Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
228
200 employees · 28 contractors · 73 on an average day Boonespring Skilled Nursing Facility
Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Union, KY
ALM Inspection Grade
A
ALM's inspection grade is 93 / 100, an A — 10 points above the Kentucky average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 93 / 100, an A — 10 points above the Kentucky average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Boonespring Skilled Nursing Facility
Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Union, KY
ALM Inspection Grade
A
ALM's inspection grade is 93 / 100, an A — 10 points above the Kentucky average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 93 / 100, an A — 10 points above the Kentucky average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Boonespring Skilled Nursing Facility accepts Medicare, Medicaid, and private pay.
Boonespring Skilled Nursing Facility is a nursing home in Union, KY, offering long-term care, rehabilitation, and skilled nursing. With its modern and supportive setting, the community ensures older adults are well-cared for during their stay. Residents also experience maintenance-free living, with nutritious home-cooked meals, therapeutic services, and housekeeping. Committed to meeting residents’ needs and preferences, the community provides personalized care plans.
Light physical activities, social gatherings, and a variety of recreational activities foster interactions. Residents are also provided with plenty of spaces to lounge and connect with friends, including outdoor spaces with walking paths, a beauty salon, and therapy gyms. Located near churches and other local amenities in the peaceful residential area of Union, the community guarantees a stress-free retirement. This nursing home has high standards of care and a clean setting, making it one of the best choices for senior living in Kentucky.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 91st out of 189 nursing homes we track in Kentucky for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 17m
This nursing home is ranked 91st out of 189 nursing homes we track in Kentucky for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 17mStandout metric: Physical therapist is +22% above Kentucky average
5 of 6 metrics below Kentucky average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 22 are the facility's own employees; no agency contractors work in this role.
22 staff · 9.7-hour shifts
41m
↓ 10% · KY 46mThis facility: 41m per resident per day, 10% below the Kentucky average of 46m (among Kentucky facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 22 are the facility's own employees; no agency contractors work in this role.
22 staff · 9.7-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 22 are the facility's own employees; no agency contractors work in this role.
22 staff · 8.9-hour shifts
32m
↓ 34% · KY 49mThis facility: 32m per resident per day, 34% below the Kentucky average of 49m (among Kentucky facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 22 are the facility's own employees; no agency contractors work in this role.
22 staff · 8.9-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 100 are the facility's own employees; no agency contractors work in this role.
100 staff · 8.9-hour shifts
2h 3m
↓ 15% · KY 2h 25mThis facility: 2h 3m per resident per day, 15% below the Kentucky average of 2h 25m (among Kentucky facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 100 are the facility's own employees; no agency contractors work in this role.
100 staff · 8.9-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
5m
↑ 22% · KY 4mThis facility: 5m per resident per day, 22% above the Kentucky average of 4m (among Kentucky facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
2h 52m
↓ 18% · KY 3h 29mThis facility: 2h 52m per resident per day, 18% below the Kentucky average of 3h 29m (among Kentucky facilities reporting a recent figure).
