Deficiency Index

The Episcopal Church Home

Louisville, Kentucky · CCN 185310

10 surveys since 2010. The first finding at harm level was recorded in 2025.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
40
Surveys
10
Harm or worse
2
Immediate jeopardyall corrected before survey
2
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file7/10

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
26
Ownership
Non profit - Corporation
Chain
EPISCOPAL RETIREMENT HOMES, INC.
County
Jefferson
Medicare-certified since
1991

CMS ratings

Overall
4
Health inspection
3
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=3, floor 20).

Last survey on record

Aug 15, 2025

451 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.025.77
Registered-nurse hours per resident day0.98—
Annual nurse turnover27.0%40.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$10,364 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ114.3%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD685.7%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 7 of the 40 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F6411×

    Ensure each resident receives an accurate assessment.

  • F6571×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F6771×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

In the surveyor’s words

From the most serious findings on record at The Episcopal Church Home, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF689Aug 15, 2025

    Based on observation, interview, record review, and facility policy review, the facility failed to provide adequate supervision and effective assistance devices to prevent accidents for one (Resident (R) 19) of three sampled residents reviewed for elopement risk. R19, who had severe cognitive impairment, eloped from the facility on 07/30/2025. The facility's equipment (alarm system) used for supervision of location failed to sound in a manner to immediately alert staff when the resident left the facility without staff knowledge/supervision. […]

  • Immediate jeopardy, isolatedF689Aug 15, 2025

    Based on observation, interview, record review, and facility policy review, the facility failed to provide adequate supervision and effective assistance devices to prevent accidents for one (Resident (R) 19) of three sampled residents reviewed for elopement risk. R19, who had severe cognitive impairment, eloped from the facility on 07/30/2025. The facility's equipment (alarm system) used for supervision of location failed to sound in a manner to immediately alert staff when the resident left the facility without staff knowledge/supervision. […]

  • No harm, potential for more than minimal, isolatedF656Oct 27, 2022

    Based on record review, observations, interviews, and facility policy review, the facility failed to ensure a resident's care plan was updated with respiratory care directives for one (Resident #9) of two residents reviewed. Findings included: A review of a facility policy titled Comprehensive Care Planning, with an effective date of 12/03/2019, revealed, A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. The policy further revealed, The comprehensive, person-centered care plan is developed within seven days of the completion of the required comprehensive assessment. […]

Read 20 findings in full →The most serious and the most recent: 20 of 40 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 15, 2025Standard and complaint2 findings · 2 harm
  • Oct 27, 2022Standard1 finding
  • Dec 13, 2019Standard5 findings
  • Oct 5, 2018Standard8 findings
  • Aug 10, 2017Standard8 findings
  • May 21, 2014Complaint2 findings
  • Mar 20, 2014Standard2 findings
  • Apr 18, 2013—5 findings
Show the 2 earlier surveys
  • Feb 2, 2012—2 findings
  • Nov 10, 2010—5 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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