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Complaint Investigation

Louisville East Post Acute

August 15, 2025 · Louisville, KY · 4200 Browns Lane
Citations 2
CMS Rating 3/5
Beds 178
Provider ID 185178
Healthcare Facility
Louisville East Post Acute
Louisville, KY  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Louisville East Post Acute in Louisville, KY — inspection on August 15, 2025.

Found 2 citations. 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

FF0655
Resident Assessment and Care Planning Deficiencies
Immediate Jeopardy

jeopardy to resident health or safety

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.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/15/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Louisville East Post Acute

4200 Browns Lane Louisville, KY 40220

SUMMARY STATEMENT OF DEFICIENCIES

jeopardy to resident health or safety

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.

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 Louisville East Post Acute or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.