Louisville East Post Acute
Inspection Findings
F-Tag F0655
F 0655 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
committee will meet monthly and as needed. On 07/28/2025 the IDT began a daily review of the Elopement Binders and Care Plans will be reviewed for accuracy for individuals at risk for elopement. On 07/27/2025 all windows were sealed shut with adhesive caulk. Daily door checks and weekly window checks conducted for four (4) weeks, then every other week for four (4) weeks and monthly thereafter until compliance is maintained for at least three consecutive months and the QAPI Committee reviews for potential safety concerns for accidents or hazards.From 07/27/2025 through 07/28/2025 staff on the secured unit were educated on recognizing exit seeking behaviors in residents with dementia, appropriate verbal redirection and other non-pharmacological intervention, resident change in condition, notification of supervisor, person-centered care plan, and implementation of appropriate interventions to promote resident safety, identify potential elopement risks, and the process changes for screening, referrals and supervising new admissions. From 07/28/2025 through 08/04/2025 all facility staff were educated recognizing exit seeking behaviors in residents with dementia, appropriate verbal redirection and other non-pharmacological intervention. The facility elopement/wandering policy, and emergency protocol. Facility elopement/wandering policy, and emergency protocol, change of condition, care plan updates, increase behaviors, and supervision were also reviewed.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/15/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Louisville East Post Acute
4200 Browns Lane Louisville, KY 40220
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
at risk for elopement. On 07/27/2025 all windows were sealed shut with adhesive caulk. Daily door checks and weekly window checks conducted for four (4) weeks, then every other week for four (4) weeks and monthly thereafter until compliance is maintained for at least three consecutive months and the QAPI Committee reviews for potential safety concerns for accidents or hazards.From 07/27/2025 through 07/28/2025 staff on the secured unit were educated on recognizing exit seeking behaviors in residents with dementia, appropriate verbal redirection and other non-pharmacological intervention, resident change in condition, notification of supervisor, person-centered care plan, and implementation of appropriate interventions to promote resident safety, identify potential elopement risks, and the process changes for screening, referrals and supervising new admissions. From 07/28/2025 through 08/04/2025 all facility staff were educated recognizing exit seeking behaviors in residents with dementia, appropriate verbal redirection and other non-pharmacological intervention. The facility elopement/wandering policy, and emergency protocol. Facility elopement/wandering policy, and emergency protocol, change of condition, care plan updates, increase behaviors, and supervision were also reviewed.
Event ID:
Facility ID:
If continuation sheet
Louisville East Post Acute in Louisville, KY inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Louisville East Post Acute or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.