Highlands Nursing And Rehabilitation
Louisville, Jefferson County, Kentucky · CCN 185039 · For-profit (LLC) · part of David Marx (10 facilities, chain average 2.9 stars)
CMS rates Highlands Nursing And Rehabilitation 2 of 5 overall as of August 2026. 154 certified beds, 145 residents a day on average. 30 citations on record from the current inspection cycles, 2 at immediate jeopardy; 2 fines totalling $17,523 and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 4 / 1 of 5 |
Staffing
| Total nurse staffing | 3.3664 hours per resident per day |
|---|---|
| Registered nurses | 0.88818 hours per resident per day |
| Weekend total | 3.08446 hours per resident per day |
| Nursing staff turnover | 38.7% (registered nurses 25%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-02-28 | 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 · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-03-31 |
| 2025-02-28 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0606 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-31 |
| 2025-02-28 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-31 |
| 2025-02-28 | 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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-31 |
| 2025-02-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-31 |
| 2025-02-28 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · tag F0791 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-31 |
| 2025-02-28 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-31 |
| 2024-03-23 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2024-01-11 |
| 2024-03-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2024-01-11 |
| 2024-03-23 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · tag F0565 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-04-12 |
| 2024-03-23 | 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 · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-12 |
| 2024-03-23 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-12 |
| 2020-01-11 | 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 · tag F0656 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2020-03-09 |
| 2020-01-11 | 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 · tag F0657 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2020-03-09 |
| 2020-01-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2020-03-09 |
| 2020-01-11 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2020-03-09 |
| 2020-01-11 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2020-03-09 |
| 2020-01-11 | 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 · tag F0584 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2020-03-09 |
| 2020-01-11 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · tag F0730 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2020-03-09 |
| 2020-01-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2020-03-09 |
| 2020-01-11 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2020-03-09 |
| 2020-01-11 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · tag F0565 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2020-03-09 |
| 2020-01-11 | 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 · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2020-03-17 |
| 2020-01-11 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2020-03-17 |
| 2020-01-11 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2020-03-09 |
| 2020-01-11 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2020-03-09 |
| 2020-01-11 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2020-03-09 |
| 2020-01-11 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2020-03-09 |
| 2020-01-11 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · tag F0700 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2020-03-09 |
| 2020-01-11 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2020-03-09 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-23 | Payment denial for 8 days from 2024-04-21 | — |
| 2024-03-23 | Fine | $10,743 |
| 2024-03-23 | Fine | $6,780 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Highlands Nursing And Rehabilitation Holdings LLC Organization | 5% or greater direct ownership interest | 100% | 2019-07-25 |
| 1705 Stevens Ave Snf Realty LLC Organization | adp of the snf | — | 2019-09-01 |
| Bluegrass Consulting Group LLC Organization | adp of the snf | — | 2025-09-04 |
| Ltc Consulting Services LLC Organization | adp of the snf | — | 2025-09-04 |
| 1705 Stevens Ave Snf Realty LLC Organization | operational/managerial control | — | 2019-09-01 |
| Bluegrass Consulting Group LLC Organization | operational/managerial control | — | 2019-09-01 |
| Ltc Consulting Services LLC Organization | operational/managerial control | — | 2019-09-01 |
| Alexander, David Individual | adp of the snf | — | 2023-05-01 |
| Bogard, Ken Individual | adp of the snf | — | 2025-01-01 |
| Chagua, Marlon Individual | adp of the snf | — | 2025-01-01 |
| Chamberlain, Margaret Individual | adp of the snf | — | 2023-09-11 |
| Pruitt, Paul Individual | adp of the snf | — | 2023-05-01 |
| Rewa, Angela Individual | adp of the snf | — | 2023-10-23 |
| Russell, Robert Individual | adp of the snf | — | 2024-04-08 |
| Shatrov, Anzhelika Individual | adp of the snf | — | 2024-12-02 |
| Wolfe, Eric Individual | adp of the snf | — | 2023-09-11 |
| Pruitt, Paul Individual | managing control - governing body | — | 2023-05-01 |
| Alexander, David Individual | operational/managerial control | — | 2023-05-01 |
| Bogard, Ken Individual | operational/managerial control | — | 2025-01-01 |
| Chagua, Marlon Individual | operational/managerial control | — | 2025-01-01 |
| Chamberlain, Margaret Individual | operational/managerial control | — | 2023-09-11 |
| Pruitt, Paul Individual | operational/managerial control | — | 2023-05-01 |
| Rewa, Angela Individual | operational/managerial control | — | 2023-10-23 |
| Russell, Robert Individual | operational/managerial control | — | 2024-04-08 |
| Shatrov, Anzhelika Individual | operational/managerial control | — | 2024-12-02 |
| Wolfe, Eric Individual | operational/managerial control | — | 2023-09-11 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Highlands Nursing And Rehabilitation.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Jefferson County.