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Treyton Oak Towers
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Louisville, KY
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Louisville, KY
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Treyton Oak Towers accepts Medicare, Medicaid, and private pay.
Overview of Treyton Oak Towers
Treyton Oak Towers in Louisville, KY’s Old Louisville neighborhood, offers independent living, assisted living, memory care, and 24-hour skilled nursing on a single campus. Operating since 1984 under Third And Oak, the community provides independent living quarters alongside shared services, while assisted living helps with personal daily tasks such as bathing, dressing, and managing medication routines. Secured memory care delivers specialized supervision for residents living with cognitive impairments, and skilled nursing supplies continuous licensed clinical care.
Housing 113 beds, the property features studio, one-bedroom, and two-bedroom floor plans that allow couples to move together or enable single residents to transition between care levels as health needs evolve. Clinical staff deliver an average of 3 hours and 50 minutes of direct nurse staffing per resident each day. Campus amenities include a swimming pool, beauty salon, physical rehabilitation services, wellness programming, and spiritual services.
Financial coverage accepts Medicare, Medicaid, and private funds. Featuring an 85 walk score, the neighborhood is highly walkable, enabling non-driving residents to manage most everyday errands on foot independently.
Prospective residents seeking multi-level senior living or long-term nursing care can contact Treyton Oak Towers to inquire about apartment layouts or schedule an in-person tour.
Measured by Centers for Medicare & Medicaid Services (CMS)
Overall ratingThe Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health InspectionBased on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
StaffingMeasures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality MeasuresBased on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
StaffingData period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 39th out of 193 nursing homes we track in Kentucky for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This facility
KY avg 3h 43m
↑ 3% · KY 3h 43mThis facility: 3h 50m per resident per day, 3% above the Kentucky average of 3h 43m (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rank#39 / 193Nurse hours — State benchmarkedThis nursing home is ranked 39th out of 193 nursing homes we track in Kentucky for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Kentucky average, with a ranking across 193 Kentucky facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Nurse hours — State benchmarkedThis nursing home is ranked 39th out of 193 nursing homes we track in Kentucky for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Kentucky average, with a ranking across 193 Kentucky facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
3h 50m
Standout metric: LPN / LVN is +31% above Kentucky average
5 of 6 metrics below Kentucky average
Daily care time per resident, by role
KY average · US = national average
Registered nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 8 total: 6 of the facility's own employees and 2 agency contractors.8 staff · 10.4-hour shifts
41m↓ 10% · KY 46mThis facility: 41m per resident per day, 10% below the Kentucky average of 46m (among Kentucky facilities reporting a recent figure).
US average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 41m
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 44 total: 11 of the facility's own employees and 33 agency contractors.44 staff · 9.9-hour shifts
1h 4m↑ 31% · KY 49mThis facility: 1h 4m per resident per day, 31% above the Kentucky average of 49m (among Kentucky facilities reporting a recent figure).
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 52m
Certified nursing assistant Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 54 total: 25 of the facility's own employees and 29 agency contractors.54 staff · 9.4-hour shifts
2h 5m↓ 14% · KY 2h 25mThis facility: 2h 5m per resident per day, 14% below the Kentucky average of 2h 25m (among Kentucky facilities reporting a recent figure).
US average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 2h 21m
Physical therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
3m↓ 32% · KY 4mThis facility: 3m per resident per day, 32% below the Kentucky average of 4m (among Kentucky facilities reporting a recent figure).
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 4m
Total nursing, weekends Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.RN + LPN + aide · Sat–Sun
3h 24m↓ 2% · KY 3h 29mThis facility: 3h 24m per resident per day, 2% below the Kentucky average of 3h 29m (among Kentucky facilities reporting a recent figure).
US average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 3h 26m
RN, weekends Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.Sat–Sun
30m↓ 2% · KY 31mThis facility: 30m per resident per day, 2% below the Kentucky average of 31m (among Kentucky facilities reporting a recent figure).
