Nursing HomeInspections

River Oaks Health & Rehabilitation

Nursing home in Louisville, KY

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
920 South 4th Street, Louisville, KY 40203
Phone
(502) 583-6533
Listed under
For-profit
Medicare CCN
185029
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
122
Average residents per day
105
Ownership
For-profit, limited Liability company
Legal business name
Legal Business Name Not Available
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 20, 1967
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 185029. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 9, 2025. CMS lists 16 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 15, 2019 to Jul 9, 2025): 4 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 9, 2025Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights
D
Potential for more than minimal harm, isolated
Jul 9, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights
D
Potential for more than minimal harm, isolated
Jul 9, 2025Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights
D
Potential for more than minimal harm, isolated
Jul 9, 2025Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Jul 9, 2025Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Jul 9, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Nov 22, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
C
Potential for minimal harm, widespread
Oct 18, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection
E
Potential for more than minimal harm, pattern
Oct 18, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection
E
Potential for more than minimal harm, pattern
Jun 7, 2024Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service
E
Potential for more than minimal harm, pattern
Jun 7, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Jun 7, 2024Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 16. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $4,147 in the last three years.

Jul 9, 2025Fine: $4,147

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.08 hours
Registered nurse (RN) time per resident per day
0.39 hours
Nurse aide time per resident per day
2.52 hours
Total nurse staffing on weekends
3.71 hours
Nursing staff turnover (yearly)
57%
RN turnover (yearly)
46%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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