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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E12 | F7 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 17, 2025 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Jul 17, 2025 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Sep 20, 2024 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Sep 20, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Dec 12, 2019 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Dec 12, 2019 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E12 | F7 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 17, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 7, 2025 | |
| Jul 17, 2025 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 7, 2025 | |
| Jul 17, 2025 | K-0353 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
277 facilities in 16 states. CMS chain ID 690.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Providence Group of Kentucky LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 3, 2014 |
| Providence Group Nh, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Jun 30, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Providence Group of Kentucky LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 3, 2014 |
| Providence Group Nh, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Jun 30, 2023 |
| Frederick Apt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Mark Hancock | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Louisville East Post Acute 4200 Browns Lane, Louisville, KY 40220 CCN 185178 | 178 | Sep 5, 2025 | 362 IJ | $13k | |
| Pine Meadows Post Acute 1608 Hill Rise Drive, Lexington, KY 40504 CCN 185215 | 120 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Pine Meadows Post Acute 1608 Hill Rise Drive, Lexington, KY 40504 CCN 185215 | 0.2 km | 120 | Sep 5, 2025 | 25 | — | |
| Cambridge Nursing & Rehabilitation Center 2020 Cambridge Drive, Lexington, KY 40504 CCN 185444 | 1.5 km | 108 | Feb 19, 2026 | 21 | — | |
| Lexington Country Place 700 Mason Headley Road, Lexington, KY 40504 CCN 185160 | 1.5 km | 111 | May 1, 2026 | 302 IJ1 harm | $18k | |
| The Willows at Citation 1376 Silver Springs Drive, Lexington, KY 40511 CCN 185474 | 5.7 km | 54 | Apr 9, 2026 | 10 | — | |
| Mayfair Manor 3300 Tates Creek Road, Lexington, KY 40502 CCN 185069 | 6.5 km | 98 | Feb 12, 2026 | 313 IJ | $34k | |
| The Willows at Fritz Farm 2710 Man O War Boulevard, Lexington, KY 40515 CCN 185482 | 8.1 km | 54 | May 15, 2026 | 10 | — | |
| Sayre Christian Village Nursing Home 3775 Belleau Wood Drive, Lexington, KY 40517 CCN 185248 | 8.8 km | 164 | May 15, 2026 | 282 harm | $7,901 | |
| The Willows at Hamburg 2531 Old Rosebud Road, Lexington, KY 40509 CCN 185470 | 9.2 km | 64 | Jul 10, 2026 | 172 IJ | $62k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 185144 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 185144 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Kentucky OIG Long Term Care Directory KY | 100108 | state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN). | Inferred | Oct 30, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Aug 7, 2025 |
| Jul 17, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 7, 2025 |
| Jul 17, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 7, 2025 |
| Jul 17, 2025 | K-0912 | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 7, 2025 |
| Jul 17, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 20, 2025 |
| Jul 17, 2025 | F-0761 | Ensure 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 locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 13, 2025 |
| Jul 17, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 16, 2025 |
| Jul 17, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 16, 2025 |
| Sep 20, 2024 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2024 |
| Sep 20, 2024 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2024 |
| Sep 20, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 15, 2024 |
| Sep 20, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 15, 2024 |
| Sep 20, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2024 |
| Sep 20, 2024 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2024 |
| Sep 20, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2024 |
| Sep 20, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 15, 2024 |
| Sep 20, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 15, 2024 |
| Sep 20, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 15, 2024 |
| Sep 20, 2024 | K-0912 | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2024 |
| Sep 20, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2024 |
| Sep 20, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 15, 2024 |
| Sep 20, 2024 | F-0656 | Develop 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 Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 1, 2024 |
| Sep 20, 2024 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 1, 2024 |
| Sep 20, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Nov 1, 2024 |
| Dec 12, 2019 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 8, 2020 |
| Dec 12, 2019 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 6, 2020 |
| Dec 12, 2019 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 6, 2020 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.66 (case-mix index 1.96).
| Joshua Jergensen |
| Individual |
| Corporate officer / director |
| CORPORATE OFFICER |
| not provided |
| Jan 1, 2024 |
| John Mitchell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| John Richard | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Jan 1, 2015 |
| Justin Holman | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jul 9, 2024 |
| Sep 5, 2025 |
25 |
| — |
| Gallatin Nursing and Rehab 499 Center Street, Warsaw, KY 41095 CCN 185360 | 120 | Jan 29, 2026 | 27 | $14k |
| New Castle Nursing & Rehab 50 Adams Street, New Castle, KY 40050 CCN 185362 | 60 | Jul 9, 2025 | 22 | — |
| Richwood Nursing & Rehab 1012 Richwood Way, La Grange, KY 40031 CCN 185438 | 120 | Mar 13, 2025 | 301 harm | $8,788 |
| Valhalla Post Acute 300 Shelby Station Drive, Louisville, KY 40245 CCN 185455 | 162 | Mar 20, 2026 | 524 IJ | $18k |