Louisville East Post Acute

In the surveyor’s words

From the most serious findings on record at Louisville East Post Acute, in the surveyor’s own words.

• Immediate jeopardy, isolatedF655Aug 15, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure the residents' baseline care plan which provided instructions needed to provide effective and person-centered care for each resident was implemented for 1 of 5 (Resident (R) 9) sampled residents reviewed for elopement risk. Resident 9, who had major neurocognitive impairment, was care planned to be monitored frequently for his whereabouts, however, on 07/27/2025, the Resident left the facility by removing his bedroom window and climbing through it without staff knowledge/supervision. The Resident walked approximately 1.3 miles, in the dark. […]

• Immediate jeopardy, isolatedF689Aug 15, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure the residents' environment remained free of accident hazards and provide adequate supervision for one (Resident (R) 9) of five sampled residents reviewed for elopement risk. Resident 9, who had major neurocognitive impairment, eloped from the facility on 07/27/2025. Facility safety processes and systems used for supervision failed when the resident left the facility by removing the bedroom window and climbing through it without staff knowledge/supervision. The resident walked approximately 1.3 miles, in the dark. […]

• No harm, potential for more than minimal, widespreadF804Jul 19, 2024

  Based on observation, interview, and review of facility policy, the facility failed to serve meals that were palatable and attractive. Interviews with Residents (R)13, R26, R74, R81, R86, revealed concerns related to the foods not being palatable, or attractive with foods running together on the plate, causing the food to be watery and sloppy. Additionally, during the Group Interview, conducted by the State Survey Agency, R22, R12, and R46 all stated the food was not appetizing and did not taste good, partly because the foods were overcooked and watery and plated in a manner in which fluids from one food would run into the others. […]

• No harm, potential for more than minimal, widespreadF814Jul 19, 2024

  Based on observation, interview, and review of facility policy, the facility failed to ensure garbage was stored in containers and off the ground to prevent potential spread of insect or rodent activity. This failure affected all 172 facility residents. Findings include: Review of the facility policy titled, Food-Related Garbage and Refuse Disposal, dated October 2017, and provided by the facility, revealed, All food waste shall be kept in containers . All garbage and refuse containers are provided when stored or not in continuous use. and must be kept covered . Garbage and refuse containing food wastes will be stored in a manner that is inaccessible to pests . […]

• No harm, potential for more than minimal, widespreadF925Jul 19, 2024

  Based on observation, interview, and review of facility policy, the facility failed to maintain an effective pest control program to ensure the facility was free of pests. During tours of the facility, on 07/16/2024 and 07/17/2024, live roaches were observed in resident room [ROOM NUMBER] and in the the dry storage area of the kitchen. Additionally, interviews with residents and staff revealed they had seen roaches in the building. All 172 residents had the potential to be affected. […]