Indianspring of Oakley
4900 Babson Place, Cincinnati, OH 45227 · Hamilton County · (513) 561-2600
144 certified beds, about 134 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2009
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366380 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 1, 2025, inspectors cited 3 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 25 health citations since August 2019, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $17,345 in the last three years; the largest was $17,345, and the latest is dated July 1, 2025.
Nurses and nurse aides worked 3.70 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.97 of those hours.
63.0% 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.
1108/19
507/23
204/24
106/24
101/25
104/25
407/25
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 25 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
20D
1E
2F
Potential for minimal harm
0A
0B
0C
July 1, 2025Standard inspection, Complaint inspection · 4 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review, review of staff witness statements, review of hospital records, review of facility Interdisciplinary Team (IDT) fall follow-up notes, staff interview, review of online clinical resources per Medline Plus Medical Encyclopedia, and review of the facility policy, the facility staff failed to safely and properly position a resident in bed during incontinence care. Actual Harm occurred on 05/30/25 when Certified Nursing Assistant (CNA) #521 rolled Resident #108 who was in a raised bed away from the aide and onto the floor, resulting in a right nondisplaced intertrochanteric hip fracture which required a hospital admission and subsequent surgical repair of the right hip fracture on 06/02/25. This affected one (Resident #108) of three residents reviewed for falls. The facility census was 123 residents.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview and review of facility policy, the facility failed to ensure refrigerated food was maintained at or below 41 degrees Fahrenheit (F). This had the potential to affect 121 of 123 residents of the facility, excluding two facility-identified residents who received no food by mouth (NPO). The facility census was 123 residents.
- F Dispose of garbage and refuse properly.
Inspectors wroteBased on observation and staff interview, the facility failed to ensure garbage cans in the main kitchen were covered with lids. This had the potential to affect 121 of 123 residents of the facility, excluding two facility-identified residents who received no food by mouth (NPO). The facility census was 123 residents.
- D Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on medical record review, staff interview, interview with home health staff, and review of the facility policy, the facility failed to ensure appropriate information was communicated to resident family and home health provider upon discharge. This affected one (Resident #271) of three residents reviewed for discharge rights. The facility census was 123 residents.
April 28, 2025Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview with staff and emergency services provider (EMT), review of resident medical records, hospital records, emergency services (EMS) reports, and manufacturer guidelines, the facility failed to ensure Resident #109 was safely assisted with personal care to prevent a fall with injury and failed to thoroughly investigate the fall. This affected one (Resident #109) of five residents reviewed for accidents.
January 15, 2025Complaint inspection · 1 citation
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on medical record review, observations, staff interviews, and review of manufacturer's instructions, the facility failed to ensure staff prime an insulin pen prior to administration. This affected one (#11) out of three reviewed for medication administration. The facility census was 110.
June 4, 2024Complaint inspection · 1 citation
- D 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.
Inspectors wroteBased on observation, resident and staff interview, medical record review, and policy review, the facility failed to ensure medications were stored in a safe and secure manner. This affected one (#4) of four residents observed for medications. The facility census was 98.
April 18, 2024Complaint inspection · 2 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review, observation, staff interview, review of facility policy, and review of guidelines from the National Pressure Ulcer Advisory Panel (NPUAP), the facility failed to adequately assess and monitor a resident's skin which resulted in Actual Harm for Resident #20 who was admitted to the facility without pressure ulcers and developed a stage three pressure ulcer (a full thickness skin break into the subcutaneous tissue which did not go into muscle or bone) to the right ischium which was not identified until it had reached an advanced stage. This affected one (Resident #20) of three residents reviewed for pressure ulcers. The facility census was 113.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on medical record review, observation, staff interview, and review of the facility policy, the facility failed to implement nutritional interventions for a resident with significant weight loss in a timely manner. This affected one (Resident #20) of three residents reviewed for weight loss. The facility census was 113.
July 13, 2023Standard inspection · 5 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on record review, observation, staff interview, and policy review, the facility failed to ensure food was prepared in a manner to prevent potential contamination and spread of foodborne illness. This had the potential to affect all eight residents (#2, #3, #33, #37, #50, #53, #60, and #82) who received a pureed diet. The facility census was 113.
