Nursing home
Highlands Nursing and Rehabilitation
1705 Stevens Avenue, Louisville, KY 40205 · Map
For profit - Limited Liability company · Part of David Marx (10 facilities) · 154 certified beds
Highlands Nursing and Rehabilitation is a Medicare-certified nursing home in Louisville, Kentucky. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.16 hours per resident per day, below the Kentucky average of 4.01. Its most recent inspection on Feb 28, 2025 cited 7 deficiencies.
- 2 fines totaling $17,523In CMS records: 3 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Highlands Nursing and Rehabilitation compares
This facility vs. the Kentucky and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Kentucky avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.16 | 4.01 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.87 | 0.77 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.73 | 2.43 | 2.34 | below avg |
| Nursing staff turnover | 37.5% | 46.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 7.0 | 3.4 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $17,523, 3 total penalties, 1 Medicare payment denial.
What inspectors found at Highlands Nursing and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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.
Resident Rights Deficiencies · Feb 28, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 28, 2025 · Full report (PDF) - Potential for harm
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Feb 28, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 28, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Feb 28, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Feb 28, 2025 · Full report (PDF) - Potential for harm
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 28, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 23, 2024 · Full report (PDF) - Immediate jeopardy
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Mar 23, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Mar 23, 2024 · Full report (PDF) - Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Mar 23, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Mar 23, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1705 Stevens Avenue
Louisville, KY 40205 - CMS certification #
- 185039
- Ownership
- For profit - Limited Liability company
- Certified beds
- 154
- Avg residents/day
- 144.3
- Provider type
- Medicare and Medicaid
- First certified
- 1967-02-01
- Chain
- David Marx (10 facilities)
- Setting
- Urban
Part of David Marx
David Marx operates 10 nursing facilities across the United States. View all David Marx facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Highlands Nursing and Rehabilitation using Google Maps.
Other public records
- Website says A memory care unit, respite stays, nurse 24 hours a day, works with hospice, diabetes care
- Kitchen 3 inspections by Louisville Metro Department of Public Health and Wellness since 2025; latest score 93, grade C (October 2026)
- Workplace safety 1 OSHA workplace safety inspection since 2025, 1 violation cited
Full public records, with dates and sources
Kitchen inspections
The local health department inspects the kitchen that serves residents. Results are in the agency's own words.
Louisville Metro Department of Public Health and Wellness: Highlands Health & Rehab CNTR
- Oct 8, 2026: score 93, grade C.
- Apr 17, 2026: score 96, grade A.
- Oct 9, 2025: score 96, grade A.
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Score: Out of 100. Grade: A is 85-100, B is 75-84, C is below 75. Publishes the three most recent scores per establishment; violation details are not in the open data.
Care and services
From the community’s website
What Highlands Nursing and Rehabilitation says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Has a separate memory care unit, wing or neighborhood.
Highlands Nursing & Rehabilitation provides a positive solution with specialized memory care neighborhoods that provide a warm, secure environment to keep our residents active and safe.
(page, checked Oct 15, 2026) - Offers respite or short-term stays.
Respite Care
(page, checked Oct 15, 2026) - Nurse on site: 24 hours a day.
Located in Louisville, Kentucky, Highlands Nursing & Rehabilitation offers compassionate 24-hour Skilled Nursing care in our 154-bed facility.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
Hospice Care
(page, checked Oct 15, 2026) - Offers diabetes care.
This includes assisting with daily living activities and skills, such as balance training, medication management, IV therapy, and diabetes management.
(page, checked Oct 12, 2026) - Provides transportation.
Transportation services
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Feb 13, 2025: complaint inspection, partial (health). Case closed Jul 24, 2025. 1 violation cited (1 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as 67743 - Highlands Nursing and Rehabilitation LLC.
Details
- Other than serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(h)(5)(i)). Penalty $0 proposed, $0 now. To be fixed by Aug 1, 2025.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- University Of Louisville Hospital, Louisville. 2.3 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Nazareth Home, Louisville. 0.6 miles away, straight line.
- Nearest home health agency office
- Baptist Health Home Care Ky, LLC Dba Baptist Home Health Care, Louisville. 3.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 40205 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc - Dialysis Services Of Audubon, Louisville, 1.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Fmc - Louisville, Louisville, 2.0 miles away, straight line (CMS rating 2 of 5 stars)
University Of Louisville Dialysis Center, LLC, Louisville, 2.2 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 40205.
Hosparus, Inc, office in Louisville, 3.9 miles away, straight line (CMS family survey rating 4 of 5 stars)
St Croix Hospice, office in Jeffersonville, 6.5 miles away, straight line (CMS family survey rating 3 of 5 stars)
Hosparus Southern Indiana, office in New Albany, 9.8 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Community Medical Associates Inc, Louisville. 2.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Louisville Metro Department of Public Health and Wellness kitchen inspections | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Highlands Nursing and Rehabilitation a good nursing home?
CMS gives Highlands Nursing and Rehabilitation an overall rating of 2 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Highlands Nursing and Rehabilitation staffed?
Highlands Nursing and Rehabilitation reports 3.16 total nurse hours per resident per day, compared with the Kentucky average of 4.01.
Has Highlands Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Highlands Nursing and Rehabilitation have?
Highlands Nursing and Rehabilitation is certified for 154 beds.