Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Highlandspring Of Ft Thomas during CMS and state inspections, most recent first.
The facility failed to provide adequate nursing staff, resulting in long wait times for resident assistance, particularly during evenings, nights, and weekends. Residents reported delays in receiving help with basic needs, leading to physical discomfort. Staff confirmed frequent short staffing, worsened by call-ins, and the facility's assessment tools did not adequately address staffing needs based on resident acuity and census.
A survey found that a facility failed to label drugs and biologicals according to professional principles, with undated and expired medications present in six medication carts. Staff interviews revealed inconsistent adherence to the facility's policy of dating medications when opened, leading to potential safety risks. Despite monthly pharmacy audits and staff awareness, the deficiency highlighted systemic issues in medication management.
The facility failed to provide adequate ADL care for two residents, resulting in deficiencies in their person-centered care plans. One resident, with intact cognition, received fewer showers than scheduled, while another, moderately cognitively impaired, also received fewer baths than planned. Staff interviews revealed inconsistencies in following up on refused showers and time constraints affecting care delivery.
The facility failed to provide necessary hygiene services to two residents, resulting in missed showers and baths. Despite policies in place, staff inconsistencies in handling refusals and documentation led to this deficiency. Interviews revealed a lack of awareness among the DON and Administrator about the issue.
The facility failed to maintain proper infection control measures for three residents. A resident under Enhanced Barrier Precautions had their brief and bed linen changed without staff wearing gowns, and a gait belt was used on two residents without cleaning. Another resident's wound vac tubing was repeatedly found on the floor, posing an infection risk. Staff interviews revealed inadequate training and understanding of infection control protocols, leading to these deficiencies.
Inadequate Staffing Leads to Delayed Resident Care
Penalty
Summary
The facility failed to provide sufficient qualified nursing staff to meet the needs of residents, as evidenced by interviews, observations, and record reviews. Residents reported long wait times for assistance, particularly during evening, night, and weekend shifts. The facility's policy and assessment tools did not adequately address staffing needs based on resident acuity and census, leading to inadequate staffing levels. The Payroll-Based Journal Staffing Data Report indicated excessively low weekend staffing during the third fiscal quarter of 2024. Multiple residents, including those who were cognitively intact, expressed concerns about the lack of timely assistance, with some waiting up to an hour for help with basic needs such as using the bathroom. This delay in care led to physical discomfort and health issues for residents, such as constipation and hemorrhoids. Resident representatives also reported difficulties in reaching the facility by phone, further highlighting the staffing issues. Interviews with staff, including STNAs and a Kentucky Medication Aide, confirmed the frequent occurrence of short staffing, exacerbated by call-ins and particularly severe on weekends. The facility's staffing coordinator and DON acknowledged the staffing challenges and the reliance on previous day's acuity and census data to determine staffing needs. The administrator, who was not present during the period of reported deficiencies, was aware of the issues and working on improving weekend staffing coverage.
Medication Labeling and Expiration Deficiency
Penalty
Summary
The facility failed to label drugs and biologicals in accordance with currently accepted professional principles, as observed in six medication carts. The survey revealed multiple instances of opened medication containers, such as eyedrops, nasal sprays, and inhalers, that were not dated, as well as expired medications like potassium chloride tablets and nasal sprays. The facility's policy required medications to be dated when opened, but this was not consistently followed, leading to undated and expired medications being present in the medication carts. Interviews with staff, including State Tested Nurse Aides (STNAs), a Pharmacy Technician, a Licensed Practical Nurse (LPN), the Director of Nursing (DON), and the Administrator, highlighted a lack of adherence to the facility's medication storage policy. Staff members acknowledged the importance of dating medications to ensure their effectiveness and safety but admitted to not always dating both the packaging and the medication containers. The DON and Administrator stated that pharmacy audits were conducted monthly, and nurses were responsible for checking carts for expired medications, but the practice of dating only the packaging was deemed sufficient by some staff. The deficiency was further compounded by the fact that some staff members had not encountered situations where medications were separated from their original packaging, which could lead to undated medications being used. The Administrator expressed concerns that improperly labeled medications could be administered to the wrong resident and that undated medications could lose effectiveness and become potentially harmful. Despite the facility's policy and staff awareness of the importance of proper labeling, the survey findings indicated a systemic issue with medication management and labeling practices.
