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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.
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.
In Louisville’s Audubon neighborhood, Little Sisters of the Poor operates as a 50-bed Catholic nonprofit nursing facility licensed in April 2025. The Medicaid-focused community (97% of census) serves 32 residents with an average stay of six months. Administrator Linda Deardeuff leads a mission-oriented operation. The location ranks very walkable (Walk Score 74, ranked 36th statewide) and sits 2.7 miles from downtown Louisville.
Residents access memory care, respite services, volunteer programming, pastoral care, and a complimentary Senior Day Center.
Staffing intensity defines the operation. Little Sisters invests 97.7% of revenue into payroll, the second-highest proportion in Kentucky, fielding 125 personnel (56 employees, 69 contractors) for 32 residents. The staff-to-resident ratio of 3.91:1 exceeds the state average by 127%. Total nursing hours clock in at 6h 31m daily per resident, ranking 5th statewide and 89% above Kentucky’s median.
The CMS staffing rating reflects this commitment at 4 stars; the overall rating lands at 3 stars.
Inspection data reveals rapid-scale challenges. January’s renewal survey found zero deficiencies when the facility held 8 residents. Four months later, following expansion to 32 residents, a May 2025 re-inspection identified four moderate-severity deficiencies: failed discharge notifications (1 of 1 resident sampled), expired medications in 3 of 6 medication carts, lapsed expiration-date checks before administration, and gaps in infection prevention protocols (hand hygiene, food service).
No critical or serious citations exist in the record. Zero fines, payment denials, or substantiated complaints appear over three years.
Quality outcomes split markedly. Walking ability decline (33.5%) and functional decline (28.8) run 71 and 52% worse than state benchmarks, respectively; antipsychotic use runs 27% higher. Pressure ulcers (3.0%, 48% better), weight loss (3.4%, 50% better), and depressive symptoms (9.4%, 34% better) outperform state averages. Vaccine coverage, influenza 100%, pneumococcal 93%, aligns with state norms.
The facility is brand-new, mission-driven, and heavily staffed.
The May deficiencies coincided with rapid census growth from 8 to 32 residents in four months, suggesting operational scaling challenges in medication management and infection control rather than baseline capacity issues.
The 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.
Based 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.
Measures 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.
Based 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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 5th out of 184 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 1h 34m per day | ▲ 105% State avg: 46m per day · National avg: 41m per day |
|
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.
| 35m per day | ▼ 28% State avg: 48m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 4h 6m per day | ▲ 70% State avg: 2h 24m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 5h 15m per day | ▲ 48% State avg: 3h 32m per day · National avg: 3h 27m per day |
|
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.
| 9m per day | ▲ 139% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
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.
| 56m per day | ▲ 83% State avg: 31m per day · National avg: 29m per day |
Lower than the Kentucky average: 81.3%Little Sisters of the Poor is administrated by Linda Deardeuff.
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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 4 | 6 | This facility has 33% fewer total deficiencies than a typical Kentucky nursing home (4 vs. KY avg 6).↓ 33% better |
|
Deficiencies per year
Average deficiencies per year since 2025.
| 4 | 6 | This facility has 33% fewer deficiencies per year than a typical Kentucky nursing home (4 vs. KY avg 6).↓ 33% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Kentucky average 2.9
Last Health inspection on May 2025
Kentucky average 13.5
Kentucky average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 10 citations resulted from standard inspections.
100% better than Kentucky averageKentucky average: 1.1
100% better than Kentucky averageKentucky average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
127% more staff per resident than Kentucky average
11% worse than Kentucky average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
20 total: 9 full-time employees and 11 contractors.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursAssists with medical care and medications.
15 total: 2 full-time employees and 13 contractors.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursHelps with daily care and mobility.
66 total: 36 full-time employees and 30 contractors.
66
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,298 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 36 | 30 | 66 | 10,743 | 92 | 100% | 7.4 |
| Registered Nurse | 9 | 11 | 20 | 2,139 | 91 | 99% | 9.2 |
| Licensed Practical Nurse | 2 | 13 | 15 | 1,524 | 91 | 99% | 8.4 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,466 | 69 | 75% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 958 | 76 | 83% | 8 |
| Dietitian | 1 | 0 | 1 | 528 | 61 | 66% | 8.7 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 470 | 59 | 64% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 460 | 67 | 73% | 5.8 |
| Physical Therapy Aide | 0 | 1 | 1 | 415 | 60 | 65% | 6.9 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 403 | 53 | 58% | 5.9 |
| Administrator | 1 | 0 | 1 | 360 | 45 | 49% | 8 |
| Speech Language Pathologist | 0 | 4 | 4 | 111 | 26 | 28% | 4.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 79 | 12 | 13% | 6.6 |
| Qualified Social Worker | 0 | 1 | 1 | 55 | 26 | 28% | 2.1 |
| Medical Director | 0 | 1 | 1 | 16 | 8 | 9% | 1.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 13 | 4 | 4% | 3.3 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.5
38% worse than Kentucky averageKentucky average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.8
52% worse than Kentucky averageKentucky average: 18.9
Percent of long-stay residents whose need for help with daily activities has increased
27.9%
66% worse than Kentucky averageKentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
33.5%
71% worse than Kentucky averageKentucky average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.1%
22% worse than Kentucky averageKentucky average: 20.5%
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
23% worse than Kentucky averageKentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
3.0%
48% better than Kentucky averageKentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
2.4%
28% worse than Kentucky averageKentucky average: 1.9%
Percent of long-stay residents who lose too much weight
3.4%
50% better than Kentucky averageKentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
9.4%
34% better than Kentucky averageKentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
19.8%
27% worse than Kentucky averageKentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.1%
In line with Kentucky averageKentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Kentucky averageKentucky average: 96.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
21% of new residents, usually for short-term rehab.