- D 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.
Inspectors wroteBased on observations, resident and staff interview, and record review, the facility failed to maintain Resident #62's room in a clean manner. This affected one (Resident #62) of six residents reviewed for homelike environment. The facility census was 113.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure orders from a wound clinic were implemented and followed for a resident with multiple diabetic wounds. This affected one (#70) of one resident reviewed for diabetic ulcers. The facility census was 113.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure a new unstageable pressure ulcer (slough and/or eschar: known but not stageable due to coverage of wound bed by slough and/or eschar) was measured upon identification. This affected one (#13) of four residents reviewed for pressure ulcers. The facility identified nine residents with pressure ulcers. The facility census was 113.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review, observations, staff interviews, and policy review, the facility failed to ensure the residents who were at risk for falling had their care-planned and/or physician ordered fall interventions in place. This affected three (#13, #42, and #62) of five residents reviewed for falls. The facility census was 113.
August 15, 2019Standard inspection · 11 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review, resident and staff interview, review of Self-Reported Incidents, and review of facility policy, the facility failed to report allegations of verbal, sexual and physical abuse to the Survey State Agency, the Ohio Department of Health (ODH). This affected three (Residents #58, #76 and #106) of five residents reviewed for abuse. The facility census was 134.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record review, resident and staff interview and review of facility policy, the facility failed to thoroughly investigate allegations of verbal, sexual and physical abuse to the Ohio Department of Health (ODH). This affected three (Residents #58, #76 and #106) of five residents reviewed for abuse. The census was 134.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review and staff interviews, the facility failed to ensure pressure reduction devices were in place. This affected one (Resident #94) of four reviewed for pressure injury. The facility identified all 134 residents residing in the facility were receiving preventative skin care.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, observations, and staff interviews, the facility failed to use safety device equipment as care planned to prevent falls. This affected two (Residents #58 and #94) of five residents reviewed for falls. The in-house facility census was 134.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on record review, observation and staff interview, the facility failed to label resident oxygen tubing and humidification bottles with the date it was initiated. This affected one (Resident #92) of three residents reviewed for respiratory care. The facility identified 38 residents on oxygen use. The facility census was 134.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review, dialysis staff interview and resident and staff interview, the facility failed to assess the resident's weight before providing peritoneal dialysis and failed to ensure medication was given per physician's order. This affected one (Resident #9) of one resident reviewed for peritoneal dialysis. The facility identified 10 residents on dialysis services.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and staff interview, the facility failed to administer physician ordered intravenous antibiotics. This affected one (Resident #71) of three residents reviewed for infections and had potential to affect three residents the facility identified as receiving intravenous antibiotics. The facility census was 134.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on record review, staff interview and facility policy review, the facility failed to provide a stop date on psychotropic medications. This affected two (Resident #45 and #90) of seven residents reviewed for unnecessary medications. The facility in-house census was 134.
- D 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.
Inspectors wroteBased on record review, observation, staff interview, and review of facility policy, the facility failed to discard expired medications and failed to appropriately store medications regarding refrigeration. This affected three of four medication carts observed. The facility had eight medication carts. This affected three residents (Residents #57, #90 and #320) observed to have expired and/or improperly stored medications stored in the medication carts. The facility census was 134.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on record review, observation, and resident and staff interview, the facility failed to offer and arrange for dental consultation for one (Resident #45) of four residents reviewed for dental concerns. The facility census was 134.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review and staff interview, the facility failed to follow infection control measures for a resident's urinary catheter. This affected one (Resident #94) of three residents reviewed for urinary catheters. The facility identified three residents with urinary catheters.
Fire safety inspections
13 fire safety citations on file: 3 on July 1, 2025, 7 on July 13, 2023, 3 on August 15, 2019.
