Louisville Healthcare LLC

In the surveyor’s words

From the most serious findings on record at Louisville Healthcare LLC, in the surveyor’s own words.

• Actual harm, isolatedF656Apr 16, 2025

  Based on observation, resident and staff interview, record review, and facility policy review, the facility failed to implement a person-centered comprehensive care plan for a resident with chronic pain (Resident #39) and a resident dependent on staff for nail care (Resident # 22) for two (2) of 16 care plans reviewed. Resident #22 and #39 Findings Include: Review of the facility policy titled Care Plans-Comprehensive revealed under, Policy Statement: An individual (person centered) comprehensive care plan that includes measurable objectives and timetables to meet the resident's medical, nursing, mental and psychological needs is developed for each resident. […]

• Actual harm, isolatedF697Apr 16, 2025

  Based on observation, interview, facility policy review, and record review, the facility failed to ensure effective pain management for one (1) of sixteen (16) sampled residents (Resident #39), when staff failed to provide continued access to prescribed pain medication (Lyrica) and failed to implement appropriate interventions. This resulted in the resident experiencing uncontrolled neuropathic pain, impaired mobility, disruption in therapy services, and a decline in quality of life. Findings Include: Review of the facility policy titled Pain Assessment/Management with a revision date of 9/10 revealed, It is the policy of this facility to provide guidelines in the identification and treatment of residents at risk for acute and chronic pain. […]

• No harm, potential for more than minimal, patternF880Sep 14, 2023

  Based on observations, staff interviews, record review and facility policy review the facility failed to prevent the possibility of the spread of infection as evidence by not removing a mask after exiting a COVID-19 isolation room (Resident #2) and failed to clean a wound during wound care (Resident # 28) for two (2) of seven (7) resident care observations. Resident #2 and Resident #28 Findings Include Review of the facility policy titled Standard Precautions Infection Control with no revision date revealed under, Policy Explanation and Compliance Guidelines: #2. Using Personal Protective Equipment (PPE) .c. Before leaving the patient's room or cubicle, remove and discard PPE into the appropriate receptable. […]

• No harm, potential for more than minimal, patternF880Feb 24, 2022

  Based on observation, staff interview, record review and facility policy review the facility failed to prevent the possible spread of infection as evidenced by staff not performing hand hygiene in between residents when passing meal trays and when assisting residents with a meal for two (2) of three (3) halls observed. Findings Include: Review of the facility policy titled, Infection Prevention and Control Program with a revision date of 8/2017 revealed Policy: It is a policy of this facility to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections . Policy Explanation and Compliance Guidelines: .4. […]

• No harm, potential for more than minimal, isolatedF558Apr 16, 2025

  Based on observation, resident and staff interviews, record review, and facility policy review, the facility failed to ensure that resident call lights were within reach, which limited residents' ability to request assistance as needed for two (2) of 54 residents observed. Resident #1 and Resident #47 Findings include: Review of the facility policy titled Call Lights: Accessibility and Timely Response dated 8/12/2019 revealed, The purpose of this policy is to assure the facility is adequately equipped with a call light at each residents' bedside, toilet, and bathing facility to allow residents to call for assistance. 5. Staff will ensure the call light is within reach of resident and secured, as needed.6. […]