Altercare of Louisville CTR for Rehab & NSG Care

In the surveyor’s words

From the most serious findings on record at Altercare of Louisville CTR for Rehab & NSG Care, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 7, 2023

  Based on closed record review and interview, the facility failed to provide adequate assistance to Resident #63, who had cognitive impairment and required two staff to transfer using a mechanical (Hoyer) lift to prevent an injury. Actual Harm occurred on 10/06/23 when State tested Nursing Assistant (STNA) #804 failed to ensure a second staff member was present (as care planned) to reposition and then transfer Resident #63 from her wheelchair to bed using a Hoyer lift. At the time of the transfer, STNA #804 identified the Hoyer lift pad was not properly under the resident and instead of obtaining a second staff member to properly reposition the resident, required the resident to push up and scoot herself in the wheelchair. The resident complained of pain to her arm during this time. […]

• No harm, potential for more than minimal, patternF926Nov 29, 2023

  Based on observation, record review, staff interview, and review of the facility policy the facility failed to ensure smoking assessments were completed with a quarterly according to the facility's smoking policy. This affected three residents (#10, #25, and #29) of three residents reviewed for smoking. The facility identified six residents (#10, #25, #26, #29, #36, and #37) who smoked at the facility. The facility census was 65. Findings include: 1. Review of the medical record revealed Resident #10 was admitted to the facility on [DATE] with diagnoses including sepsis, acute kidney failure, chronic obstructive pulmonary disease, and personal history of nicotine dependence. Review of the Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #10 was cognitively intact. […]

• No harm, potential for more than minimal, patternF689Dec 19, 2022

  Based on medical record review, review of facility investigation, observation, interview, and policy review the facility failed to ensure a resident was safely transferred with a mechanical lift and resident smoking materials were stored in a secure area. This affected one (Resident #23) of three residents reviewed for falls and six (#22, #29, #37, #41, #43, and #52) of six residents reviewed for smoking. Findings include: 1. Record review revealed Resident #23 was admitted to the facility on [DATE] with diagnoses including laceration with foreign body of the scalp, muscle weakness, other reduced mobility, intervertebral disc degeneration of the lumbar region, chronic pain, stiffness and pain of left knee, difficulty walking, lack of coordination, dizziness, osteoarthritis of knee, needs… […]

• No harm, potential for more than minimal, isolatedF684Aug 11, 2026

  Based on review of the medical record, interviews, and review of facility policy, the facility failed to ensure timely monitoring for a change in condition for Resident #1 and failed to ensure appropriate interventions were in place to prevent Moisture Associated Skin Damage (MASD) to Resident #1. This affected one resident (#1) of three residents reviewed for change in condition and wounds. Findings include:1. Review of the medical record revealed Resident #1 was admitted to the facility on [DATE]. Diagnoses included spinal stenosis, chronic pain syndrome, presence of a neurostimulator, benign neoplasm of meninges, hypertensive heart and chronic kidney disease, congestive heart failure, atrial fibrillation, diabetes, depression, and anxiety disorder. […]

• No harm, potential for more than minimal, isolatedF686Aug 11, 2026

  Based on observations, review of the medical record, interviews, and review of facility policy, the facility failed to accurately assess, document, and initially treat an unstageable pressure ulcer for Resident #54 and failed to ensure hand hygiene was performed during wound care for Resident #54. This affected one resident (#54) of three reviewed for pressure ulcers/wounds.Findings Include:Review of the medical record revealed Resident #54 was admitted to the facility on [DATE]. […]