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
29m
↓ 5% · KY 31mThis facility: 29m per resident per day, 5% below the Kentucky average of 31m (among Kentucky facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
228
200 employees · 28 contractors · 73 on an average day
228 total staff / 139 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.64 : 1
↑ 1% · KY 1.63This facility: 1.64 staff per resident, 1% above the Kentucky average of 1.63 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
228 staff ÷ 139 residents
See full Kentucky ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.5 h
≈ 0% · KY 8.5 hThis facility: 8.5 h, level with the Kentucky average of 8.5 h (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
56,672 staff hours this quarter
See full Kentucky ranking →92.2% of staff hours were worked by the facility's own employees
Kentucky average: 93.1% · Contractors this quarter: Respiratory Therapy Technician (5), Physical Therapy Aide (5), Physical Therapy Assistant (5), Speech Language Pathologist (5), Qualified Social Worker (4), Occupational Therapy Assistant (1), Qualified Activities Professional (1), Other Physician (1), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
143
Rank #23 / 195Bed count — State benchmarked This nursing home is ranked 23rd out of 195 nursing homes we track in Kentucky for bed count. Shows this facility's certified or reported bed count compared to other Kentucky facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
143
Rank #23 / 195Bed count — State benchmarked This nursing home is ranked 23rd out of 195 nursing homes we track in Kentucky for bed count. Shows this facility's certified or reported bed count compared to other Kentucky facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Walk Score
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #177 / 204Walk Score — State benchmarked This nursing home is ranked 177th out of 204 nursing homes we track in Kentucky for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Kentucky facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #177 / 204Walk Score — State benchmarked This nursing home is ranked 177th out of 204 nursing homes we track in Kentucky for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Kentucky facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
22
/ 100
Occupancy rate
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Rank #30 / 162Occupancy rate — State benchmarked This nursing home is ranked 30th out of 162 nursing homes we track in Kentucky for occupancy. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 162. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Rank #30 / 162Occupancy rate — State benchmarked This nursing home is ranked 30th out of 162 nursing homes we track in Kentucky for occupancy. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 162. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
95.2%
This home is often near full
Based on residents per day and 143 beds.
Higher than the Kentucky average: 87.5%
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
136
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
58
days
About This Community
Resident Council
CNA Training Program
Beauty Services
Building TypeSingle-story
Room Types
Private
Companion Suites
CMS Health Inspection History
ALM Inspection Grade
93 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
10 points above the Kentucky average for CMS-certified facilities (83/100)
Category breakdown
Citations
Typical
15 severity-weighted points (12 deficiencies) · 2× lower than the typical CMS-certified KY facility (median: 31)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Strong
24 days to fix issues · faster than the typical CMS-certified KY facility (median: 32)
Total health inspections
1
↓ 66% · KY 2.9This facility: 1, 66% below the Kentucky average of 2.9 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
10
Rank #95 / 189Health citations — State benchmarked This nursing home is ranked 95th out of 189 nursing homes we track in Kentucky for health citations. Shows this facility's total health deficiency citations benchmarked to the Kentucky State average, with a ranking across all 189 KY facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 17% · KY 12This facility: 10, 17% below the Kentucky average of 12 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
10
Rank #143 / 189Citations per inspection — State benchmarked This nursing home is ranked 143rd out of 189 nursing homes we track in Kentucky for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 189 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 144% · KY 4.09This facility: 10, 144% above the Kentucky average of 4.09 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
10 of 10 citations corrected
Critical
J–L
0
↓ 100% · KY 0.9This facility: 0, 100% below the Kentucky average of 0.9 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · KY 0.5This facility: 0, 100% below the Kentucky average of 0.5 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
10
↓ 5% · KY 10.5This facility: 10, 5% below the Kentucky average of 10.5 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · KY 0.1This facility: 0, 100% below the Kentucky average of 0.1 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Feb 16, 2024 · 10 citations, all corrected
Most cited category: Quality of Life & Care, 4 of 10 citations · 7 categories in total
Citations history
Most recent first
Feb 16, 2024
10 citations
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Top deficiency categories
Share of 10 citations
Quality of Life & Care
4 deficiencies (40%)
Infection Control
1 deficiency (10%)
Resident Rights
1 deficiency (10%)
Resident Assessment & Care Planning
1 deficiency (10%)
Abuse, Neglect & Exploitation
1 deficiency (10%)
Nursing & Physician Services
1 deficiency (10%)
Pharmacy Services
1 deficiency (10%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 10 citations resulted from standard inspections; 2 of 10 resulted from complaint investigations; and 2 of 10 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Total fines
$0
