Coldspring Transitional Care Center
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 75 Google reviews
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What this means for your family
While the physical therapy department is consistently praised for helping patients recover, the facility has a recurring pattern of severe neglect, including slow response times and sanitation issues. If you choose this facility, we strongly recommend visiting frequently at different times of the day to monitor your loved one's care and hygiene.
Google Reviews
Google Reviews
75 reviews on Google“Coldspring Transitional Care Center receives highly polarized feedback, with many families praising the physical therapy department for helping patients regain independence, while others report severe neglect and hygiene issues. Common criticisms involve chronic understaffing, long response times for call lights, and inconsistent communication from management. Families considering this facility should be aware of the stark contrast between the positive rehab experiences and the recurring reports of poor basic care.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy team
- Clean, modern, and well-maintained facility
- Professional and compassionate nursing staff (noted in positive reviews)
- Successful rehab outcomes for short-term patients
Concerns
- Slow or non-existent response to call lights (mentioned by 9 reviewers)
- Chronic understaffing leading to neglect (mentioned by 8 reviewers)
- Poor hygiene and sanitation (soiled linens, urine smells) (mentioned by 7 reviewers)
- Inconsistent or poor communication from management (mentioned by 5 reviewers)
- Dietary and medication management errors (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 80 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1We've heard wonderful things about the physical and occupational therapy teams here; could you tell us more about how they support residents during their recovery?
- 2How does the nursing team ensure that call lights are answered promptly, especially during busy shift changes?
- 3What specific protocols are in place to ensure medication management is accurate and that residents receive their treatments on time?
- 4Could you describe the daily dining experience and how the facility manages dietary needs and meal cleanliness?
- 5What is the process for communicating important updates or changes in a resident's condition to their family members?
- 6How does the facility maintain high standards of cleanliness and hygiene in the resident rooms and common areas?
Personalized based on this facility's data
Key Review Excerpts
“The therapist were wonderful . The rest was very disappointing. Waiting for someone to help me to the restroom for up to an hour was the norm.”
“My husband spent over 4 weeks in this facility as a rehab patient and though I give it 2 stars for cleanliness and the rehab team seemed top notch, the general care was spotty at best.”
“My grandmother's oxygen tank is always empty! I get here today and she is soaked in pee so bad that it soaked through her chair and onto the floor!!!!”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
4
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose walking got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Coldspring Transitional Care Center has recurring issues with care planning, infection control, and fire safety across multiple surveys, though all deficiencies show correction dates. One family filed a complaint in 2025 regarding professional care standards. The facility's most persistent problems involve resident assessment and care planning, appearing in three separate surveys from 2019 to 2025, suggesting ongoing challenges in this critical care area.
Nov 24, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
May 15, 2025Routine5
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Jan 31, 2020Routine4
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 17, 2019Routine4
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ownership & Operations
Who Operates This Facility
Coldspring Transitional Care Center
for profit
Chain Affiliation
Carespring
16 facilities nationwide
Chain avg rating: 4.2/5 · Rank 16 of 16 (Worst)
Ownership & Management
Owners
Carespring Health Care Holdings Lp
Owner · Organization
Barry N Bortz 06042009 Tr
Owner (parent company) · Organization
Bortz Family Irrevocable T/a
Owner (parent company) · Organization
Eppers, David
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
75 reviews from families & visitors
Official Website
Visit carespring.com
Medicare data downloads
Original nursing home datasets
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