Complaint Investigation

Kindred Hospital - Louisville

December 31, 2025 · Louisville, KY · 1313 St. Anthony Place

Citations 1

CMS Rating 2/5

Beds 47

Provider ID 185361

Healthcare Facility

Kindred Hospital - Louisville

Louisville, KY · View full profile →

Inspection Summary

Kindred Hospital - Louisville in Louisville, KY — inspection on December 31, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0755

Pharmacy Service Deficiencies

Potential for More Than Minimal Harm

During an interview on 12/29/2025 at 2:27 PM, Registered Nurse (RN) 6 stated that when medications were delivered by the pharmacy, the nurse should review the delivery sheet, compare it to the medications that were delivered, and then sign the delivery sheet.

During an interview on 12/30/2025 at 11:17 AM, the Assistant Director of Nursing (ADON) stated she thought LPN3 accidentally threw away the fentanyl patches ordered for R5.

The ADON stated fentanyl patches were delivered in a sealed bag from the pharmacy inside a small plastic bag and sometimes the patches would stick to the inside of the pharmacy bag.

During an interview on 12/30/2025 at 11:57 AM, the DON stated LPN3 discovered R5's fentanyl patches were missing on 10/07/2025 when she attempted to administer the 7:00 AM to 10:00 AM scheduled dose.

The DON stated the Medical Director was notified, and an order was obtained to administer the fentanyl patch when it was delivered by the pharmacy.

According to the DON, once LPN3 notified her, she verified the medication was never logged in on the narcotic addition and deletion log.

Per the DON, LPN3 told her she threw the pharmacy bag away at the nurse's station and took another medication that was delivered to LPN8.

The DON stated she expected that narcotics were verified when delivered from the pharmacy and were immediately signed in by two nurses.

During an interview on 12/31/2025 at 10:10 AM, the Executive Director (ED) stated that he expected that narcotics would not be thrown away and that there was a secure handoff process.

The ED stated that the nurses receiving the medications and pharmacy delivering the medication should monitor the medications delivered.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Louisville, KY, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Kindred Hospital - Louisville or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

Kindred Hospital - Louisville

Inspection Findings

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