Provider Name: FOREST SPRINGS HEALTH CAMPUS
Address: 4120 WOODED ACRE LANE, LOUISVILLE, KY 40245
Phone: (502) 243-1643
County: Jefferson (550)
Ownership Type: For profit - Corporation
Certified Beds: 58
Average Residents Per Day: 48.3 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: TRILOGY HEALTHCARE OF LOUISVILLE NORTHEAST, LLC
First Approved Date: April 29, 2015
Affiliated Entity: TRILOGY HEALTH SERVICES (524)
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 3 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: 2 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.71385, LPN Staff Hours Per Day: 1.6413, RN Staff Hours Per Day: 0.9698, Licensed Staff Hours Per Day: 2.6111
Total Nurse Staff Hours Per Day, per resident: 4.32500
Weekend Nurse Staff Hours: 4.00960, Weekend RN Staff Hours: 0.5161
PT Staff Hours Per Day, per resident: 0.1515
Nurse Staff Turnover: 56.3, Nurse Turnover Note:
RN Turnover: 50.0, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.2167, Case Mix LPN Hours Per Day: 0.7627, Case Mix RN Hours Per Day: 0.3636
Adjusted Nurse Aide Hours Per Day, per resident: 1.57507, Adjusted LPN Hours Per Day: 1.5880, Adjusted RN Hours Per Day: 1.0048
Total Adjusted Nurse Hours Per Day, per resident: 4.07774
Adjusted Weekend Nurse Hours Per Day, per resident: 3.78037
Health Survey Dates and Scores: Cycle 1: 2022-03-16 (Score: 0), Cycle 2: 2019-10-24 (Score: 20), Cycle 3: 2018-08-02 (Score: 0)
Total Weighted Health Score: 6.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 4120 WOODED ACRE LANE,LOUISVILLE,KY,40245 (38.2969, -85.509)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-11-18
Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-11-18
Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-11-18
Type: Health, Deficiency: Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-11-25
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-11-18
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0374, Version: New
Description: Install smoke barrier doors that can resist smoke for at least 20 minutes.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-11-27