LIFE BYVardellNursing Home
Report

TheVardellReport

River Oaks Health & Rehabilitation

Skilled nursing facility and nursing facility

920 South 4th Street
Louisville, KY 40203

Report Date
Nov 1, 2026
Data Through
Oct 1, 2026
Report ID
VR-KY-185029-2611
← River Oaks Health & Rehabilitation, free profile

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The Vardell Report.River Oaks Health & Rehabilitation

The deeper story, beautifully organized. Available records, historical context, and questions worth asking.

Provider Category
Nursing home
Location
Louisville, KY
Record Period
2019–2025
Source Documents
7
Read the report

This report is free. Vardell does not certify, grade or endorse; it shows what the record documents.

01

The Essentials

Summary

Across 5 inspections from March 2019 to July 2025, state surveyors documented 16 findings at River Oaks Health & Rehabilitation; 16 have a recorded correction; CMS lists 1 enforcement action in the window.

Inspections
5
2019–2025, standard and complaint
Findings
16
Deficiencies cited by state inspectors
Corrected
16
Of 16 findings, with a recorded correction date
Penalties
1
1 fine; payment not published

Findings by Year

  • Findings
  • Of which, actual harm (level G or above)
2019: 4 findings across 1 inspection420191 inspection2020: 0 findings across 0 inspections020200 inspections2021: 0 findings across 0 inspections020210 inspections2022: 0 findings across 0 inspections020220 inspections2023: 0 findings across 0 inspections020230 inspections2024: 6 findings across 3 inspections620243 inspections2025: 6 findings across 1 inspection620251 inspection2026: 0 findings across 0 inspections02026*0 inspections2019: 4 findings across 1 inspection420191 insp.2020: 0 findings across 0 inspections020200 insp.2021: 0 findings across 0 inspections020210 insp.2022: 0 findings across 0 inspections020220 insp.2023: 0 findings across 0 inspections020230 insp.2024: 6 findings across 3 inspections620243 insp.2025: 6 findings across 1 inspection620251 insp.2026: 0 findings across 0 inspections02026*0 insp.

* Partial year, through October 1, 2026.

Findings by year
YearInspectionsFindingsOf which, actual harm (level G or above)
2019140
2020000
2021000
2022000
2023000
2024360
2025160
2026000

What the Record Shows

  • 16 of 16 findings have a recorded correction date.
  • CMS lists 1 enforcement action in the window: 1 fine of $4,147, its payment not published.
  • 3 visits in this window included a complaint investigation. CMS publishes what a complaint investigation cited, not what the complaint alleged.
  • The latest standard inspection, July 9, 2025, recorded 6 findings (most serious: Level E).
02

Chronology

Inspection History

Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.

  1. 2025

    Standard health inspection

    6 findings

    • F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Level ENo actual harm, potential for moreCorrected Aug 8, 2025
    • F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Level DNo actual harm, potential for moreCorrected Aug 8, 2025
    • F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Level DNo actual harm, potential for moreCorrected Aug 8, 2025
    • 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.Level DNo actual harm, potential for moreCorrected Aug 8, 2025
    • 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.Level DNo actual harm, potential for moreCorrected Aug 8, 2025
    • F880Provide and implement an infection prevention and control program.Level DNo actual harm, potential for moreCorrected Aug 8, 2025

    Enforcement Action

    Civil money penalty, $4,147 imposed July 9, 2025. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of July 9, 2025, the nearest before the penalty date.

    Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  2. 2024

    Complaint investigation

    1 finding

    • F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Level CPotential for minimal harmCorrected Dec 20, 2024

    Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  3. 2024

    Complaint investigation

    2 findings

    • F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Level ENo actual harm, potential for moreCorrected Nov 11, 2024
    • F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Level ENo actual harm, potential for moreCorrected Nov 11, 2024

    Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  4. 2024

    Standard health inspection

    3 findings

    The same visit included a complaint investigation.

