Average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Villaspring Of Erlanger during CMS and state inspections, most recent first.
Kitchen staff failed to fully contain their hair in hairnets while preparing food. An FSW and the Executive Chef were observed with hair exposed outside the hairnet, despite the facility dress code requiring hair and beard nets and both staff acknowledging that all hair should be covered. The Dietitian stated nearly all residents received food from the kitchen, and the DON and Administrator both said they expected staff to wear hairnets that completely covered all hair.
Multiple staff members failed to follow infection control practices during resident care and when handling contaminated items. A supervisor and KMA left resident rooms wearing gloves and touched hallway surfaces and the dirty utility room door, an SRNA exited an EBP room without hand hygiene, an NP used shared assessment equipment on a resident without disinfecting it, an LPN reused vital sign equipment between residents without cleaning it, and another LPN performed a glucose fingerstick without proper hand hygiene or glove use and placed contaminated equipment on a medication cart.
Failure to preserve resident dignity during meals: An OTA stood between two residents while assisting them with eating, and an NP interrupted another resident’s lunch to obtain vital signs. One resident was totally dependent for eating and had dysphagia with a feeding tube, while the other had Alzheimer’s disease and severe cognitive impairment. The DON and Administrator stated staff were expected to sit with residents when assisting with meals and not interrupt residents to obtain vital signs while dining.
Controlled drug reconciliation was not consistently completed or documented. A resident with chronic pain and diabetes had pregabalin ordered for pain, but one scheduled dose was not signed out and the cart count did not match the recorded quantity. In addition, two LPNs completed shift counts but failed to sign the narcotic count sheets as the oncoming nurse, and leadership confirmed staff were expected to count together, document the count, and identify discrepancies immediately.
Unlabeled opened medications were found in medication cart drawers for two residents, while the MAR showed the doses as given. An LPN stated one resident refused the meds and the other also refused, but both doses were documented as administered instead of refused. The facility’s UM, ADON, and DON stated opened or unlabeled meds should not be kept in the cart and that doses should not be signed out as given if they were not actually administered.
The facility failed to maintain infection control measures for residents under contact precautions and did not ensure proper cleaning of reusable equipment. An LPN administered insulin to a resident without PPE, and an STNA delivered a food tray without PPE, both contrary to policy. Additionally, a Hoyer lift was not cleaned after use due to lack of immediate access to disinfectant wipes.
Kitchen Staff Hair Not Fully Contained in Hairnets
Penalty
Summary
The facility failed to prepare food in accordance with professional standards for food safety when kitchen staff were observed with hair not fully contained in hairnets during food service activities. On 09/09/2025 at 9:28 AM, Food Service Worker 1 had both sides of her hair, approximately three inches, not contained in the hairnet, and she stated she had received education on how to wear hairnets and that all hair was to be covered. Later that morning at 9:47 AM, the Executive Chef was observed with her front bangs, approximately two inches, not contained in the hairnet; she stated the facility policy required all hair to be covered and said her bangs were not covered because she was rushed. The facility policy titled Uniform - Dress Code, revised 01/2024, stated hair and beard nets must be worn by kitchen staff. The Dietitian stated that all residents except one, who had nothing by mouth and received artificial nutrition, received food from the kitchen. The DON stated he expected kitchen staff to follow facility policies and wear hairnets when preparing food, and the Administrator stated she expected staff to wear hairnets that completely covered all hair.