US average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 29m
Headcount
Total staffEvery person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.147
52 employees · 95 contractors · 30 on an average day Staff per resident147 total staff / 46 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.3.20 : 1↑ 92% · KY 1.67This facility: 3.20 staff per resident, 92% above the Kentucky average of 1.67 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
147 staff ÷ 46 residents See full Kentucky ranking →Average shiftAverage hours one staff member works on a day they are on shift, across every role.8.4 h↓ 1% · KY 8.5 hThis facility: 8.4 h, 1% below the Kentucky average of 8.5 h (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
23,273 staff hours this quarter See full Kentucky ranking →
84%
of staff hours were worked by the facility's own employees
Kentucky average: 92.7% · Contractors this quarter: Licensed Practical Nurse (33), Certified Nursing Assistant (29), Speech Language Pathologist (6), Respiratory Therapy Technician (6), Physical Therapy Aide (6), Physical Therapy Assistant (5), Registered Nurse (2), Qualified Social Worker (2), Other Physician (1), Occupational Therapy Aide (1), Respiratory Therapist (1), Occupational Therapy Assistant (1), Medical Director (1), Feeding Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.113Rank#57 / 195Bed count — State benchmarkedThis nursing home is ranked 57th out of 195 nursing homes we track in Kentucky for bed count. Shows this facility's certified or reported bed count compared to other Kentucky facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Bed count — State benchmarkedThis nursing home is ranked 57th out of 195 nursing homes we track in Kentucky for bed count. Shows this facility's certified or reported bed count compared to other Kentucky facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Medium-capacity home
· Offers a balance of services and community atmosphere.
Years of operating
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.Rank#16 / 145Years in operation — State benchmarkedThis nursing home is ranked 16th out of 145 nursing homes we track in Kentucky for years in operation. Shows how long this facility has been in operation compared to other Kentucky facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Years in operation — State benchmarkedThis nursing home is ranked 16th out of 145 nursing homes we track in Kentucky for years in operation. Shows how long this facility has been in operation compared to other Kentucky facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
1year
Walk Score
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.Rank#1 / 208Walk Score — State benchmarkedThis nursing home is ranked 1st out of 208 nursing homes we track in Kentucky for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Kentucky facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Walk Score — State benchmarkedThis nursing home is ranked 1st out of 208 nursing homes we track in Kentucky for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Kentucky facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
85/ 100
Residents per day (avg) The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
52
Source: CMS Provider Information, average daily residents (data as of Aug 2026)
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
86days
About This Community
License Details
Facility TypeLong Term Care (Nursing Facility, Personal Care)
IssuanceJanuary 1, 2025
CountyJefferson
License Number100548
CMS Certification Number185175
Ownership & Operating Entity
Treyton Oak Towers is legally operated by Third And Oak Corporation.
Profit StatusNonprofit
Type Of Units
Comprehensive Personal Care
53 units
NF (Nursing Facility)
60 units
Total beds
113 units
Safety & Compliance
Secured Perimeter
Safety FeaturesEmergency call signal in each bath and bedroom
Additional Services
3 services
Housekeeping
Laundry & LinenListed as: Flat laundry service
MaintenanceListed as: Prompt maintenance
Additional Policies & Features
Pets not allowed
Amenities & Lifestyle
Bar
Library
Workshop
Patio
Wellness Center
Game Room
Beauty Salon
Wi-Fi
Cable Tv
Rooftop Greenhouse
Skyline-View Deck
Turtle Garden
Guest Rooms
Massage Suite
Convenience Store
Bank Branch with Atm
Personal Storage On Each Floor
Activities
Live Music and Concerts
Lectures and Panel Discussions
Arts and Aging
Arts & Crafts
Highlights
Attached Parking Lot with Optional Covered Parking
Signature ProgramsThe Towers Program
Faith & Spiritual Life
Chapel
Dining & Nutrition
Sourced directly from the team at Treyton Oak Towers.
Meal ScheduleBreakfast, Lunch, and Dinner served daily; Brunch and light evening meal on Sundays.
