F55

CLIFTON HEIGHTS

Grade F 55/100 composite score

For profit - IndividualSFF Candidate

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
4/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

110

Ownership

For profit - Individual

Total Fines

$369,780

Last Survey

N/A

446 MT. HOLLY AVENUE, LOUISVILLE, KY 40206
5028971646

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.40h
LPN
0.76h
CNA
2.04h
Total
3.21h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

JOURNEY CZ OF KY LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Aug 2024

100%

3 BEES HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2024

AJOJ HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2024

BEES FAMILY IRREVOCABLE TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2024

BLUE OCEAN TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2024

JOURNEY CZ KY HEALTHCARE HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2024

SHASAM FAMILY TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2024

SHASAM HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2024

MCGUINNESS, BERNARD

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2024

KAPOOR, SANDEEP

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2024

MCGUINNESS, BERNARD

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2024

SMITH, RHONDA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2024

MCGUINNESS, BERNARD

IndividualCORPORATE OFFICERSince Aug 2024

Penalties & Fines (4)

$369,780total fines
DateTypeDescriptionAmount
Jun 11, 2023Fine$11,643
Jun 11, 2023Fine$11,644
Jun 11, 2023Fine$346,493
Jun 11, 2023Payment Denial

Health Inspection Deficiencies (34)

November 22, 2025Health2 deficiencies2 severe
0697JImmediate jeopardy, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

0776GActual harm, Isolated

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Administration Deficiencies

August 11, 2023Health9 deficiencies6 severe
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Sep 23, 2023
0600KImmediate jeopardy, Pattern

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 23, 2023
0607JImmediate jeopardy, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 23, 2023
0609JImmediate jeopardy, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 23, 2023
0684JImmediate jeopardy, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Sep 23, 2023
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Sep 23, 2023
0755EMinimal harm, Pattern

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Sep 23, 2023
0835KImmediate jeopardy, Pattern

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Administration Deficiencies

Corrected Sep 23, 2023
0867KImmediate jeopardy, Pattern

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected Sep 23, 2023
June 11, 2023Health14 deficiencies2 severe
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Sep 23, 2023
0584EMinimal harm, Pattern

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Resident Rights Deficiencies

Corrected Sep 23, 2023
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 23, 2023
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 23, 2023
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Sep 23, 2023
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Sep 23, 2023
0691DMinimal harm, Isolated

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Sep 23, 2023
0693DMinimal harm, Isolated

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Quality of Life and Care Deficiencies

Corrected Sep 23, 2023
0761DMinimal harm, Isolated

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Sep 23, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Sep 23, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 23, 2023
0656JImmediate jeopardy, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 23, 2023
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Sep 23, 2023
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Sep 23, 2023
March 1, 2019Health8 deficiencies
0584EMinimal harm, Pattern

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Resident Rights Deficiencies

Corrected Apr 16, 2019
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 16, 2019
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 16, 2019
0730EMinimal harm, Pattern

Observe each nurse aide's job performance and give regular training.

Nursing and Physician Services Deficiencies

Corrected Apr 16, 2019
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Apr 16, 2019
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 16, 2019
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 16, 2019
0908DMinimal harm, Isolated

Keep all essential equipment working safely.

Environmental Deficiencies

Corrected Apr 16, 2019
December 22, 2017Health1 deficiency
0761DMinimal harm, Isolated

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Jan 16, 2018

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Frequently Asked Questions

What is the CareGrader rating for CLIFTON HEIGHTS?

CLIFTON HEIGHTS in LOUISVILLE, Kentucky has a CareGrader grade of F (Poor), with a composite score of 55 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for CLIFTON HEIGHTS?

CLIFTON HEIGHTS has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does CLIFTON HEIGHTS have?

CLIFTON HEIGHTS has 34 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has CLIFTON HEIGHTS been fined?

Yes. CLIFTON HEIGHTS has $369,780 in total fines from CMS enforcement actions across 4 penalties.

How many beds does CLIFTON HEIGHTS have?

CLIFTON HEIGHTS has 110 certified beds with approximately 100 current residents (91% occupancy). The facility is located at 446 MT. HOLLY AVENUE, LOUISVILLE, Kentucky 40206. It is a for profit - individual facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.