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Hillspring Health Care & Rehab

325 East Central Avenue, Springboro, OH 45066 · Warren County · (937) 748-1100

140 certified beds, about 126 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1999

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 366185 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on November 7, 2024, inspectors cited 2 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 9 health citations since February 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.87 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.

49.3% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Carespring, an affiliated group of 16 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
0E
0F
Potential for minimal harm
0A
0B
0C
June 17, 2026Complaint inspection · 3 citations
  1. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 22, 2026
    Inspectors wroteBased on interview, record review and policy review, the facility failed to ensure staff allowed a resident to have her personal cell phone. This affected one (Resident #2) of three residents reviewed for personal property. The facility census was 127.
  2. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 22, 2026
    Inspectors wroteBased on observation, interview, record review and policy review, the facility failed to ensure the resident's privacy was maintained during personal care. This affected one (Resident #43) of three residents reviewed for privacy. The facility census was 127.
  3. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 22, 2026
    Inspectors wroteBased on medical record review, review of the facilities Self-Reported Incidents (SRI), staff interview, and policy review, the facility failed to ensure all allegations of physical abuse were reported to the State Survey Agency. This affected one (#2) of one resident reviewed for abuse.
May 28, 2025Complaint inspection · 1 citation
  1. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 6, 2025
    Inspectors wroteBased on medical record reviews, staff and resident interviews, review of a facility medication error report, and facility policy review, the facility failed to administer medications as ordered. This affected one( #15) resident out of three residents reviewed for medications administration. The facility census was 117.
November 7, 2024Standard inspection, Complaint inspection · 2 citations
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on medical record review, resident and staff interview, and review of the facility policy, the facility failed to ensure the interdisciplinary team members attended care conferences and failed to ensure the resident was invited to care conferences. This affected one (Resident #49) of one resident reviewed for care conferences. The facility census was 111.
  2. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on medical record review, observation, staff interview, review of medication manufacturer instructions, and review of facility policy, the facility failed to ensure a staff member primed (performed a safety test) when using an insulin pen-injector, resulting in a significant medication error. This affected one (Resident #34) of five residents observed for medication administration. The facility census was 111.
October 21, 2021Standard inspection · 2 citations
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2021
    Inspectors wroteBased on observation, staff interview, review of the facility's policy, and record review, the facility failed to accurately assess a resident on an anticoagulant for bruising. This affected one (#100) of four residents reviewed for skin integrity. The facility census was 110.
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2021
    Inspectors wroteBased observation, staff interview, review of the facility's policy, and record review, the facility failed to ensure residents receiving oxygen had physician orders for oxygen and oxygen tubing was changed according physician orders. This affected three residents (#10, #41, and #108) of 12 residents receiving oxygen therapy.
February 28, 2019Standard inspection · 1 citation
  1. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2019
    Inspectors wroteBased on observation, staff interview, medical record review and facility policy review, the facility failed to accurately administer medications. This affected one (Resident #63) of nine residents observed for medication administration. The facility identified 123 residents in the facility receiving medications. The facility census was 124.

Fire safety inspections

9 fire safety citations on file: 2 on November 7, 2024, 4 on October 21, 2021, 3 on February 28, 2019.

Every fire safety citation9 citations
  1. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · November 7, 2024 · Corrected (the home has a date of correction)
  2. E
    Have exits that are accessible at all times.
    K 271 · November 7, 2024 · Corrected (the home has a date of correction)
  3. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · October 21, 2021 · Corrected (the home has a date of correction)
  4. E
    Have an enclosure around a vertical opening shaft.
    K 311 · October 21, 2021 · Corrected (the home has a date of correction)
  5. E
    Provide properly protected cooking facilities.
    K 324 · October 21, 2021 · Corrected (the home has a date of correction)
  6. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · October 21, 2021 · Corrected (the home has a date of correction)
  7. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · February 28, 2019 · Corrected (the home has a date of correction)
  8. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · February 28, 2019 · Corrected (the home has a date of correction)
  9. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 28, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)3.873.693.86
Registered nurses0.630.640.69
All nursing staff on weekends3.363.283.42
Nurse aides2.20
Licensed practical nurses1.04
Nursing staff turnover (share who left in a year)49.3%48.7%45.8%
Registered nurse turnover41.7%43.9%42.9%
Administrators who left0

CMS expects 4.75 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.08 on weekdays and 3.36 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.89 in April to June 2025 to 3.87 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.870.634.083.36 0.0%0 of 90126
Oct to Dec 20254.050.684.323.37 0.0%0 of 92126
Jul to Sep 20253.920.714.193.24 0.0%0 of 92126
Apr to Jun 20253.890.694.223.06 0.0%0 of 91123
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Ohio, Jan to Mar 20263.640.603.803.244.6%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOhioUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
7.25.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.30.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.23.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.71.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.26.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.53.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.28.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.424.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.012.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.21.81.8

Owners and operators

Legal business name: HILLSPRING HEALTH CARE CENTER LLC. CMS links this home to Carespring, a group of 16 nursing homes averaging 4.1 stars overall.

NameRoleTypeShareSince
Carespring Health Care Holdings LP5% or greater direct ownership interestOrganization100%10/01/2013
Barry N Bortz 06042009 Tr5% or greater indirect ownership interestOrganization72%10/01/2013
Bortz Family Trust/Key Bank Trustee5% or greater indirect ownership interestOrganization9%10/01/2013
Eppers, David5% or greater indirect ownership interestIndividual15%02/28/2007
Bisel, DeborahW-2 managing employeeIndividual08/22/2022
Chirumbolo, ChristopherCorporate officerIndividual09/01/2016
Eppers, DavidCorporate officerIndividual10/01/2013
Carespring Health Care Management, LLCOperational/managerial controlOrganization02/28/2007

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on May 28, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on June 17, 2026: "Reasonably accommodate the needs and preferences of each resident."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on October 21, 2021: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on June 17, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."

Other nursing homes nearby

Ohio contacts for a concern about a nursing home

These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.

Common questions

What is Hillspring Health Care & Rehab's Medicare star rating?
CMS rates Hillspring Health Care & Rehab 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Hillspring Health Care & Rehab get at its last inspection?
2 health deficiencies at the standard inspection on November 7, 2024. The Ohio average is 10.5.
Has Hillspring Health Care & Rehab been fined?
CMS lists no fines in the last three years.
Does Hillspring Health Care & Rehab accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Hillspring Health Care & Rehab?
CMS lists 8 owners and managers, and links the home to Carespring. Legal business name: HILLSPRING HEALTH CARE CENTER LLC.

Sources

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