Cycle 1
Health 2024-12-06 · Fire 2024-12-06
5 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fort Thomas, KY
Highlandspring Of Ft Thomas
4-star overall rating with 3-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
960 Highland Avenue, Fort Thomas, KY
(859) 572-0660
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
140
Certified beds
Average residents
136
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Carespring
Operator or chain grouping
Approved since
1993-10-29
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
0.64
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.58
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
3.86
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.28
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.25
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.46
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
0.51
CMS adjusted RN staffing hours
Adjusted total hours
3.11
CMS adjusted total nurse staffing hours
Case-mix index
1.70
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
56%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,937
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
14.62
Composite VBP score used to determine payment impact.
Payment multiplier
0.9814
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.34
Baseline 20.93% · Performance 20.81% · Measure score 1.34 · Achievement 1.34 · Improvement 0
Healthcare-associated infections
1.88
Baseline 6.20% · Performance 7.27% · Measure score 1.88 · Achievement 1.88 · Improvement 0
Total nurse turnover
2.63
Baseline 48.28% · Performance 52.94% · Measure score 2.63 · Achievement 2.63 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.35 hours · Performance 3.07 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.04% |
10.72%
3.3 pts worse
|
Worse than the National Rate · Eligible stays 210 · Observed rate 18.57% · Lower 95% interval 11.26% |
| Discharge to community | 49.12% |
50.57%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 190 · Observed rate 42.63% · Lower 95% interval 41.2% |
| Medicare spending per beneficiary | 1.09 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 99 · Denominator 99 |
| Falls with major injury | 1.01% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 99 |
| Discharge self-care score | 68.25% |
53.69%
14.6 pts better
|
Numerator 43 · Denominator 63 |
| Discharge mobility score | 58.73% |
50.94%
7.8 pts better
|
Numerator 37 · Denominator 63 |
| Pressure ulcers or injuries, new or worsened | 2.02% |
2.29%
0.3 pts better
|
Numerator 2 · Denominator 99 · Adjusted rate 1.68% |
| Healthcare-associated infections requiring hospitalization | 7.27% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 109 · Observed rate 7.34% · Lower 95% interval 4.35% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 174 |
| Staff flu vaccination coverage | 17.36% |
42%
24.6 pts worse
|
Numerator 54 · Denominator 311 |
| Discharge function score | 66.67% |
56.45%
10.2 pts better
|
Numerator 42 · Denominator 63 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 63 · Denominator 63 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 23.64% |
25.2%
1.6 pts worse
|
Numerator 13 · Denominator 55 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.9
0.5 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
2.2
1.7 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
94.3%
5.2 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.1% · Q3 99.1% · Q4 100.0% · 4Q avg 99.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.4% |
96.2%
2.2 pts better
|
95.5%
2.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
3.8%
About the same
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.5% · Q3 6.4% · Q4 3.5% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 39.3% |
15.2%
24.1 pts worse
|
11.4%
27.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.2% · Q2 36.3% · Q3 42.2% · Q4 46.7% · 4Q avg 39.3% |
| Percentage of long-stay residents who lose too much weight | 9.3% |
6.7%
2.6 pts worse
|
5.4%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 6.6% · Q3 14.2% · Q4 13.5% · 4Q avg 9.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.1% |
29.6%
1.5 pts better
|
19.6%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.2% · Q2 27.8% · Q3 26.9% · Q4 26.8% · 4Q avg 28.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.0% |
17.6%
2.4 pts worse
|
16.7%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 18.4% · Q3 22.5% · Q4 21.2% · 4Q avg 20.0% · 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 | 4.5% |
17.3%
12.8 pts better
|
16.3%
11.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 4.4% · Q3 5.7% · Q4 0.0% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.3% |
15.6%
10.3 pts better
|
14.9%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 6.9% · Q3 5.0% · Q4 3.8% · 4Q avg 5.3% · 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 0.0% · Q3 0.9% · 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 | 28.3% |
19.8%
8.5 pts worse
|
19.8%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 29.7% · Q3 31.3% · Q4 24.5% · 4Q avg 28.3% |
| Percentage of long-stay residents with pressure ulcers | 2.9% |
5.5%
2.6 pts better
|
5.1%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 4.4% · Q3 1.9% · Q4 1.5% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
83.8%
16.2 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.0% |
13.9%
5.9 pts better
|
12.0%
4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.0% · Observed 7.4% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.8%
1.3 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.0% |
83.6%
13.4 pts better
|
79.7%
17.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.1% |
24.5%
5.4 pts better
|
23.9%
4.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.1% · Observed 17.3% · Expected 21.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-09-27 · Fire 2019-09-27
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Cycle 3
Health 2018-12-13 · Fire 2018-12-13
4 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-12-06
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-24
D · Potential for more than minimal harm
2024-12-06
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-12-24
D · Potential for more than minimal harm
2019-09-27
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 2019-10-22
D · Potential for more than minimal harm
2019-09-27
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2019-10-22
E · Potential for more than minimal harm
2018-12-13
K361 · Smoke Deficiencies
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2018-12-20
D · Potential for more than minimal harm
2018-12-13
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2018-12-20
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-12-06
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-01-13
E · Potential for more than minimal harm
2024-12-06
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-01-13
D · Potential for more than minimal harm
2024-12-06
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 2025-01-13
D · Potential for more than minimal harm
2024-12-06
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-13
D · Potential for more than minimal harm
2024-12-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-13
D · Potential for more than minimal harm
2019-09-27
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-10-22
E · Potential for more than minimal harm
2018-12-13
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-01-19
D · Potential for more than minimal harm
2018-12-13
F659 · Resident Assessment and Care Planning Deficiencies
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2019-01-19
D · Potential for more than minimal harm
2018-12-13
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-01-19
D · Potential for more than minimal harm
2018-12-13
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2019-01-19
Penalties and ownership
What sits behind the stars
Ownership
Carespring Health Care Holdings LP
5% Or Greater Direct Ownership Interest · Organization
Barry N Bortz 06042009 Tr
5% Or Greater Indirect Ownership Interest · Organization
Eppers, David
5% Or Greater Indirect Ownership Interest · Individual
Bortz Family Trust/Key Bank Trustee
5% Or Greater Indirect Ownership Interest · Organization
Brown, Molly
W-2 Managing Employee · Individual
Carespring Health Care Management, LLC
Operational/Managerial Control · Organization
Chirumbolo, Christopher
Corporate Officer · Individual
Eppers, David
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
St Elizabeth Ft Thomas SNF
Fort Thomas, KY
5-star overall rating with 5-star inspections
#2
Carmel Manor
Fort Thomas, KY
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $312,265 in total fines with 27 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
The Pavilion At Kenton
Covington, KY
1-star overall rating with 2-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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