Coldspring Transitional Care Center
300 Plaza Drive, Cold Spring, KY 41076 · Campbell County · 143 certified beds · avg 135 residents/day · certified since Dec 3, 2014
Part of chain: CARESPRING (16 facilities, chain avg rating 4.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (11)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 24, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| May 15, 2025 | F · Potential for harm, facility-wide | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| May 15, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 15, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| May 15, 2025 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Jan 31, 2020 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Jan 31, 2020 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jan 31, 2020 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Jan 31, 2020 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 17, 2019 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jan 17, 2019 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 2 | 0 | E |
| 2020 | 4 | 0 | E |
| 2025 | 5 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Kentucky avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.33 | 3.71 | 3.95 | bottom 48% in Kentucky; bottom 28% in the U.S. |
| Registered Nurse hours | 0.66 | 0.74 | 0.69 | top 46% in Kentucky; top 40% in the U.S. |
| Weekend total nurse staffing | 3.01 | 3.27 | 3.50 | top 49% in Kentucky; bottom 32% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.53 | 0.53 | 0.48 | top 37% in Kentucky; top 30% in the U.S. |
| Total nursing staff turnover (%) | 41.1 | 46.4 | 45.8 | top 36% in Kentucky; top 39% in the U.S. |
| RN turnover (%) | 32.0 | 41.8 | 42.9 | top 33% in Kentucky; top 33% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.91, RN 0.78, weekend 3.55. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Barry N Bortz 06042009 Tr | Organization | 5% or Greater Indirect Ownership Interest | 72% | 02/01/2014 |
| Bortz Family Irrevocable T/A | Organization | 5% or Greater Indirect Ownership Interest | 9% | 02/01/2014 |
| Carespring Health Care Holdings LP | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/01/2014 |
| Eppers, David | Individual | 5% or Greater Indirect Ownership Interest | 15% | 02/01/2014 |
| Careco LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/15/2014 |
| Carespring Health Care Management, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/15/2014 |
| Chirumbolo, Christopher | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2016 |
| Eppers, David | Individual | Corporate Officer | NOT APPLICABLE | 05/12/2008 |
| Lewandowski, Adam | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/09/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| The Seasons at Alexandria | 1.9 mi | Alexandria, KY | ★☆☆☆☆ | 1/5 | |
| Carmel Manor | 4.3 mi | Fort Thomas, KY | ★☆☆☆☆ | 1/5 | |
| Rosedale Green | 4.6 mi | Covington, KY | ★★★★☆ | 5/5 | |
| Highlandspring of Ft Thomas | 5.3 mi | Fort Thomas, KY | ★★★☆☆ | 3/5 | |
| Residence at Salem Woods | 5.3 mi | Cincinnati, OH | ★★★★★ | 5/5 | |
| St Elizabeth Ft Thomas SNF | 5.6 mi | Fort Thomas, KY | ★★★★☆ | 5/5 | |
| The Pavilion at Kenton | 6.0 mi | Covington, KY | ★☆☆☆☆ | 1/5 | |
| Mount Washington Care Center | 6.0 mi | Cincinnati, OH | ★★★☆☆ | 2/5 | |
| Anderson, the | 7.0 mi | Cincinnati, OH | ★☆☆☆☆ | 2/5 | |
| St Elizabeth Edgewood SNF | 7.5 mi | Edgewood, KY | ★★★★★ | 4/5 | |
| Siena Gardens Rehabilitation & Transitional Care | 8.7 mi | Cincinnati, OH | ★★★★★ | 5/5 | |
| Emerald Trace | 9.0 mi | Elsmere, KY | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 185476.