Boonespring Transitional Care Center, LLC
10250 Us Highway 42, Union, KY 41091 · Boone County · (859) 384-1200
143 certified beds, about 138 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2019
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185486 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 21, 2026, inspectors cited 0 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 10 health citations since February 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.65 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.77 of those hours.
47.8% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
CMS links it to Carespring, an affiliated group of 16 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1002/24
003/25
005/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
3E
0F
Potential for minimal harm
0A
0B
0C
May 21, 2026Standard inspection · 0 citations
March 19, 2025Standard inspection · 0 citations
February 16, 2024Standard inspection, Complaint inspection · 10 citations
- E 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.
Inspectors wroteBased on observation, interview, and review of the facility's policies, it was determined the facility failed to provide services for a safe, clean, comfortable, sanitary, and homelike environment for thirty-seven (37) of forty-eight (48) sampled residents. Facility census was one-hundred twenty-nine (129). Observation on 02/14/2024 revealed there was a strong urine odor on two (2) of two (2) sofas on the 1200 Unit and a strong urine odor on one (1) of four (4) armchairs on the 1400 Unit.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview, record review, and review of the facility's policies, it was determined the facility failed to develop and/or implement comprehensive care plans for five (5) of forty-eight (48) sampled residents, Resident #4, #89, #105, #106, and #229. 1. Resident #229's care plan had interventions to monitor the resident for altered cardiopulmonary status, complete respiratory evaluations as needed, notify the physician of significant changes, have the resident wear oxygen as ordered, and for staff to encourage the resident to refrain from smoking. However, the night of 02/04/2024 the resident experienced an untoward respiratory event which was not documented, and the physician was not notified. In addition, the resident was not wearing his/her oxygen. The resident was sent to the hospital on [DATE] because of this. [...]
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and review of the facility's policy, it was determined the facility failed to sanitize one (1) of four (4) mechanical lifts between resident use on the first floor.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview, record review, review of the facility's investigation report, and review of the facility's policy, it was determined the facility failed to report allegations of abuse for one (1) of forty-eight (48) sampled residents, Resident #76. On 02/12/2024, in the presence of a State Survey Agency (SSA) Surveyor and State Tested Nurse Aide (STNA) #7, Resident #76 alleged an unknown aide had been too rough and pushed his/her head down towards his/her chest the previous night. However, STNA #7 failed to notify the facility's administration of the allegation.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview, record review, and review of the facility's policies, it was determined the facility failed to properly assess a resident when the resident had a change of condition for one (1) of forty-eight (48) sampled residents, Resident #229. Review of Resident #229's electronic medical record (EMR) revealed no documented evidence Registered Nurse (RN) #2 assessed the resident or contacted the doctor on 02/04/2024 after he/she experienced an episode with decreased oxygen saturation levels. Cross reference:
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, record review, and review of the facility's policies, it was determined the facility failed to ensure residents were provided a safe and homelike environment, with reduced hazards, by allowing residents to smoke on the facility's campus for three (3) out of forty-eight (48) sampled residents, Resident #87, #105, and #229.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on interview, record review, and review of the facility's policy, it was determined the facility failed to provide the appropriate treatment and services for a resident receiving enteral feeding to prevent complications of enteral feeding for (1) of three (3) sampled residents with a feeding tube (Resident #4). While changing Resident #4's brief, State Tested Nurse Aide (STNA) #9 failed to prevent dislodgement of Resident #4's gastric tube, which required the resident to go to the emergency department for a new gastric tube placement.
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on interview, record review, and review of the facility's policy, it was determined the facility failed to ensure residents who were trauma survivors received trauma-informed care that accounted for the resident's experiences in order to mitigate triggers that might cause re-traumatization of the resident for one (1) of forty-eight (48) sampled residents, Resident #106. Resident #106's son reported the resident was sexually abused as a child, however, the facility failed to identify the resident as a trauma survivor.
- D Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on interview and record review, it was determined the facility failed to ensure competent nursing staff for one (1) of three (3) sampled residents with feeding tubes (Resident #4). State Tested Nurse Aides (STNA) interviewed stated they were not trained on precautions they needed to take when caring for a resident with a feeding tube.
- D 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.
Inspectors wroteBased on observation, interview, record review, review of the manufacturer's guidelines for Fluticasone (a corticosteroid nasal spray), and review of the facility's policy, it was determined the facility failed to ensure medications used by residents were not expired for one (1) of eight (8) sampled medication carts. The medication cart on the 1300 Unit contained a bottle of Fluticasone nasal spray, opened date 10/31/2023, prescribed for Resident #94. The manufacturer's guidelines for Fluticasone nasal spray revealed each bottle would provide one hundred twenty (120) sprays, and the bottle should be discarded when the labeled number of sprays had been used. However, Resident #94 had received two hundred and ten (210) sprays since the opened date of 10/31/2023, as documented on the resident's medication administration record (MAR).
