Coldspring Transitional Care Center
300 Plaza Drive, Cold Spring, KY 41076 · Campbell County · (859) 441-4600
143 certified beds, about 135 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2014
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185476 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 26, 2026, inspectors cited 1 health deficiency (the Kentucky average is 2.9, the national average 9.2).
None of its 10 health citations since January 2020 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 3.91 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.78 of those hours.
41.1% 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.
401/20
405/25
111/25
106/26
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
2E
1F
Potential for minimal harm
0A
0B
0C
June 26, 2026Standard inspection · 1 citation
- 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 policy, the facility failed to ensure the environment remained free of accident hazards as much as possible for 2 of 37 sampled residents, Resident (R) 54 and R116. Observation of the shared bathroom for R54 and R116 on 06/23/2026 at 11:43 AM revealed a white powdery substance in an unlabeled medication cup sitting on the bathroom sink.
November 24, 2025Complaint inspection · 1 citation
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview, record review, review of the facility's investigation, review of the nursing guidebook of professional standards, review of the Kentucky Board of Nursing (KBN) standards, and review of the facility's policies, the facility failed to ensure nursing services provided met professional standards of practice for 1 out of 12 sampled residents, Resident (R) 1. R1 was administered incorrect medications on 09/10/2025, which caused her to be sent to the hospital for further evaluation on 09/10/2025. Based on review of the facility's plan of correction (PoC) and validation through observation, interviews, and record reviews, the facility had implemented corrective actions with a compliance date of 09/18/2025, before survey entrance. Therefore, the deficient practice was past noncompliance.
May 15, 2025Standard inspection · 4 citations
- 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.
Inspectors wroteBased on observation, interview, record review, and review of facility's policy, the facility failed to provide a nourishing snack at bedtime for 9 of 9 residents, Resident (R) 7, R22, R36, R66, R68, R76, R81, R91, and R94. On 05/13/2025 at 3:16 PM during the Resident Council meeting, all residents present stated the facility did not provide nourishing snacks for residents at bedtime.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, review of the Centers for Disease Control and Prevention (CDC) guidelines, and review of the facility's policies, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 32 sampled residents, Resident (R) 122, in Transmission-Based Precaution (TBP) or Enhanced Barrier Precautions (EBP). 1. Observation and interview on 05/12/2025 revealed State Tested Nurse Aide (STNA) 2 provided direct care to R122 who was under EBP. The STNA did not don (put on) Personal Protective Equipment (PPE) before providing direct care. STNA2 was observed to exit R122's room wearing gloves while transporting trash to the dirty utility room. 2. [...]
- 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.
Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to provide a homelike environment free of odors for 1 of 8 hallways, the 2100 Hall, with a census of 15 residents.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure Minimum Data Set [MDS] assessments were correct for 1 of 32 sampled residents, Resident (R) 45.
January 31, 2020Standard inspection · 4 citations
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview, and review of facility's Policy, it was determined the facility failed to provide a safe, functional, sanitary and comfortable environment for residents, staff and the public. Observations on 01/28/2020, 01/29/2020, 01/30/2020, and 01/31/2020, revealed the 1200 Unit Hallway had a strong odor of urine.
- D 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 observation, interview, record review and review of the facility's Policy, it was determined the facility failed to implement the Comprehensive Person-Centered Care Plan for each resident to assist in attaining or maintaining the residents' highest practicable quality of life for one (1) of twenty-six (26) sampled residents, (Resident #109). Resident #109 had a Vascular Access Catheter for Hemodialysis on the left upper chest at the Subclavian region due to previous Hemodialysis due to End Stage Renal Disease. The Vascular Access was exposed and did not have a wound covering/dressing in place.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on interview and record review, it was determined the facility failed to ensure residents receive proper treatment and assistive devices to maintain vision and hearing abilities for one (1) of twenty-six (26) sampled residents (Resident #53). An Audiology (hearing) evaluation performed by Three Sixty (360) Care, on 03/05/2019, determined Resident #53 would benefit from hearing aids to help his/her hearing loss. The recommendation was sent to the attending physician for approval on 03/05/2019. The facility received signed approval from the attending physician on 03/11/2019. However, there was no documented evidence the facility followed through with assisting Resident #53 in making follow up appointments with Three Sixty (360) Care. Consequently, Resident #53 did not receive hearing aids as recommended.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and review of the facility's Policy, it was determined the facility failed to establish and maintain an infection prevention and control program designed to provide a safe sanitary and comfortable environment to help prevent the development and transmission of communicable diseases infections for one (1) of twenty-six (26) sampled residents (Resident #109) Observation on 01/29/2020 during the initial screening interview revealed Resident #109 had a vascular access catheter located at the left clavicle-chest area which was exposed without a dressing in place. This access had been utilized for dialysis.
