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.
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.
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.
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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 43m per day | ▼ 6% State avg: 46m per day · National avg: 41m per day |
|
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.
| 1h 28m per day | ▲ 80% State avg: 49m per day · National avg: 52m per day |
|
Nurse Aide
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
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
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
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 |
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.
The Springs at Oldham Reserve is administered by Sean Barney-Mccoy.
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.
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.
Deficiencies
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 0 | 6 | This facility has 100% fewer total deficiencies than a typical Kentucky nursing home (0 vs. KY avg 6).↓ 100% better |
Inspections
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 1 | 4 | 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 |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
6000% more staff per resident than Kentucky average
6% worse than Kentucky average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursAssists with medical care and medications.
All 29 LPN Staff are full-time employees. No contractors work on this role.
29
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursHelps with daily care and mobility.
All 31 CNA Staff are full-time employees. No contractors work on this role.
31
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,193 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 31 | 0 | 31 | 8,164 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 29 | 0 | 29 | 6,164 | 92 | 100% | 9.3 |
| Other Dietary Services Staff | 6 | 0 | 6 | 2,403 | 92 | 100% | 7.1 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 1,390 | 71 | 77% | 7.7 |
| Registered Nurse | 7 | 0 | 7 | 1,144 | 81 | 88% | 9.2 |
| Physical Therapy Assistant | 0 | 4 | 4 | 1,084 | 82 | 89% | 5.4 |
| Speech Language Pathologist | 0 | 4 | 4 | 784 | 68 | 74% | 6.2 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 64 | 70% | 7.9 |
| Physical Therapy Aide | 0 | 1 | 1 | 465 | 58 | 63% | 8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 451 | 80 | 87% | 4.4 |
| Dietitian | 1 | 0 | 1 | 425 | 55 | 60% | 7.7 |
| Qualified Social Worker | 0 | 2 | 2 | 408 | 64 | 70% | 6.4 |
| Medication Aide/Technician | 2 | 0 | 2 | 295 | 41 | 45% | 7.1 |
| Occupational Therapy Assistant | 4 | 0 | 4 | 7 | 31 | 34% | 0.2 |
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)
70% lower than Kentucky averageKentucky average: $63K
204% more fines than Kentucky averageKentucky average: 2.3
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Kentucky averageKentucky average: 0.3
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.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 20, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 13, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 6, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 30, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 Kentucky averageKentucky average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.0
16% worse than Kentucky averageKentucky average: 18.9
Percent of long-stay residents whose need for help with daily activities has increased
22.2%
32% worse than Kentucky averageKentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
22.3%
13% worse than Kentucky averageKentucky average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.5%
5% worse than Kentucky averageKentucky average: 20.5%
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
43% better than Kentucky averageKentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
0.5%
91% better than Kentucky averageKentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Kentucky averageKentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Kentucky averageKentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
11.8%
24% better than Kentucky averageKentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.6%
In line with Kentucky averageKentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.5%
8% worse than Kentucky averageKentucky average: 96.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.5%
9% better than Kentucky averageKentucky average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
58% better than Kentucky averageKentucky average: 1.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.0%
11% better than Kentucky averageKentucky average: 83.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.9%
10% worse than Kentucky averageKentucky average: 24.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.1%
35% better than Kentucky averageKentucky average: 13.9%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
19% better than Kentucky averageKentucky average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
65.2%
21% better than Kentucky averageKentucky average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
60.9%
20% better than Kentucky averageKentucky average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
53% of new residents, usually for short-term rehab.
45% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
1Residents meet regularly to discuss policies, care quality, and activities
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.
Pets Allowed
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.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
Add your location
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 to lowest based on our ranking methodology.
