Union, KY

Boonespring Transitional Care Center, LLC

4-star overall rating with 4-star inspections with 1 fire-safety deficiencies in the latest cycle

10250 US Highway 42, Union, KY

(859) 384-1200

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

143

Certified beds

Average residents

136

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Carespring

Operator or chain grouping

Approved since

2019-03-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

16 facilities

Chain averages 4 overall / 4 health / 3 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.64

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.68

Licensed practical nurse staffing · state 0.81 · national 0.87

Aide hours / resident day

2.68

Nurse aide staffing · state 2.43 · national 2.35

Total nurse hours

3.99

All reported nurse hours · state 4.01 · national 3.89

Licensed hours

1.32

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

3.58

Weekend nurse staffing · state 3.50 · national 3.43

Weekend RN hours

0.37

Weekend registered nurse coverage · state 0.52 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.54

CMS adjusted RN staffing hours

Adjusted total hours

3.35

CMS adjusted total nurse staffing hours

Case-mix index

1.63

Higher values indicate more complex resident acuity

RN turnover

32%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,563

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

16.29

Composite VBP score used to determine payment impact.

Payment multiplier

0.9816

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 21.67% · Performance 24.10% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.44

Baseline 7.32% · Performance 7.11% · Measure score 2.44 · Achievement 2.44 · Improvement 0.41

Total nurse turnover

4.08

Baseline 57.60% · Performance 47.02% · Measure score 4.08 · Achievement 4.08 · Improvement 2.73

Adjusted total nurse staffing

0

Baseline 3.13 hours · Performance 3.15 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.56%	10.72% 0.2 pts better	No Different than the National Rate · Eligible stays 302 · Observed rate 10.6% · Lower 95% interval 8.14%
Discharge to community	55.79%	50.57% 5.2 pts better	Better than the National Rate · Eligible stays 290 · Observed rate 49.31% · Lower 95% interval 51.46%
Medicare spending per beneficiary	1	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 218 · Denominator 218
Falls with major injury	0.92%	0.77% 0.2 pts worse	Numerator 2 · Denominator 218
Discharge self-care score	51.04%	53.69% 2.6 pts worse	Numerator 49 · Denominator 96
Discharge mobility score	43.75%	50.94% 7.2 pts worse	Numerator 42 · Denominator 96
Pressure ulcers or injuries, new or worsened	5.05%	2.29% 2.8 pts worse	Numerator 11 · Denominator 218 · Adjusted rate 5.58%
Healthcare-associated infections requiring hospitalization	7.11%	7.12% About the same	No Different than the National Rate · Eligible stays 216 · Observed rate 6.94% · Lower 95% interval 4.82%
Staff COVID-19 vaccination coverage	0.52%	8.2% 7.7 pts worse	Numerator 1 · Denominator 191
Staff flu vaccination coverage	27.21%	42% 14.8 pts worse	Numerator 77 · Denominator 283
Discharge function score	52.08%	56.45% 4.4 pts worse	Numerator 50 · Denominator 96
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 150 · Denominator 150
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	39.18%	25.2% 14 pts better	Numerator 38 · Denominator 97

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.4	1.9 1.5 pts worse	1.9 1.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 3.5 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	2.2 0.8 pts better	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.5 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	94.3% 5.7 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	96.2% 3.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.7%	3.8% 1.1 pts better	3.3% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 3.5% · Q3 2.8% · Q4 1.8% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	67.4%	15.2% 52.2 pts worse	11.4% 56 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 70.8% · Q2 72.8% · Q3 66.0% · Q4 59.6% · 4Q avg 67.4%
Percentage of long-stay residents who lose too much weight	6.1%	6.7% 0.6 pts better	5.4% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 7.1% · Q3 7.4% · Q4 3.1% · 4Q avg 6.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.9%	29.6% 6.7 pts better	19.6% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.8% · Q2 19.0% · Q3 25.5% · Q4 30.0% · 4Q avg 22.9%
Percentage of long-stay residents who received an antipsychotic medication	15.7%	17.6% 1.9 pts better	16.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 15.9% · Q3 15.2% · Q4 18.8% · 4Q avg 15.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	7.0%	17.3% 10.3 pts better	16.3% 9.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 7.6% · Q3 7.9% · Q4 6.8% · 4Q avg 7.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.0%	15.6% 8.6 pts better	14.9% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 8.5% · Q3 7.0% · Q4 5.5% · 4Q avg 7.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.7% 0.7 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.2%	1.7% 1.5 pts better	1.7% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.1%	19.8% 6.3 pts worse	19.8% 6.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 26.5% · Q3 26.7% · Q4 26.1% · 4Q avg 26.1%
Percentage of long-stay residents with pressure ulcers	2.3%	5.5% 3.2 pts better	5.1% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 2.7% · Q3 0.0% · Q4 1.3% · 4Q avg 2.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.7%	83.8% 15.9 pts better	81.7% 18 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.6% · Q2 100.0% · Q3 99.6% · Q4 99.6% · 4Q avg 99.7%
Percentage of short-stay residents who had an outpatient emergency department visit	12.6%	13.9% 1.3 pts better	12.0% 0.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.6% · Observed 13.0% · Expected 11.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.1%	1.8% 0.7 pts better	1.6% 0.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.7% · Q3 0.7% · Q4 2.2% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	92.8%	83.6% 9.2 pts better	79.7% 13.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 92.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	31.2%	24.5% 6.7 pts worse	23.9% 7.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 31.2% · Observed 30.1% · Expected 23.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-19 · Fire 2025-03-19

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2024-02-16 · Fire 2024-02-16

8 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2020-02-13 · Fire 2020-02-13

4 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-03-19

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-04-03

F · Potential for more than minimal harm 2024-02-16

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-03-11

F · Potential for more than minimal harm 2024-02-16

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-03-11

F · Potential for more than minimal harm 2024-02-16

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-03-11

F · Potential for more than minimal harm 2024-02-16

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-03-11

E · Potential for more than minimal harm 2024-02-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-11

E · Potential for more than minimal harm 2024-02-16

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-03-11

E · Potential for more than minimal harm 2024-02-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-03-11

D · Potential for more than minimal harm 2020-02-13

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2020-03-04

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-02-16

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-03-11

E · Potential for more than minimal harm 2024-02-16

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-03-11

E · Potential for more than minimal harm 2024-02-16