Indianspring of Oakley
4900 Babson Place, Cincinnati, OH 45227 · Hamilton County · 144 certified beds · avg 134 residents/day · certified since Nov 4, 2009
Part of chain: CARESPRING (16 facilities, chain avg rating 4.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jul 1, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 21, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 18, 2024 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 15, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (25)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 1, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 1, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 1, 2025 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Jul 1, 2025 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Apr 28, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 15, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Jun 4, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Apr 18, 2024 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Jul 13, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 15, 2019 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Aug 15, 2019 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Aug 15, 2019 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Aug 15, 2019 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 15, 2019 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 15, 2019 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Aug 15, 2019 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Aug 15, 2019 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Aug 15, 2019 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 15, 2019 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Aug 15, 2019 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 11 | 0 | D |
| 2023 | 5 | 0 | E |
| 2024 | 3 | 1 | G ▲ |
| 2025 | 6 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $17,345, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jul 1, 2025 | Fine | $17,345 |
| Apr 18, 2024 | Payment Denial | 20 days from May 16, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.89 | 3.45 | 3.95 | bottom 17% in Ohio; bottom 10% in the U.S. |
| Registered Nurse hours | 0.76 | 0.60 | 0.69 | top 18% in Ohio; top 31% in the U.S. |
| Weekend total nurse staffing | 2.66 | 3.07 | 3.50 | bottom 23% in Ohio; bottom 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.69 | 0.42 | 0.48 | top 9% in Ohio; top 17% in the U.S. |
| Total nursing staff turnover (%) | 63.0 | 48.7 | 45.8 | bottom 16% in Ohio; bottom 12% in the U.S. |
| RN turnover (%) | 54.5 | 43.9 | 42.9 | bottom 32% in Ohio; bottom 29% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.70, RN 0.97, weekend 3.40. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Barry N Bortz 06042009 Tr | Organization | 5% or Greater Indirect Ownership Interest | 72% | 10/01/2013 |
| Bortz Family Trust/Key Bank Trustee | Organization | 5% or Greater Indirect Ownership Interest | 9% | 10/01/2013 |
| Carespring Health Care Holdings LP | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/01/2013 |
| Eppers, David | Individual | 5% or Greater Indirect Ownership Interest | 15% | 10/01/2013 |
| Carespring Health Care Management, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2009 |
| Chirumbolo, Christopher | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2016 |
| Eppers, David | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2012 |
| Gendelman, Arthur | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2024 |
| Homan, Ross | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/26/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| St. Theresa Care Center | 0.5 mi | Cincinnati, OH | ★★☆☆☆ | 3/5 | |
| Ayden Healthcare of Madeira | 1.5 mi | Cincinnati, OH | ★☆☆☆☆ | 1/5 | |
| Deupree Cottages | 2.0 mi | Cincinnati, OH | ★★★★★ | 4/5 | |
| Arc at Cincinnati | 2.0 mi | Cincinnati, OH | ★☆☆☆☆ | 1/5 | SFF |
| Madeira Healthcare Center | 2.4 mi | Cincinnati, OH | ★★★★☆ | 3/5 | |
| Astoria Place of Silverton | 3.2 mi | Cincinnati, OH | ★★☆☆☆ | 1/5 | |
| Pleasant Ridge Healthcare Center | 3.4 mi | Cincinnati, OH | ★★★★☆ | 3/5 | |
| Kenwood Terrace Healthcare Center | 3.6 mi | Cincinnati, OH | ★★★★☆ | 3/5 | |
| Marjorie P Lee Retirement Community | 3.8 mi | Cincinnati, OH | ★★★★★ | 4/5 | |
| Courtyard at Seasons | 3.9 mi | Cincinnati, OH | ★★★★☆ | 3/5 | |
| Chamberlin Healthcare Center | 4.0 mi | Cincinnati, OH | ★★★★★ | 4/5 | |
| Parkview Northwest Healthcare Center | 4.1 mi | Cincinnati, OH | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 366380.