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OTTERBEIN SENIORLIFE

Ownership rollup across 20 nursing homes in 2 states: Indiana, Ohio. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.

Insights

The chain’s homes average 3.1 of 5 stars on the CMS overall rating — roughly in line with the ~3.1 average of the 2 states it operates in. It is also moving the wrong way: across the same 20 homes rated throughout, the average fell 0.25 stars between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.

20
Homes in this chain
1,344
Certified beds67 per home on average
88%
Occupied1,179 residents a day across 1,344 beds
-0.25
Star changeacross the 20 homes rated throughout · 2025-02 to 2026-06
2
States covered
3.1
Average CMS rating~3.1 in its states · ~3.0 nationally

Where the rating comes from

The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.

ComponentChain averageBasis
Health inspection3.0 of 520 rated homesstate surveyors’ findings, ranked within each state
Staffing3.1 of 520 rated homesfrom payroll (PBJ) hours
Quality measures4.1 of 520 rated homeslargely self-reported clinical data

Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.

Portfolio red flags

How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.

1 with immediate-jeopardy citations6 with federal fines

Follow the money — chain finances

Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.

$12.7M
Related-party expensesummed across 18 homes · FY2023 cost reports
8%
of operating expensegoes to related companies, across the 18 homes reporting both figures
-0.3%
Operating marginrevenue-weighted across 20 homes with a cost report
$160K
Total federal fines6 homes fined

Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.

Who pays — share of resident-days across this chain
Medicaid 31%Medicare 11%Other / private 58%

Weighted by each home’s average daily census, across the 19 of 20 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.

Every home in this chain

Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.

HomeCMS ratingFlags
Otterbein LovelandLoveland, OH 1 of 5
Otterbein GahannaGahanna, OH 2 of 5
Otterbein MonclovaMonclova, OH 2 of 5$47,171 fined
Otterbein New AlbanyNew Albany, OH 2 of 5$23,980 fined
Otterbein Sunset VillageSylvania, OH 2 of 5
Springmeade HealthcenterTipp City, OH 2 of 5
Otterbein Franklin Seniorlife Comm Res & Com CareFranklin, IN 3 of 5$21,825 fined
Avalon By Otterbein At PerrysburgPerrysburg, OH 3 of 5
Green Hills CenterWest Liberty, OH 3 of 51 immediate-jeopardy $16,801 fined
Otterbein At MainevilleMaineville, OH 3 of 5$43,514 fined
Otterbein Sunset HouseToledo, OH 3 of 5
Otterbein Union TownshipBatavia, OH 3 of 5$7,008 fined
Otterbein-CridersvilleCridersville, OH 3 of 5
Otterbein MiddletownFranklin, OH 4 of 5
Otterbein Portage ValleyPemberville, OH 4 of 5
Otterbein SpringboroCenterville, OH 4 of 5
Otterbein St Marys Retirement CommunitySt Marys, OH 4 of 5
Otterbein At GranvilleGranville, OH 5 of 5
Otterbein Lebanon Retirement CommunityLebanon, OH 5 of 5
Otterbein North ShoreLakeside, OH 5 of 5
Read this as a floor, not a verdict. CMS chain and ownership data is known to under-report private-equity and REIT ties, and a low chain average can hide strong individual homes (or vice-versa). Use it to know which questions to ask — then read each home’s actual inspection record and confirm current ownership with your state licensing agency.

Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.