Highlands Nursing and Rehabilitation
1705 Stevens Avenue, Louisville, KY 40205 · Jefferson County · 154 certified beds · avg 145 residents/day · certified since Feb 1, 1967
Part of chain: DAVID MARX (10 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Mar 23, 2024 · F-0655
The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Why it matters: In the critical first days, staff may not know a new resident's medications, diet, or fall risks.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 11, 2024 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Mar 23, 2024 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 11, 2024 (Past Non-Compliance)
▲ Actual harm, one-off · Jan 11, 2020 · F-0656
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 9, 2020 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 11, 2020 · F-0657
The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Why it matters: Delays or gaps in care planning mean staff may work without a clear, current roadmap for the resident's daily care and treatment.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 9, 2020 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 11, 2020 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 9, 2020 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 11, 2020 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 9, 2020 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 11, 2020 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 9, 2020 (Deficient, Provider has date of correction)
All citations in the current public record (30)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 28, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Feb 28, 2025 | D · Potential for harm, one-off | The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings. |
| Feb 28, 2025 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Feb 28, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 28, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Feb 28, 2025 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Feb 28, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 23, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Mar 23, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 23, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Mar 23, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 23, 2024 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Jan 11, 2020 | ▲ G · Actual harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jan 11, 2020 | ▲ G · Actual harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jan 11, 2020 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 11, 2020 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jan 11, 2020 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jan 11, 2020 | F · Potential for harm, facility-wide | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 11, 2020 | F · Potential for harm, facility-wide | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Jan 11, 2020 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 11, 2020 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jan 11, 2020 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Jan 11, 2020 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jan 11, 2020 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 11, 2020 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Jan 11, 2020 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Jan 11, 2020 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jan 11, 2020 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 11, 2020 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Jan 11, 2020 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 18 | 5 | G ▲ |
| 2024 | 5 | 2 | J ▲ |
| 2025 | 7 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $17,523, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Mar 23, 2024 | Fine | $6,780 |
| Mar 23, 2024 | Fine | $10,743 |
| Mar 23, 2024 | Payment Denial | 8 days from Apr 21, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Kentucky avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.19 | 3.71 | 3.95 | bottom 34% in Kentucky; bottom 21% in the U.S. |
| Registered Nurse hours | 0.84 | 0.74 | 0.69 | top 24% in Kentucky; top 24% in the U.S. |
| Weekend total nurse staffing | 2.93 | 3.27 | 3.50 | bottom 45% in Kentucky; bottom 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.82 | 0.53 | 0.48 | top 12% in Kentucky; top 11% in the U.S. |
| Total nursing staff turnover (%) | 38.7 | 46.4 | 45.8 | top 24% in Kentucky; top 33% in the U.S. |
| RN turnover (%) | 25.0 | 41.8 | 42.9 | top 16% in Kentucky; top 20% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.37, RN 0.89, weekend 3.08. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Highlands Nursing and Rehabilitation Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/25/2019 |
| 1705 Stevens Ave SNF Realty LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2019 |
| 1705 Stevens Ave SNF Realty LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| Alexander, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| Alexander, David | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Bluegrass Consulting Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2019 |
| Bluegrass Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/04/2025 |
| Bogard, Ken | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Bogard, Ken | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Chagua, Marlon | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Chagua, Marlon | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Chamberlain, Margaret | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/11/2023 |
| Chamberlain, Margaret | Individual | ADP of the SNF | NOT APPLICABLE | 09/11/2023 |
| LTC Consulting Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2019 |
| LTC Consulting Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/04/2025 |
| Pruitt, Paul | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2023 |
| Pruitt, Paul | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| Pruitt, Paul | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Rewa, Angela | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/23/2023 |
| Rewa, Angela | Individual | ADP of the SNF | NOT APPLICABLE | 10/23/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Nazareth Home | 0.6 mi | Louisville, KY | ★★★★★ | 5/5 | |
| Eastway Health & Rehabilitation | 0.9 mi | Louisville, KY | ★☆☆☆☆ | 1/5 | |
| Little Sisters of the Poor | 1.2 mi | Louisville, KY | ★★☆☆☆ | 3/5 | |
| Kindred Hospital - Louisville | 1.4 mi | Louisville, KY | ★★☆☆☆ | 2/5 | |
| Cherokee Park Rehabilitation | 1.5 mi | Louisville, KY | ★★☆☆☆ | 2/5 | |
| Nazareth Home Clifton | 1.7 mi | Louisville, KY | ★★★★★ | 4/5 | |
| Sycamore Heights Health and Rehabilitation | 1.9 mi | Louisville, KY | ★★☆☆☆ | 2/5 | |
| Home of the Innocents | 2.0 mi | Louisville, KY | ★★☆☆☆ | 2/5 | |
| Clifton Heights | 2.3 mi | Louisville, KY | ★☆☆☆☆ | 1/5 | SFF |
| Treyton Oak Towers | 2.5 mi | Louisville, KY | ★☆☆☆☆ | 1/5 | |
| River Oaks Health & Rehabilitation | 2.7 mi | Louisville, KY | ★☆☆☆☆ | 2/5 | |
| Seneca Place | 3.1 mi | Louisville, KY | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 185039.