Cycle 1
Health 2025-09-11 · Fire 2025-09-11
5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Erlanger, KY
Villaspring Of Erlanger
3-star overall rating with 2-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
4220 Houston Road, Erlanger, KY
(859) 727-6700
Overall
3 / 5
CMS overall stars
Health inspections
2 / 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
127
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Carespring
Operator or chain grouping
Approved since
2000-11-03
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
0.51
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.90
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.67
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
4.07
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.40
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.66
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.43
CMS adjusted RN staffing hours
Adjusted total hours
3.43
CMS adjusted total nurse staffing hours
Case-mix index
1.62
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,187
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
7.66
Composite VBP score used to determine payment impact.
Payment multiplier
0.9807
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.48% · Performance 24.46% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.20% · Performance 7.85% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.9
Baseline 57.48% · Performance 51.82% · Measure score 2.9 · Achievement 2.9 · Improvement 1.23
Adjusted total nurse staffing
0.16
Baseline 3.02 hours · Performance 3.20 hours · Measure score 0.16 · Achievement 0 · Improvement 0.16
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.42% |
10.72%
3.7 pts worse
|
Worse than the National Rate · Eligible stays 199 · Observed rate 19.6% · Lower 95% interval 11.06% |
| Discharge to community | 50.91% |
50.57%
0.3 pts better
|
No Different than the National Rate · Eligible stays 153 · Observed rate 44.44% · Lower 95% interval 43.14% |
| Medicare spending per beneficiary | 1.16 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 126 · Denominator 126 |
| Falls with major injury | 3.17% |
0.77%
2.4 pts worse
|
Numerator 4 · Denominator 126 |
| Discharge self-care score | 42.86% |
53.69%
10.8 pts worse
|
Numerator 18 · Denominator 42 |
| Discharge mobility score | 40.48% |
50.94%
10.5 pts worse
|
Numerator 17 · Denominator 42 |
| Pressure ulcers or injuries, new or worsened | 1.59% |
2.29%
0.7 pts better
|
Numerator 2 · Denominator 126 · Adjusted rate 1.26% |
| Healthcare-associated infections requiring hospitalization | 7.85% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 108 · Observed rate 9.26% · Lower 95% interval 5% |
| Staff COVID-19 vaccination coverage | 0.56% |
8.2%
7.6 pts worse
|
Numerator 1 · Denominator 178 |
| Staff flu vaccination coverage | 29.64% |
42%
12.4 pts worse
|
Numerator 83 · Denominator 280 |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 21 · Denominator 42 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 36 · Denominator 36 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 60 · Denominator 60 |
| Resident COVID-19 vaccinations up to date | 11.54% |
25.2%
13.7 pts worse
|
Numerator 6 · Denominator 52 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.9
0.6 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.5 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
2.2
1 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.4 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
94.3%
5.5 pts better
|
93.4%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 99.0% · Q4 100.0% · 4Q avg 99.8% |
| 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 | 4.1% |
3.8%
0.3 pts worse
|
3.3%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 4.7% · Q3 4.9% · Q4 4.8% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 44.6% |
15.2%
29.4 pts worse
|
11.4%
33.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.2% · Q2 42.4% · Q3 51.8% · Q4 47.8% · 4Q avg 44.6% |
| Percentage of long-stay residents who lose too much weight | 7.5% |
6.7%
0.8 pts worse
|
5.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 11.0% · Q3 6.5% · Q4 5.2% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.2% |
29.6%
17.4 pts better
|
19.6%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 13.0% · Q3 9.8% · Q4 12.5% · 4Q avg 12.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.2% |
17.6%
0.4 pts better
|
16.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 14.6% · Q3 19.5% · Q4 19.5% · 4Q avg 17.2% · 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 | 5.8% |
17.3%
11.5 pts better
|
16.3%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 9.8% · Q3 6.1% · Q4 2.0% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.4% |
15.6%
10.2 pts better
|
14.9%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 5.5% · Q3 6.0% · Q4 5.5% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.7%
0.3 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.4% · 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 0.0% · Q4 1.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.7% |
19.8%
8.9 pts worse
|
19.8%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.5% · Q2 34.6% · Q3 20.8% · Q4 27.8% · 4Q avg 28.7% |
| Percentage of long-stay residents with pressure ulcers | 2.6% |
5.5%
2.9 pts better
|
5.1%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 3.4% · Q3 3.2% · Q4 1.6% · 4Q avg 2.6% · 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 | 7.0% |
13.9%
6.9 pts better
|
12.0%
5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.0% · Observed 7.4% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% |
1.8%
0.2 pts worse
|
1.6%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.4% · Q3 1.6% · Q4 1.8% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.1% |
83.6%
15.5 pts better
|
79.7%
19.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.3% |
24.5%
0.2 pts better
|
23.9%
0.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.3% · Observed 24.2% · Expected 23.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-10-11 · Fire 2024-10-11
1 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-08-15 · Fire 2019-08-15
6 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-01
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-04-22
D · Potential for more than minimal harm
2019-08-15
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 2019-09-16
D · Potential for more than minimal harm
2019-08-15
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2019-09-16
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-09-11
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 2025-09-30
F · Potential for more than minimal harm
2025-09-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-30
D · Potential for more than minimal harm
2025-09-11
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 2025-09-30
D · Potential for more than minimal harm
2025-09-11
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-30
D · Potential for more than minimal harm
2025-09-11
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 2025-09-30
E · Potential for more than minimal harm
2024-10-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-13
E · Potential for more than minimal harm
2019-08-15
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 2019-09-25
D · Potential for more than minimal harm
2019-08-15
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-09-25
D · Potential for more than minimal harm
2019-08-15
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 2019-09-25
D · Potential for more than minimal harm
2019-08-15
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2019-09-25
D · Potential for more than minimal harm
2019-08-15
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2019-09-25
D · Potential for more than minimal harm
2019-08-15
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 2019-09-25
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 Irrevocable T/A
5% Or Greater Indirect Ownership Interest · Organization
Carespring Health Care Management, LLC
Operational/Managerial Control · Organization
Chirumbolo, Christopher
Corporate Officer · Individual
Eppers, David
Corporate Officer · Individual
Reilly, Amber
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Florence Park Care Center
Florence, KY
1-star overall rating with 1-star inspections with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Village Care Center
Erlanger, KY
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Belmont Terrace Nursing and Rehabilitation Center
Florence, KY
1-star overall rating with 1-star inspections with abuse icon flag with $35,980 in total fines with 4 recent health deficiencies
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