Otterbein-Cridersville
100 Red Oak Drive, Cridersville, OH 45806 · Non profit - Corporation · 50 certified beds · (419) 645-5114 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- it has an abuse, neglect, or exploitation citation (F0600), cited Nov 2025
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 3.3% | 5.3% | 15.4% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who lose too much weight | 4.3% | 6.2% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.2% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.8% | 0.4% | 2.0% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 46.0% | 30.1% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 3.0% | 3.2% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 15.0% | 6.1% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 29.2% | 25.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 94.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.0% | 3.4% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 23.9% | 21.4% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 3.6% | 8.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.1% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 98.1% | 75.6% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 19.1% | 24.9% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 10.5% | 12.9% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 3.51 | 1.73 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.82 | 1.80 | 1.80 | typical |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
59.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 181 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 47.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 87 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.55 therapist hours per resident per day in 2026Q1 — more than 85% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 14% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 59.7%CMS range 51.6–65.8 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.9%CMS range 7.2–13.1 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 47.1% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 58.6% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 33.3% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.8% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.9% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.2%CMS range 4.3–10.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.91 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 50 beds and averages 44.6 residents a day — about 89% occupied, or roughly 5 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.74 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.68 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.26 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.36 hrs/resident/day on weekends vs 3.90 on weekdays — 14% thinner on weekends. RN hours go from 0.84 to 0.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%. 1 administrator has left in the past year.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.
- Potential for harm · D2025-11-26 · tag F0583 — failed to protect personal privacy — isolatedKeep residents' personal and medical records private and confidential.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, review of a facility self-reported incident (SRI), review of a witness statement, review of a police report, staff and resident interviews and policy review, the facility failed to ensure a resident's right to privacy was maintained. This affected one (#10) of three residents reviewed for privacy. The facility census was 48. Findings include: Review of medical record for Resident #10 revealed an admission date of 01/06/23. Diagnoses include chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), stoke and hemiparesis affecting the right dominant side. The resident remained at the facility. The annual Minimum Data Set (MDS) dated [DATE] revealed Resident #10 had a Brief Interview Mental Status (BIMS) score of nine out of 15 indicating impaired cognition. Resident #10 required set up for eating and maximum assistance with toileting…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-11-26 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, review of a facility self-reported incident (SRI), review of a witness statement, review of a police report, staff and resident interviews and policy review, the facility failed to ensure a resident was free from abuse. This affected one (#10) of three residents reviewed for privacy. The facility census was 48. Findings include: Review of medical record for Resident #10 revealed an admission date of 01/06/23. Diagnoses include chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), stoke and hemiparesis affecting the right dominant side. The resident remained at the facility. The annual Minimum Data Set (MDS) dated [DATE] revealed Resident #10 had a Brief Interview Mental Status (BIMS) score of nine out of 15 indicating impaired cognition. Resident #10 required set up for eating and maximum assistance with toileting hygiene, bed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2025-04-23 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interviews, review of dishwasher temperature logs and review of the dishwasher manual, the facility failed to ensure the dishwasher was washing and rinsing dishes at the proper temperatures to sanitize the dishes. This had the potential to affect all 