The Episcopal Church Home
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
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.
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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.