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.
104
90 employees · 14 contractors · 33 on an average day The Springs at Oldham Reserve
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Lagrange, KY
CMS overall rating
4/5
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.
4/5
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.
The Springs at Oldham Reserve
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Lagrange, KY
CMS overall rating
4/5
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.
4/5
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.
The Springs at Oldham Reserve accepts Medicare, Medicaid, and private pay.
Overview of The Springs at Oldham Reserve
The Springs at Oldham Reserve offers independent living, assisted living, memory care, and skilled nursing care in LaGrange, KY. Independent living provides private living with community services and no daily care, while assisted living provides help with daily tasks such as dressing, bathing, and medication while a resident keeps an apartment. Memory care offers a secured setting with supervision for someone at risk of wandering, and skilled nursing provides licensed nursing care on site around the clock.
Because the community has several care levels, it may be a good fit for a resident whose needs could grow over time and who may be able to move between settings without leaving the community. The community has 103 beds. Rehabilitation services, including short-term rehab, provide recovery-focused care during a limited stay.
A fitness center supports exercise on site, while a salon, movie theater, bistro, and private dining room give residents places for grooming, films, casual meals, and hosted meals. Chef-prepared breakfast, lunch, and dinner are provided, and pets are allowed so a resident may keep a pet at the community.
The area has a Walk Score of 80 out of 100 and is very walkable, meaning most errands can be done on foot and a resident who no longer drives can still get out independently. Total nurse staffing is 3 hours and 56 minutes per resident per day, representing the daily hands-on nursing time assigned to each resident. Medicare, Medicaid, and private pay are accepted. Sean Barney-Mccoy serves as administrator, and Trilogy Healthcare Of Lagrange operates the community.
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 35th 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 56m
This nursing home is ranked 35th 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 56mStandout metric: Physical therapist is +64% above Kentucky average
2 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 8 are the facility's own employees; no agency contractors work in this role.
8 staff · 10.3-hour shifts
54m
↑ 18% · KY 46mThis facility: 54m per resident per day, 18% above 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 8 are the facility's own employees; no agency contractors work in this role.
8 staff · 10.3-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 26 are the facility's own employees; no agency contractors work in this role.
26 staff · 9.1-hour shifts
1h 9m
↑ 40% · KY 49mThis facility: 1h 9m per resident per day, 40% above 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 26 are the facility's own employees; no agency contractors work in this role.
26 staff · 9.1-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 31 are the facility's own employees; no agency contractors work in this role.
31 staff · 8.5-hour shifts
1h 53m
↓ 23% · KY 2h 26mThis facility: 1h 53m per resident per day, 23% below the Kentucky average of 2h 26m (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 31 are the facility's own employees; no agency contractors work in this role.
31 staff · 8.5-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
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.
7m
↑ 64% · KY 4mThis facility: 7m per resident per day, 64% 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
3h 25m
↓ 2% · KY 3h 30mThis facility: 3h 25m per resident per day, 2% below the Kentucky average of 3h 30m (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
38m
↑ 23% · KY 31mThis facility: 38m per resident per day, 23% above 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: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
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.
104
90 employees · 14 contractors · 33 on an average day
104 total staff / 43 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.
2.42 : 1
↑ 48% · KY 1.63This facility: 2.42 staff per resident, 48% 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.
104 staff ÷ 43 residents
See full Kentucky ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.9 h
↓ 7% · KY 8.5 hThis facility: 7.9 h, 7% below 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.
23,643 staff hours this quarter
See full Kentucky ranking →87.3% of staff hours were worked by the facility's own employees
Kentucky average: 93.1% · Contractors this quarter: Physical Therapy Assistant (4), Respiratory Therapy Technician (3), Speech Language Pathologist (2), Physical Therapy Aide (2), Qualified Social Worker (2), 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.
103
Rank #78 / 195Bed count — State benchmarked This nursing home is ranked 78th 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.
103
Rank #78 / 195Bed count — State benchmarked This nursing home is ranked 78th 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.
Years of operating
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #18 / 152Years in operation — State benchmarked This nursing home is ranked 18th out of 152 nursing homes we track in Kentucky for years in operation. Shows how long this facility has been in operation compared to other Kentucky facilities. Longer operating histories may 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.
