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The Springs at Oldham Reserve
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Lagrange, KY
CMS overall rating Info 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.
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The Springs at Oldham Reserve

Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Lagrange, KY
CMS overall rating Info 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.
2000 East Peak Road, Lagrange, KY 40031 View map Calculator: See prices in your area
The Springs at Oldham Reserve accepts Medicare, Medicaid, and private pay.
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The Springs at Oldham Reserve accepts Medicare, Medicaid, and private pay.

Overview of The Springs at Oldham Reserve

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Opened in 2024 by Trilogy Healthcare, The Springs at Oldham Reserve is a 103-bed skilled nursing facility that provides short-term rehabilitation, memory care, and assisted living within a highly walkable neighborhood layout. Admissions primarily feature a mix of short-stay Medicare post-acute clients (53%) averaging 23 days and private-pay individuals staying roughly four months. Financial records indicate notable initial operational hurdles, including a low 52% building occupancy rate and a 2023 operating deficit of $1.6 million. Despite these commercial challenges, the operator channels 62.8% of its total revenue directly into staffing payroll, supporting a campus model equipped with a movie theater, fitness center, and active community programming.

Public records display daily nursing resources and positive short-term recovery outcomes alongside an unusual cluster of initial regulatory fines. Direct care lines feature licensed practical nurse hours that run 82% ahead of the Kentucky baseline, while dedicated physical therapy volumes track 50% above the state average. This staffing investment matches high short-term performance charts, which note a 60.9% successful community discharge rate and very low emergency room visit frequencies, though permanent resident tracking logs higher-than-average rates for physical functional decline.

On the compliance side, because of the property’s recent opening, it carries a brief public monitoring footprint containing a single April 2023 inspection report. However, state files show the facility incurred seven small federal financial penalties totaling $19,000 during its first year of operation, with zero admission payment blocks on record.

Families investigating regional post-acute rehabilitation programs or multi-level retirement communities can use these state registry summaries to evaluate the building’s early track record. A look through the official data confirms heavy daily nurse staffing presence and strong post-acute recovery numbers alongside low initial building utilization, business losses, and frequent early administrative fines.

Facility Direct Line (502) 516-3176
Facility Direct Line (502) 516-3176
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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 hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 43m per day ▼ 6% State avg: 46m per day · National avg: 41m per day
LPN / LVN Info 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. 1h 28m per day ▲ 80% State avg: 49m per day · National avg: 52m per day
Nurse Aide Info 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. 2h 1m per day ▼ 17% State avg: 2h 26m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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. 3h 45m per day ▲ 7% State avg: 3h 30m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 6m per day ▲ 61% State avg: 4m per day · National avg: 4m per day
Weekend RN Info 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. 21m per day ▼ 33% State avg: 31m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay Info 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.
35 days
Bed community size
103-bed community Rank #91 / 341Bed count — State benchmarkedThis home is ranked 91st out of 341 homes in Kentucky. 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.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
1 year in operation Rank #53 / 149Years in operation — State benchmarkedThis home is ranked 53rd out of 149 homes in Kentucky. Shows how long this facility has been in operation compared to other Kentucky facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 80 / 100 Rank #12 / 423Walk Score — State benchmarkedThis home is ranked 12th out of 423 homes in Kentucky. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Kentucky facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
52%
Rank #198 / 209Occupancy rate — State benchmarkedThis home is ranked 198th out of 209 homes in Kentucky. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 209. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Kentucky average: 81.3%
Occupied beds
54 / 103
Average occupied beds in Kentucky homes 80 beds

License Details

Facility TypeLong Term Care (nursing Facility)
IssuanceFebruary 1, 2025
ExpirationJanuary 31, 2026 Expired
CountyOldham
License Number101384
CMS Certification Number185488

Ownership & Operating Entity

The Springs at Oldham Reserve is administered by Sean Barney-Mccoy.

Owner NameTrilogy Healthcare Of Lagrange, LLC

Payment & Insurance

1 service
Accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

1 service
Skilled Services

Amenities & Lifestyle

Fitness Center/Gym
Salon
Movie Theater
Bistro
Private Dining Room
Activities

Contact The Springs at Oldham Reserve

Inspection History

In Kentucky, the Cabinet for Health and Family Services, Office of Inspector General is the regulatory authority that conducts inspections and investigates complaints in all long-term care homes.

Since 2023 · 3 years of data 0 deficiencies 1 inspection

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. Kentucky state average
Overall vs. KY average 0 Worse No metrics in this bucket. 1 Better Metrics better than Kentucky average:
• Total deficiencies (100% below)
Latest Inspection April 27, 2023 Annual Inspection

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityKY Averagevs. KY Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 06 This facility has 100% fewer total deficiencies than a typical Kentucky assisted living residence (0 vs. KY avg 6).↓ 100% better
Standout metricNo deficiencies on file since 2023 — the Kentucky average is 6.

