The Springs at Oldham Reserve - 4-Star Rated Nursing Home in La Grange, KY (2026)

Last Updated: October 2026

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Composite Quality Score

Comprehensive rating based on CMS data, staffing, quality measures, and compliance

A-

Grade

Score

CMS Ratings

16.3/22

Staffing Quality

12.0/20

Quality Measures

0.0/22

Compliance

18.0/18

Safety

13.0/13

Availability

6.0/10

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Current Availability Estimate

Occupancy Rate88.6%

Total Beds

Occupied

Available

Basic Information

Address:

2000 East Peak Road

La Grange, KY 40031

Phone:

(502)516-3176

Ownership Type:

For-Profit

Learn how ownership type affects quality →

Number of Beds:

Estimated Occupancy:

89% (~6 available)

Chain:

TRILOGY HEALTH SERVICES

Quality Ratings

Overall Rating:4/5 Stars

Health Inspection:3/5 Stars

Staffing Rating:3/5 Stars

Quality Measures:5/5 Stars

Learn how CMS star ratings are calculated →

Safety Information

Abuse Issues:No Issues Reported

Special Focus:Not Under Special Focus

Additional Information

CMS Certification Number:

185488

Provider Type:

Medicare and Medicaid

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Staffing Metrics

Higher staffing hours generally indicate better care quality. Lower turnover indicates more experienced, stable staff.

Registered Nurse (RN) Hours

Per resident per day

Above Average

This Facility

0.81

hours

National Avg

0.64

hours

Total Nursing Staff Hours

RN + LPN + Nurse Aides per resident per day

Average

This Facility

4.15

hours

National Avg

3.89

hours

Breakdown:

RN: 0.81hLPN: 1.38hAide: 1.96h

Staff Turnover Rate

Annual nursing staff turnover

Average

This Facility

50.8%

National Avg

46.6%

RN Turnover: 64.7%

Understanding Staffing Metrics

Staffing hours: Higher hours generally mean more staff attention per resident. Federal minimum is 3.5 total hours per resident per day, but quality facilities often exceed 4+ hours.

Turnover: High turnover (>50%) can indicate staffing issues and affect care continuity. Lower turnover means more experienced staff familiar with residents' needs.

Learn why staffing levels are the #1 quality indicator →

Detailed Quality Measures

Medicare Claims Quality Measures

Based on Medicare claims data showing rehospitalization and emergency department visit rates.

Rehospitalization

27.1%

Percentage of short-stay residents who were rehospitalized after a nursing home admission

Observed:23.4%

Expected:20.6%

ED Visits (Outpatient)

7.6%

Percentage of short-stay residents who had an outpatient emergency department visit

Observed:7.0%

Expected:10.4%

551

N/A

Number of hospitalizations per 1000 long-stay resident days

Observed:N/A

Expected:N/A

552

N/A

Number of outpatient emergency department visits per 1000 long-stay resident days

Observed:N/A

Expected:N/A

Long-Stay Resident Quality Measures

Based on resident assessments for individuals staying 100+ days. Lower percentages are generally better.

ADL Decline

28.1%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2025Q1-2025Q4

ADL Decline

22.1%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2025Q2-2026Q1

ADL Decline

17.2%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2024Q2-2025Q1

ADL Decline

22.2%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2024Q4-2025Q3

ADL Decline

17.2%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2024Q2-2025Q1

ADL Decline

28.1%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2025Q1-2025Q4

ADL Decline

22.1%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2025Q2-2026Q1

ADL Decline

17.2%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2024Q2-2025Q1

ADL Decline

17.2%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2024Q2-2025Q1

ADL Decline

22.2%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2024Q4-2025Q3

ADL Decline

22.2%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2024Q3-2025Q2

ADL Decline

28.1%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2025Q1-2025Q4

ADL Decline

22.2%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2024Q3-2025Q2

ADL Decline

22.1%

Percentage of long-stay residents whose need for help with daily activities has increased

Period: 2025Q2-2026Q1

Self-Report Pain

0.0%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2024Q3-2025Q2

Self-Report Pain

0.0%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2024Q4-2025Q3

Self-Report Pain

0.0%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2024Q4-2025Q3

Self-Report Pain

0.0%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2024Q2-2025Q1

Self-Report Pain

0.0%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2025Q2-2026Q1

Self-Report Pain

0.0%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2025Q2-2026Q1

Self-Report Pain

0.0%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2024Q2-2025Q1

Self-Report Pain

0.0%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2024Q2-2025Q1

Self-Report Pain

0.0%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2025Q1-2025Q4

Self-Report Pain

0.0%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2024Q2-2025Q1

Self-Report Pain

0.0%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2025Q1-2025Q4

Self-Report Pain

0.0%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2024Q3-2025Q2

Self-Report Pain

0.0%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2025Q2-2026Q1

Self-Report Pain

0.0%

Percentage of long-stay residents with a catheter inserted and left in their bladder