Fire safety inspections
2 fire safety citations on file: 1 on June 26, 2026, 1 on May 15, 2025.
Every fire safety citation2 citations
- D Ensure proper usage of power strips and extension cords.
- E Install an approved automatic sprinkler system.
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) | 3.91 | 3.95 | 3.86 |
| Registered nurses | 0.78 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.55 | 3.49 | 3.42 |
| Nurse aides | 2.37 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | 41.1% | 46.4% | 45.8% |
| Registered nurse turnover | 32.0% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.51 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 4.06 on weekdays and 3.55 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.64 in April to June 2025 to 3.91 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 | 3.91 | 0.78 | 4.06 | 3.55 | 0.9% | 0 of 90 | 135 |
| Oct to Dec 2025 | 4.14 | 0.77 | 4.32 | 3.69 | 0.9% | 0 of 92 | 133 |
| Jul to Sep 2025 | 4.03 | 0.80 | 4.18 | 3.63 | 1.8% | 0 of 92 | 136 |
| Apr to Jun 2025 | 3.64 | 0.71 | 3.83 | 3.16 | 1.1% | 0 of 91 | 136 |
| 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 | 2.2 | 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 | 2.1 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.9 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.8 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.0 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 26.3 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.8 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.5 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 2.1 | 1.8 |
Owners and operators
Legal business name: COLDSPRING 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% | 02/01/2014 |
| 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 |
| Lewandowski, Adam | W-2 managing employee | Individual | 07/09/2018 | |
| Chirumbolo, Christopher | Corporate officer | Individual | 09/01/2016 | |
| Eppers, David | Corporate officer | Individual | 05/12/2008 | |
| Careco LLC | Operational/managerial control | Organization | 09/15/2014 | |
| Carespring Health Care Management, LLC | Operational/managerial control | Organization | 09/15/2014 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on November 24, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on June 26, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on May 15, 2025: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on May 15, 2025: "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."
Other nursing homes nearby
- The Seasons at Alexandria Alexandria, 1.9 mi · 1 of 5 stars · 17 citations
- Carmel Manor Fort Thomas, 4.3 mi · 1 of 5 stars · 38 citations
- Rosedale Green Covington, 4.6 mi · 4 of 5 stars · 7 citations
- Highlandspring of Ft Thomas Fort Thomas, 5.3 mi · 3 of 5 stars · 9 citations
- Residence at Salem Woods Cincinnati, 5.3 mi · 5 of 5 stars · 6 citations
- St. Elizabeth Ft Thomas SNF Fort Thomas, 5.6 mi · 4 of 5 stars · 1 citation
- The Pavilion at Kenton Covington, 6 mi · 1 of 5 stars · 24 citations
- Mount Washington Care Center Cincinnati, 6 mi · 3 of 5 stars · 37 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 Coldspring Transitional Care Center's Medicare star rating?
- CMS rates Coldspring Transitional Care Center 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Coldspring Transitional Care Center get at its last inspection?
- 1 health deficiency at the standard inspection on June 26, 2026. The Kentucky average is 2.9.
- Has Coldspring Transitional Care Center been fined?
- CMS lists no fines in the last three years.
- Does Coldspring Transitional Care Center 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 Coldspring Transitional Care Center?
- CMS lists 9 owners and managers, and links the home to Carespring. Legal business name: COLDSPRING 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.