KY avg $40KKentucky average: $40,161. Average among the 90 Kentucky facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0
KY avg 1.99Kentucky average: 1.99. Average among the 90 Kentucky facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
KY avg 0.27Kentucky average: 0.27. Average among the 90 Kentucky facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Kentucky average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
4.7
Score · lower is better
↓ 42% · KY 8.1This facility: 4.7, 42% below the KY average of 8.1 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
13.3
Score · lower is better
↓ 9% · KY 14.6This facility: 13.3, 9% below the KY average of 14.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 7 better, 5 worse, 1 near KY average
8 short-stay measures: 3 better, 1 worse, 1 near KY average, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
5.1%
↓ 61% · KY 13.2This facility: 5.1, 61% below the KY average of 13.2 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
5.1%
↓ 61% · KY 13.2This facility: 5.1, 61% below the KY average of 13.2 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
5.4%
↓ 56% · KY 12.3This facility: 5.4, 56% below the KY average of 12.3 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
5.4%
↓ 56% · KY 12.3This facility: 5.4, 56% below the KY average of 12.3 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.3%
↑ 60% · KY 18.3This facility: 29.3, 60% above the KY average of 18.3 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.3%
↑ 60% · KY 18.3This facility: 29.3, 60% above the KY average of 18.3 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · KY 1.5This facility: 0.0, 100% below the KY average of 1.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · KY 1.5This facility: 0.0, 100% below the KY average of 1.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
↓ 12% · KY 3.8This facility: 3.4, 12% below the KY average of 3.8 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
↓ 12% · KY 3.8This facility: 3.4, 12% below the KY average of 3.8 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
2.1%
↓ 55% · KY 4.7This facility: 2.1, 55% below the KY average of 4.7 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
2.1%
↓ 55% · KY 4.7This facility: 2.1, 55% below the KY average of 4.7 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
7.7%
↑ 16% · KY 6.6This facility: 7.7, 16% above the KY average of 6.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
7.7%
↑ 16% · KY 6.6This facility: 7.7, 16% above the KY average of 6.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
53.8%
↑ 184% · KY 18.9This facility: 53.8, 184% above the KY average of 18.9 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
53.8%
↑ 184% · KY 18.9This facility: 53.8, 184% above the KY average of 18.9 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
17.7%
↑ 9% · KY 16.2This facility: 17.7, 9% above the KY average of 16.2 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
17.7%
↑ 9% · KY 16.2This facility: 17.7, 9% above the KY average of 16.2 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 6% · KY 94.1This facility: 100.0, 6% above the KY average of 94.1 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 6% · KY 94.1This facility: 100.0, 6% above the KY average of 94.1 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 4% · KY 96.2This facility: 100.0, 4% above the KY average of 96.2 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 4% · KY 96.2This facility: 100.0, 4% above the KY average of 96.2 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
3.37
↑ 80% · KY 1.87This facility: 3.37, 80% above the KY average of 1.87 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
3.37
↑ 80% · KY 1.87This facility: 3.37, 80% above the KY average of 1.87 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.38
↓ 37% · KY 2.19This facility: 1.38, 37% below the KY average of 2.19 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.38
↓ 37% · KY 2.19This facility: 1.38, 37% below the KY average of 2.19 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
51.0%
↓ 5% · US 53.7This facility: 51.0, 5% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
51.0%
↓ 5% · US 53.7This facility: 51.0, 5% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
55.8%
↑ 10% · US 50.6This facility: 55.8, 10% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
55.8%
↑ 10% · US 50.6This facility: 55.8, 10% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
↑ 19% · US 0.8This facility: 0.9, 19% above the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
↑ 19% · US 0.8This facility: 0.9, 19% above the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
↓ 4% · KY 1.6This facility: 1.6, 4% below the KY average of 1.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
↓ 4% · KY 1.6This facility: 1.6, 4% below the KY average of 1.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.9%
↑ 18% · KY 84.5This facility: 99.9, 18% above the KY average of 84.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.9%
↑ 18% · KY 84.5This facility: 99.9, 18% above the KY average of 84.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.6%
↑ 19% · KY 83.7This facility: 99.6, 19% above the KY average of 83.7 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.6%
↑ 19% · KY 83.7This facility: 99.6, 19% above the KY average of 83.7 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.2%
↑ 27% · KY 24.5This facility: 31.2, 27% above the KY average of 24.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.2%
↑ 27% · KY 24.5This facility: 31.2, 27% above the KY average of 24.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
12.6%
↓ 9% · KY 13.9This facility: 12.6, 9% below the KY average of 13.9 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
12.6%
↓ 9% · KY 13.9This facility: 12.6, 9% below the KY average of 13.9 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Boonespring Skilled Nursing Facility’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 186 Kentucky nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Profitable on care
10.3% operating margin
+8.5 pts vs prior year
Positive margin in 5 of the last 5 reported years. Net income $2.1M after other income.