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #18 / 152Years in operation — State benchmarked This nursing home is ranked 18th out of 152 nursing homes we track in Kentucky for years in operation. Shows how long this facility has been in operation compared to other Kentucky facilities. Longer operating histories may 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.
1
year
Walk Score
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #5 / 204Walk Score — State benchmarked This nursing home is ranked 5th 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.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #5 / 204Walk Score — State benchmarked This nursing home is ranked 5th 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.
80
/ 100
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.
44
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.
40
days
About This Community
Pricing & Financial Information
The below pricing was updated on
$3,129/Month
Facility TypeLong Term Care (Nursing Facility)
IssuanceFebruary 1, 2025
CountyOldham
License Number101384
CMS Certification Number185488
The Springs at Oldham Reserve is administered by Sean Barney-Mccoy.
Owner NameTrilogy Healthcare Of Lagrange, LLC
Resident Council
Accept Medicare
Short-Term Rehab
Physical Therapy
Occupational Therapy
Speech Therapy
RN On-Site 8 Hours a Day
Pharmacy and Laboratory Services
Wound Care ManagementClinical care for preventing, assessing, and treating wounds, including pressure injuries and surgical wounds. It can support healing and reduce complications.
Dietitian
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Discharge Planning
Housekeeping
Laundry & Linen
MaintenanceListed as: Maintenance of apartment, community, and grounds
Pets Allowed
Utilities IncludedYes
Fitness Center
Beauty Salon
Movie Theater
Bistro
Internet Access
Cable Tv
Outdoor Seating
Wheelchair Accessible
Private Dining Room
Activities
Live a Dream ProgramA Trilogy Health Services Foundation program that helps residents fulfill lifelong or bucket-list wishes through financial support and coordinated experiences. Families may value the chance to honor a parent’s meaningful goals.
Happy Hour
Inspirations Program (Bible Study, Hymn Sing, Meditation, Devotions, Rosary, Grief Bereavement Support Groups)A faith-centered life-enrichment program offering activities such as Bible study, hymn singing, meditation, devotions, rosary, and grief support. It can help residents maintain spiritual connection and find comfort.
Studio Floor plans as listed by the community: Studio (424–929 sq ft) · Studio - Short-Term Stay (424–929 sq ft) · Studio (Assisted Living) (140–355 sq ft) · Studio - Short-Term Stay (Assisted Living) (140–355 sq ft)
Floor plans: Short-Term Stay
140–929 sq ft
1 Bedroom Floor plans as listed by the community: 1 Bedroom (424–929 sq ft) · 1 Bedroom - Short-Term Stay (424–929 sq ft) · 1 Bedroom Patio Home (Coming Soon) (1,302 sq ft)
Floor plans: Short-Term Stay
424–1,302 sq ft
2 Bedroom Floor plans as listed by the community: 2 Bedroom Patio Home (Coming Soon) (1,447 sq ft)
1,447 sq ft
In-Room Features
Private Apartment Suite With Shower
In-Unit Kitchen Or Kitchenette
Individual Heating & Air Conditioning
In-Unit Washer And Dryer (May Be Included)
CMS Health Inspection History
Total health inspections
1
↓ 66% · KY 2.9This facility: 1, 66% below the KY average of 2.9 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
3
Rank #10 / 191Health citations — State benchmarked This nursing home is ranked 10th out of 191 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 191 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.↓ 75% · KY 12This facility: 3, 75% below the KY average of 12 (among KY 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
3
Rank #58 / 191Citations per inspection — State benchmarked This nursing home is ranked 58th out of 191 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 191 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.↓ 27% · KY 4.09This facility: 3, 27% below the KY average of 4.09 (among KY 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
3 of 3 citations corrected
Critical
J–L
0
↓ 100% · KY 0.9This facility: 0, 100% below the KY average of 0.9 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · KY 0.5This facility: 0, 100% below the KY average of 0.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
3
↓ 71% · KY 10.5This facility: 3, 71% below the KY average of 10.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · KY 0.1This facility: 0, 100% below the KY average of 0.1 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Dec 19, 2025 · 3 citations, all corrected
Most cited category: Infection Control, 1 of 3 citations · 3 categories in total
Citations history
Most recent first
Dec 19, 2025
3 citations
Infection Control moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Top deficiency categories
Share of 3 citations
Infection Control
1 deficiency (33%)
Resident Assessment & Care Planning
1 deficiency (33%)
Pharmacy Services
1 deficiency (33%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 3 citations resulted from standard inspections.
