Nursing homeActive

River Oaks Health & Rehabilitation

920 South 4th Street, Louisville, KY 402035025836533122 certified beds · 98 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
5
since 2019
Deficiencies
16
1150
Penalties · 3 yrs
$6,380
1 fine
Last survey
2025-07-09
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 1
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Kentucky Office of Inspector General · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-07-09Standard060CMS-2567 (Care Compare)
2024-11-22Complaint100CMS-2567 (Care Compare)
2024-10-18Complaint020CMS-2567 (Care Compare)
2024-06-07Standard030CMS-2567 (Care Compare)
2019-03-15Standard040CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Kentucky Office of Inspector General publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-07-09Standard survey · 6 deficienciesOfficial report
F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-08Record 185029-20250709-F569
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-08Record 185029-20250709-F582
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-08Record 185029-20250709-F584
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-08Record 185029-20250709-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-08Record 185029-20250709-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-08Record 185029-20250709-F880
2024-11-22Complaint survey · 1 deficiencyOfficial report
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity CPaperwork
Abuse & neglect
Widespread; potential for minimal harm.Corrected 2024-12-20Record 185029-20241122-F607
2024-10-18Complaint survey · 2 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-11Record 185029-20241018-F656
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-11Record 185029-20241018-F842
2024-06-07Standard survey · 3 deficienciesOfficial report
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-04Record 185029-20240607-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-04Record 185029-20240607-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-04Record 185029-20240607-F880
2019-03-15Standard survey · 4 deficienciesOfficial report
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-05-08Record 185029-20190315-F585
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-08Record 185029-20190315-F726
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2019-05-08Record 185029-20190315-F880
F881Implement a program that monitors antibiotic use.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2019-05-08Record 185029-20190315-F881

Penalties & enforcement

DateActionAmountSource
2025-07-09Civil money penalty$6,380CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.46
Facility
Kentucky
National
Kentucky 0.79 · National 0.69
Total nurse hours per resident day3.88
Facility
Kentucky
National
Kentucky 3.95 · National 3.86
Weekend total nurse hours3.51
Facility
Kentucky
National
Kentucky 3.48 · National 3.42

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityKentuckyNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.9%4.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.6%3.9%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
14.6%16.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.5%1.6%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.2%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
12.5%13.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
5.7%6.6%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
29.7%29.8%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)

No ownership records in the data we hold from CMS (Provider Enrollment).

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Kentucky.

No county cost figures on file for Jefferson.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Treyton Oak Towers
Louisville
0.4 mi2025-07-03081
Chestnut Ridge Health & Rehabilitation
Louisville
0.7 mi2025-12-13034
Kindred Hospital - Louisville
Louisville
1.5 mi2025-12-31082
Home of the Innocents
Louisville
1.7 mi2025-09-13050
Eastway Health & Rehabilitation
Louisville
2.0 mi2025-08-270102
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01