Infection Control Lapses During Resident Care and Handling of Contaminated Items
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program to provide a safe, sanitary, and comfortable environment and to help prevent and control the development and transmission of communicable diseases. Survey observations identified multiple staff members not following hand hygiene, PPE, and equipment disinfection practices during resident care and while handling contaminated items. On 09/09/2025, the Medical Records Supervisor was observed gathering trash from a resident's room while wearing gloves, then leaving the room without removing the gloves or performing hand hygiene. She walked through the hallway with contaminated gloves and opened the dirty utility room door with the same PPE. During interview, she stated she was unaware she needed to remove her gloves and perform hand hygiene before leaving the room if carrying trash to the dirty utility room. Also on 09/09/2025, SRNA 3 entered an EBP room and exited without performing hand hygiene. The NP was observed in the dining room providing care to R20, who had diagnoses including Alzheimer's disease, anxiety disorder, and depression and had a BIMS score of 5, indicating severe cognitive impairment. The NP used a blood pressure cuff, digital thermometer, oxygen saturation monitor, and stethoscope on R20 without disinfecting the equipment between uses. She stated she did not wipe off the blood pressure cuff after using it on a resident and usually cleaned and disinfected shared equipment only after using it on a few residents. On 09/10/2025, KMA 1 was observed leaving a resident room without removing gloves or performing hand hygiene, then walking through the hall and opening the dirty utility room door with contaminated gloves. LPN 1 took vital signs on R5, who had COPD, type 2 diabetes mellitus, and CHF, and then used the same shared equipment on R65, who had chronic venous hypertension, type 2 diabetes mellitus, and CKD, without cleaning and sanitizing it between residents. On 09/11/2025, LPN 2 entered the dining room with a glucometer and test strip, approached R86, who had COPD, type 2 diabetes mellitus, and atherosclerotic heart disease, and began a fingerstick without gloves or hand hygiene. She then completed the procedure after donning gloves, placed the contaminated glucometer on top of the medication cart, removed her gloves, and did not clean or sanitize the glucometer or perform hand hygiene immediately after the procedure.
Failure to Preserve Resident Dignity During Meals
Penalty
Summary
The facility failed to treat residents with respect and dignity and to provide care in a manner and environment that recognized each resident’s individuality for 2 of 27 sampled residents. During lunch service, an OTA stood between two residents while assisting them with eating. One resident was admitted with hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, dysphasia, pharyngoesophageal phase, and type II diabetes mellitus with hyperglycemia; the resident was totally dependent on staff for eating and required a feeding tube related to dysphagia. The OTA stated she was trying to feed the resident while keeping an eye on the other resident and was not aware she was supposed to sit with the resident when assisting with eating. During the same lunch service, an NP approached another resident, who was seated at a table eating lunch, and applied a blood pressure cuff to the resident’s wrist to obtain vital signs while the resident was eating. That resident had diagnoses of Alzheimer’s disease, anxiety disorder, and depression, and was assessed as severely cognitively impaired with a BIMS score of 5 out of 15. The resident’s care plan identified an ADL self-care performance deficit and included assistance with eating in set-up then supervision. The NP stated she was unaware of the requirement allowing residents to eat meals without interruption and said she was trying to obtain vital signs before leaving to travel to another facility.
Controlled Drug Counts and Documentation Were Inaccurate
Penalty
Summary
The facility failed to maintain an accurate system of records for controlled drugs and failed to ensure controlled drug counts were properly reconciled and documented. Review of the facility policy titled Controlled Drug Reconciliation showed that controlled medications were to be counted at every shift change by both the outgoing and incoming licensed nurse or medication aide, with the physical count and the individuals completing the count documented on the proof of use sheets. The survey found that this process was not consistently followed on two medication carts, including missing signatures on the narcotic shift count sheets and an inaccurate count for a controlled medication. For one resident admitted with lumbosacral spondylopathies, chronic pain syndrome, and type 2 diabetes, the quarterly MDS showed a BIMS score of 15, indicating the resident was cognitively intact. The resident had an order for pregabalin 50 mg twice daily for pain. Review of the MAR and controlled drug records showed that a scheduled 9:00 PM dose on one evening was not signed out as administered, yet the medication count later reflected a discrepancy between the recorded amount and the physical count. The controlled drug receipt/disposition form showed 30 capsules were received, one capsule was signed out at 9:00 AM, no 9:00 PM dose was documented, and the count on the cart did not match the expected remaining quantity. The survey also found that an LPN on one hall and another LPN on a different hall failed to sign the narcotic shift count sheets as the oncoming nurse, even though both stated they had completed the count with the outgoing nurse. Interviews with the UM, ADON, DON, and Administrator confirmed that staff were expected to count narcotics together, sign the count sheets, and identify discrepancies immediately. The DON stated the incorrect count should not have taken three days to discover and should have been detected immediately if the counts were performed correctly.