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
6 penalties in the past 3 years
Latest: Nov 20, 2023 · $3,496 civil money penalty
Nov 20, 2023 · $3,496 civil money penalty
Nov 13, 2023 · $3,147 civil money penalty
Nov 6, 2023 · $2,797 civil money penalty
Oct 30, 2023 · $2,447 civil money penalty
Oct 23, 2023 · $2,098 civil money penalty
Oct 17, 2023 · $1,748 civil money penalty
Total fines
$15,733
↓ 61% · KY $40KThis facility: $15,733, 61% below the Kentucky average of $40,161. Average among the 90 Kentucky facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #163 / 192Federal fines — State benchmarked This nursing home is ranked 163rd out of 192 nursing homes we track in Kentucky for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Kentucky average among facilities with fines, and where it ranks among 192 facilities in the pool. Lower total dollars mean 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.
Number of fines
6
↑ 202% · KY 1.99This facility: 6, 202% above the Kentucky average of 1.99. Average among the 90 Kentucky facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.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.
Penalty history · past 3 years
Nov 20, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$3,496
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$3,496
Nov 13, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$3,147
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$3,147
Nov 6, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,797
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,797
Oct 30, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,447
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,447
Oct 23, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,098
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,098
Oct 17, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$1,748
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$1,748Fine amount comparison
This facility
$15,733
Kentucky average
$40,161
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Kentucky and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
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
↑ 42% · KY 3.5This facility: 5.0, 42% above the KY average of 3.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
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.
5
/ 5
Significantly above average
↑ 127% · KY 2.2This facility: 5.0, 127% above the KY average of 2.2 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
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.
5.9
Score · lower is better
↓ 27% · KY 8.1This facility: 5.9, 27% 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.
16.3
Score · lower is better
↑ 12% · KY 14.6This facility: 16.3, 12% above 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.10 long-stay measures: 5 better, 2 worse, 3 near KY average
8 short-stay measures: 4 better, 1 worse, 3 compared with US only
Long-stay residents
People who live at the home · 10 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
14.5%
↑ 10% · KY 13.2This facility: 14.5, 10% above 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
14.5%
↑ 10% · KY 13.2This facility: 14.5, 10% above 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.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.2%
≈ 0% · KY 18.3This facility: 18.2, level with 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
18.2%
≈ 0% · KY 18.3This facility: 18.2, level with 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
6.5%
↑ 70% · KY 3.8This facility: 6.5, 70% above 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
6.5%
↑ 70% · KY 3.8This facility: 6.5, 70% above 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
1.4%
↓ 70% · KY 4.7This facility: 1.4, 70% 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
1.4%
↓ 70% · KY 4.7This facility: 1.4, 70% 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
1.4%
↓ 79% · KY 6.6This facility: 1.4, 79% below 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
1.4%
↓ 79% · KY 6.6This facility: 1.4, 79% below 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
0.0%
↓ 100% · KY 18.9This facility: 0.0, 100% below 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
0.0%
↓ 100% · KY 18.9This facility: 0.0, 100% below 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
7.0%
↓ 57% · KY 16.2This facility: 7.0, 57% below 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
7.0%
↓ 57% · KY 16.2This facility: 7.0, 57% below 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
91.4%
↓ 3% · KY 94.1This facility: 91.4, 3% below 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
91.4%
↓ 3% · KY 94.1This facility: 91.4, 3% below 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.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.
65.2%
↑ 21% · US 53.7This facility: 65.2, 21% above 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.
65.2%
↑ 21% · US 53.7This facility: 65.2, 21% above 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.
60.9%
↑ 20% · US 50.6This facility: 60.9, 20% 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.
60.9%
↑ 20% · US 50.6This facility: 60.9, 20% 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.
0.6%
↓ 19% · US 0.8This facility: 0.6, 19% below 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.