44 residents residing in the facility. The facility census was 44. Findings include: Observation on 04/14/25 at 8:17 A.M. with Director of Culinary Services #324 revealed the main kitchen dishwasher rinse cycle was 176 degrees Fahrenheit (F). Interview on 04/14/25 at 8:17 A.M., at time of observation, with Director of Culinary Services #324 confirmed the dishwasher rinse cycle should be 180 degrees F. Observation on 04/14/25 at 8:19 A.M. with Director of Culinary Services #324 revealed the Long Term Care (LTC) area dishwasher wash cycle was 136 degrees F, and the rinse cycle was 188 degrees F. Observation on 04/14/25 at 8:20 A.M. with Director of Culinary Services #324 revealed the LTC area dishwasher wash cycle was 141 degrees F, and the rinse cycle was 191 degrees F. Interview on 04/14/25 at 8:20 A.M., at…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-04-23 · tag F0761 — failed to label and store drugs safely — patternEnsure 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, staff interview and policy review, the facility failed to ensure medication were stored securely and not at the bedside. Additionally, the facility also failed to ensure medication cart was securely locked when unattended on Rehab Hall. This affected three (#147, #22 and #38) of three residents reviewed for medication storage and had the potential to affect 13 (#20, #29, #41, #196, #197, #198, 199, #200, #201, #202, #203, #204, and #205) residents the facility identified as independently mobile and cognitively impaired. The facility census was 44. Findings include: 1. Medical record review for Resident #22 revealed an admission on [DATE] with diagnoses including but not limited to Parkinson disease, altered mental status, hypertension, and history of falling. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] for Resident #22 revealed a severely impaired cognition. Resident #22 required moderate to total assistance for activities of daily living.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-23 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview and review of the facility policy, the facility failed to ensure a resident was provided a dignified dining experience. This affected one resident (#197) of five residents observed in the rehab dining. The facility census was 44. Findings Include: Medical record review of Resident #197 revealed the resident was admitted [DATE] with diagnoses of rheumatoid arthritis, diabetes type two, chronic kidney disease, and angina. Review of Resident #197's Minimum Data Set (MDS) assessment, dated 04/10/25, revealed Resident #197 was cognitively intact, no psychological issues or behaviors, and was independent with Activities of Daily Living (ADLs). Further review of the medical record revealed blood glucose ordered to be taken before meals times, 8:00 A.M., 12:00 P.M., and 4:00 P.M Resident #197 was ordered Lantus SoloStar Subcutaneous Solution Pen-injector 100 unit/milliliter (ml) (Insulin Glargine), inject 40 units subcutaneous one time a day and HumaLOG KwikPen Subcutaneous Solution…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-23 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observations, staff interviews and policy review, the facility failed to timely implement treatment orders for a newly identified pressure ulcer. This affected one (#38) out of three reviewed for pressure ulcers. The facility census was 44. Findings include: Review of the medical record for Resident #38 revealed an admission on [DATE] with diagnoses including with traumatic subdural hemorrhage with loss of consciousness, cord compression, type two diabetes mellitus with diabetic polyneuropathy, pulmonary hypertension, chronic diastolic congestive heart failure. Review of the Minimum Data Set (MDS) assessment dated [DATE] for Resident #38 revealed the resident was cognitively intact. Resident #38 required supervision to maximum assist with activities of daily living. Resident #38 was coded at risk for pressure ulcer development. Resident #38 did not have any skin issues coded at the time of the assessment. Review of the plan of care for Resident #38 dated 03/03/25 revealed the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-23 · tag F0687 — failed to care for feet properly — isolatedProvide appropriate foot care.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, observation, and staff and resident interviews, the facility failed to ensure resident's toenails were adequately trimmed. This affected one (#01) of one resident reviewed for podiatrist visits. The facility census was 44. Findings include: Review of the medical record for Resident #01 revealed an admission date of 11/14/24 with medical diagnoses of cerebral infarction, diabetes mellitus, congestive heart failure, chronic kidney disease, and hypertension. Review of the medical record for Resident #01 revealed a quarterly Minimum Data Set (MDS) assessment, dated 04/02/25, which indicated Resident #01 had moderately impaired cognitive impairment and required partial/moderate staff assistance with toilet hygiene, supervision with bathing and transfers, and was independent with bed mobility. Review of the medical record for Resident #01 revealed no documentation to support Resident #01 was seen by podiatrist since admission to facility. Observation with interview on 04/14/25 at 10:56 A.M. of Resident #01 revealed toenails on bilateral feet to be