4% of new residents, often for short stays.
75% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
32Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Little Sisters of the Poor based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #81 / 188Payroll — State benchmarkedThis home is ranked 81st out of 188 homes in Kentucky. Shows total annual staff payroll benchmarked to the Kentucky average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
2.7 miles from city center
Estimated distance in miles from Louisville's city center to Little Sisters of the Poor's address, calculated via Google Maps.
Add your location
Little Sisters of the Poor is located in LOUISVILLE, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.
The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
| Vitality Living Springdale |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Louisville | 90
Facility
90
KY AVG
82
Rank
#135 / 341 | - | - | 7.65
Facility
7.65
KY AVG
3.75
Rank
#3 / 184 | +8% | +104% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 190 | 2
Facility
2
KY AVG
13.5
Rank
#3 / 186 | 1.0
Facility
1.0
KY AVG
4.4
Rank
#1 / 186 | - | 46 | A+ |
25
Facility
25
KY AVG
41
Rank
#315 / 423 | Catherine Mueller | $10.0M
Facility
$10.0M
KY AVG
$10.5M
Rank
#107 / 188 | $6.5M
Facility
$6.5M
KY AVG
$4.0M
Rank
#48 / 188 | 65.2%
Facility
65.2%
KY AVG
40.7%
Rank
#8 / 188 | 185276 | ||||
| Nazareth Home Clifton |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Louisville (Clifton Heights) | 144
Facility
144
KY AVG
82
Rank
#24 / 341 |
69.9%
Facility
69.9%
KY AVG
81.3%
Rank
#176 / 202 | -14% | 4.23
Facility
4.23
KY AVG
3.75
Rank
#24 / 184 | +1% | +13% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 190 | 17
Facility
17
KY AVG
13.5
Rank
#131 / 186 | 5.7
Facility
5.7
KY AVG
4.4
Rank
#143 / 186 | - | 105 | A+ |
36
Facility
36
KY AVG
41
Rank
#244 / 423 | Greg Cobb | $17.0M
Facility
$17.0M
KY AVG
$10.5M
Rank
#23 / 188 | $8.0M
Facility
$8.0M
KY AVG
$4.0M
Rank
#25 / 188 | 47%
Facility
47%
KY AVG
40.7%
Rank
#83 / 188 | 185442 | ||||
| Brookdale Stonestreet |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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Facility
60
KY AVG
82
Rank
#223 / 341 | - | - | 3.24
Facility
3.24
KY AVG
3.75
Rank
#111 / 184 | +4% | -14% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 190 | 6
Facility
6
KY AVG
13.5
Rank
#29 / 186 | 3.0
Facility
3.0
KY AVG
4.4
Rank
#46 / 186 | - | 78 | A+ |
7
Facility
7
KY AVG
41
Rank
#382 / 423 | John Foote | $14.0M
Facility
$14.0M
KY AVG
$10.5M
Rank
#44 / 188 | $6.6M
Facility
$6.6M
KY AVG
$4.0M
Rank
#44 / 188 | 47%
Facility
47%
KY AVG
40.7%
Rank
#83 / 188 | 185462 | ||||
| Little Sisters of the Poor |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Louisville (Audubon) | 50
Facility
50
KY AVG
82
Rank
#258 / 341 |
64.0%
Facility
64.0%
KY AVG
81.3%
Rank
#181 / 202 | -21% | 6.52
Facility
6.52
KY AVG
3.75
Rank
#5 / 184 | +49% | +74% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 190 | 10
Facility
10
KY AVG
13.5
Rank
#77 / 186 | 3.3
Facility
3.3
KY AVG
4.4
Rank
#64 / 186 | - | 29 | - |
74
Facility
74
KY AVG
41
Rank
#36 / 423 | Claire Mccanless | $5.0M
Facility
$5.0M
KY AVG
$10.5M
Rank
#174 / 188 | $4.9M
Facility
$4.9M
KY AVG
$4.0M
Rank
#81 / 188 | 97.7%
Facility
97.7%
KY AVG
40.7%
Rank
#2 / 188 | 185260 | ||||
| The Willows at Springhurst |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Louisville | 62
Facility
62
KY AVG
82
Rank
#218 / 341 |
83.7%
Facility
83.7%
KY AVG
81.3%
Rank
#116 / 202 | +3% | 3.32
Facility
3.32
KY AVG
3.75
Rank
#90 / 184 | -24% | -12% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 190 | 17
Facility
17
KY AVG
13.5
Rank
#131 / 186 | 5.7
Facility
5.7
KY AVG
4.4
Rank
#143 / 186 | - | 48 | A+ |
34
Facility
34
KY AVG
41
Rank
#261 / 423 | Carla Sieckert | $14.5M
Facility
$14.5M
KY AVG
$10.5M
Rank
#39 / 188 | $8.3M
Facility
$8.3M
KY AVG
$4.0M
Rank
#22 / 188 | 57%
Facility
57%
KY AVG
40.7%
Rank
#40 / 188 | 185305 |
Little Sisters of the Poor is in the Audubon neighborhood of LOUISVILLE.
The legal owner and operator of Little Sisters of the Poor is Home For The Aged Little Sisters Of The Poor, Inc.
Little Sisters of the Poor has a walk score of 74. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to KY state health department records, Little Sisters of the Poor's license number is 100641.
According to KY state health department records, Little Sisters of the Poor's license expires on March 31, 2026.
Little Sisters of the Poor's occupancy is 64%.
Linda Deardeuff is the administrator of Little Sisters of the Poor.
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