0.6%
↓ 19% · US 0.8This facility: 0.6, 19% below 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
1.2%
↓ 26% · KY 1.6This facility: 1.2, 26% 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
1.2%
↓ 26% · KY 1.6This facility: 1.2, 26% 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
90.4%
↑ 7% · KY 84.5This facility: 90.4, 7% 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
90.4%
↑ 7% · KY 84.5This facility: 90.4, 7% 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
98.1%
↑ 17% · KY 83.7This facility: 98.1, 17% 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
98.1%
↑ 17% · KY 83.7This facility: 98.1, 17% 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.
26.9%
↑ 10% · KY 24.5This facility: 26.9, 10% 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.
26.9%
↑ 10% · KY 24.5This facility: 26.9, 10% 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.
9.1%
↓ 35% · KY 13.9This facility: 9.1, 35% 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.
9.1%
↓ 35% · KY 13.9This facility: 9.1, 35% 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.
The Springs at Oldham Reserve’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
5.1% operating margin
— vs prior year
Positive margin in 1 of the last 1 reported years. Net income $0.6M after other income.
Does it invest in staff?
Spends more on payroll than most Kentucky homes
49.9% payroll share of revenue
KY average 45.8%Rank #55 / 186Payroll % of net patient revenue — State benchmarked This nursing home is ranked 55th 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.
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 2024 → 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. | $10.8M | — | Trend — | KY median $10.7M | Rank in KY Rank #91 / 186Net patient revenue — State benchmarked This nursing home is ranked 91st 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 51% of homes | Above KY median Higher net patient revenue than 51% 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. | $10.3M | — | Trend — | KY median $10.1M | Rank in KY Rank #89 / 186Operating expenses — State benchmarked This nursing home is ranked 89th 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 52% 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. | $0.5M | — | Trend — | KY median $0.8M | Rank in KY Rank #108 / 186Net patient income — State benchmarked This nursing home is ranked 108th 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 42% of homes | Profit, growing Resident care made money this year. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 5.1% | — | Trend — | KY median 7.4% | Rank in KY Rank #108 / 186Operating margin — State benchmarked This nursing home is ranked 108th 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 42% of homes | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | KY median $0.0M | Rank in KY Rank #46 / 174Other income — State benchmarked This nursing home is ranked 46th 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 74% 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. | $0.6M | — | Trend — | KY median $0.8M | Rank in KY Rank #111 / 186Net income — State benchmarked This nursing home is ranked 111th 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 41% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends more of revenue on staff than most Kentucky homes
| Metric | FY 2024 | vs prior year | Trend 2024 → 2024Trend | KY median | Compared with KY homesRank in KY | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $5.4M | — | Trend — | KY median $4.7M | Rank in KY Rank #67 / 186Payroll costs — State benchmarked This nursing home is ranked 67th 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 64% of homes | Above KY median Higher payroll than 64% 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. | 49.9% | — | Trend — | KY median 45.7% | Rank in KY Rank #55 / 186Payroll % of net patient revenue — State benchmarked This nursing home is ranked 55th 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 71% of homes | 4.1 pts over KY average The KY average is 45.8% of revenue. Within 3 points of it reads as near the average. |
Charts, 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, 2024 every reported year · latest first, scroll sideways
| Metric | 2024 |
|---|---|
| Net patient revenue | $10.8M |
| Operating expenses | $10.3M |
| Net patient income | $0.5M |
| Operating margin | 5.1% |
| Net income | $0.6M |
| Payroll costs | $5.4M |
| Payroll share of revenue | 49.9% |
| Beds | 84 |
| Gross revenue | $12.3M |
| Salaries | $4.6M |
| Wage-related costs | $0.8M |
| Contract labor | $0.8M |
| Other operating costs | $4.9M |
| Net patient revenue per day | $417 |
| Cost per day | $396 |
| Average length of stay | 39.6 days |
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
349 admissions · FY2024
Residents admitted during the year.
Medicare
185 · 53%
Medicaid
3 · 1%
Private pay & other
161 · 46%
Resident snapshot
43 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
20 · 47%
Medicaid
8 · 19%
Private pay & other
15 · 35%
Leaving
364 discharges · FY2024
Residents discharged during the year.
Medicare
146 · 40%
Medicaid
4 · 1%
Private pay & other
214 · 59%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near The Springs at Oldham Reserve
0.0 miles from city center
Estimated distance in miles from Lagrange's city center to The Springs at Oldham Reserve's address, calculated via Google Maps.
