Complaint Investigation

The Episcopal Church Home

August 15, 2025 · Louisville, KY · 7504 Westport Road

Citations 1

CMS Rating 5/5

Beds 26

Provider ID 185310

Healthcare Facility

The Episcopal Church Home

Louisville, KY · View full profile →

Inspection Summary

The Episcopal Church Home in Louisville, KY — inspection on August 15, 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

FF0689

Quality of Life and Care Deficiencies

Immediate Jeopardy

jeopardy to resident health or safety

remain in the dining room and/or assist the resident(s) back to their unit.New process implemented for the Versatile Workers, they now must sign in and out for lunch and breaks, to ensure all staff are aware of who is actually available on the units.Staff were educated on elopement risk, door alarm response, supervision requirements, and new escorting residents to and from the primary dining room procedure implemented.

All new education was also added to the newly hired staff education and checklists.4. An Ad Hoc Quality Assurance and Performance Improvement (QAPI) meeting was held to discuss elopement policies and procedures. An audit of the door alarms to validate staff's response began 07/31/2025, daily for two weeks, then three days a week for two weeks, then once a week for a total of four weeks.

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 The Episcopal Church Home or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

The Episcopal Church Home

Inspection Findings

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