Indianspring of Oakley
Strong Medicare quality ratings; families often praise modern, clean, and well-maintained facility. Still worth an in-person visit.
based on 113 Google reviews
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What this means for your family
While the facility is physically beautiful and the therapy team is highly regarded, the recurring reports of neglect and unresponsive staff are critical red flags. If you choose to tour, do not be swayed by the modern building; instead, insist on seeing the staffing ratios for the specific unit your loved one would occupy and ask for a clear plan on how call lights are monitored.
Google Reviews
Google Reviews
113 reviews on Google“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
Tap a score for detailsStrengths
- Modern, clean, and well-maintained facility
- Effective and professional admissions team
- Strong, dedicated physical therapy department
- Helpful and friendly administrative staff
Concerns
- Neglect of basic hygiene (residents left in urine/feces) (mentioned by 10 reviewers)
- Unresponsive or ignored call lights (mentioned by 9 reviewers)
- Chronic understaffing (mentioned by 8 reviewers)
- Unprofessional or rude staff behavior (mentioned by 7 reviewers)
- Poor communication and difficulty reaching management (mentioned by 6 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 102 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1Given that staffing levels are a priority for quality care, could you walk us through your current staffing ratios and how you ensure residents receive timely assistance when using their call lights?
- 2I noticed that hygiene and personal care are very important to our family; what specific protocols do you have in place to ensure residents receive consistent and dignified assistance with daily hygiene needs?
- 3I appreciate how active your team is in responding to online feedback; how do you utilize that communication loop to address concerns regarding medication management and resident care?
- 4Since physical therapy is a noted strength here, how do you integrate those therapy services into the daily routine for residents who need extra support?
- 5What steps are being taken to improve the consistency of communication between the nursing staff and family members regarding changes in a resident's health status?
- 6How do you handle medical emergencies or urgent health changes during evening and weekend hours when administrative staff may be off-site?
Personalized based on this facility's data
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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
4
measures
5
measures
Residents whose bladder or bowel control got worse
Residents whose walking got worse
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 on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
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
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.
Jul 1, 2025Routine5
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Jul 1, 2025Complaint2
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.
Apr 28, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 15, 2025Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Jun 4, 2024Complaint1
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.
Apr 18, 2024Complaint2
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
Ownership & Operations
Who Operates This Facility
Indianspring of Oakley
for profit
Chain Affiliation
Carespring
16 facilities nationwide
Chain avg rating: 4.2/5 · Rank 13 of 16
Ownership & Management
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
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
113 reviews from families & visitors
Official Website
Visit carespring.com
Medicare data downloads
Original nursing home datasets
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