Boonespring Skilled Nursing Facility
Nursing Home, Hospice Care & Respite Care · Florence, KY
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.

Boonespring Skilled Nursing Facility

Nursing Home, Hospice Care & Respite Care · Florence, KY
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.
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Boonespring Skilled Nursing Facility accepts Medicare, Medicaid, and private pay.

Overview of Boonespring Skilled Nursing Facility

Boonespring Skilled Nursing Facility is a nursing home in Union, KY, offering long-term care, rehabilitation, and skilled nursing. With its modern and supportive setting, the community ensures older adults are well-cared for during their stay. Residents also experience maintenance-free living, with nutritious home-cooked meals, therapeutic services, and housekeeping. Committed to meeting residents’ needs and preferences, the community provides personalized care plans.

Light physical activities, social gatherings, and a variety of recreational activities foster interactions. Residents are also provided with plenty of spaces to lounge and connect with friends, including outdoor spaces with walking paths, a beauty salon, and therapy gyms. Located near churches and other local amenities in the peaceful residential area of Union, the community guarantees a stress-free retirement. This nursing home has high standards of care and a clean setting, making it one of the best choices for senior living in Kentucky.

(859) 384-1200

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.
▲ 42.1% Above KY avg. ▲ 42.1% Above KY avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 37.1% Above KY avg. ▲ 37.1% Above KY avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 12.4% Above KY avg. ▲ 12.4% Above KY avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 38.2% Above KY avg. ▲ 38.2% Above KY avg.Click the badge to see the full State ranking.Click here to see the full State ranking.

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 Kentucky state averages

Total nursing care / resident Info This home is ranked 90th out of 184 homes in Kentucky. 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 19m per day
Rank #90 / 184Nurse hours — State benchmarkedThis home is ranked 90th out of 184 homes in Kentucky. Shows adjusted nurse hours per resident per day benchmarked to the Kentucky average, with a ranking across 184 Kentucky SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Kentucky avg (3h 45m per day)
vs Kentucky avg
-11%

3 of 6 metrics below state avg

Standout metric Physical Therapist is +50% above state avg
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. 38m per day ▼ 17% 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. 41m per day ▼ 16% 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 41m per day ▲ 11% State avg: 2h 25m per day · National avg: 2h 21m 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 37m per day ▲ 4% State avg: 3h 29m 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 ▲ 50% 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. 22m per day ▼ 29% State avg: 31m per day · National avg: 29m per day

Types of Care at Boonespring Skilled Nursing Facility

Nursing Home Hospice Care Respite Care

Capacity and availability

This home usually has limited availability

Occupancy between 85% and 95% suggests balanced demand.

Higher occupancy than the Kentucky average: 81.3%
Occupancy rate 91.3% Rank #55 / 200Occupancy rate — State benchmarkedThis home is ranked 55th out of 200 homes in Kentucky. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 200. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay 72 days
Occupancy rate
91.3% Rank #55 / 200Occupancy rate — State benchmarkedThis home is ranked 55th out of 200 homes in Kentucky. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 200. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
72 days
Walk Score
Walk Score: 22 / 100 Rank #328 / 424Walk Score — State benchmarkedThis home is ranked 328th out of 424 homes in Kentucky. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Kentucky SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

Contact Boonespring Skilled Nursing Facility

Staffing Data

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

Total staff 206
Employees 175
Contractors 31
Staff to resident ratio 1.48:1
14% worse than Kentucky average
Kentucky average ratio: 1.72:1 Kentucky average ratio: 1.72:1See full Kentucky ranking
Avg staff/day 74
Average shift 8.3 hours
0% compared with Kentucky average
Kentucky average: 8.5 hours Kentucky average shift: 8.5 hoursSee full Kentucky ranking
Total staff hours (quarter) 56,624

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 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff 24
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff 84
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

No contractors work on this role.

