The Episcopal Church Home
7504 Westport Road, Louisville, KY 40222 · Jefferson County · 26 certified beds · avg 24 residents/day · certified since Oct 1, 1991
Part of chain: EPISCOPAL RETIREMENT HOMES, INC. (3 facilities, chain avg rating 4.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
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 · Aug 15, 2025 · 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.
All citations in the current public record (7)
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 |
|---|---|---|
| Aug 15, 2025 | ▲ 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 |
| Oct 27, 2022 | 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. |
| Dec 13, 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. |
| Dec 13, 2019 | 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. |
| Dec 13, 2019 | D · Potential for 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. |
| Dec 13, 2019 | 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. |
| Dec 13, 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (1 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 5 | 0 | D |
| 2022 | 1 | 0 | D |
| 2025 | 1 | 1 | J ▲ |
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 $10,364.
| Date | Type | Amount / length |
|---|---|---|
| Aug 15, 2025 | Fine | $10,364 |
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) | 5.68 | 3.71 | 3.95 | top 8% in Kentucky; top 6% in the U.S. |
| Registered Nurse hours | 1.11 | 0.74 | 0.69 | top 10% in Kentucky; top 12% in the U.S. |
| Weekend total nurse staffing | 5.29 | 3.27 | 3.50 | top 6% in Kentucky; top 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.61 | 0.53 | 0.48 | top 27% in Kentucky; top 22% in the U.S. |
| Total nursing staff turnover (%) | 27.0 | 46.4 | 45.8 | top 4% in Kentucky; top 9% in the U.S. |
| RN turnover (%) | 20.0 | 41.8 | 42.9 | top 11% in Kentucky; top 13% 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 5.02, RN 0.98, weekend 4.68. Staffing rating: 5/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Episcopal Church Home Foundation INC | Organization | 5% or Greater Direct Ownership Interest | 20% | 10/05/2016 |
| Episcopal Retirement Homes, INC. | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Episcopal Retirement Services | Organization | 5% or Greater Direct Ownership Interest | 80% | 10/05/2016 |
| Anim, Dora | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Coleman, Jomiya | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/15/2021 |
| Coleman, Jomiya | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/07/2025 |
| Coleman, Jomiya | Individual | ADP of the SNF | NOT APPLICABLE | 01/21/2025 |
| Cooper, W. | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Edwards, Beverly | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/06/2016 |
| Edwards, Beverly | Individual | Corporate Officer | NOT APPLICABLE | 12/20/2021 |
| Edwards, Beverly | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/07/2025 |
| Edwards, Beverly | Individual | ADP of the SNF | NOT APPLICABLE | 01/21/2025 |
| Elin, Reverend Darren | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Episcopal Church Home Foundation INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/05/2016 |
| Episcopal Church Home Foundation INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/21/2025 |
| Episcopal Retirement Homes, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/07/2025 |
| Episcopal Retirement Homes, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 01/21/2025 |
| Episcopal Retirement Services | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/05/2016 |
| Episcopal Retirement Services | Organization | ADP of the SNF | NOT APPLICABLE | 01/21/2025 |
| Fraser, Bonita | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/15/2022 |
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?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "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 Jefferson Manor Rehab & We | 0.3 mi | Louisville, KY | ★★★★★ | 4/5 | |
| Lyndon Crossing, LLC | 0.4 mi | Louisville, KY | —/5 | SFF | |
| Signature Healthcare at Jefferson Place Rehab & We | 0.4 mi | Louisville, KY | ★★★★☆ | 3/5 | |
| Westport Place Health Campus | 1.4 mi | Louisville, KY | ★★★★★ | 4/5 | |
| The Willows at Springhurst | 2.5 mi | Louisville, KY | ★★★☆☆ | 2/5 | |
| Sam Swope Care Center | 2.9 mi | Masonic Home, KY | ★★☆☆☆ | 2/5 | |
| Louisville East Post Acute | 3.5 mi | Louisville, KY | ★★★☆☆ | 2/5 | |
| The Springs at Stony Brook | 3.9 mi | Louisville, KY | ★★★★★ | 4/5 | |
| Seneca Place | 3.9 mi | Louisville, KY | ★★★★★ | 4/5 | |
| Signature Healthcare of East Louisville | 4.5 mi | Louisville, KY | ★★☆☆☆ | 2/5 | |
| Klondike Nursing and Rehabilitation Center | 4.6 mi | Louisville, KY | ★★★★☆ | 3/5 | |
| Clifton Heights | 4.9 mi | Louisville, KY | ★☆☆☆☆ | 1/5 | SFF |
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Facility data as of CMS processing date 2026-08-01. CCN 185310.