Highlands Nursing and Rehabilitation
1705 Stevens Avenue · Louisville, KY · 40205 · 5024517330
154 certified beds For profit - Limited Liability company Chain: David Marx
Why this verdict
- 5 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.20 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.84 | 0.55–0.75 |
| Weekend hours / resident-day | 2.96 | ≈ weekday level |
| Nursing turnover / year | 38% | median 45% |
| Fines (3-yr window) | 2 · $17,523 |
Inspection citations (30 in the current record)
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Potential for harm · E February 28, 2025
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.
Corrected March 31, 2025 · Resident Rights
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Potential for harm · D February 28, 2025
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected March 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 28, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 31, 2025 · Resident Rights
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Potential for harm · D February 28, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 28, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 31, 2025 · Quality of Life and Care
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Potential for harm · D February 28, 2025
Provide or obtain dental services for each resident.
Corrected March 31, 2025 · Quality of Life and Care
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Potential for harm · D February 28, 2025
Provide and implement an infection prevention and control program.
Corrected March 31, 2025 · Infection Control
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Immediate jeopardy · J March 23, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected January 11, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J March 23, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 11, 2024 · Quality of Life and Care
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Potential for harm · E March 23, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected April 12, 2024 · Resident Rights
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Potential for harm · D March 23, 2024
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 April 12, 2024 · Pharmacy Service
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Potential for harm · D March 23, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected April 12, 2024 · Environmental
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Actual harm · G January 11, 2020
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 9, 2020 · Resident Assessment and Care Planning
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Actual harm · G January 11, 2020
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 9, 2020 · Resident Assessment and Care Planning
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Actual harm · G January 11, 2020
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 9, 2020 · Quality of Life and Care
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Actual harm · G January 11, 2020
Provide enough food/fluids to maintain a resident's health.
Corrected March 9, 2020 · Quality of Life and Care
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Actual harm · G January 11, 2020
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 9, 2020 · Quality of Life and Care
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Potential for harm · E January 11, 2020
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 9, 2020 · Resident Rights
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Potential for harm · E January 11, 2020
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected March 9, 2020 · Resident Rights
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Potential for harm · F January 11, 2020
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.
Corrected March 9, 2020 · Resident Rights
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Potential for harm · D January 11, 2020
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 9, 2020 · Resident Rights
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Potential for harm · D January 11, 2020
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected March 9, 2020 · Resident Rights
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Potential for harm · D January 11, 2020
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 9, 2020 · Quality of Life and Care
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Potential for harm · D January 11, 2020
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 9, 2020 · Quality of Life and Care
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Potential for harm · D January 11, 2020
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected March 9, 2020 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 23, 2024 | Fine | $6,780 |
| March 23, 2024 | Fine | $10,743 |
| March 23, 2024 | Payment Denial | 8 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 185039 · certified since February 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.