long,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-23 · tag F0698 — failed to provide proper dialysis care — isolatedProvide safe, appropriate dialysis care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to perform post dialysis assessments. This affected one (#199) out of one resident reviewed for dialysis. The facility census was 44. Findings include: Review of the medical record for Resident #199 revealed an admission date of 03/01/25 with diagnoses of acute and chronic respiratory failure with hypoxia, chronic obstructive pulmonary disease, and end stage renal disease. Review of the Medicare 5-day Minimum Data Set (MDS) dated [DATE] revealed resident was cognitively intact. Resident required set-up assistance with eating and oral hygiene. Resident required partial assistance with ambulation up to 50 feet and resident required substantial assistance with toileting hygiene, bathing, dressing, bed mobility, and transfers. Resident also required hemodialysis. Review of the physician orders revealed an order dated 03/02/25 and 04/14/25 for Post Dialysis Form to be completed every Monday, Wednesday, and Friday. Review of the care plan dated 03/11/25…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-23 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review and staff interview, the facility failed to ensure a complete and accurate medical record. This affected one (#15) out of six residents reviewed for medication administration. The facility census was 44. Findings include: Review of the medical record for Resident #15 revealed an admission date of 08/09/22 with medical diagnoses of right hemiplegia following cerebral infarction, trichomoniasis, aphasia, diabetes mellitus, and anemia. Review of the medical record for Resident #15 revealed a quarterly Minimum Data Set (MDS) assessment, dated 04/10/25, which stated Resident #15 had modified independence with decision making skills and required substantial/maximum staff assistance for toilet hygiene, bathing, transfers and partial/moderate assistance for bed mobility. The MDS indicated Resident #15 received seven days of insulin injections. Review of the medical record for Resident #15 revealed a physician order dated 02/03/25 for glucagon (an emergency medication used to treat severe hypoglycemia or low blood sugar levels) emergency injection to inject one…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-04-23 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record reviews, observations, staff interviews and policy review, the facility staff failed to complete hand hygiene after resident contact and failed to wear proper Personal Protective Equipment (PPE) when providing resident care for a residents in Enhanced Barrier Precautions (EBP). This affected three (#2, #8 and #38) of four residents reviewed for the infection control. The facility census was 44. Findings include: 1. Review of the medical record for Resident #38 revealed an admission on [DATE] with diagnoses including with traumatic subdural hemorrhage with loss of consciousness, cord compression, type two diabetes mellitus with diabetic polyneuropathy, Pulmonary hypertension, chronic diastolic congestive heart failure. Review of the Minimum Data Set (MDS) assessment dated [DATE] for Resident #38 revealed resident was cognitively intact. Resident #38 required supervision to maximum assist with activities of daily living. Resident #38 was coded at risk for pressure ulcer development.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 12 citations
- Potential for harm · Fcited before2023-06-22 · tag F0880 — failed to prevent and control infections — widespreadProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, review of facility policies, and review of the Centers for Disease Control (CDC) guidance, the facility failed to have an appropriate Legionella water management program in place. This had the potential to affect all 38 residents in the facility. The census was 38. Findings include: Review of the facility's undated, Legionella Water Management for Legionella Risk Reduction, policy revealed the facility would do the following: • Implement a water management program that included control measures such as physical controls, temperature management, disinfectant level control, visual inspections, and environmental testing for pathogens. • Specify testing protocols and acceptable ranges for control measures and document the results of testing and corrective actions taken when control limits are not maintained. Interview on 6/22/23 at approximately 10:50 A.M. with Environmental Director #463 admitted he was unaware what the requirements were for the water management program and verified he had yet to do anything regarding water testing, flushing of empty rooms due…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-06-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, staff interview, and review of facility policy, the facility failed to ensure hot water was within appropriate parameters to potentially avoid burns. This had the potential to affect three residents (#15, #296, and #297) whose water supply shared the same water heater. In addition, the facility failed to ensure resident fall interventions were in place as ordered. This affected one resident (#32) of three reviewed for falls. The facility census was 38. Findings Include: Observation on 06/21/23 at approximately 9:52 A.M. revealed Former Resident #298's