The Springs At Oldham Reserve
La Grange, Kentucky · CCN 185488
1 survey since 2025, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 3
- Surveys
- 1
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Across 1 surveys carrying at least one finding.
The facility
- Certified beds
- 50
- Ownership
- For profit - Limited Liability company
- Chain
- TRILOGY HEALTH SERVICES
- County
- Oldham
- Medicare-certified since
- 2023
CMS ratings
- Overall
- 4
- Health inspection
- 3
- Staffing
- 3
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=3, floor 20).
Last survey on record
Dec 19, 2025
325 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.15 | 3.66 |
| Registered-nurse hours per resident day | 0.81 | — |
| Annual nurse turnover | 50.8% | 45.1% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $18,878 across 7 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D266.7% | E— | F133.3% |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
From the most serious findings on record at The Springs At Oldham Reserve, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF880Dec 19, 2025
Based 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.The findings include: Review of facility policy titled Infection Prevention and Control Program (IPCP) revised 11/15/2021, revealed the facility established and maintained an infection prevention and control program that provided a safe, and sanitary environment and also prevented the development and transmission of communicable diseases and infections. 1. […]
- No harm, potential for more than minimal, isolatedF656Dec 19, 2025
Based 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 findings include:Review of facility policy titled Comprehensive Cre Plan Guideline, revised 05/22/2018, revealed the comprehensive care plan was created and implemented based on the resident needs and ensured appropriateness of services and communication that met the residents' needs, severity/stability of conditions, impairment, disability, or disease in accordance with state and federal guidelines.Review of the facility's medical record… […]
- No harm, potential for more than minimal, isolatedF761Dec 19, 2025
Based 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.The findings include:Review of facility policy titled Medication Storage in the Facility revised 11/2018, revealed only licensed nurses, pharmacy personnel, and those lawfully authorized to administer medications (such as medication aides) are permitted to access medications. Medication rooms, carts, and medication supplies are locked when not attended by persons with authorized access. […]
Every survey on record
FindingsAt actual harm or above
- Dec 19, 2025Standard3 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction