CCN 185383 · Campbell County, Kentucky
Highlandspring of Ft Thomas
960 Highland Avenue, Fort Thomas, KY 41075
Highlandspring of Ft Thomas is a 140-bed for-profit nursing home in Fort Thomas, Kentucky, first certified for Medicare or Medicaid in 1993. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 135.4 residents a day, about 97% of its certified beds. It has an active FHA-insured Section 232 loan: $23 million originally, at 3.04%, with $20.2 million outstanding as of September 30, 2026 and maturity in October 2054.
Facility facts
- Certified beds
- 140
- Average residents per day
- 135.4 (96.7% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Highlandspring Health Care and Rehabilitation LLC
- Certified since
- Oct 29, 1993
- Chain or affiliated group
- Carespring (16 facilities, chain average 4.1 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Kentucky median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 59 at 1, 45 at 2, 55 at 3, 55 at 4, 52 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 4.25 | 3.75 | 3.68 |
| RN hours per resident per day | 0.81 | 0.67 | 0.58 |
| Weekend nurse hours per resident per day | 3.36 | ||
| Nursing staff turnover | 48.3% | 45.0% | 44.9% |
| Occupancy (residents / beds) | 96.7% | 90.3% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 3 (Feb 11, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Highlandspring of Ft Thomas meets that part today: 3 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Carespring Health Care Holdings LPOrganization | Direct Ownership Interest | 100% | 10/31/2018 |
| Barry N Bortz 06042009 TrOrganization | Indirect Ownership Interest | 72% | 10/31/2018 |
| Bortz Family Trust/Key Bank TrusteeOrganization | Indirect Ownership Interest | 9% | 10/31/2018 |
| Eppers, DavidIndividual | Indirect Ownership Interest | 15% | 10/31/2018 |
| Carespring Health Care Management, LLCOrganization | Operational / Managerial Control | n/a | 10/31/2018 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Jan 1, 2019 | Highlandspring Health Care and Rehabilitation LLC | High-Day LLC |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Sep 18, 2019 | 223(f) refinance or purchaseHUD project name: Northwind - Highlandspring of Fort Thomas, 140 beds. Lender at endorsement: Keybank National Association | $23,040,000 | Active: 3.04%, $20,222,812 balanceMatures Oct 1, 2054. Servicer: Keybank National Association | 08322085 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.