resident room revealed the resident bathroom sink temperature tempted at 130 degrees Fahrenheit. Interview on 06/21/23 at 10:00 A.M. with the Administrator verified Former Resident #298's resident bathroom sink water tempted at 130 degrees Fahrenheit. The Administrator stated there had been no reports of the water being too hot or burns/blisters that had resulted due to hot water. The Administrator notified staff to halt…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-06-22 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and review of the facility policy, the facility failed to ensure the physician was notified when a resident's medications were not available and not administered as ordered. This affected one resident (#34) of one reviewed for mood and behaviors. The facility census was 38. Findings include: Review of Resident #34's medical record revealed an admission date of 01/18/23. Diagnoses included alcohol induced dementia, adult failure to thrive, anxiety disorder, conduct disorder, and emphysema. Review of Resident #34's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of six, indicating he was severely cognitively impaired. Resident #34 required supervision set up only with bed mobility, transfer, and toilet use. Resident #34 required limited assistance with dressing and personal hygiene. Resident #34 displayed no behaviors during the review period. Resident #34 reported feeling down, depressed or hopeless two to six days…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-06-22 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interview, the facility failed to to ensure mobility positioning devices were in place as ordered. This affected one (Resident #18) of two residents reviewed for position and mobility. The facility census was 38. Findings Include: Review of the medical record for Resident #18 revealed an admission date of 04/26/23 with medical diagnoses including diabetes type II, urine retention, acute kidney failure, and pain in left and right leg. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #18 was cognitively intact and required extensive assistance for bed mobility, transfers, walking, dressing, personal hygiene, and toileting. Review of Resident #18's care plan dated 04/27/23 revealed a self-care deficit for impaired ability to perform or complete Activities of Daily Living (ADLs). Review of Resident #18's physician orders dated 04/26/23 revealed Resident #18 had a physician order for a bilateral positioning bar (bars for the bed to assist with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-06-22 · tag F0697 — failed to manage pain — isolatedProvide safe, appropriate pain management for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, resident interview, and staff interview, the facility failed to ensure a resident's pain was managed in a reasonable time. This affected one (Resident #295) of one resident reviewed for pain management. The facility census was 38. Findings include: Review of the medical record revealed Resident #295 was admitted on [DATE]. Diagnoses included type two diabetes mellitus with foot ulcer, non-pressure chronic ulcer of unspecified heel and midfoot with fat layer exposed, cellulitis of left lower lib, unspecified atrial fibrillation, unspecified systolic (congestive) heart failure, arthropathy, essential hypertension, major depressive disorder, hyperlipidemia, and hypothyroidism. Review of the care plan dated 06/14/23, revealed Resident #295 had the potential for pain with interventions including to monitor for pain characteristics and to notify the physician if interventions are unsuccessful or if the current complaint is a significant change from the resident's past experience of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-06-22 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and review of facility policy, the facility failed to ensure medications for sexualized behaviors were administered as ordered. This affected one resident (#34) of one reviewed for mood and behaviors. The facility census was 38. Findings Include: Review of Resident #34's medical record revealed an admission date of 01/18/23. Diagnoses included alcohol induced dementia, adult failure to thrive, anxiety disorder, conduct disorder, and emphysema. Review of Resident #34's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of six, indicating he was severely cognitively impaired. Resident #34 required supervision set up only with bed mobility, transfer, and toilet use. Resident #34 required limited assistance with dressing and personal hygiene. Resident #34 displayed no behaviors during the review period. Resident #34 reported feeling down, depressed or hopeless two to six days during the review period. Review of Resident #34's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2021-05-24 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, staff interviews and policy review, the facility failed to notify a physician when a resident had a fall. This affected one (#28) out of one resident reviewed for falls. The census was 35. Findings include: Review of medical record for Resident #28 revealed an admission date of 04/24/21 with diagnoses including transient cerebral ischemic attack, seizures, history of falling and anxiety. Resident #28 was alert and oriented to person, place, and time. Resident #28 was discharged from the hospital to the facility for rehabilitation services. Review