Does it invest in staff?
Payroll in line with Kentucky homes
44.6% payroll share of revenue
KY average 45.8%Rank #98 / 186Payroll % of net patient revenue — State benchmarked This nursing home is ranked 98th out of 186 nursing homes we track in Kentucky for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Kentucky average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.9M while revenue rose $3.5M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Kentucky homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2020 → 2024Trend | KY median | Compared with KY homesRank in KY | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $20.0M | +$3.5M | Trend 20202024 | KY median $10.7M | Rank in KY Rank #9 / 186Net patient revenue — State benchmarked This nursing home is ranked 9th out of 186 nursing homes we track in Kentucky for net patient revenue. Shows this facility's net patient revenue compared to the Kentucky average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 96% of homes | Top 4% in KY Higher net patient revenue than 96% of KY homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $17.9M | +$1.7M | Trend 20202024 | KY median $10.1M | Rank in KY Rank #13 / 186Operating expenses — State benchmarked This nursing home is ranked 13th out of 186 nursing homes we track in Kentucky for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Kentucky homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 94% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $2.0M | +$1.8M | Trend 20202024 | KY median $0.8M | Rank in KY Rank #17 / 186Net patient income — State benchmarked This nursing home is ranked 17th out of 186 nursing homes we track in Kentucky for net patient income. Shows net patient revenue minus operating expenses, compared with other Kentucky homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 91% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 10.3% | +8.5 pts | Trend 20202024 | KY median 7.4% | Rank in KY Rank #59 / 186Operating margin — State benchmarked This nursing home is ranked 59th out of 186 nursing homes we track in Kentucky for operating margin. Shows net patient income as a share of net patient revenue, compared with other Kentucky homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 69% of homes | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $0.1M | — | Trend — | KY median $0.0M | Rank in KY Rank #33 / 174Other income — State benchmarked This nursing home is ranked 33rd out of 174 nursing homes we track in Kentucky for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Kentucky homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 82% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $2.1M | +$1.8M | Trend — | KY median $0.8M | Rank in KY Rank #20 / 186Net income — State benchmarked This nursing home is ranked 20th out of 186 nursing homes we track in Kentucky for net income. Shows the bottom line after other income, compared with other Kentucky homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 90% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Staff spending in line with Kentucky homes
| Metric | FY 2024 | vs prior year | Trend 2020 → 2024Trend | KY median | Compared with KY homesRank in KY | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $8.9M | +$0.9M | Trend 20202024 | KY median $4.7M | Rank in KY Rank #14 / 186Payroll costs — State benchmarked This nursing home is ranked 14th out of 186 nursing homes we track in Kentucky for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Kentucky average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 93% of homes | Top 7% in KY by size Higher payroll than 93% of KY homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 44.6% | −3.8 pts | Trend 20202024 | KY median 45.7% | Rank in KY Rank #98 / 186Payroll % of net patient revenue — State benchmarked This nursing home is ranked 98th out of 186 nursing homes we track in Kentucky for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Kentucky average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 48% of homes | Near KY average The KY average is 45.8% of revenue. Within 3 points of it reads as near the average. |
Charts, 2020–2024 2 charts · KY benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Kentucky payroll average.