| Redbanks Colonial Terrace | NH IL MC SNF | Sebree | 87
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87
KY AVG
82
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92.0%
Facility
92.0%
KY AVG
84.3
Rank
#58 / 168 | +9% | 3.91
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3.91
KY AVG
3.75
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$65.4k
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6
KY AVG
13.5
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#28 / 191 | 3.0
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3.0
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4.4
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#47 / 191 | - | 80 | A+ |
41
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41
KY AVG
41
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Facility
$5.8MFiscal year ending 06/2024
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$3.6MFiscal year ending 06/2024
KY AVG
$4.0M
Rank
#135 / 192 | 62.3%Fiscal year ending 06/2024
Facility
62.3%Fiscal year ending 06/2024
KY AVG
40.7%
Rank
#73 / 192 | 185291 | ||||
| Middlesboro Nursing and Rehabilitation Facility | NH SNF | Middlesboro | 95
Facility
95
KY AVG
82
Rank
#116 / 341 |
96.6%
Facility
96.6%
KY AVG
84.3
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#17 / 168 | +15% | 3.34
Facility
3.34
KY AVG
3.75
Rank
#91 / 189 | -26% | -11% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 195 | 1
Facility
1
KY AVG
13.5
Rank
#1 / 191 | 1.0
Facility
1.0
KY AVG
4.4
Rank
#1 / 191 | - | 92 | - |
62
Facility
62
KY AVG
41
Rank
#88 / 423 | Melissa Robbins | $10.6MFiscal year ending 12/2023
Facility
$10.6MFiscal year ending 12/2023
KY AVG
$10.5M
Rank
#68 / 192 | $4.6MFiscal year ending 12/2023
Facility
$4.6MFiscal year ending 12/2023
KY AVG
$4.0M
Rank
#98 / 192 | 43.5%Fiscal year ending 12/2023
Facility
43.5%Fiscal year ending 12/2023
KY AVG
40.7%
Rank
#161 / 192 | 185240 | ||||
| Maysville Nursing and Rehabilitation Facility | NH SNF | Maysville | 130
Facility
130
KY AVG
82
Rank
#37 / 341 |
88.5%
Facility
88.5%
KY AVG
84.3
Rank
#87 / 168 | +5% | 3.07
Facility
3.07
KY AVG
3.75
Rank
#137 / 189 | -49% | -18% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 195 | 4
Facility
4
KY AVG
13.5
Rank
#10 / 191 | 4.0
Facility
4.0
KY AVG
4.4
Rank
#89 / 191 | - | 115 | - |
55
Facility
55
KY AVG
41
Rank
#126 / 423 | - | $13.3MFiscal year ending 12/2023
Facility
$13.3MFiscal year ending 12/2023
KY AVG
$10.5M
Rank
#37 / 192 | $6.0MFiscal year ending 12/2023
Facility
$6.0MFiscal year ending 12/2023
KY AVG
$4.0M
Rank
#57 / 192 | 45.2%Fiscal year ending 12/2023
Facility
45.2%Fiscal year ending 12/2023
KY AVG
40.7%
Rank
#137 / 192 | 185207 | ||||
| Rockcastle Regional Hospital and Respiratory Care | NH SNF | Mount Vernon | 143
Facility
143
KY AVG
82
Rank
#26 / 341 |
82.5%
Facility
82.5%
KY AVG
84.3
Rank
#122 / 168 | -2% | 2.36
Facility
2.36
KY AVG
3.75
Rank
#181 / 189 | +103% | -37% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 195 | 4
Facility
4
KY AVG
13.5
Rank
#10 / 191 | 2.0
Facility
2.0
KY AVG
4.4
Rank
#16 / 191 | - | 118 | - |
49
Facility
49
KY AVG
41
Rank
#170 / 423 | - | - | - | - | 185157 | ||||
| The Springs at Oldham Reserve | NH AL IL MC SNF | Lagrange | 103
Facility
103
KY AVG
82
Rank
#91 / 341 | - | - | - | -38% | - | $18.9k
Facility
$18.9k
KY AVG
$65.4k
Rank
#166 / 195 | - | - | - | 46 | - |
80
Facility
80
KY AVG
41
Rank
#12 / 423 | - | - | - | - | 185488 |
The Springs at Oldham Reserve is legally operated by Trilogy Healthcare Of Lagrange, LLC, and administered by Sean Barney-Mccoy.
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.
According to KY state health department records, The Springs at Oldham Reserve's license number is 101384.
The Springs at Oldham Reserve's occupancy is 52.0%.
The Springs at Oldham Reserve has been operating for approximately 1 year, based on available licensing and registration records.
Yes, The Springs at Oldham Reserve allows residents to bring their pets.
The Springs at Oldham Reserve is registered as a for-profit in KY.
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