    • 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.Level ENo actual harm, potential for moreCorrected Jul 4, 2024
    • F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Level ENo actual harm, potential for moreCorrected Jul 4, 2024
    • F880Provide and implement an infection prevention and control program.Level ENo actual harm, potential for moreCorrected Jul 4, 2024

    Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  5. 2019

    Standard health inspection

    4 findings

    • F880Provide and implement an infection prevention and control program.Level FNo actual harm, potential for moreCorrected May 8, 2019
    • F881Implement a program that monitors antibiotic use.Level FNo actual harm, potential for moreCorrected May 8, 2019
    • 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.Level ENo actual harm, potential for moreCorrected May 8, 2019
    • 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.Level DNo actual harm, potential for moreCorrected May 8, 2019

    Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.

03

Context

Patterns Worth Examining

A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.

  1. 1

    Infection Control, Cited in Three Inspections

    Inspectors cited F880 in March 2019, June 2024 and July 2025. This citation covers hand hygiene, isolation practice and the home’s infection-prevention program. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    1924242425F880 across all 5 inspections, oldest to newest
  2. 2

    Medication Labeling and Storage, Cited in Two Inspections

    Inspectors cited F761 in June 2024 and July 2025. This citation covers how drugs are labeled and kept locked, including controlled drugs. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    1924242425F761 across all 5 inspections, oldest to newest
  3. 3

    Kitchen and Food Safety, Cited in Two Inspections

    Inspectors cited F812 in June 2024 and July 2025. This citation covers how food is stored, prepared and served. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    1924242425F812 across all 5 inspections, oldest to newest
04

For Your Next Visit

Questions to Ask on Your Visit

Bring these to the tour. Each one comes from something in the record; the reason is under the question.

  1. 01

    Who leads infection control here, and how often are hand-hygiene and isolation practices audited?

    Infection Control: cited in three inspections, most seriously at level F.

  2. 02

    How are medications stored and secured, and who checks the medication carts?

    Medication Labeling and Storage: cited in two inspections, most seriously at level E.

  3. 03

    May we see the kitchen, and what do your own sanitation checks look like week to week?

    Kitchen and Food Safety: cited in two inspections, most seriously at level E.

  4. 04

    How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?

    No staffing citation appears in this window. Staffing levels are published separately by CMS and are worth asking about directly.

  5. 05

    What led to the 2025 fine, and has it been paid?

    A $4,147 civil money penalty was imposed July 9, 2025. CMS publishes the fine, not whether it has been paid.

05

The Evidence

Sources and Coverage

Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the Kentucky state survey agency.

  • Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

    Kentucky state survey agency

    Inspection Mar 15, 2019 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

  • Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

    Kentucky state survey agency

    Inspection Jun 7, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

  • Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

    Kentucky state survey agency

    Inspection Oct 18, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

  • Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

    Kentucky state survey agency

    Inspection Nov 22, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

  • Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

    Kentucky state survey agency

    Inspection Jul 9, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

  • Penalties, Provider Data Catalog

    Centers for Medicare & Medicaid Services

    Published Oct 1, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗
  • Provider Information, Provider Data Catalog

    Centers for Medicare & Medicaid Services · 185029

    Published Oct 1, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗

Coverage

Record windowMarch 15, 2019 – October 1, 2026

  • CMS publishes about three inspection cycles; inspections before March 2019 are not in this release.
  • CMS refreshes these files monthly, after statements of deficiencies are processed, so an inspection from the last two months may not appear yet.

What This Report Cannot Tell You

Complaints not investigated onsite
Allegations screened out by the state before an onsite visit are not published.
Complaint allegations
CMS publishes the deficiencies a complaint survey cited, not the allegation itself.
Facility-reported incidents
Self-reported incidents appear only if they led to an inspection.
Follow-up visits
CMS's files list standard, complaint and infection control surveys, not revisits; a correction date is the one CMS records.
Fire safety inspections
Published by CMS separately and not included in this record yet.
Staffing levels and ownership history
Published by CMS separately and not included in this record.
Whether fines were paid
CMS publishes the fines imposed, not whether or when they were paid.

Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.

Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.