for harm · E August 7, 2023
Provide and implement an infection prevention and control program.
Corrected August 30, 2023 · Infection Control
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Potential for harm · D August 7, 2023
Keep all essential equipment working safely.
Corrected August 30, 2023 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 7, 2023 | Fine | $306,141 |
| August 7, 2023 | Payment Denial | 146 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 185468 · certified since April 3, 2012. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.