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityKY Averagevs. KY Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 14 This facility has had 75% fewer total inspections than the Kentucky average (1 vs. KY avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↓ 75% fewer
Show Inspection Reports

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 105
Employees 90
Contractors 15
Staff to resident ratio 105.00 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 33
Average shift 8 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 24,194

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 7 RN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 29 LPN Staff are full-time employees. No contractors work on this role. 29
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 31 CNA Staff are full-time employees. No contractors work on this role. 31
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

13.2%

3,193 contractor hours this quarter

Physical Therapy Assistant: 4 Speech Language Pathologist: 4 Respiratory Therapy Technician: 4 Qualified Social Worker: 2 Physical Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant310318,16492100%9.1
Licensed Practical Nurse290296,16492100%9.3
Other Dietary Services Staff6062,40392100%7.1
Clinical Nurse Specialist8081,3907177%7.7
Registered Nurse7071,1448188%9.2
Physical Therapy Assistant0441,0848289%5.4
Speech Language Pathologist0447846874%6.2
Administrator1015046368%8
Nurse Practitioner1015046470%7.9
Physical Therapy Aide0114655863%8
Respiratory Therapy Technician0444518087%4.4
Dietitian1014255560%7.7
Qualified Social Worker0224086470%6.4
Medication Aide/Technician2022954145%7.1
Occupational Therapy Assistant40473134%0.2
31 Certified Nursing Assistant
% of Days 100%
29 Licensed Practical Nurse
% of Days 100%
6 Other Dietary Services Staff
% of Days 100%
8 Clinical Nurse Specialist
% of Days 77%
7 Registered Nurse
% of Days 88%
4 Physical Therapy Assistant
% of Days 89%
4 Speech Language Pathologist
% of Days 74%
1 Administrator
% of Days 68%
1 Nurse Practitioner
% of Days 70%
1 Physical Therapy Aide
% of Days 63%
4 Respiratory Therapy Technician
% of Days 87%
1 Dietitian
% of Days 60%
2 Qualified Social Worker
% of Days 70%
2 Medication Aide/Technician
% of Days 45%
4 Occupational Therapy Assistant
% of Days 34%
View All Staffing Data

Penalties and fines

Includes penalties issued in 2023

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 Jan 2026)

Total fines amount $19K Rank #169 / 199Federal fines — State benchmarkedThis home is ranked 169th out of 199 homes in Kentucky. Shows this facility's cumulative CMS federal fine dollars versus the Kentucky average among facilities with fines, and where it ranks among 199 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
70% lower than State average

State average: $63K

Number of fines 7
204% more fines than State average

State average: 2.3

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.3

Fines amount comparison
Fines amount comparison
This facility $19K
State average $63K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

7 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Nov 20, 2023
$3K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Nov 13, 2023
$3K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Nov 6, 2023
$3K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 30, 2023
$2K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.4
10% better than State average

State average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.0
16% worse than State average

State average: 18.9

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 22.2%
32% worse than State average

State average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 22.3%
13% worse than State average

State average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 21.5%
5% worse than State average

State average: 20.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.2%
43% better than State average

State average: 3.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.5%
91% better than State average

State average: 5.8%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.0%
100% better than State average

State average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 11.8%
24% better than State average

State average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.6%
In line with State average

State average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 88.5%
8% worse than State average

State average: 96.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.5%
9% better than State average

State average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.8%
58% better than State average

State average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 93.0%
11% better than State average

State average: 83.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 26.9%
10% worse than State average

State average: 24.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 9.1%
35% better than State average

State average: 13.9%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.6%
19% better than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 65.2%
21% better than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 60.9%
20% better than State average

State average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

53% of new residents, usually for short-term rehab.

Typical stay 23 days

Private pay

45% of new residents, often for short stays.

Typical stay 4 months

Medicaid

2% of new residents, often for long-term daily care.

Typical stay 1 - 2 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 1
Private pay or other
1
100% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.7M
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.6M Rank #179 / 197Revenue — State benchmarkedThis home is ranked 179th out of 197 homes in Kentucky. Shows this facility's annual revenue compared to the Kentucky average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.7M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$13.9K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #158 / 197Payroll — State benchmarkedThis home is ranked 158th out of 197 homes in Kentucky. Shows total annual staff payroll benchmarked to the Kentucky average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.9M 63.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #15 / 197Payroll % — State benchmarkedThis home is ranked 15th out of 197 homes in Kentucky. Shows payroll as a percentage of revenue versus the Kentucky average. Well-run Kentucky facilities typically land around 51–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.2M
How we calculate these figures

This home is administered by Sean Barney-Mccoy.

This home is owned by Trilogy Healthcare Of Lagrange, LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 185488

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (53% of admissions), and a typical Medicare stay runs around 23 days.

Admissions
174 total

Coverage residents most often arrive under.

Medicare 53%
Private pay 45%
Medicaid 2%
Discharges
206 total

Coverage residents most often leave under.

Medicare 40%
Private pay 60%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

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Address 0.0 miles from city center Info 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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Frequently Asked Questions about The Springs at Oldham Reserve

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.

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.

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.

When does The Springs at Oldham Reserve's license expire?

According to KY state health department records, The Springs at Oldham Reserve's license expires on January 31, 2026.

What is the occupancy rate at The Springs at Oldham Reserve?

The Springs at Oldham Reserve's occupancy is 52%.

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.

Who is the administrator of The Springs at Oldham Reserve?

Sean Barney-Mccoy is the administrator of The Springs at Oldham Reserve.

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