Deficiency in ADL Care for Two Residents
Penalty
Summary
The facility failed to implement a comprehensive person-centered care plan for two residents, R23 and R82, to meet their medical, nursing, and psychosocial needs as identified in their comprehensive assessments. R82, who was admitted with diagnoses including malignant neoplasm of the lung, polyneuropathy, and heart failure, was assessed with intact cognition and required extensive assistance with bathing. Despite being scheduled for showers twice a week, R82 only received three showers per month over a three-month period. During an interview, R82 expressed that she did not always receive showers when needed, and staff interviews revealed a lack of consistent follow-up when residents refused showers. R23, admitted with diagnoses including type 2 diabetes and osteoarthritis, was moderately cognitively impaired and dependent on staff for bathing. Her care plan indicated she should receive showers twice a week, but records showed she only received one bath per week. R23 reported not remembering when she last had her hair washed and expressed a preference for bed baths. Staff interviews indicated that while encouragement was provided, time constraints often prevented make-up showers from being offered the following day. Interviews with facility staff, including the DON and WOCN, highlighted that residents were expected to receive showers twice a week, and care plans were crucial for determining resident needs. However, there were complaints from residents about not receiving scheduled showers, and staff acknowledged the importance of updating and following care plans to ensure resident needs were met. The facility's failure to adhere to the care plans resulted in deficiencies in providing adequate ADL care for R23 and R82.
Deficiency in Providing Scheduled Showers and Baths
Penalty
Summary
The facility failed to ensure that residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal hygiene. This deficiency was observed in two residents, R23 and R82, who did not receive showers or baths as scheduled. R82, who was cognitively intact, reported not receiving showers when needed, and her electronic medical record (EMR) showed inconsistencies with the scheduled shower days. Similarly, R23, who was moderately cognitively impaired, did not receive regular bed baths as preferred, and her EMR indicated missed showers and baths. The facility's policy on bathing and general hygiene emphasized providing residents with choices regarding their hygiene, and refusals were to be documented and reported to the Charge Nurse. However, interviews with staff revealed that showers were often missed due to time constraints, and refusals were not always properly documented. Staff members had varying approaches to handling refusals, with some reapproaching residents later in the day, while others did not have time for make-up showers. Interviews with the Director of Nursing (DON) and the Administrator revealed a lack of awareness of the missed showers and baths. The DON acknowledged that refusals were common and not always documented correctly, while the Administrator expected residents to receive showers as scheduled and for refusals to be documented. The inconsistency in staff practices and documentation contributed to the deficiency in providing adequate hygiene care to the residents.
Infection Control Deficiencies in Resident Care
Penalty
Summary
The facility failed to maintain proper infection prevention and control measures for three residents, leading to potential risks of infection transmission. Resident R10 was under Enhanced Barrier Precautions (EBP), yet State Trained Nurse Aides (STNA) 11 and 12 changed R10's brief and bed linen without wearing the required gowns. Additionally, they used a gait belt to transfer R10 and attempted to use the same belt on her roommate, R231, without cleaning it between uses. Interviews revealed that staff were not adequately trained on cleaning gait belts, and there was a lack of understanding regarding the necessity of cleaning them between residents. Resident R26's wound vacuum (vac) tubing was observed on the floor on multiple occasions, which poses a risk for infection. Staff members, including STNA14 and STNA3, were unsure of the proper positioning of the wound vac tubing during transport, leading to the tubing being on the floor. Interviews with staff, including the Wound Care Certified Nurse (WOCN) and the Infection Preventionist (IP), confirmed that tubing should be kept off the floor to prevent infection, and any tubing found on the floor should be replaced immediately. The Director of Nursing (DON) and the Assistant Director of Nursing (ADON) acknowledged the lapses in infection control practices, including the improper use of gait belts and the handling of wound vac tubing. The Administrator was unaware of the issues with the gait belts and expected staff to maintain infection control precautions. The facility's policies on infection control and standard precautions were not adequately followed, leading to these deficiencies in maintaining a safe and sanitary environment for residents.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Fort Thomas
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St Elizabeth Ft Thomas Snf | 0.4 mi | — | 0 | 0 |
| Carmel Manor | 1.5 mi | — | 15 | 0 |
| The Pavilion At Kenton | 1.9 mi | — | 7 | 0 |
| Rosedale Green | 2.7 mi | — | 0 | 0 |
| Carecore At Margaret Hall | 4 mi | — | 12 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.