Every fire safety citation13 citations
- F Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- C Meet the requirements of an integrated health system.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have proper medical gas storage and administration areas.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 1, 2025 | Fine | $17,345 |
| April 18, 2024 | Payment Denial | 20 days from May 16, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.70 | 3.69 | 3.86 |
| Registered nurses | 0.97 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.40 | 3.28 | 3.42 |
| Nurse aides | 2.13 | ||
| Licensed practical nurses | 0.60 | ||
| Nursing staff turnover (share who left in a year) | 63.0% | 48.7% | 45.8% |
| Registered nurse turnover | 54.5% | 43.9% | 42.9% |
| Administrators who left | 2 |
CMS expects 4.91 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 3.83 on weekdays and 3.40 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.98 in April to June 2025 to 3.70 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.70 | 0.97 | 3.83 | 3.40 | 2.1% | 0 of 90 | 134 |
| Oct to Dec 2025 | 3.76 | 0.85 | 3.94 | 3.31 | 1.8% | 0 of 92 | 131 |
| Jul to Sep 2025 | 3.76 | 0.61 | 3.96 | 3.26 | 1.8% | 0 of 92 | 126 |
| Apr to Jun 2025 | 3.98 | 0.64 | 4.18 | 3.49 | 2.2% | 0 of 91 | 116 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 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.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 3.0 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.8 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.6 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.1 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.8 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.1 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.2 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.8 | 1.8 |
Owners and operators
Legal business name: INDIANSPRING HEALTH CARE CENTER, LLC. CMS links this home to Carespring, a group of 16 nursing homes averaging 4.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Carespring Health Care Holdings LP | 5% or greater direct ownership interest | Organization | 100% | 10/01/2013 |
| Barry N Bortz 06042009 Tr | 5% or greater indirect ownership interest | Organization | 72% | 10/01/2013 |
| Bortz Family Trust/Key Bank Trustee | 5% or greater indirect ownership interest | Organization | 9% | 10/01/2013 |
| Eppers, David | 5% or greater indirect ownership interest | Individual | 15% | 10/01/2013 |
| Gendelman, Arthur | W-2 managing employee | Individual | 01/01/2024 | |
| Homan, Ross | W-2 managing employee | Individual | 10/26/2023 | |
| Chirumbolo, Christopher | Corporate officer | Individual | 09/01/2016 | |
| Eppers, David | Corporate officer | Individual | 08/01/2012 | |
| Carespring Health Care Management, LLC | Operational/managerial control | Organization | 09/01/2009 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on July 1, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on January 15, 2025: "Ensure that residents are free from significant medication errors."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on July 1, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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 July 1, 2025: "Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge."
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- St. Theresa Care Center Cincinnati, 0.5 mi · 2 of 5 stars · 36 citations
- Ayden Healthcare of Madeira Cincinnati, 1.5 mi · 1 of 5 stars · 79 citations
- Deupree Cottages Cincinnati, 2 mi · 5 of 5 stars · 13 citations
- Arc at Cincinnati Cincinnati, 2 mi · 1 of 5 stars · 87 citations
- Madeira Healthcare Center Cincinnati, 2.4 mi · 4 of 5 stars · 34 citations
- Astoria Place of Silverton Cincinnati, 3.2 mi · 2 of 5 stars · 49 citations
- Pleasant Ridge Healthcare Center Cincinnati, 3.4 mi · 4 of 5 stars · 44 citations
- Kenwood Terrace Healthcare Center Cincinnati, 3.6 mi · 4 of 5 stars · 51 citations
Ohio contacts for a concern about a nursing home
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Ohio Department of Health, Nursing Homes and Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Ohio Office of the State Long-Term Care Ombudsman, 1-800-282-1206. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Ohio Long-Term Care Quality Navigator (Ohio Department of Aging), where Ohio publishes its own records on licensed homes.
Common questions
- What is Indianspring of Oakley's Medicare star rating?
- CMS rates Indianspring of Oakley 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Indianspring of Oakley get at its last inspection?
- 3 health deficiencies at the standard inspection on July 1, 2025. The Ohio average is 10.5.
- Has Indianspring of Oakley been fined?
- Yes. CMS lists 1 fine totaling $17,345 in the last three years.
- Does Indianspring of Oakley 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 Indianspring of Oakley?
- CMS lists 9 owners and managers, and links the home to Carespring. Legal business name: INDIANSPRING HEALTH CARE CENTER, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.