Clifton Heights

Nursing Home · Louisville, KY

CMS overall rating 1/5 SFF candidate For profit - Limited Liability company

CMS certification number185176
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.

Contact & location

446 Mt. Holly Avenue
Louisville, KY 40206
Jefferson County
Phone
(502) 897-1646
ZIP code
40206 – all care providers

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Facility details

Certified beds
110
Residents per day
91.8 (83% occupied)
Ownership
For profit - Limited Liability company
Legal name
Clifton Heights, LLC
Chain
Journey Healthcare (32 facilities, avg 1.9★)
Medicare certified since
December 20, 1984
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.0
Health inspections★★★★★ 1/5
State avg 3.0
Staffing★★★★★ 2/5
State avg 2.7
Quality measures★★★★★ 4/5
State avg 3.2
Long-stay quality★★★★★ 4/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.61 (state 3.95 · U.S. 3.86)
Registered nurses (RN)
0.68 (state 0.79 · U.S. 0.69)
Licensed practical nurses
0.72 (state 0.80 · U.S. 0.86)
Nurse aides
2.21 (state 2.36 · U.S. 2.32)
Weekend total
3.28 (state 3.48 · U.S. 3.42)
Nursing staff turnover
78.9 (state 46.4 · U.S. 45.8)%
RN turnover
81.0 (state 41.8 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
December 4, 2025
Health deficiencies (last cycle)
4.0 (state 2.9 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
35 health · 14 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-12-04 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-17
2025-12-04 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-17
2025-11-22 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-12-17
2025-11-22 Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
F0776 · Administration Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-12-17
2023-08-11 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2023-09-23
2023-08-11 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2023-09-23
2023-08-11 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2023-09-23
2023-08-11 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2023-09-23
2023-08-11 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2023-09-23
2023-08-11 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2023-09-23
2023-08-11 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-23
2023-08-11 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-23
2023-08-11 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-23
2023-06-11 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 J
Immediate jeopardy to resident health or safety		 Corrected 2023-09-23
2023-06-11 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 J
Immediate jeopardy to resident health or safety		 Corrected 2023-09-23
2023-06-11 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-23
2023-06-11 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-23
2023-06-11 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-23
2023-06-11 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-23
2023-06-11 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-23
2023-06-11 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-23
2023-06-11 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-23
2023-06-11 Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
F0691 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-23
2023-06-11 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-23
2023-06-11 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-23
2023-06-11 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-23
2023-06-11 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-23
2019-03-01 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2019-04-16
2019-03-01 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2019-04-16
2019-03-01 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2019-04-16
2019-03-01 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-04-16
2019-03-01 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-04-16
2019-03-01 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-04-16
2019-03-01 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-04-16
2019-03-01 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-04-16

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Journey CZ of Ky LLC (organization)5%+ Direct Ownership Interest · 100%
Journey CZ Ky Healthcare Holdings LLC (organization)5%+ Indirect Ownership Interest · 100%
Kapoor, Sandeep (individual)Administrator · NOT APPLICABLE
Smith, Rhonda (individual)Administrator · NOT APPLICABLE
McGuinness, Bernard (individual)Corporate Officer · NOT APPLICABLE
Kapoor, Sandeep (individual)Operational/managerial Control · NOT APPLICABLE
McGuinness, Bernard (individual)Operational/managerial Control · NOT APPLICABLE
Smith, Rhonda (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Clifton Heights?

Clifton Heights has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Kentucky.

How many beds does Clifton Heights have?

It has 110 certified beds and cares for about 92 residents per day.

Has Clifton Heights been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Clifton Heights?

It is part of Journey Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Clifton Heights?

(502) 897-1646. The facility is located at 446 Mt. Holly Avenue, Louisville, KY 40206.

Other nursing homes in Louisville

Compare all nursing homes in Louisville, KY →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.