Room Accommodations
1 Bedroom Floor plans as listed by the community: The Azalea (564 sq ft) · The Azalea (Elevated) (564 sq ft) · The Dogwood (705 sq ft) · The Dogwood (Elevated) (705 sq ft) · The Belle (587 sq ft)Floor plans: Azalea, Dogwood, Belle564–705 sq ft
In-Room Features
Fully-Equipped Kitchen With Standard-Size AppliancesIndividual Heat/Air Conditioning Controls
This profile shows two inspection records, and their totals often differ.
Inspection History and the Inspection Scorecard below are state data — the
figures the state publishes and the state inspection reports we hold on file —
covering the entire facility. CMS Health Inspection History covers only this
home's Medicare and Medicaid-certified nursing beds, from federal certification
surveys.
Inspection History
In Kentucky, the Cabinet for Health and Family Services, Office of Inspector General is the regulatory authority that conducts inspections and investigates complaints in all long-term care homes.
Since 2018 · 8 years of dataThese figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability. Includes all inspection records for this property, which could include management/ownership changes.24 deficiencies5 inspections
Inspection Scorecard
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2018 vs. Kentucky state average
Overall vs. KY average
2 Worse
Metrics worse than Kentucky average:
• Total deficiencies (85% above)
• Deficiencies per inspection (37% above)
0 Better
No metrics in this bucket.
Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.
This Facility
KY Average
vs. KY Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.
24
13.0
This facility has 85% more total deficiencies than a typical Kentucky nursing home (24 vs. KY avg 13).↑ 85% worse
Deficiencies per inspection Average deficiencies per inspection.
4.8
3.5
This facility has 37% more deficiencies per inspection than a typical Kentucky nursing home (4.8 vs. KY avg 3.5).↑ 37% worse
Inspections State inspections evaluate whether the facility meets health and safety standards.
This Facility
KY Average
vs. KY Avg
Total inspections Combined count of all inspections conducted at this facility.
5
4.0
This facility has had 25% more total inspections than the Kentucky average (5 vs. KY avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↑ 25% more
Since 2019 · 7 years of data · Last health inspection Jul 2025
Federal inspection data published by CMS, covering this home's Medicare and/or
Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections
4↑ 38% · KY 2.9This facility: 4, 38% above the Kentucky average of 2.9 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
28Rank#175 / 194Health citations — State benchmarkedThis nursing home is ranked 175th out of 194 nursing homes we track in Kentucky for health citations. Shows this facility's total health deficiency citations benchmarked to the Kentucky State average, with a ranking across all 194 KY facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Health citations — State benchmarkedThis nursing home is ranked 175th out of 194 nursing homes we track in Kentucky for health citations. Shows this facility's total health deficiency citations benchmarked to the Kentucky State average, with a ranking across all 194 KY facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 124% · KY 12.5This facility: 28, 124% above the Kentucky average of 12.5 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
7Rank#164 / 194Citations per inspection — State benchmarkedThis nursing home is ranked 164th out of 194 nursing homes we track in Kentucky for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 194 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Citations per inspection — State benchmarkedThis nursing home is ranked 164th out of 194 nursing homes we track in Kentucky for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 194 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 67% · KY 4.18This facility: 7, 67% above the Kentucky average of 4.18 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
28 of 28 citations corrected
Bar = mix of this home's 28 citations, not a state comparison
