Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 111 Google reviews

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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
3 findings in latest survey
This facility has areas of concern that warrant careful consideration. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Indianspring of Oakley is a visually modern and clean facility that frequently receives praise for its admissions process and physical therapy team. However, it faces severe and recurring allegations of neglect, including reports of residents left in soiled conditions, unresponsive call lights, and inadequate staffing levels. Families considering this facility should be aware of the stark contrast between the building's appearance and the significant concerns regarding basic patient care and communication.
Quality Themes
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Concerns
Rating Trends
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Distribution · 102 analyzed
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Key Review Excerpts
“My Mother is in there . She has Dementia and can't walk. I visited her this morning and when I walked into her room she was laying in urine and feces. This wasn't just from once, her sheet was stained and her pants were soaked.”
“The physical therapy department is excellent. Regrettably, health care is sub par. They were supposed to check on my incisions, they said everything was fine, even though I was soaking wet with brown oozing fluids.”
“The Therapist worked miracles and got her up and walking again after being bed bound and on the verge of entering hospice. They kept my husband and I informed of any changes and supported us through some very difficult decisions.”
Total nursing hours are below the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
4
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents whose walking 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
Detailed Medicare record · up to 3-year lookback
Families have filed multiple complaints over several years, triggering 10 deficiencies at this facility. The most recurring problems involve accident prevention and safety, medication management, and pressure ulcer care. While all deficiencies show correction dates, the pattern of repeated issues in safety and accident prevention across multiple surveys from 2019 to 2025 suggests ongoing challenges in maintaining consistent care standards.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Construction Deficiencies
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Federal Penalties
Fine
Jul 1, 2025
$17,345
Payment Denial
Apr 18, 2024
20-day denial
Indianspring of Oakley
for profit
Carespring
16 facilities nationwide
Chain avg rating: 4.2/5 · Rank 13 of 16
Owners
Carespring Health Care Holdings Lp
Owner · Organization
Barry N Bortz 06042009 Tr
Owner (parent company) · Organization
Bortz Family Trust/key Bank Trustee
Owner (parent company) · Organization
Eppers, David
Owner (parent company)
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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