CCN 185029 · Jefferson County, Kentucky
River Oaks Health & Rehabilitation
920 South 4th Street, Louisville, KY 40203
River Oaks Health & Rehabilitation is a 122-bed for-profit nursing home in Louisville, Kentucky, first certified for Medicare or Medicaid in 1967. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 97.9 residents a day, about 80% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 122
- Average residents per day
- 97.9 (80.2% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Legal Business Name Not Available
- Certified since
- Jan 20, 1967
- Chain or affiliated group
- None listed by CMS
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Kentucky median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 59 at 1, 45 at 2, 55 at 3, 55 at 4, 52 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.88 | 3.75 | 3.68 |
| RN hours per resident per day | 0.46 | 0.67 | 0.58 |
| Weekend nurse hours per resident per day | 3.51 | ||
| Nursing staff turnover | not reported | 45.0% | 44.9% |
| Occupancy (residents / beds) | 80.2% | 90.3% | 85.7% |
| Fines reported by CMS | 1 totaling $4,147 | ||
| Health deficiencies, latest standard survey | 6 (Jul 9, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). River Oaks Health & Rehabilitation does not meet it today: overall rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
CMS lists no 5% owners or managing organizations for this facility in its current ownership file.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| May 1, 2024 | Louisville Ky Opco LLC | Christian Care Communities, Inc |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.