01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-11-19 | 2 | 2025-11-19 | 1 |
| Cycle 2 | 2023-04-27 | 10 | 2023-04-27 | 3 |
| Cycle 3 | 2020-02-13 | 0 | 2020-02-13 | 3 |
CMS CCN 3663012026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Heritagespring Healthcare Center Of West Chester
7235 Heritagespring Drive · West Chester, OH 45069 · Butler County
Certified beds144CMS provider file
Recent citation rows19current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
19 rows in the current release
2 rows carry G–L scope/severity codes; 2 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-11-19 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-11-21 · complaint2025-11-19 · HEALTHF0760Severity J · isolated immediate jeopardy
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Past Non-Compliance · 2025-05-15 · complaint2025-11-19 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-11-212025-04-25 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Past Non-Compliance · 2025-03-19 · complaint2024-11-25 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Past Non-Compliance · 2024-09-10 · complaint2024-11-25 · HEALTHF0684Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-12-17 · complaint2024-11-25 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2024-12-17 · complaint2024-11-25 · HEALTHF0711Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Correction field: Deficient, Provider has date of correction · 2024-12-17 · complaint2024-11-25 · HEALTHF0712Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Correction field: Deficient, Provider has date of correction · 2024-12-17 · complaint2024-11-25 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-12-17 · complaint2024-11-25 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-12-17 · complaint2023-04-27 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2023-05-172023-04-27 · FIREE0036Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Correction field: Deficient, Provider has date of correction · 2023-05-172023-04-27 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2023-05-052023-04-27 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2023-05-052023-04-27 · FIREK0521Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2023-05-172020-02-13 · FIREK0351Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2020-03-202020-02-13 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2020-03-202020-02-13 · FIREK0741Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2020-03-2003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-11-19 | Fine | $22,925 | 0 |
| 2024-11-25 | Fine | $17,820 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CARESPRING HEALTH CARE HOLDINGS LPOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 10/01/2013
- BARRY N BORTZ 06042009 TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST72% · since 10/01/2013
- BORTZ FAMILY TRUST/KEY BANK TRUSTEEOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST9% · since 10/01/2013
- EPPERS, DAVIDIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST15% · since 07/13/2010
- MCGILL, EMILYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 11/19/2023
- CHIRUMBOLO, CHRISTOPHERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/01/2016
- EPPERS, DAVIDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/13/2010
- CARESPRING HEALTH CARE MANAGEMENT, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/28/2007
- CARESPRING LEASING, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/2007
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.05per resident day
RN hours0.79per resident day
Weekend nurse hours3.53per resident day
Staff turnover63.5%CMS reported field
06 / LOCAL RECORDS
Open the West Chester ledger →