Calculate Travel Distance to The Springs at Oldham Reserve
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Compare Nursing Homes around the area
Info below is compiled from CMS reports & the KY Cabinet for Health & Family Services (CHFS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Kentucky average is: 45.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Middlesboro Nursing and Rehabilitation Facility | NH SNF | Middlesboro | 95
Facility
95
KY AVG
98
Rank
#101 / 195 |
96.7%
Facility
96.7%
KY AVG
87.5%
Rank
#12 / 162 | +11% | 3.37
Facility
3.37
KY AVG
3.76
Rank
#79 / 189 | -63% | -10% | $0
Facility
$0
KY AVG
$40.2k
Rank
#1 / 192 | 2
Facility
2
KY AVG
12.0
Rank
#6 / 191 | 1.0
Facility
1.0
KY AVG
4.1
Rank
#1 / 191 | - | 92 | - |
62
Facility
62
KY AVG
46
Rank
#54 / 204 | Middlesboro Operations, LLC | $11.6MFiscal year ending 12/2024
Facility
$11.6MFiscal year ending 12/2024
KY AVG
$11.4M
Rank
#77 / 186 | $4.9MFiscal year ending 12/2024
Facility
$4.9MFiscal year ending 12/2024
KY AVG
$5.2M
Rank
#88 / 186 | 41.7%Fiscal year ending 12/2024
Facility
41.7%Fiscal year ending 12/2024
KY AVG
45.8%
Rank
#121 / 186 | 185240 | ||||
| Woodcrest Nursing and Rehabilitation Center | NH PC RC SNF | Elsmere | 127
Facility
127
KY AVG
98
Rank
#35 / 195 |
95.0%
Facility
95.0%
KY AVG
87.5%
Rank
#33 / 162 | +9% | 3.35
Facility
3.35
KY AVG
3.76
Rank
#79 / 189 | -45% | -11% | $0
Facility
$0
KY AVG
$40.2k
Rank
#1 / 192 | 5
Facility
5
KY AVG
12.0
Rank
#26 / 191 | 2.5
Facility
2.5
KY AVG
4.1
Rank
#33 / 191 | - | 121 | - |
69
Facility
69
KY AVG
46
Rank
#32 / 204 | Woodcrest Operating Company, LLC | $14.9MFiscal year ending 12/2024
Facility
$14.9MFiscal year ending 12/2024
KY AVG
$11.4M
Rank
#39 / 186 | $6.9MFiscal year ending 12/2024
Facility
$6.9MFiscal year ending 12/2024
KY AVG
$5.2M
Rank
#35 / 186 | 46.1%Fiscal year ending 12/2024
Facility
46.1%Fiscal year ending 12/2024
KY AVG
45.8%
Rank
#91 / 186 | 185445 | ||||
| The Springs at Oldham Reserve | NH AL IL MC SNF | Lagrange | 103
Facility
103
KY AVG
98
Rank
#78 / 195 | - | - | 3.93
Facility
3.93
KY AVG
3.76
Rank
#35 / 189 | -32% | +4% | $15.7k
Facility
$15.7k
KY AVG
$40.2k
Rank
#163 / 192 | 3
Facility
3
KY AVG
12.0
Rank
#10 / 191 | 3.0
Facility
3.0
KY AVG
4.1
Rank
#58 / 191 | - | 44 | - |
80
Facility
80
KY AVG
46
Rank
#5 / 204 | Trilogy Healthcare Of Lagrange, LLC | $10.8MFiscal year ending 12/2024
Facility
$10.8MFiscal year ending 12/2024
KY AVG
$11.4M
Rank
#91 / 186 | $5.4MFiscal year ending 12/2024
Facility
$5.4MFiscal year ending 12/2024
KY AVG
$5.2M
Rank
#67 / 186 | 49.9%Fiscal year ending 12/2024
Facility
49.9%Fiscal year ending 12/2024
KY AVG
45.8%
Rank
#55 / 186 | 185488 | ||||
| Fountain Circle Care and Rehabilitation Center | NH HOS MC PC RC SNF | Winchester | 179
Facility
179
KY AVG
98
Rank
#8 / 195 |
71.4%
Facility
71.4%
KY AVG
87.5%
Rank
#148 / 162 | -18% | 3.89
Facility
3.89
KY AVG
3.76
Rank
#35 / 189 | -23% | +4% | $0
Facility
$0
KY AVG
$40.2k
Rank
#1 / 192 | 17
Facility
17
KY AVG
12.0
Rank
#136 / 191 | 5.7
Facility
5.7
KY AVG
4.1
Rank
#145 / 191 | 2 | 128 | A+ |
76
Facility
76
KY AVG
46
Rank
#11 / 204 | LP Winchester, LLC | $17.7MFiscal year ending 12/2024
Facility
$17.7MFiscal year ending 12/2024
KY AVG
$11.4M
Rank
#19 / 186 | $7.7MFiscal year ending 12/2024
Facility
$7.7MFiscal year ending 12/2024
KY AVG
$5.2M
Rank
