SNF
Signature Healthcare of South Louisville
CCN: 185335 · Louisville, KY 40214 · Jefferson County
Overview
- Address
- 1120 Cristland Road, Louisville, KY 40214
- Phone
- 5023670104
- Certified beds
- 100
- Avg daily residents
- 92 (92% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1992-02-29
- Setting
- Urban
4 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.84 | 3.95 | 3.75 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.12 | 0.69 | 1.10 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.63 | 0.88 | 0.61 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.09 | 2.38 | 2.04 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.75 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.13 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.23
hrs / resident / day
RN (weekend)
0.83
hrs / resident / day
Total nurse (adjusted, weekend)
3.16
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
45.4%
annual
RN turnover
28.0%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.40
higher acuity than avg
Case-Mix Index Ratio
1.02
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-01-23 | 4 | 4 | 0 | 16 | 1 | 16 |
| Cycle 2/3 (prior) | 2019-10-11 | 7 | 7 | 0 | 44 | 1 | 44 |
Total weighted health score
23.0
lower is better
Deficiencies (13)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
13 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-01-23 | 2025-02-25 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-01-23 | 2025-02-25 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-01-23 | 2025-02-25 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-01-23 | 2025-02-25 |
| 0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2019-10-11 | 2019-12-01 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2019-10-11 | 2019-12-01 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2019-10-11 | 2019-12-01 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2019-10-11 | 2019-12-01 |
| 0761 | 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. | D | 2019-10-11 | 2019-12-01 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-10-11 | 2019-12-01 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2019-10-11 | 2019-12-01 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2018-07-26 | 2018-08-03 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2018-07-26 | 2018-08-03 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 9.6% Medicaid 66.5% Other 23.9%
Operating performance
Operating Margin
0.8%
Total Margin
1.2%
Occupancy Rate
76.9%
Cost per Resident Day
$45
Revenue & costs
Net Patient Revenue
$9.3M
Total Costs
$1.3M
Net Income
$111K
Balance sheet
Total Assets
$1.9M
Total Liabilities
$2.3M
Fund Balance
-$404K
Current Ratio
21.41
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: SIGNATURE HEALTHCARE
- Chain ID
474- Facilities in chain
- 71
- Legal business name
- LP LOUISVILLE SOUTH LLC
Chain-average star ratings (for peer context)
Overall
3.0
Health
2.8
Staffing
2.6
QM
3.8
Owner / manager organizations (6)
| Organization | Role | Association |
|---|---|---|
| LP CR HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 11/01/2007 |
| AGEMO HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/01/2016 |
| JJLA LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/01/2007 |
| LPSNF II LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/01/2016 |
| WHEATEN LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/01/2007 |
| SIGNATURE HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | since 05/07/2018 |
Owner / manager individuals (4)
| Name | Role | Association |
|---|---|---|
| SMEDRA, IRA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/01/2007 |
| STEIER III, ELMER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/01/2007 |
| HARRISON, JOHN | CORPORATE OFFICER | since 11/01/2007 |
| LITTLE, TYRA | W-2 MANAGING EMPLOYEE | since 10/30/2023 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $45 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 21.41 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 66.5% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 9.6% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $110,957 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $9,292,183 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 76.9% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 0.8% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $1,911,195 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,268,133 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-404,358 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $2,315,553 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 1.2% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.61400 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.04324 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.09744 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.75468 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.15702 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 92.4 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.87703 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.38356 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.69129 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.95188 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.48316 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.8 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.0 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.8 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.6 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 474 | Chain ID |
| Provider Information | Chain Name | SIGNATURE HEALTHCARE | Chain Name |
| Provider Information | City/Town | Louisville | City/Town |
| Provider Information | CMS Certification Number (CCN) | 185335 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Jefferson | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1992-02-29 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 38.1426 | Latitude |
| Provider Information | Legal Business Name | LP LOUISVILLE SOUTH LLC | Legal Business Name |
| Provider Information | Location | 1120 Cristland Road,Louisville,KY,40214 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -85.788 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 100 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 71 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.39997 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.01621 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 1120 Cristland Road | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Signature Healthcare of South Louisville | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 550 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 16 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 4 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-01-23 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 16 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 4 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 7 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2019-10-11 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 44 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 44 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 7 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.82570 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 28.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.75176 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.62846 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.09137 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.12779 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.12329 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.84312 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | KY | State |
| Provider Information | Telephone Number | 5023670104 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.23139 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 45.4 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 23.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 40214 | ZIP Code |