Period: 2025Q1-2025Q4

Antipsychotic Use

0.0%

Percentage of long-stay residents with a urinary tract infection

Period: 2025Q2-2026Q1

Antipsychotic Use

0.0%

Percentage of long-stay residents with a urinary tract infection

Period: 2025Q1-2025Q4

Antipsychotic Use

0.0%

Percentage of long-stay residents with a urinary tract infection

Period: 2025Q2-2026Q1

Antipsychotic Use

0.0%

Percentage of long-stay residents with a urinary tract infection

Period: 2024Q2-2025Q1

Antipsychotic Use

0.0%

Percentage of long-stay residents with a urinary tract infection

Period: 2024Q2-2025Q1

Antipsychotic Use

0.0%

Percentage of long-stay residents with a urinary tract infection

Period: 2024Q4-2025Q3

Antipsychotic Use

0.0%

Percentage of long-stay residents with a urinary tract infection

Period: 2024Q3-2025Q2

Antipsychotic Use

0.0%

Percentage of long-stay residents with a urinary tract infection

Period: 2024Q4-2025Q3

Antipsychotic Use

0.0%

Percentage of long-stay residents with a urinary tract infection

Period: 2025Q1-2025Q4

Antipsychotic Use

0.0%

Percentage of long-stay residents with a urinary tract infection

Period: 2025Q1-2025Q4

Antipsychotic Use

0.0%

Percentage of long-stay residents with a urinary tract infection

Period: 2024Q2-2025Q1

Antipsychotic Use

0.0%

Percentage of long-stay residents with a urinary tract infection

Period: 2024Q3-2025Q2

Antipsychotic Use

0.0%

Percentage of long-stay residents with a urinary tract infection

Period: 2024Q2-2025Q1

Antipsychotic Use

0.0%

Percentage of long-stay residents with a urinary tract infection

Period: 2025Q2-2026Q1

Falls with Injury

6.3%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2025Q1-2025Q4

Falls with Injury

1.1%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2024Q2-2025Q1

Falls with Injury

1.1%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2024Q2-2025Q1

Falls with Injury

1.1%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2024Q2-2025Q1

Falls with Injury

1.1%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2024Q2-2025Q1

Falls with Injury

2.2%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2024Q3-2025Q2

Falls with Injury

2.2%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2024Q3-2025Q2

Falls with Injury

4.2%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2024Q4-2025Q3

Falls with Injury

4.2%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2024Q4-2025Q3

Falls with Injury

6.3%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2025Q1-2025Q4

Falls with Injury

6.3%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2025Q1-2025Q4

Falls with Injury

6.3%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2025Q2-2026Q1

Falls with Injury

6.3%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2025Q2-2026Q1

Falls with Injury

6.3%

Percentage of long-stay residents experiencing one or more falls with major injury

