GoodStanding

Nursing home report

Highlands Nursing and Rehabilitation

Louisville, KY · Medicare-certified · 154 beds

In good standing
For-profitChain member
Data as of September 1, 2026
4 of 5 overall

Highlands Nursing and Rehabilitation has a 4 out of 5 overall rating, with 4-star health inspections, 3-star staffing, and 2-star quality measures. It reported 3.37 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, with no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.3664 hrs/resident/day

Quality measures

Last inspection: April 2, 2026Penalties, 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 home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited February 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: E

The home failed to protect residents’ right to organize and take part in resident and family groups. Cited March 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 565 — 42 CFR §483.10 — S/S: E

The nursing home failed to ensure residents were free from significant medication errors. Cited April 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: D

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 1 health deficiency.

    See what inspectors found
  3. STAFFING

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

  4. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  6. 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 - Corporation
Chain
Part of DAVID MARX · 10 homes · 3.1 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.