Treyton Oak Towers
211 West Oak Street, Louisville, KY 40203 · Jefferson County · 60 certified beds · avg 52 residents/day · certified since Jul 11, 1984
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · 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 · Feb 24, 2024 · F-0600 · triggered by a complaint
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: Mar 19, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Mar 22, 2019 · F-0880
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.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Mar 31, 2019 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 24, 2021 · 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: Aug 12, 2021 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 24, 2021 · 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 12, 2021 (Deficient, Provider has date of correction)
All citations in the current public record (28)
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 3, 2025 | E · Potential for harm, repeated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Jul 3, 2025 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Jul 3, 2025 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Jul 3, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jul 3, 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. |
| Jul 3, 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. |
| Jul 3, 2025 | D · Potential for harm, 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. · from a complaint |
| Jul 3, 2025 | D · Potential for harm, 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. · from a complaint |
| Feb 24, 2024 | ▲ 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. · from a complaint |
| Jun 24, 2021 | ▲ 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. |
| Jun 24, 2021 | ▲ G · Actual 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, 2021 | F · Potential for harm, facility-wide | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Jun 24, 2021 | 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. |
| Jun 24, 2021 | F · Potential for harm, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Jun 24, 2021 | F · Potential for harm, facility-wide | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
| Jun 24, 2021 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Jun 24, 2021 | 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, 2021 | D · Potential for harm, 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, 2021 | D · Potential for harm, 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. |
| Jun 24, 2021 | 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. |
| Jun 24, 2021 | 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. |
| Jun 24, 2021 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Jun 24, 2021 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Jun 24, 2021 | 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 22, 2019 | ▲ K · Immediate jeopardy, 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. |
| Mar 22, 2019 | 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. |
| Mar 22, 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. |
| Mar 22, 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (15 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 4 | 1 | K ▲ |
| 2021 | 15 | 2 | G ▲ |
| 2024 | 1 | 1 | J ▲ |
| 2025 | 8 | 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)
1 fine totaling $16,724.
| Date | Type | Amount / length |
|---|---|---|
| Feb 24, 2024 | Fine | $16,724 |
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) | 3.84 | 3.71 | 3.95 | top 28% in Kentucky; top 46% in the U.S. |
| Registered Nurse hours | 0.69 | 0.74 | 0.69 | top 40% in Kentucky; top 37% in the U.S. |
| Weekend total nurse staffing | 3.40 | 3.27 | 3.50 | top 28% in Kentucky; top 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.51 | 0.53 | 0.48 | top 39% in Kentucky; top 32% in the U.S. |
| Total nursing staff turnover (%) | 34.7 | 46.4 | 45.8 | top 15% in Kentucky; top 23% in the U.S. |
| RN turnover (%) | 30.0 | 41.8 | 42.9 | top 27% in Kentucky; top 29% 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 4.03, RN 0.72, weekend 3.57. Staffing rating: 4/5.
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: 5/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Barnett, Susan | Individual | Corporate Director | NOT APPLICABLE | 10/25/2016 |
| Brinkman, Scott | Individual | Corporate Director | NOT APPLICABLE | 10/13/2020 |
| Evits, Katherine | Individual | Corporate Director | NOT APPLICABLE | 10/25/2016 |
| Fekete, Albert | Individual | Corporate Director | NOT APPLICABLE | 10/21/2014 |
| Gary, James | Individual | Corporate Director | NOT APPLICABLE | 10/13/2020 |
| Hardy, Alvah | Individual | Corporate Director | NOT APPLICABLE | 10/13/2020 |
| Houze, Richard | Individual | Corporate Director | NOT APPLICABLE | 10/25/2016 |
| Lope, Paul | Individual | Corporate Director | NOT APPLICABLE | 10/13/2020 |
| McArthur, Anne | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/01/2024 |
| McArthur, Anne | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2024 |
| McCarter, Robert | Individual | Corporate Director | NOT APPLICABLE | 11/03/2009 |
| Noah, Kristi | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/26/2024 |
| Partenheimer, Philip | Individual | Corporate Director | NOT APPLICABLE | 11/16/2012 |
| Ragland, Deatra | Individual | Corporate Director | NOT APPLICABLE | 11/08/2011 |
| Riley, Joe | Individual | Corporate Director | NOT APPLICABLE | 10/09/2012 |
| Simonis, Patricia | Individual | Corporate Director | NOT APPLICABLE | 10/13/2020 |
| Smith, John | Individual | Corporate Director | NOT APPLICABLE | 11/03/2009 |
| Wheeler, Patricia | Individual | Corporate Director | NOT APPLICABLE | 10/09/2012 |
| Willett, William | Individual | Corporate Director | NOT APPLICABLE | 10/25/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you explain health changes and treatment options to residents and their families?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "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 |
|---|---|---|---|---|---|
| River Oaks Health & Rehabilitation | 0.4 mi | Louisville, KY | ★☆☆☆☆ | 2/5 | |
| Chestnut Ridge Health & Rehabilitation | 1.1 mi | Louisville, KY | ★☆☆☆☆ | 1/5 | |
| Kindred Hospital - Louisville | 1.5 mi | Louisville, KY | ★★☆☆☆ | 2/5 | |
| Eastway Health & Rehabilitation | 1.8 mi | Louisville, KY | ★☆☆☆☆ | 1/5 | |
| Home of the Innocents | 1.9 mi | Louisville, KY | ★★☆☆☆ | 2/5 | |
| Little Sisters of the Poor | 2.4 mi | Louisville, KY | ★★☆☆☆ | 3/5 | |
| Highlands Nursing and Rehabilitation | 2.5 mi | Louisville, KY | ★★☆☆☆ | 2/5 | |
| Nazareth Home | 2.8 mi | Louisville, KY | ★★★★★ | 5/5 | |
| Nazareth Home Clifton | 3.0 mi | Louisville, KY | ★★★★★ | 4/5 | |
| Sycamore Heights Health and Rehabilitation | 3.1 mi | Louisville, KY | ★★☆☆☆ | 2/5 | |
| Hillcrest Village | 3.3 mi | Jeffersonville, IN | ★★★☆☆ | 2/5 | |
| Clifton Heights | 3.4 mi | Louisville, KY | ★☆☆☆☆ | 1/5 | SFF |
Compare this facility with the 3 closest →
All facilities in Louisville →
Facility data as of CMS processing date 2026-08-01. CCN 185175.