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

7.5%

4,265 contractor hours this quarter

Physical Therapy Assistant: 7 Speech Language Pathologist: 6 Physical Therapy Aide: 6 Qualified Social Worker: 4 Respiratory Therapy Technician: 4 Qualified Activities Professional: 1 Occupational Therapy Assistant: 1 Other Physician: 1 Medical Director: 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 Assistant8408425,27992100%8.8
Licensed Practical Nurse240248,47592100%9.1
Medication Aide/Technician120124,68892100%8.4
Clinical Nurse Specialist160164,14592100%7.5
Registered Nurse150153,46892100%9.2
Other Dietary Services Staff6061,54092100%6.4
Respiratory Therapy Technician0441,1157784%7
Physical Therapy Assistant0771,0818188%6.9
Physical Therapy Aide0669888188%6.8
RN Director of Nursing4047487683%7.2
Nurse Practitioner1016228087%7.8
Speech Language Pathologist0666097177%7
Occupational Therapy Aide3035186470%7.5
Nurse Aide in Training4045082830%7.6
Administrator1014956672%7.5
Mental Health Service Worker1014956672%7.5
Dietitian1014886571%7.5
Feeding Assistant2024525964%7.4
Dental Services Staff1014385964%7.4
Qualified Social Worker0443105358%5.5
Qualified Activities Professional011861921%4.5
Occupational Therapy Assistant011551516%3.7
Medical Director0111833%6
Other Physician011333%1
84 Certified Nursing Assistant
% of Days 100%
24 Licensed Practical Nurse
% of Days 100%
12 Medication Aide/Technician
% of Days 100%
16 Clinical Nurse Specialist
% of Days 100%
15 Registered Nurse
% of Days 100%
6 Other Dietary Services Staff
% of Days 100%
4 Respiratory Therapy Technician
% of Days 84%
7 Physical Therapy Assistant
% of Days 88%
6 Physical Therapy Aide
% of Days 88%
4 RN Director of Nursing
% of Days 83%
1 Nurse Practitioner
% of Days 87%
6 Speech Language Pathologist
% of Days 77%
3 Occupational Therapy Aide
% of Days 70%
4 Nurse Aide in Training
% of Days 30%
1 Administrator
% of Days 72%
1 Mental Health Service Worker
% of Days 72%
1 Dietitian
% of Days 71%
2 Feeding Assistant
% of Days 64%
1 Dental Services Staff
% of Days 64%
4 Qualified Social Worker
% of Days 58%
1 Qualified Activities Professional
% of Days 21%
1 Occupational Therapy Assistant
% of Days 16%
1 Medical Director
% of Days 3%
1 Other Physician
% of Days 3%

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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. 5.3
50% better than Kentucky average

Kentucky average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 13.4
29% better than Kentucky average

Kentucky average: 18.9

Long-stay resident measures
Significantly above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 6.9%
59% better than Kentucky average

Kentucky average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 6.2%
68% better than Kentucky average

Kentucky 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 27.2%
32% worse than Kentucky average

Kentucky average: 20.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.9%
5% worse than Kentucky average

Kentucky average: 3.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.4%
58% better than Kentucky average

Kentucky average: 5.8%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.2%
87% better than Kentucky average

Kentucky average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.0%
In line with Kentucky average

Kentucky average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 71.5%
401% worse than Kentucky average

Kentucky average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 7.3%
53% better than Kentucky average

Kentucky average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than Kentucky average

Kentucky average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Kentucky average

Kentucky average: 96.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 3.37
80% worse than Kentucky average

Kentucky average: 1.87

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.38
37% better than Kentucky average

Kentucky average: 2.19

Short-stay resident measures
Below average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.6%
19% better than Kentucky average

Kentucky average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.5%
72% better than Kentucky average

Kentucky average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 92.8%
11% better than Kentucky average

Kentucky average: 83.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 31.2%
27% worse than Kentucky average

Kentucky average: 24.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 12.6%
9% better than Kentucky average

Kentucky average: 13.9%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.9%
19% worse than Kentucky average

Kentucky 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. 51.0%
5% worse than Kentucky average

Kentucky average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 55.8%
10% better than Kentucky average

Kentucky average: 50.6%

Breakdown by payment type

Medicare

32% of new residents, usually for short-term rehab.

Typical stay 22 days

Private pay

49% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

19% of new residents, often for long-term daily care.