Critical (J–L, immediate jeopardy): 2 citations, correctedSerious (G–I, actual harm): 2 citations, correctedModerate (D–F, no harm, more than minimal risk): 24 citations, corrected
Lighter shade = corrected
CriticalJ–L
2↑ 100% · KY 1This facility: 2, 100% above the Kentucky average of 1 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
SeriousG–I
2↑ 233% · KY 0.6This facility: 2, 233% above the Kentucky average of 0.6 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
ModerateD–F
24↑ 122% · KY 10.8This facility: 24, 122% above the Kentucky average of 10.8 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
MinorA–C
0↓ 100% · KY 0.1This facility: 0, 100% below the Kentucky average of 0.1 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal risk
Latest inspection: Jul 03, 2025 · 8 citations, all corrected
Most cited category: Abuse, Neglect & Exploitation, 6 of 28 citations · 10 categories in total
Citations history
Most recent first
Jul 03, 20258 citations
Abuse/Neglect moderate citation
Corrected
Abuse/Neglect moderate citation
Corrected
Abuse/Neglect moderate citation
Corrected
Abuse/Neglect moderate citation
Corrected
Infection Control moderate citation
Corrected
Quality of Care moderate citation
Corrected
Care Planning moderate citation
Corrected
Resident Rights moderate citation
Corrected
Feb 24, 20241 citation
Abuse/Neglect critical citation
Corrected
Jun 24, 202115 citations
Abuse/Neglect moderate citation
Corrected
Administration moderate citation
Corrected
Administration moderate citation
Corrected
Administration moderate citation
Corrected
Environmental moderate citation
Corrected
Infection Control moderate citation
Corrected
Nursing Services moderate citation
Corrected
Nutrition moderate citation
Corrected
Quality of Care moderate citation
Corrected
Quality of Care serious citation
Corrected
Quality of Care moderate citation
Corrected
Care Planning moderate citation
Corrected
Care Planning moderate citation
Corrected
Care Planning serious citation
Corrected
Resident Rights moderate citation
Corrected
Mar 22, 20194 citations
Infection Control critical citation
Corrected
Nutrition moderate citation
Corrected
Pharmacy moderate citation
Corrected
Care Planning moderate citation
Corrected
Top deficiency categories
Share of 28 citations
Abuse, Neglect & Exploitation6 deficiencies (21%)
Resident Assessment & Care Planning5 deficiencies (18%)
Quality of Life & Care4 deficiencies (14%)
Infection Control3 deficiencies (11%)
Administration3 deficiencies (11%)
Resident Rights2 deficiencies (7%)
Nutrition & Dietary2 deficiencies (7%)
Nursing & Physician Services1 deficiency (4%)
Pharmacy Services1 deficiency (4%)
Environmental1 deficiency (4%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
25 of 28 citations resulted from standard inspections; and 3 of 28 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious).
Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines)
and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
(Data as of Aug 2026)
Total fines on record
$17K Rank#164 / 197Federal fines — State benchmarkedThis nursing home is ranked 164th out of 197 nursing homes we track in Kentucky for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Kentucky average among facilities with fines, and where it ranks among 197 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Federal fines — State benchmarkedThis nursing home is ranked 164th out of 197 nursing homes we track in Kentucky for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Kentucky average among facilities with fines, and where it ranks among 197 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
66% lower than Kentucky average
Kentucky average: $49K
Number of fines on record
1
53% fewer fines than Kentucky average
Kentucky average: 2.1
Payment denials on recordSerious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Kentucky average
Kentucky average: 0.3
Fines amount comparison
Fines amount comparison
This facility$17K
Kentucky average$49K
Penalty History
Penalties imposed by CMS in the past 3 years.
1 penalty in the past 3 years
Feb 24, 2024 · $17K
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.Feb 24, 2024
$17K
Last updated: Aug 2026
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Kentucky average.
