Parkwood Health & Rehabilitation
900 Gagel Avenue, Louisville, KY 40216 · Jefferson County · 118 certified beds · avg 105 residents/day · certified since Jan 1, 1974
Part of chain: LYON HEALTHCARE (11 facilities, chain avg rating 1.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
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 · Jul 3, 2024 · F-0689 · triggered by a complaint
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: Sep 13, 2022 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Jun 24, 2019 · F-0600
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Jul 23, 2019 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jun 24, 2019 · F-0607
The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Why it matters: Without working prevention policies, mistreatment is more likely to happen and less likely to be caught.
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: Jul 23, 2019 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jun 24, 2019 · F-0609
The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.
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: Jul 23, 2019 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jun 24, 2019 · F-0610
The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.
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: Jul 23, 2019 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 24, 2019 · 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: Jul 23, 2019 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 24, 2019 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Jul 23, 2019 (Deficient, Provider has date of correction)
All citations in the current public record (25)
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 |
|---|---|---|
| Jan 8, 2026 | F · Potential for harm, facility-wide | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 8, 2026 | F · Potential for harm, facility-wide | 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 8, 2026 | E · Potential for harm, repeated | 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 8, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 2, 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. · from a complaint |
| Jul 3, 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. · from a complaint |
| Jul 3, 2024 | 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. |
| Jul 3, 2024 | 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. |
| Jul 3, 2024 | 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. |
| Jul 3, 2024 | 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. |
| Jul 3, 2024 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Jun 24, 2019 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Jun 24, 2019 | ▲ J · Immediate jeopardy, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Jun 24, 2019 | ▲ J · Immediate jeopardy, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Jun 24, 2019 | ▲ J · Immediate jeopardy, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Jun 24, 2019 | ▲ 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. |
| Jun 24, 2019 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jun 24, 2019 | D · Potential for harm, one-off | 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. |
| Jun 24, 2019 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jun 24, 2019 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jun 24, 2019 | 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. |
| Jun 24, 2019 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jun 24, 2019 | 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. |
| Jun 24, 2019 | 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. |
| Jun 24, 2019 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 14 | 6 | J ▲ |
| 2024 | 6 | 1 | J ▲ |
| 2025 | 1 | 0 | D |
| 2026 | 4 | 0 | F |
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)
1 fine totaling $10,209.
| Date | Type | Amount / length |
|---|---|---|
| Jul 3, 2024 | Fine | $10,209 |
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) | 2.63 | 3.71 | 3.95 | bottom 4% in Kentucky; bottom 5% in the U.S. |
| Registered Nurse hours | 0.42 | 0.74 | 0.69 | bottom 17% in Kentucky; bottom 25% in the U.S. |
| Weekend total nurse staffing | 2.35 | 3.27 | 3.50 | bottom 7% in Kentucky; bottom 6% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.53 | 0.48 | bottom 32% in Kentucky; bottom 43% in the U.S. |
| Total nursing staff turnover (%) | 54.2 | 46.4 | 45.8 | bottom 23% in Kentucky; bottom 27% in the U.S. |
| RN turnover (%) | 75.0 | 41.8 | 42.9 | bottom 6% in Kentucky; bottom 9% 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 3.04, RN 0.48, weekend 2.72. Staffing rating: 1/5.
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: 3/5 · long-stay residents: 5/5 · short-stay residents: 1/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Botwinick, Michael | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| BTF Ky Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Epky Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Hiky Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| JNL 2024 Fam Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Joel a Schwartz 2017 Family Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Lion Ky Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| MJL 2024 Family Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Siky Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Ssky Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Tziporah Schwartz 2017 Family Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Anderson, Robert | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/10/2025 |
| Anderson, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/10/2025 |
| Anderson, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 03/10/2025 |
| Carver, Dillion | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/02/2025 |
| Carver, Dillion | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Davis, Shamika | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Davis, Shamika | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Givens, Carrie | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
| Gottesman, Daniel | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2025 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "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 |
|---|---|---|---|---|---|
| Signature Healthcare at Rockford Rehab & Wellness | 1.7 mi | Louisville, KY | ★★★★★ | 5/5 | |
| Signature Healthcare at Summerfield Rehab & Wellne | 1.9 mi | Louisville, KY | ★★☆☆☆ | 1/5 | |
| Signature Healthcare of South Louisville | 2.3 mi | Louisville, KY | ★★★★☆ | 3/5 | |
| Essex Rehabilitation and Healthcare Center | 4.0 mi | Louisville, KY | ★★☆☆☆ | 3/5 | |
| Park Terrace Health Campus | 4.4 mi | Louisville, KY | ★★★★☆ | 4/5 | |
| Treyton Oak Towers | 5.0 mi | Louisville, KY | ★☆☆☆☆ | 1/5 | |
| River Oaks Health & Rehabilitation | 5.4 mi | Louisville, KY | ★☆☆☆☆ | 2/5 | |
| Little Sisters of the Poor | 5.4 mi | Louisville, KY | ★★☆☆☆ | 3/5 | |
| Eastway Health & Rehabilitation | 5.6 mi | Louisville, KY | ★☆☆☆☆ | 1/5 | |
| Chestnut Ridge Health & Rehabilitation | 5.7 mi | Louisville, KY | ★☆☆☆☆ | 1/5 | |
| Franciscan Health Care Center | 6.1 mi | Louisville, KY | ★★★☆☆ | 2/5 | |
| Nazareth Home | 6.2 mi | Louisville, KY | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
All facilities in Louisville →
Facility data as of CMS processing date 2026-08-01. CCN 185096.