Federal inspection record · CMS data as of October 1, 2026
Coldspring Transitional Care Center
300 Plaza Drive, Cold Spring, KY · (859) 441-4600
- Certified beds
- 143
- Residents per day
- 136
- Ownership
- For-Profit
- Chain
- Carespring
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 3, 2014
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kentucky homes
Coldspring Transitional Care Center carries 14 inspection points. That is fewer than 59% of Kentucky's 265 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kentucky: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–2 pts
- 4★ 2–11 pts
- 3★ 11–22 pts
- 2★ 22–45 pts
- 1★ over 45 pts
Bars show every rated home in Kentucky by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
10 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning3D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care2D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Assist a resident in gaining access to vision and hearing services.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary1F
- F
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Resident Rights1D
- D
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.
Environmental1E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-06-26
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2025-05-15
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2020-01-31
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 14 min of nursing staff time a day, 53 min of it from a registered nurse.
This home
4 h 14 min
Kentucky average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 41% of nursing staff and 26% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts worse | 2.8 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 1.2 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts better | 100.0% | 94.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 99.2% | 96.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts better | 2.5% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms24.3 pts worse | 43.2% | 18.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts better | 6.5% | 6.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.4 pts better | 21.5% | 29.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.6 pts worse | 26.8% | 16.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9.4 pts better | 2.9% | 12.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11 pts better | 2.2% | 13.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts better | 0.0% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5 pts worse | 23.3% | 18.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3 pts better | 1.7% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.5 pts better | 100.0% | 84.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.2 pts better | 12.0% | 13.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts worse | 2.7% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.3 pts better | 99.0% | 83.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.4 pts worse | 25.3% | 23.9% | 23.4% |
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Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Carespring Health Care Holdings, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 15 facilities |
| Barry N Bortz 06042009 Tr | 5% Or Greater Indirect Ownership Interest · Organization | 72% | 10 facilities |
| Eppers, David | 5% Or Greater Indirect Ownership Interest · Individual | 15% | 13 facilities |
| Bortz Family Irrevocable T/A | 5% Or Greater Indirect Ownership Interest · Organization | 9% | 6 facilities |
| Careco LLC | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Carespring Health Care Management, LLC | Operational/Managerial Control · Organization | 0% | 15 facilities |
| Chirumbolo, Christopher | Corporate Officer · Individual | 0% | 16 facilities |
| Eppers, David | Corporate Officer · Individual | 0% | 13 facilities |
| Lewandowski, Adam | W-2 Managing Employee · Individual | 0% | 1 facilities |
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Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems1D
- D
Ensure proper usage of power strips and extension cords.
Smoke1E
- E
Install an approved automatic sprinkler system.
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Other homes nearby
-
The Seasons at Alexandria
Alexandria, KY
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 4 h 26 min
- Fines
- $246,139
-
Carmel Manor
Fort Thomas, KY · Carmelite Sisters For The Aged & Infirm
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 7 min
- Fines
- $305,116
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Rosedale Green
Covington, KY
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 58 min
- Fines
- $0