Louisville Gardens Care Center
4466 Lynnhaven Avenue Ne · Louisville, OH · 44641 · 3308755060
99 certified beds For profit - Limited Liability company Chain: Cch Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
78% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.18 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 3.80 | ≈ weekday level |
| Nursing turnover / year | 78% | median 45% |
| Fines (3-yr window) | 1 · $115,891 |
Inspection citations (53 in the current record)
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Potential for harm · D December 11, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 29, 2025 · Quality of Life and Care
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Potential for harm · D December 11, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 29, 2025 · Pharmacy Service
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Potential for harm · D December 11, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 11, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 29, 2025 · Infection Control
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Potential for harm · D September 4, 2025
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.
Corrected October 4, 2025 · Resident Rights
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Potential for harm · D September 4, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected October 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 4, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 4, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 18, 2025 · Quality of Life and Care
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Potential for harm · D September 4, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected October 4, 2025 · Quality of Life and Care
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Potential for harm · E September 4, 2025
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 October 4, 2025 · Nutrition and Dietary
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Potential for harm · E September 4, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 4, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 4, 2025 · Quality of Life and Care
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Potential for harm · D September 4, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 4, 2025 · Quality of Life and Care
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Potential for harm · F September 4, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 4, 2025 · Nursing and Physician Services
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No harm found · C April 16, 2025 · found via complaint
Ensure the activities program is directed by a qualified professional.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · D January 28, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 7, 2025 · Quality of Life and Care
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Immediate jeopardy · L March 11, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 11, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 11, 2024 · Quality of Life and Care
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Potential for harm · F March 11, 2024 · found via complaint
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.
Corrected April 11, 2024 · Nursing and Physician Services
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Potential for harm · F March 11, 2024 · found via complaint
Post nurse staffing information every day.
Corrected April 11, 2024 · Nursing and Physician Services
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Potential for harm · F March 11, 2024 · found via complaint
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.
Corrected April 11, 2024 · Administration
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Potential for harm · F March 11, 2024 · found via complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected April 11, 2024 · Administration
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Potential for harm · F March 11, 2024 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected April 11, 2024 · Administration
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Potential for harm · D January 9, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 8, 2024 · Resident Rights
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Potential for harm · F November 15, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 15, 2023 | Fine | $115,891 |
| November 15, 2023 | Payment Denial | 56 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 366141 · certified since September 9, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.