% of net patient revenue
Payroll share Operating margin KY payroll average
Year-by-year data, 2020–2024 every reported year · latest first, scroll sideways
| Metric | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|
| Net patient revenue | $16.1M | $14.7M | $16.3M | $16.5M | $20.0M |
| Operating expenses | $13.5M | $13.6M | $16.0M | $16.2M | $17.9M |
| Net patient income | $2.6M | $1.0M | $0.3M | $0.3M | $2.0M |
| Operating margin | 16.2% | 7.1% | 1.7% | 1.7% | 10.3% |
| Net income | $3.5M | $1.3M | $0.3M | $0.3M | $2.1M |
| Payroll costs | $6.9M | $7.2M | $8.6M | $8.0M | $8.9M |
| Payroll share of revenue | 42.9% | 49.3% | 52.5% | 48.4% | 44.6% |
| Beds | 143 | 143 | 143 | 143 | 143 |
| Gross revenue | $18.1M | $17.5M | $19.3M | $19.4M | $21.3M |
| Salaries | $6.0M | $6.3M | $7.5M | $6.9M | $7.6M |
| Wage-related costs | $0.9M | $1.0M | $1.1M | $1.1M | $1.3M |
| Contract labor | $0.0M | $0.0M | $0.2M | $0.8M | $0.8M |
| Other operating costs | $6.6M | $6.4M | $7.5M | $8.2M | $9.0M |
| Net patient revenue per day | $362 | $338 | $344 | $346 | $407 |
| Cost per day | $303 | $314 | $338 | $340 | $365 |
| Average length of stay | 67.4 days | 66.5 days | 67.2 days | 72.0 days | 58.0 days |
Showing 2024–2022 · scroll sideways for 2 earlier years
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
837 admissions · FY2024
Residents admitted during the year.
Medicare
257 · 31%
Medicaid
125 · 15%
Private pay & other
455 · 54%
Resident snapshot
139 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
13 · 9%
Medicaid
90 · 65%
Private pay & other
36 · 26%
Leaving
846 discharges · FY2024
Residents discharged during the year.
Medicare
203 · 24%
Medicaid
169 · 20%
Private pay & other
474 · 56%
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Places of interest near Boonespring Skilled Nursing Facility
0.9 miles from city center
Estimated distance in miles from Union's city center to Boonespring Skilled Nursing Facility's address, calculated via Google Maps.
Calculate Travel Distance to Boonespring Skilled Nursing Facility
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Financial Assistance for
Nursing Home in Kentucky
Boonespring Skilled Nursing Facility is located in US-42 Union, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.
Know before you visit
Frequently Asked Questions about Boonespring Skilled Nursing Facility
Quick answers from public records and the community's own listing.01 Is Boonespring Skilled Nursing Facility in a walkable area?
Boonespring Skilled Nursing Facility has a walk score of 22. Car-dependent. Most errands require a car, with limited nearby walkable options.
02 What is the occupancy rate at Boonespring Skilled Nursing Facility?
Boonespring Skilled Nursing Facility's occupancy is 95.2%.
03 Are pets allowed at Boonespring Skilled Nursing Facility?
No, Boonespring Skilled Nursing Facility has a no-pet policy.
04 Does Boonespring Skilled Nursing Facility operate as a for-profit or non-profit?
Boonespring Skilled Nursing Facility is registered as a for-profit.
05 What is the overall rating for Boonespring Skilled Nursing Facility?
Boonespring Skilled Nursing Facility received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
06 How many beds does Boonespring Skilled Nursing Facility have?
Boonespring Skilled Nursing Facility has 143 beds.
07 Are there photos of Boonespring Skilled Nursing Facility?
Yes — there are 7 photos of Boonespring Skilled Nursing Facility in the photo gallery on this page.
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