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The Springs at Oldham Reserve

2000 East Peak Road, La Grange, KY 40031 · Oldham County · (502) 516-3176

50 certified beds, about 44 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2023

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 185488 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 19, 2025, inspectors cited 3 health deficiencies (the Kentucky average is 2.9, the national average 9.2).

None of its 3 health citations since April 2023 was rated as actual harm or immediate jeopardy.

CMS lists 7 fines totaling $18,878 in the last three years; the largest was $3,496, and the latest is dated November 20, 2023.

Nurses and nurse aides worked 4.15 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.81 of those hours.

50.8% of nursing staff left within the year CMS measured (Kentucky average 46.4%).

CMS links it to Trilogy Health Services, an affiliated group of 127 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.

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 3 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
0E
1F
Potential for minimal harm
0A
0B
0C
December 19, 2025Standard inspection · 3 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 30, 2025
    Inspectors wroteBased on observation, interview and review of facility policy the facility failed to provide infection control measures for one resident (Resident (R) 9) observed for enhanced barrier precautions; and one of two rooms observed for cleaning. In addition, the facility failed to monitor and assess the building's water system for Legionella and other opportunistic waterborne pathogens affecting the total census of 43.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 30, 2025
    Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to implement the comprehensive person-centered care plan for each resident for one of three residents sampled for enhanced barrier precautions (Resident (R) 9). R9 was care planned for enhanced barrier precautions but observations revealed no signage postedThe
  3. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 30, 2025
    Inspectors wroteBased on observation, interview, and review of facility policy, the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls when not attended for one of four medication carts.
April 27, 2023Standard inspection · 0 citations

Fire safety inspections

1 fire safety citation on file: 1 on December 19, 2025.

Every fire safety citation1 citation
  1. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · December 19, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
November 20, 2023Fine $3,496
November 13, 2023Fine $3,147
November 6, 2023Fine $2,797
October 30, 2023Fine $2,447
October 23, 2023Fine $2,098
October 17, 2023Fine $1,748
September 25, 2023Fine $3,145

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeKentuckyUnited States
All nursing staff (RN, LPN and aides)4.153.953.86
Registered nurses0.810.790.69
All nursing staff on weekends3.733.493.42
Nurse aides1.96
Licensed practical nurses1.38
Nursing staff turnover (share who left in a year)50.8%46.4%45.8%
Registered nurse turnover64.7%41.8%42.9%
Administrators who left0

CMS expects 4.49 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 4.32 on weekdays and 3.73 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 4.03 in April to June 2025 to 4.15 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.150.814.323.73 0.0%0 of 9044
Oct to Dec 20254.200.724.383.75 0.0%0 of 9246
Jul to Sep 20254.380.794.543.96 0.0%0 of 9244
Apr to Jun 20254.030.914.223.55 0.0%0 of 9145
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Kentucky, Jan to Mar 20263.850.714.043.403.2%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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Kentucky

JobMedianMiddle halfEmployed
Kentucky, all employers
CNAs (nursing assistants)$18.45$17.38 to $21.2123,410
LPNs and LVNs$29.07$26.10 to $31.298,570
Registered nurses$38.96$36.38 to $46.7350,300
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For The Springs at Oldham Reserve. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeKentuckyUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
22.113.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.33.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.71.6
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.94.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
6.816.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
27.124.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.613.712.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for The Springs at Oldham Reserve's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (60.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

60.9% this home

Better than the national rate

US median of homes 51.5% · Kentucky: 38 better, 49 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 142 eligible stays.

Potentially preventable readmissions

12.5% this home

No different from the national rate

US median of homes 10.7% · Kentucky: 0 better, 12 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 139 eligible stays.

Infections that led to a hospital stay

8.4% this home

No different from the national rate

US median of homes 7.1% · Kentucky: 0 better, 6 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 145 eligible stays.

Self-care and mobility at discharge

74.6% this home

Median of homes: Kentucky49.5% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 130 residents counted.

Falls with major injury

0.6% this home

Median of homes: Kentucky0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 175 residents counted.

New or worsened pressure ulcers

2.0% this home

Median of homes: Kentucky2.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 175 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Kentucky98.1% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 45 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: TRILOGY HEALTHCARE OF LAGRANGE LLC. CMS links this home to Trilogy Health Services, a group of 127 nursing homes averaging 4.2 stars overall.

NameRoleTypeShareSince
Continental Merger Sub LLC5% or greater indirect ownership interestOrganization26%01/01/2023
Barney, LeighManaging control - governing bodyIndividual12/01/2015
Conner, GregoryManaging control - governing bodyIndividual06/03/2021
Davis, DavidManaging control - governing bodyIndividual08/21/2017
McNamara, DonaldManaging control - governing bodyIndividual08/01/2024
Mehaffey, ToddManaging control - governing bodyIndividual01/31/2022
Pietrowski, CristinaManaging control - governing bodyIndividual01/31/2022
Prosky, DannyManaging control - governing bodyIndividual12/01/2015
Willhite, GabrielManaging control - governing bodyIndividual08/15/2023
Trilogy Management Services LLCOperational/managerial controlOrganization01/26/2023
Barney-McCoy, SeanOperational/managerial controlIndividual01/01/2023
Corbin, KathyOperational/managerial controlIndividual01/10/2011
Pietrowski, CristinaOperational/managerial controlIndividual01/31/2022
Saleem, WaqarOperational/managerial controlIndividual01/01/2026
Thacker, JessicaOperational/managerial controlIndividual09/19/2022
American Healthcare Reit Holdings LPAdp of the SNFOrganization04/22/2024
American Healthcare Reit IncAdp of the SNFOrganization04/22/2024
Continental Merger Sub LLCAdp of the SNFOrganization04/22/2024
Gahc3 Trilogy Jv LLCAdp of the SNFOrganization04/22/2024
Gahc4 Trilogy Jv LLCAdp of the SNFOrganization04/22/2024
Trilogy Investors LLCAdp of the SNFOrganization04/22/2024
Trilogy Real Estate Investment TrustAdp of the SNFOrganization04/22/2024
Trilogy Reit Holdings LLCAdp of the SNFOrganization04/22/2024
Barney-McCoy, SeanAdp of the SNFIndividual07/13/2026
Saleem, WaqarAdp of the SNFIndividual07/13/2026

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.

  1. 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 December 19, 2025: "Provide and implement an infection prevention and control program."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on December 19, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on December 19, 2025: "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."

Other nursing homes nearby

Kentucky contacts for a concern about a nursing home

These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.

Common questions

What is The Springs at Oldham Reserve's Medicare star rating?
CMS rates The Springs at Oldham Reserve 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Springs at Oldham Reserve get at its last inspection?
3 health deficiencies at the standard inspection on December 19, 2025. The Kentucky average is 2.9.
Has The Springs at Oldham Reserve been fined?
Yes. CMS lists 7 fines totaling $18,878 in the last three years.
Does The Springs at Oldham Reserve 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 The Springs at Oldham Reserve?
CMS lists 25 owners and managers, and links the home to Trilogy Health Services. Legal business name: TRILOGY HEALTHCARE OF LAGRANGE LLC.

Sources

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