Period: 2025Q2-2026Q1

Functional Improvement

13.6%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2024Q2-2025Q1

Functional Improvement

11.8%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2024Q3-2025Q2

Functional Improvement

11.8%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2024Q3-2025Q2

Functional Improvement

13.6%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2024Q2-2025Q1

Functional Improvement

13.6%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2024Q2-2025Q1

Functional Improvement

13.6%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2024Q2-2025Q1

Short Stay ADL Improvement

25.8%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2024Q2-2025Q1

Short Stay ADL Improvement

17.7%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2024Q4-2025Q3

Short Stay ADL Improvement

22.3%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2024Q3-2025Q2

Short Stay ADL Improvement

N/A

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2025Q1-2025Q4

Short Stay ADL Improvement

25.8%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2024Q2-2025Q1

Short Stay ADL Improvement

N/A

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2025Q1-2025Q4

Short Stay ADL Improvement

25.8%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2024Q2-2025Q1

Short Stay ADL Improvement

N/A

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2025Q1-2025Q4

Short Stay ADL Improvement

25.8%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2024Q2-2025Q1

Short Stay ADL Improvement

N/A

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2025Q2-2026Q1

Short Stay ADL Improvement

N/A

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2025Q2-2026Q1

Short Stay ADL Improvement

N/A

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2025Q2-2026Q1

Short Stay ADL Improvement

22.3%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2024Q3-2025Q2

Short Stay ADL Improvement

17.7%

Percentage of long-stay residents whose ability to walk independently worsened

Period: 2024Q4-2025Q3

479

0.5%

Percentage of long-stay residents with pressure ulcers

Period: 2024Q4-2025Q3

479

0.5%

Percentage of long-stay residents with pressure ulcers

Period: 2024Q4-2025Q3

479

0.0%

Percentage of long-stay residents with pressure ulcers

Period: 2024Q2-2025Q1

479

0.5%

Percentage of long-stay residents with pressure ulcers

Period: 2024Q3-2025Q2

479

1.8%

Percentage of long-stay residents with pressure ulcers

Period: 2025Q2-2026Q1

479

0.0%

Percentage of long-stay residents with pressure ulcers

Period: 2024Q2-2025Q1

479

1.8%

Percentage of long-stay residents with pressure ulcers

Period: 2025Q2-2026Q1

479

1.8%

Percentage of long-stay residents with pressure ulcers

Period: 2025Q2-2026Q1

479

0.0%

Percentage of long-stay residents with pressure ulcers

Period: 2024Q2-2025Q1

479

0.5%

Percentage of long-stay residents with pressure ulcers

Period: 2024Q3-2025Q2

479

1.1%

Percentage of long-stay residents with pressure ulcers

Period: 2025Q1-2025Q4

479

1.1%

Percentage of long-stay residents with pressure ulcers

Period: 2025Q1-2025Q4

479

0.0%

Percentage of long-stay residents with pressure ulcers

Period: 2024Q2-2025Q1

479

1.1%

Percentage of long-stay residents with pressure ulcers

Period: 2025Q1-2025Q4

481

6.8%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2025Q2-2026Q1

481

8.9%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2025Q1-2025Q4

481

6.8%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2025Q2-2026Q1

481

10.5%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2024Q4-2025Q3

481

8.9%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2025Q1-2025Q4

481

6.8%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2025Q2-2026Q1

481

10.5%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2024Q4-2025Q3

481

8.9%

Percentage of long-stay residents who received an antipsychotic medication

Period: 2025Q1-2025Q4

Short-Stay Resident Quality Measures

Based on resident assessments for individuals staying less than 100 days (typically post-hospital rehabilitation).

434

0.8%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2024Q3-2025Q2

434

0.7%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2025Q2-2026Q1

434

0.5%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2025Q1-2025Q4

434

0.9%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2024Q2-2025Q1

434

0.7%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2025Q2-2026Q1

434

0.8%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2024Q4-2025Q3

434

0.9%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2024Q2-2025Q1

434

0.5%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2025Q1-2025Q4

434

0.7%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2025Q2-2026Q1

434

0.5%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2025Q1-2025Q4

434

0.9%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2024Q2-2025Q1

434

0.9%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2024Q2-2025Q1

434

0.8%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2024Q3-2025Q2

434

0.8%

Percentage of short-stay residents who newly received an antipsychotic medication

Period: 2024Q4-2025Q3

Loading quality measures...

Quality Trends Over Time

No deficiency data available for trend analysis.

How to read these charts: Trends show patterns over time. An upward trend in deficiencies may indicate declining quality. A positive trend suggests the facility is improving its care standards.

Loading charts...

Health Inspections & Deficiencies

No health deficiencies cited in recent inspections

This facility has maintained compliance with CMS health and safety standards in recent surveys.

Penalties & Enforcement

7 penalties in the past 3 years

Total fines: $18,878

FineNovember 20, 2023

$3,496

Data processed: August 1, 2026

FineNovember 13, 2023

$3,147

Data processed: August 1, 2026

FineNovember 6, 2023

$2,797

Data processed: August 1, 2026

FineOctober 30, 2023

$2,447

Data processed: August 1, 2026

FineOctober 23, 2023

$2,098

Data processed: August 1, 2026

FineOctober 17, 2023

$1,748

Data processed: August 1, 2026

FineSeptember 25, 2023

$3,145

Data processed: August 1, 2026

About Penalties: This data comes from CMS (Centers for Medicare & Medicaid Services) and shows fines and payment denials issued for health and safety violations. Penalties indicate serious deficiencies that required enforcement action.

Key Highlights

High CMS Rating

4 out of 5 stars from Medicare

👨‍⚕

Above Average RN Staffing

0.81 RN hours per resident/day (national avg: 0.64)

🛏

Beds Available

Approximately 6 beds potentially available

🏢

Part of Healthcare Chain

TRILOGY HEALTH SERVICES

Frequently Asked Questions

What is the quality rating for The Springs At Oldham Reserve?

The Springs At Oldham Reserve has an overall CMS rating of 4 out of 5 stars. This rating is based on health inspections, staffing levels, and quality measures reported by Medicare.

How many beds does this facility have?

The Springs At Oldham Reserve has 50 certified beds. The facility averages 44 residents per day, with an occupancy rate of approximately 89%.

What type of ownership does this facility have?

This facility is for profit - limited liability company owned. It is part of the TRILOGY HEALTH SERVICES network.

How can I contact The Springs At Oldham Reserve?

You can call The Springs At Oldham Reserve at (502)516-3176. The facility is located at 2000 East Peak Road, La Grange, KY 40031.

What should I look for when choosing a nursing home?

When selecting a nursing home, consider: CMS star ratings (overall, health inspection, staffing, and quality measures), nurse staffing levels, staff turnover rates, recent health inspection results, complaint history, proximity to family, and available services. We recommend visiting facilities in person, talking to current residents and staff, and checking multiple sources of information before making your decision. Use our comprehensive tour checklist when visiting facilities.