GoodStanding

Nursing home report

Highlands Nursing and Rehabilitation

Louisville, KY · Medicare-certified · 154 beds

In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall

2 out of 5 stars overall. Highlands Nursing and Rehabilitation has low health inspection and quality ratings at 2 stars, staffing at 3 stars with 3.37 hours per resident per day versus the 4.1-hour federal benchmark, and no fines in the last 24 months; recent inspection issues included accident hazards/supervision and care planning.

Facility ratings

Health inspections

Staffing

3.3664 hrs/resident/day

Quality measures

Last inspection: February 28, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3664.

Staffing detail

Registered nurses
0.89
Licensed practical nurses
0.54
Nurse aides
1.94
Weekend nursing
3.08

Hours per resident per day.

Total staff turnover: 39%
Registered nurse turnover: 25%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

16.3%12.5%Improving

Residents with a fall causing major injury

5%4.3%Improving

Residents with pressure ulcers (bedsores)

0%2.3%Worsening

Residents with a urinary tract infection

0.7%2.2%Worsening

Residents who lost too much weight

5.1%10.4%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

6.2%6.7%No change

Residents whose ability to walk got worse

5.4%2.8%Improving

Long-stay residents on antianxiety or sleep medication

8.7%9%No change

Short-stay residents newly given an antipsychotic

4%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

22.7%23.5%Worsening

Residents with depressive symptoms

48.9%29.5%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

98.6%

Long-stay residents given the pneumonia vaccine

80.1%76.8%Worsening

Short-stay residents given the seasonal flu vaccine

76.9%

Short-stay residents given the pneumonia vaccine

58.3%57.6%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited March 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 655 — 42 CFR §483.21 — S/S: J

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2020 — isolated incident, actual harm.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G

The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited January 2020 — isolated incident, actual harm.

View the original federal record

F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: G

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2020 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 18 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $17,523 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Mar 23, 2024

    8 days
  • Federal fine

    Mar 23, 2024

    $10,743
  • Federal fine

    Mar 23, 2024

    $6,780

Operator & ownership

Recent ownership change · Aug 30, 2019

Now operated by Highlands Nursing and Rehabilitation LLC, previously Diversicare Highlands LLC.

Ownership
For profit - Limited Liability company
Chain
Part of DAVID MARX · 10 homes · 2.9 stars avg
Occupancy
144.5 residents on an average day (94% of 154 beds)
Resident voice
Resident council
Medicare history
Certified for 59 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.