of Resident #28's plan of care last updated on 04/26/21 confirmed she is a risk for falling. Staff are to ensure Resident #28 has her call light within reach and encourage her to use it, wear nonslip socks, and have a fall mat next to her bed while sleeping. Staff is to offer toileting and peri care upon rising, before and after meals, before bed and as needed. Review of Resident #28's nurses' progress notes from 04/29/21 to 05/08/21 revealed she experienced a fall on 05/07/21. At 1:00 A.M. Resident #28 was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-05-24 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, observation and resident and staff interviews, the facility failed to ensure residents plan of care reflected the residents use of hearing aids. This affected one (#9) out of one resident reviewed for vision and hearing. Facility census was 35. Findings include: Review of medical record for Resident #9 revealed a readmission date of 01/01/2021 with diagnoses including heart disease, chronic embolism, and thrombosis of deep veins of right lower extremity and depression. Review of Resident #9's Minimum Data Set (MDS) assessments dated 11/6/21, 02/05/21, and 03/10/21, specifically Section B indicated the resident has minimal hearing difficulties and has no hearing aids or other appliances. Review of Resident #9's plan of care last updated on 02/16/21 revealed the residents use of bilateral hearings aids was not part of the plan of care. On 05/17/21, at 8:40 A.M. interview and observation with Resident #9 revealed she has bilateral hearing aids but is not currently wearing them. On 05/18/21, at 2:05 P.M. an interview with MDS Coordinator #18 confirmed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-05-24 · tag F0685 — isolatedAssist a resident in gaining access to vision and hearing services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, observation and resident and staff interviews, the facility failed to ensure a resident was provided and/or assisted with her bilateral hearing aids each morning. This affected one (#9) out of one resident reviewed for vision and hearing. The census was 35. Findings include: Review of medical record for Resident #9 revealed a readmission date of 01/01/2021 with diagnoses including heart disease, chronic embolism, and thrombosis of deep veins of right lower extremity and depression. Review of Resident #9's Minimum Data Set (MDS) assessments dated 11/6/21, 02/05/21, and 03/10/21, specifically Section B indicated the resident has minimal hearing difficulties and has no hearing aids or other appliances. Review of Resident #9's plan of care last updated on 02/16/21 revealed the residents use of bilateral hearings aids was not part of the plan of care. On 05/17/21, at 8:40 A.M. an interview and observations with Resident #9 revealed she was not wearing her bilateral hearing aids. Resident #9 stated, A nurse or an aid are to bring them to me every morning…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2021-05-24 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interviews, review of incident report, and review of facility policies, the facility failed to ensure a resident received the correct medications when staff administered medications to the wrong resident resulting in significant medication errors. This affected one (#8) out of five reviewed for potential medication errors. The facilities census was 35. Findings included: Medical record review for Resident #8 revealed an admission dated of 07/18/20. Diagnoses included, Alzheimer's disease, dementia, high blood pressure, rheumatoid arthritis, anxiety disorder, hypothyroidism, and history of falling. Review of Resident #8's Minimum Data Set 3.0 (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of three out of 15, indicating Resident #8 was cognitively impaired. Review of Resident #8's progress notes revealed on 05/17/21, the resident was given her roommate's (Resident #6) medication due to Resident #8 responding to Resident #6's name.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-05-24 · tag F0806 — failed to honor food preferences — isolatedEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observations and staff interview, the facility failed to ensure a resident was not served and fed food listed as an allergy. This affected one (#5) out of one resident reviewed for nutrition. The facility's census was 35. Findings included: Medical record review for Resident #5 revealed an admission date of 09/19/20. Diagnoses included, Parkinson's disease, generalized anxiety disorder, major depressive disorder, hyperlipidemia, hypothyroidism, and syncope and collapse. Review Resident #5's Minimum Data Set 3.0 (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of three out of 15, indicating Resident #5 was cognitively impaired. Resident #5 required extensive assistance with eating. Review of Resident #5's allergies revealed the resident was allergic to apples, Benadryl, Cephalosporins, chicken, Doxycycline, Flagyl, milk, peanuts, and Penicillin's. Review of Resident #5's progress notes revealed on 01/25/21, Resident #5 ate apple pie for lunch…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2021-05-24 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observations, staff interviews, review of an electronic mail (e-mail) communication and policy review, the facility failed to ensure visitors followed proper infection