Fire safety inspections
10 fire safety citations on file: 2 on May 21, 2026, 1 on March 19, 2025, 7 on February 16, 2024.
Every fire safety citation10 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- D Have proper medical gas storage and administration areas.
- E Have restrictions on the use of portable space heaters.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Install an approved automatic sprinkler system.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
- E Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Kentucky | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.65 | 3.95 | 3.86 |
| Registered nurses | 0.77 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.27 | 3.49 | 3.42 |
| Nurse aides | 2.19 | ||
| Licensed practical nurses | 0.69 | ||
| Nursing staff turnover (share who left in a year) | 47.8% | 46.4% | 45.8% |
| Registered nurse turnover | 41.7% | 41.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.70 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.81 on weekdays and 3.27 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.98 in April to June 2025 to 3.65 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.65 | 0.77 | 3.81 | 3.27 | 0.0% | 0 of 90 | 138 |
| Oct to Dec 2025 | 3.84 | 0.66 | 4.00 | 3.45 | 0.0% | 0 of 92 | 136 |
| Jul to Sep 2025 | 3.99 | 0.64 | 4.16 | 3.58 | 0.0% | 0 of 92 | 136 |
| Apr to Jun 2025 | 3.98 | 0.71 | 4.12 | 3.62 | 0.0% | 0 of 91 | 135 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kentucky, Jan to Mar 2026 | 3.85 | 0.71 | 4.04 | 3.40 | 3.2% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kentucky | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 5.4 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.9 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.5 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.2 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.6 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.1 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.3 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.8 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.1 | 1.8 |
Owners and operators
Legal business name: BOONESPRING TRANSITIONAL CARE CENTER, LLC. CMS links this home to Carespring, a group of 16 nursing homes averaging 4.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Carespring Health Care Holdings LP | 5% or greater direct ownership interest | Organization | 100% | 09/25/2009 |
| Barry N Bortz 06042009 Tr | 5% or greater indirect ownership interest | Organization | 72% | 02/01/2014 |
| Bortz Family Irrevocable T/a | 5% or greater indirect ownership interest | Organization | 9% | 02/01/2014 |
| Eppers, David | 5% or greater indirect ownership interest | Individual | 15% | 02/01/2014 |
| Hord, Courtney | W-2 managing employee | Individual | 12/24/2023 | |
| Jackson, Amanda | Corporate director | Individual | 11/20/2023 | |
| Chirumbolo, Christopher | Corporate officer | Individual | 09/01/2016 | |
| Eppers, David | Corporate officer | Individual | 09/25/2009 | |
| Careco LLC | Operational/managerial control | Organization | 09/25/2009 | |
| Carespring Health Care Management, LLC | Operational/managerial control | Organization | 09/25/2009 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on February 16, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on February 16, 2024: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on February 16, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on February 16, 2024: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.27 hours per resident per day, below the Kentucky average of 3.49.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Belmont Terrace Nursing and Rehabilitation Center Florence, 6.9 mi · 1 of 5 stars · 37 citations
- Florence Park Care Center Florence, 7.2 mi · 1 of 5 stars · 21 citations
- Woodcrest Nursing and Rehabilitation Center Elsmere, 7.8 mi · 4 of 5 stars · 3 citations
- Waters of Rising Sun, the Rising Sun, 7.8 mi · 3 of 5 stars · 26 citations
- Emerald Trace Elsmere, 7.8 mi · 2 of 5 stars · 8 citations
- Villaspring of Erlanger Erlanger, 8.5 mi · 3 of 5 stars · 12 citations
- Village Care Center Erlanger, 9.8 mi · 4 of 5 stars · 18 citations
- St. Elizabeth Edgewood SNF Edgewood, 9.9 mi · 5 of 5 stars · 4 citations
Kentucky contacts for a concern about a nursing home
These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Kentucky Office of Inspector General, Division of Health Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Kentucky State Long-Term Care Ombudsman Program, Nursing Home Ombudsman Agency of the Bluegrass, (800) 372-2991. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Kentucky OIG Nursing Home Inspection Findings, where Kentucky publishes its own records on licensed homes.
Common questions
- What is Boonespring Transitional Care Center, LLC's Medicare star rating?
- CMS rates Boonespring Transitional Care Center, LLC 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Boonespring Transitional Care Center, LLC get at its last inspection?
- 0 health deficiencies at the standard inspection on May 21, 2026. The Kentucky average is 2.9.
- Has Boonespring Transitional Care Center, LLC been fined?
- CMS lists no fines in the last three years.
- Does Boonespring Transitional Care Center, LLC accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Boonespring Transitional Care Center, LLC?
- CMS lists 10 owners and managers, and links the home to Carespring. Legal business name: BOONESPRING TRANSITIONAL CARE CENTER, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.