#24 / 186 | 43.4%Fiscal year ending 12/2024
Facility
43.4%Fiscal year ending 12/2024
KY AVG
45.8%
Rank
#108 / 186 | 185146 | ||||
| Glenview Health Care Facility | NH SNF | Glasgow | 60
Facility
60
KY AVG
98
Rank
#156 / 195 |
91.5%
Facility
91.5%
KY AVG
87.5%
Rank
#83 / 162 | +5% | 3.72
Facility
3.72
KY AVG
3.76
Rank
#57 / 189 | -59% | -1% | $0
Facility
$0
KY AVG
$40.2k
Rank
#1 / 192 | 12
Facility
12
KY AVG
12.0
Rank
#103 / 191 | 3.0
Facility
3.0
KY AVG
4.1
Rank
#58 / 191 | - | 55 | A+ |
75
Facility
75
KY AVG
46
Rank
#16 / 204 | Glenview Health Care Facility Inc | $6.8MFiscal year ending 12/2024
Facility
$6.8MFiscal year ending 12/2024
KY AVG
$11.4M
Rank
#163 / 186 | $2.2MFiscal year ending 12/2024
Facility
$2.2MFiscal year ending 12/2024
KY AVG
$5.2M
Rank
#178 / 186 | 33.1%Fiscal year ending 12/2024
Facility
33.1%Fiscal year ending 12/2024
KY AVG
45.8%
Rank
#172 / 186 | 185271 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other KY nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial assistance
Get financial aid guidance Programs that may help with care and living costs in Kentucky
The Springs at Oldham Reserve is in LAGRANGE, Kentucky. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
VA Aid and Attendance (A&A) and Housebound Benefits
VA Pension Aid and Attendance and Housebound Benefits (Federal)
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- No single monthly income cutoff. VA compares countable annual income, after permitted deductions, with the applicable Maximum Annual Pension Rate for the household and benefit category.
- Asset limit
- Net-worth limit is $163,699 from December 1, 2025 through November 30, 2026. Net worth includes countable assets plus annual income; exclusions and transfer rules apply.
Eligibility
- General
- Veterans or eligible survivors who qualify for VA Pension or Survivors Pension and meet the additional Aid and Attendance or Housebound criteria. Service, discharge, family status and pension eligibility rules also apply.
- KY specifics
- A federal VA pension benefit; Aid and Attendance and Housebound enhancements cannot be received together.
What it provides
- A higher pension ceiling for eligible Aid and Attendance or Housebound recipients. Actual pension equals the applicable annual maximum minus countable income; the two enhancements cannot be paid together.
Optional State Supplementation
Kentucky Optional State Supplementation
Eligibility
- General
- Eligible Kentucky adults who are aged, blind or disabled, meet the applicable financial and technical rules, need a full-time qualifying living arrangement and have insufficient income for the payment standard.
- KY specifics
- Personal/family care home and caretaker categories require age 18 or older. Eligibility and payment depend on the specific category.
What it provides
- Supplemental payments for qualifying personal care homes; family care homes or approved caretaker arrangements; separate criteria govern community integration supplementation.
Home and Community Based Waiver
Kentucky Medicaid HCB Waiver
Eligibility
- General
- People age 65 or older or with a physical disability who meet Kentucky Medicaid and HCB waiver functional requirements.
- KY specifics
- Service approval is based on assessed needs and current waiver policy; no flat daily hours are established.