Unlabeled Opened Medications Left in Medication Cart and Documented as Given
Penalty
Summary
The facility failed to label and store medications in accordance with currently accepted professional principles for 2 of 27 sampled residents. During observation of the 1300 Hall medication cart, an unlabeled medicine cup containing R94’s opened 9:00 AM medications was found in a medication drawer, even though the medications had already been documented as given on the MAR. The medications in the cup were cholecalciferol, pantoprazole sodium, pioglitazone HCL, metformin, ferrous sulfate, and lisinopril. R94 was admitted with diagnoses including type 2 diabetes mellitus and chronic pain, and the MDS showed a BIMS score of 15 out of 15. LPN2 stated she prepared the medications, took them to the resident’s room, and the resident said she would take them after physical therapy. LPN2 stated she marked the medications as given but should have discarded them and documented them as refused, and she acknowledged that opened and unlabeled medications should not be stored in the medication cart. During observation of the 2100 Hall medication cart, an unlabeled medicine cup containing R103’s opened 9:00 AM medications was found in a medication drawer, while the MAR showed the medications as administered. The medications included Eliquis, doxycycline, mucus relief D, oxybutynin ER, pantoprazole sodium, pravastatin, probiotic, and metoprolol ER. R103 was admitted with diagnoses including pleural effusion, malignant neoplasm of the breast, and anemia, and the MDS showed a BIMS score of 13 out of 15. LPN3 stated the resident refused the medications and she intended to try again later, but she marked them as given instead of refused and acknowledged that opened or unlabeled medications should not be kept in the medication cart.
Infection Control and Equipment Cleaning Deficiencies
Penalty
Summary
The facility failed to maintain proper infection prevention and control measures for residents under transmission-based precautions. Resident 36, who was admitted with unspecified dementia and type 2 diabetes, was identified to have an infection with a multi-drug resistant organism and was placed under contact precautions. However, an LPN entered the resident's room and administered insulin without donning the required personal protective equipment (PPE), such as a gown and gloves. The LPN mistakenly believed that PPE was only necessary for certain types of care, not for insulin administration. This misunderstanding was contrary to the facility's policy and the expectations of the nursing management. Similarly, another incident involved Resident 107, who was also under contact precautions. A State tested Nurse Aide (STNA) delivered a food tray to the resident's room without wearing PPE, despite a sign indicating the need for contact precautions. The STNA was unaware of the requirement to don PPE for tray delivery, which was confirmed by the unit manager and the infection preventionist, who both stated that PPE should be worn in such situations. Additionally, the facility failed to ensure the proper cleaning of reusable equipment, specifically the Hoyer Ascent lift used for Resident 21. After assisting the resident, the staff did not clean the lift before it was moved to another location. The staff member admitted forgetting to clean the lift, and it was noted that disinfectant wipes were not readily accessible, as they were kept in a locked room. The facility did not audit the cleaning of multiuse equipment, and there was a lack of immediate access to necessary cleaning supplies, which contributed to the oversight.
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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 Erlanger
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Florence Park Care Center | 1.3 mi | ★★★★★ | 23 | 1 |
| Village Care Center | 1.5 mi | ★★★★★ | 7 | 0 |
| Belmont Terrace Nursing And Rehabilitation Center | 1.6 mi | ★★★★★ | 0 | 0 |
| St Elizabeth Edgewood Snf | 3.3 mi | ★★★★★ | 1 | 0 |
| Emerald Trace | 3.4 mi | ★★★★★ | 6 | 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 July 2026) and official state health department websites.