Typical stay 7 - 8 months

Facility Characteristics

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

Total residents 139
Medicare
14
10.1% of residents
Medicaid
89
64% of residents
Private pay or other
36
25.9% of residents
Programs & Services
Residents Group

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

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

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

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$19.4M
Profit
$297.0K
Privately-owned community Operated by a business corporation.
Home revenue
$19.4M Rank #12 / 188Revenue — State benchmarkedThis home is ranked 12th out of 188 homes in Kentucky. Shows this facility's annual revenue compared to the Kentucky SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$297.0K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #13 / 188Payroll — State benchmarkedThis home is ranked 13th out of 188 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$8.8M
45.1% of revenue Rank #96 / 188Payroll % — State benchmarkedThis home is ranked 96th out of 188 homes in Kentucky. Shows payroll as a percentage of revenue versus the Kentucky average. Well-run Kentucky SNFs typically land around 51–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.4M
Total costs $19.1M

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private / Companion Suites

Building type icon
Building type icon

Building Type: Single-story

Dining services icon
Dining services icon

Dining Services

Beauty services icon
Beauty services icon

Beauty Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

Rehabilitative support icon
Rehabilitative support icon

Rehabilitative Support

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Places of interest near Boonespring Skilled Nursing Facility

Address 0.9 miles from city center Info Estimated distance in miles from Union's city center to Boonespring Skilled Nursing Facility's address, calculated via Google Maps.

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Financial Assistance for
Nursing Home in Kentucky

Boonespring Skilled Nursing Facility is located in Union, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.

Get Financial aid guidance

Home and Community Based Waiver

Kentucky Medicaid HCB Waiver

Age 65+ or disabled
General Kentucky resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
KY

Rural focus; waitlists possible.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Homemaker services Home modifications

Hart-Supported Living Program

KY Hart-Supported Living

Age 65+ or disabled
General Kentucky resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
KY

Competitive grants; limited availability.

Benefits
In-home support (up to 10 hours/week) Respite (varies) Adaptive equipment (~$500 avg.)

Kentucky Homecare Program

Kentucky Homecare Program

Age 60+
General Kentucky resident, at risk of nursing home placement, not eligible for Medicaid waivers.
Income Limits (2025) No strict limit; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based focus.
KY

15 AAAs; rural focus; not in nursing homes.

Benefits
Personal care (4-6 hours/day) Respite (5 days/year) Chore services Meal delivery ($7/meal) Minor home repairs

Medicare Savings Program (MSP)

Kentucky Medicare Savings Program

Age 65+ or disabled
General Kentucky resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
KY

Three tiers; no waitlist; auto Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

National Family Caregiver Support Program (NFCSP) Respite

Kentucky NFCSP Respite Care

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; Kentucky resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
KY

15 AAAs; prioritizes low-income, rural caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($55/day) Caregiver training Supplies (~$500/year)

Kentucky Family Caregiver Program

Kentucky Family Caregiver Program

Age
General Grandparents (often 55+) as primary caregivers to grandchildren under 18, Kentucky resident, not on Kinship Care.
Income Limits (2025) ~$31,225/year (individual); varies by AAA.
Asset Limits Not strictly assessed; need-based.
KY

Max $1,500/year; statewide via AAAs.

Benefits
Grants (~$500-$1,500/year) for respite Supplies Care costs; counseling Training

VA Aid and Attendance (A&A) and Housebound Benefits

Kentucky VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Kentucky resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
KY

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Boonespring Skilled Nursing Facility

Is Boonespring Skilled Nursing Facility in a walkable area?

Boonespring Skilled Nursing Facility has a walk score of 22. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the address of Boonespring Skilled Nursing Facility?

Boonespring Skilled Nursing Facility is located at 10250 US-42, Union, KY 41091.

What is the phone number of Boonespring Skilled Nursing Facility?

(859) 384-1200 will put you in contact with the team at Boonespring Skilled Nursing Facility.

Is Boonespring Skilled Nursing Facility Medicare or Medicaid certified?

Yes — Boonespring Skilled Nursing Facility is a CMS-certified provider of Medicare and Medicaid.

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