River Oaks Health & Rehabilitation

Name: River Oaks Health & Rehabilitation
Address: 920 South 4th Street, Louisville, KY, 40203, US
Telephone: 5025836533

920 South 4th Street, Louisville, KY 40203 · Jefferson County · 122 certified beds · avg 98 residents/day · certified since Jan 20, 1967

2/5

Health inspection rating (on-site)

Serious findings on record

$6,380

Fines, last 3 years

3.26

Nurse hours/resident/day (adjusted)

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.

All citations in the current public record (16)

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
Jul 9, 2025	E · Potential for harm, repeated	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 9, 2025	D · Potential for harm, one-off	The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died.
Jul 9, 2025	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Jul 9, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jul 9, 2025	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.
Jul 9, 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.
Nov 22, 2024	C · Minimal risk, facility-wide	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. · from a complaint
Oct 18, 2024	E · Potential for harm, repeated	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. · from a complaint
Oct 18, 2024	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Jun 7, 2024	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.
Jun 7, 2024	E · Potential for harm, repeated	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.
Jun 7, 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. · from a complaint
Mar 15, 2019	F · Potential for harm, facility-wide	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 15, 2019	F · Potential for harm, facility-wide	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Mar 15, 2019	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Mar 15, 2019	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 6).

Year	Citations	Worst severity that year
2019	4	F
2024	6	E
2025	6	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)

1 fine totaling $6,380.

Date	Type	Amount / length
Jul 9, 2025	Fine	$6,380

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)	3.26	3.71	3.95	bottom 40% in Kentucky; bottom 25% in the U.S.
Registered Nurse hours	0.39	0.74	0.69	bottom 13% in Kentucky; bottom 20% in the U.S.
Weekend total nurse staffing	2.95	3.27	3.50	bottom 47% in Kentucky; bottom 29% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.30	0.53	0.48	bottom 25% in Kentucky; bottom 33% in the U.S.
Total nursing staff turnover (%)	0.0	46.4	45.8	—
RN turnover (%)	0.0	41.8	42.9	—

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 3.88, RN 0.46, weekend 3.51. 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: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
		Ownership Data Not Available

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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"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
Treyton Oak Towers	0.4 mi	Louisville, KY	★☆☆☆☆	1/5
Chestnut Ridge Health & Rehabilitation	0.7 mi	Louisville, KY	★☆☆☆☆	1/5
Kindred Hospital - Louisville	1.5 mi	Louisville, KY	★★☆☆☆	2/5
Home of the Innocents	1.7 mi	Louisville, KY	★★☆☆☆	2/5
Eastway Health & Rehabilitation	2.0 mi	Louisville, KY	★☆☆☆☆	1/5
Little Sisters of the Poor	2.7 mi	Louisville, KY	★★☆☆☆	3/5
Highlands Nursing and Rehabilitation	2.7 mi	Louisville, KY	★★☆☆☆	2/5
Hillcrest Village	2.9 mi	Jeffersonville, IN	★★★☆☆	2/5
Nazareth Home Clifton	2.9 mi	Louisville, KY	★★★★★	4/5
Nazareth Home	3.0 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 185029.

The Care File

Visit checklist — River Oaks Health & Rehabilitation

920 South 4th Street, Louisville, KY 40203 · 5025836533

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $6,380

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 185029 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)