Data as of Aug 2026 · CMS Care Compare
Long-stay quality ratingCMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.5/ 5★★★★★Significantly above average↑ 42% · KY 3.5This facility: 5.0, 42% above the KY average of 3.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay quality ratingCMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.4/ 5★★★★★Above average↑ 82% · KY 2.2This facility: 4.0, 82% above the KY average of 2.2 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.High-risk clinical eventsAverage of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.6.4Score · lower is better↓ 25% · KY 8.6This facility: 6.4, 25% below the KY average of 8.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Functional declineAverage of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.10.1Score · lower is better↓ 36% · KY 15.6This facility: 10.1, 36% below the KY average of 15.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
13 long-stay measures:11 better, 1 worse, 1 near KY average
8 short-stay measures:3 better, 1 worse, 1 near KY average, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
KY average
Daily care & independence
Needed more help with daily activitiesPercent of long-stay residents whose need for help with daily activities has increased11.4%↓ 18% · KY 13.8This facility: 11.4, 18% below the KY average of 13.8 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsenedPercent of long-stay residents whose ability to move independently worsened9.6%↓ 32% · KY 14.0This facility: 9.6, 32% below the KY average of 14.0 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)Percent of low risk long-stay residents who lose control of their bowels or bladder9.3%↓ 51% · KY 19.0This facility: 9.3, 51% below the KY average of 19.0 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Safety & clinical stability
Urinary tract infectionPercent of long-stay residents with a urinary tract infection4.3%↑ 174% · KY 1.6This facility: 4.3, 174% above the KY average of 1.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injuryPercent of long-stay residents experiencing one or more falls with major injury1.2%↓ 69% · KY 3.9This facility: 1.2, 69% below the KY average of 3.9 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)Percent of long-stay high risk residents with pressure ulcers3.9%↓ 19% · KY 4.8This facility: 3.9, 19% below the KY average of 4.8 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Physical & mental health
Lost too much weightPercent of long-stay residents who lose too much weight6.0%↓ 10% · KY 6.6This facility: 6.0, 10% below the KY average of 6.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptomsPercent of long-stay residents who have depressive symptoms3.9%↓ 78% · KY 17.7This facility: 3.9, 78% below the KY average of 17.7 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic usePercent of long-stay residents who received an antipsychotic medication0.8%↓ 95% · KY 16.1This facility: 0.8, 95% below the KY average of 16.1 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Preventive care
Pneumococcal vaccinePercent of long-stay residents assessed and appropriately given the pneumococcal vaccine100.0%↑ 6% · KY 94.3This facility: 100.0, 6% above the KY average of 94.3 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccinePercent of long-stay residents assessed and appropriately given the seasonal influenza vaccine100.0%↑ 4% · KY 96.2This facility: 100.0, 4% above the KY average of 96.2 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Hospital & emergency visits
Hospitalizations per 1,000 daysNumber of hospitalizations per 1,000 long-stay resident days.1.31↓ 30% · KY 1.87This facility: 1.31, 30% below the KY average of 1.87 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 daysNumber of outpatient emergency department visits per 1,000 long-stay resident days.0.92↓ 58% · KY 2.19This facility: 0.92, 58% below the KY average of 2.19 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
KY or US average
Daily care & independence
Able to care for self at dischargePercentage of residents at or above expected ability to care for themselves at discharge.57.1%↑ 6% · US 53.7This facility: 57.1, 6% above the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the communityRate of successful return to home or community from a skilled nursing facility.62.0%↑ 23% · US 50.6This facility: 62.0, 23% above the US average of 50.6 (among US facilities reporting a recent figure).
Safety & clinical stability
Falls with major injuryPercentage of SNF residents who experience falls with major injury during their stay.0.0%↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Physical & mental health
New antipsychotic medicationPercent of short-stay residents who newly received an antipsychotic medication0.7%↓ 62% · KY 1.7This facility: 0.7, 62% below the KY average of 1.7 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Preventive care
Pneumococcal vaccinePercent of short-stay residents assessed and appropriately given the pneumococcal vaccine88.2%↑ 5% · KY 84.0This facility: 88.2, 5% above the KY average of 84.0 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccinePercent of short-stay residents assessed and appropriately given the seasonal influenza vaccine75.0%↓ 10% · KY 83.5This facility: 75.0, 10% below the KY average of 83.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Hospital & emergency visits
Re-hospitalized after admissionPercentage of short-stay residents who were re-hospitalized after their nursing home admission.25.0%↑ 2% · KY 24.5This facility: 25.0, 2% above the KY average of 24.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visitsPercentage of short-stay residents who had an outpatient emergency department visit.3.5%↓ 75% · KY 13.9This facility: 3.5, 75% below the KY average of 13.9 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Breakdown by payment type
Medicare
19% of new residents, usually for short-term rehab.