What it provides
- Authorized supports such as adult day health; personal care; respite and other HCB waiver services.
Hart-Supported Living Program
KY Hart-Supported Living
Eligibility
- General
- Kentucky residents with qualifying disabilities seeking supports for community living, under Hart-Supported Living eligibility rules.
- KY specifics
- The program supports integrated living and individual control; segregated or certain congregate models are excluded.
What it provides
- Approved grants for supports that promote community living; independence and inclusion.
Kentucky Homecare Program
Kentucky Homecare Program
Eligibility
- General
- Age 60 or older with the stated ADL/IADL limitations and institutional-care risk, or able to leave an institution for home with support.
What it provides
- Coordinated home supports for daily needs; according to assessment and program authorization.
Family Caregiver Support Program
Family Caregiver Support Program (Kentucky)
- Who it is for
- Family or informal caregivers of an adult 60+ or of someone of any age with dementia
Eligibility
- General
- Adult family or informal caregivers of adults age 60 or older or people of any age with Alzheimer's disease or a related disorder. The federal program also supports specified older-relative caregiver categories.
What it provides
- Caregiver information and access assistance; counseling and training; support groups; respite and limited supplemental services under the federal caregiver-support framework.
Kentucky Family Caregiver Program
Kentucky Family Caregiver Program
- Income limit
- Household income at or below 150% of the federal poverty level.
Eligibility
- General
- Grandparents who are primary caregivers of a grandchild age 18 or younger living in the same home; the child's parents must not reside in the household.
- KY specifics
- This is a grandparent-caregiver program, not a general elder-care grant.
What it provides
- Information; support groups; counseling and training; eligible participants may receive grants or vouchers for approved child-related expenses.
Kentucky Transitions
Kentucky Kentucky Transitions
Eligibility
- General
- Older adults or people with qualifying disabilities who have lived in a nursing facility at least 60 days, meet Medicaid requirements, receive Medicaid-paid services at least one day before referral and can live in the community with support. Some stay exclusions apply.
What it provides
- Transition planning; help locating affordable housing and connections to approved community supports and Medicaid waiver services.
Personal Care Attendant Program (PCAP)
Kentucky Personal Care Attendant Program (PCAP)
Eligibility
- General
- Adults age 18 or older with qualifying severe physical disability, including the statutory functional loss of two or more limbs, who need at least 14 hours of assistance weekly or a nighttime attendant to avoid inappropriate institutional placement. Assessment, financial rules and ability to manage attendants apply.
- KY specifics
- The Commonwealth resource directory explicitly lists all counties. Actual service authorization depends on assessment and funding.
What it provides
- A subsidy for approved personal attendant services in a non-institutional setting; subject to available funding.
Medicare Savings Program (MSP)
Kentucky Medicare Savings Program
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
Eligibility
- General
- Medicare beneficiaries meeting the applicable state Medicare Savings Program eligibility rules.
- KY specifics
- Applications are administered by the state Medicaid program.
What it provides
- Assistance with Medicare premiums and; for qualified QMB beneficiaries; Medicare-covered deductibles and coinsurance. The qualifying category determines which costs are paid.
Know before you visit
Frequently Asked Questions about The Springs at Oldham Reserve
Quick answers from public records and the community's own listing.01 Who is the owner of The Springs at Oldham Reserve?
The Springs at Oldham Reserve is legally operated by Trilogy Healthcare Of Lagrange, LLC, and administered by Sean Barney-Mccoy.
02 Is The Springs at Oldham Reserve in a walkable area?
The Springs at Oldham Reserve has a walk score of 80. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
03 What is the license number of The Springs at Oldham Reserve?
According to KY state health department records, The Springs at Oldham Reserve's license number is 101384.
04 What is the occupancy rate at The Springs at Oldham Reserve?
The Springs at Oldham Reserve's occupancy is 80.7%.
05 How long has The Springs at Oldham Reserve been in business?
The Springs at Oldham Reserve has been operating for approximately 1 year, based on available licensing and registration records.
06 Are pets allowed at The Springs at Oldham Reserve?
Yes, The Springs at Oldham Reserve allows residents to bring their pets.
07 Does The Springs at Oldham Reserve operate as a for-profit or non-profit?
The Springs at Oldham Reserve is registered as a for-profit in KY.
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