control guidelines while visiting a resident who was quarantined to potentially prevent the spread of Coronavirus Disease 2019 (COVID-19). This affected one (#25) out of three residents reviewed who were quarantined. The census was 35. Findings include: Review of medical record for Resident #25 revealed the resident was originally admitted to the facility on [DATE]. Diagnoses include acute respiratory failure, chronic obstructive pulmonary disease, and chronic kidney disease stage 3. Resident #25 was discharged to the hospital on [DATE] for complaints of weakness and lower extremity swelling. Resident #25 was readmitted to the facility on [DATE]. Review of Resident #25's admission Minimum Data Set (MDS) assessment dated [DATE] revealed the resident to be cognitively intact with a brief interview for mental status…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to OTTERBEIN SENIORLIFE — 20 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 3.2 | -0.2 vs chain |
| Health inspection | 3 of 5 | 3.0 | ≈ chain avg |
| Staffing | 3 of 5 | 3.2 | -0.2 vs chain |
| Quality measures | 4 of 5 | 4.1 | ≈ chain avg |
The other 19 homes this chain runs (chain average 3.2★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| OTTERBEIN LSC, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 01/01/2016 |
| OTTERBEIN HOME | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | 100% | since 12/01/2021 |
| BONIFAS, BARBARA | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR; TRUSTEE OF THE SNF | — | since 12/01/2021 |
| DIRR, TONY | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 12/01/2024 |
| ELLERBROCK, ADAH | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 12/01/2024 |
| FRIED, NATHAN | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 12/01/2021 |
| KOCH, MARK | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 12/01/2024 |
| LOTZ, DAVE | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 12/01/2016 |
| MUZLESKI, CHARLOTTE | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 12/01/2021 |
| RADER, ANN | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 12/01/2024 |
| RANDALL, TIFFANY | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 12/01/2023 |
| SCHNEIDER, JOEL | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 01/01/2024 |
| SEESE, KAYE | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 12/01/2021 |
| WOLKE, JASON | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 01/01/2016 |
| GREEN, JAMES | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | — | since 11/21/2005 |
| MILLER, JASON | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 08/04/2014 |
| STEPHENSON, JOHN | Individual | CORPORATE DIRECTOR | — | since 08/09/1982 |
| HAWKINS, RITA | Individual | CORPORATE OFFICER | — | since 01/16/2006 |
| WILSON, JILL | Individual | CORPORATE OFFICER | — | since 05/01/2009 |
| FUNCTIONAL PATHWAYS OF TENNESSEE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/04/2025 |
| APP, LYNN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 12/01/2021 |
| BARTLETT, VICTORIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 12/01/2021 |
| BAYLIFF, REBECCA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 05/21/2012 |
| BROWNSON, WILLIAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 12/01/2021 |
| BURKE, DANIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 12/01/2021 |
| COLEMAN, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 12/01/2021 |
| FRALEY, RALPH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 12/01/2021 |
| GLOSSER, HEIDI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 12/01/2021 |
| HANNA, SALIM | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/01/2018 |
| HAZELBAKER, TOMAS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 12/01/2021 |
| NICKLES, LANCE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 09/15/2025 |
| POWELL, ANGIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 11/24/2014 |
| VONDERHAAR, STEVE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 12/01/2021 |
| BAKER, STEVE | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 04/04/2025 |
| GALBUT, ABRAHAM | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 04/04/2025 |
| GALBUT, DANIEL | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 04/06/2025 |
| GALBUT, DAVID | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 04/04/2025 |
| GALBUT, ERIC | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 04/06/2025 |
| GALBUT, ROBERT | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 04/04/2025 |
| PARITZKY, JONATHAN | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 04/04/2025 |
| ROMBRO, DAVID | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 04/04/2025 |
| ZISEK, TODD | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 04/04/2025 |
| POLARIS PHARMACY SERVICES OF OHIO LLC | Organization | ADP OF THE SNF | — | since 12/01/2018 |
CMS files one row per role, so the 64 rows in the source record cover these 43 parties — each is shown once here with every role it holds. Nothing is omitted.
4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $295K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in OH
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Ohio Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 366050. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-23, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
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