Typical stay23 days
Private pay
56% of new residents, often for short stays.
Typical stay1 - 2 months
Medicaid
25% of new residents, often for long-term daily care.
Typical stay4 - 5 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics
(Data as of Jun 2026)
Total residents46
Medicare
2
4.3% of residents
Medicaid
25
54.3% of residents
Private pay or other
19
41.3% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Financial Trends
Historical financial and operational data for Treyton Oak Towers from 2012–2025, based on CMS SNF Cost Reports.
Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 06/2025.
Net Patient Income$568.3K↑ ~$1.9M vs 2024
Payroll Costs$8.7M↑ ~$283.9K vs 2024
Operating Margin3.6%↑ 12.9pp vs 2024
Financial Performance
Net patient revenueOperating expensesNet patient income
Payroll & Labor Costs
SalariesStaff salaries from the home's own payroll records.Wage CostsWage-related costs — benefits such as payroll taxes, health insurance and retirement. Together with salaries, these make up payroll.Contract LaborPay for temporary or agency staff. Counted under other operating costs, not payroll.
Payer Mix (percentage)
MedicareMedicaidPrivate Pay/Other
Metric
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Occupancy %
94.7%
90.7%
77.9%
78.0%
77.2%
73.3%
70.1%
71.3%
65.3%
66.2%
75.3%
81.5%
79.0%
77.6%
Beds
60
60
60
60
60
60
60
60
60
60
60
60
60
60
Net Income
-$437,748
-$473,923
-$244,404
$669,914
$429,719
$269,565
$619,055
$716,099
$1,854,903
$231,738
-$885,300
$1,600,859
-$328,340
$1,405,849
Gross Revenue
$10,970,730
$11,007,141
$11,154,525
$13,119,193
$13,574,229
$13,768,243
$14,338,762
$14,214,464
$13,847,872
$12,204,737
$14,058,879
$15,316,202
$15,549,199
$16,468,518
Operating Expenses
$12,003,346
$12,325,049
$12,497,555
$12,871,714
$13,144,949
$13,321,857
$13,315,449
$13,048,996
$12,848,090
$12,194,724
$13,863,615
$14,676,602
$15,213,192
$15,227,746
Net Patient Income
-$1,067,317
-$1,174,125
-$1,287,106
-$564,864
-$648,187
-$905,540
-$708,114
-$314,672
-$315,197
-$1,193,557
-$1,576,538
-$1,230,941
-$1,295,426
$568,263
Net Patient Revenue
$10,936,029
$11,150,924
$11,210,449
$12,306,850
$12,496,762
$12,416,317
$12,607,335
$12,734,324
$12,532,893
$11,001,167
$12,287,077
$13,445,661
$13,917,766
$15,796,009
Payroll Costs
$5,162,243
$5,243,509
$5,486,877
$5,938,757
$6,671,870
$6,680,510
$6,633,882
$7,067,574
$7,061,260
$6,320,147
$6,822,292
$7,724,654
$8,393,758
$8,677,614
Operating Margin %
-9.8%
-10.5%
-11.5%
-4.6%
-5.2%
-7.3%
-5.6%
-2.5%
-2.5%
-10.9%
-12.8%
-9.2%
-9.3%
3.6%
Medicare %
11.3%
15.7%
16.2%
20.9%
18.4%
17.7%
19.4%
12.7%
10.9%
13.2%
12.2%
7.8%
5.8%
6.5%
Medicaid %
16.3%
13.5%
11.7%
18.1%
25.1%
23.9%
20.1%
28.8%
24.0%
28.2%
30.8%
39.9%
41.2%
49.5%
Private %
72.4%
70.9%
72.1%
61.0%
56.6%
58.4%
60.5%
58.5%
65.1%
58.7%
57.1%
52.3%
53.0%
44.0%
Net Patient Revenue/Day
$526
$562
$657
$721
$738
$774
$822
$815
$873
$759
$745
$753
$802
$929
Cost/Day
$577
$621
$733
$754
$776
$830
$868
$835
$895
$842
$840
$822
$877
$896
Avg Length of Stay
113.0 days
95.4 days
113.7 days
56.4 days
71.8 days
60.5 days
57.7 days
76.6 days
73.2 days
72.5 days
59.8 days
84.2 days
79.2 days
85.9 days
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 06/2025.
Nonprofit
Net patient revenueNet patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$15.8MFiscal year ending 06/2025
Net patient incomeNet patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$568.3KFiscal year ending 06/2025
Nonprofit
Net patient revenueNet patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$15.8MFiscal year ending 06/2025Rank#27 / 186Net patient revenue — State benchmarkedThis nursing home is ranked 27th out of 186 nursing homes we track in Kentucky. Shows this facility's net patient revenue compared to the Kentucky average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Net patient revenue — State benchmarkedThis nursing home is ranked 27th out of 186 nursing homes we track in Kentucky. Shows this facility's net patient revenue compared to the Kentucky average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient incomeNet patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$568.3KFiscal year ending 06/2025
Other incomeMoney the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$837.6KFiscal year ending 06/2025
Payroll costsStaff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.Rank#12 / 186Payroll costs — State benchmarkedThis nursing home is ranked 12th out of 186 nursing homes we track in Kentucky. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Kentucky average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Payroll costs — State benchmarkedThis nursing home is ranked 12th out of 186 nursing homes we track in Kentucky. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Kentucky average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$8.7MFiscal year ending 06/2025
54.9% of net patient revenue
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.Rank#18 / 186Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 18th out of 186 nursing homes we track in Kentucky. Shows payroll as a percentage of net patient revenue versus the Kentucky average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 18th out of 186 nursing homes we track in Kentucky. Shows payroll as a percentage of net patient revenue versus the Kentucky average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costsEverything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$6.6MFiscal year ending 06/2025
Total costsThe home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$15.2MFiscal year ending 06/2025
Certification details
CMS Certification Number:185175
Rural vs. Urban:Urban
County:Jefferson
Type of Control:Nonprofit
Source: Centers for Medicare & Medicaid Services (CMS) and State data
How we calculate these figures
We use the home's most recent CMS SNF Cost Report — the annual financial statement every Medicare- and Medicaid-certified nursing home is required to file — to show how it earns and spends on resident care.
This includes
Net patient revenue — what the home collects for resident care after contractual allowances, bad debt and discounts.
Payroll — staff salaries plus wage-related benefits. Contract and agency labor is counted separately, under other operating costs.
Net patient income — what's left after the home's total operating expenses.
How we calculate net patient income and payroll %
Net patient income is net patient revenue minus the home's total operating expenses. Payroll % is payroll divided by net patient revenue — the share of each revenue dollar that goes to staff pay.
Net patient revenue vs. other income
Net patient revenue is money earned from resident care only. Anything the home earns outside of care — investments, grants, rentals and other non-operating sources — is reported separately as other income. Other income is not part of net patient revenue, and it is not included in net patient income.
Who this home usually serves
TYPE OF STAY
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (56% of admissions), and a typical private pay stay runs around 1 - 2 months.
Admissions
257 total
Coverage residents most often arrive under.
Medicare19%
Private pay56%
Medicaid25%
Discharges
198 total
Coverage residents most often leave under.
Medicare17%
Private pay65%
Medicaid18%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How length of stay is calculated
Average length of stay comes from the facility's Medicare cost report: total resident days in the year divided by total discharges, across all residents and payment types. Homes that mostly provide long-term care show long averages, because few residents leave in a given year.
Places of interest near Treyton Oak Towers
0.9 miles from city center Estimated distance in miles from Louisville's city center to Treyton Oak Towers's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the KY Cabinet for Health & Family Services (CHFS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Kentucky average is: 48.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other KY nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities