Otterbein North Shore
9400 North Shore Blvd, Lakeside, OH 43440 · Non profit - Corporation · 20 certified beds · (419) 798-8203 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (5/5)
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (21) — 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 | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 5 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 | 4 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 5 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 | 7.1% | 5.3% | 15.4% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who lose too much weight | 6.2% | 6.2% | 5.4% | worse |
| 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 | 0.0% | 0.4% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 3.0% | 30.1% | 6.5% | better 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 | 2.5% | 3.2% | 3.3% | better |
| Long-stay residents on antianxiety or hypnotic medication | 62.5% | 25.5% | 18.9% | check this† — see note marked dagger below the table |
| Long-stay residents with pressure ulcers | 2.7% | 3.4% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 25.4% | 21.4% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 29.0% | 8.8% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 1.2% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 85.9% | 75.6% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 23.1% | 24.9% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 16.0% | 12.9% | 12.0% | worse |
† This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. Weigh it against the inspection record above.
‡ 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.
61.6% 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 99 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 71.4% 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 42 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 0.77 therapist hours per resident per day in 2026Q1 — more than 94% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 10% 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 | 61.6%CMS range 54.2–70.0 | 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 | 12.5%CMS range 9.3–17.2 | 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 | 71.4% | 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 | 69.0% | 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 | 61.9% | 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 | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this 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 | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 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 | 0.0% | 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 | 5.4%CMS range 2.7–9.5 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.03 | 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 20 beds and averages 19.1 residents a day — about 96% occupied, or roughly 1 bed typically open. It runs essentially full — expect a waiting list. 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 4.80 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.70 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.04 is at or above 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 4.35 hrs/resident/day on weekends vs 4.98 on weekdays — 13% thinner on weekends. RN hours go from 1.88 to 1.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 53% is about the same as the national median of 45%.
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 fewer than at the previous inspection — improving. 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.
21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.
- Potential for harm · D2026-03-27 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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, review of the nurse and staff report sheet, staff interview, and review of the facility policy the facility failed to ensure correct advanced directives were in the medical chart and on the nurse and staff report sheet. This affected one (Resident #7) of one resident reviewed for advanced directives. The facility census was 19.Findings include:Review of the medical record for Resident #7 revealed an admission on [DATE]. Diagnoses included unspecified dementia, hypothyroidism, and major depressive disorder.Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #7 had impaired cognition. Further review of the MDS revealed Resident #7 required supervision or touching assistance with activities of daily living (ADL). Review of the care plan dated 08/20/25 revealed Resident #7 had a code status of Do Not Resuscitate Comfort Care (DNRCC). Interventions included reviewing Resident #7's overall goals for care and importance of comfort and quality of life regardless…
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 · D2026-03-27 · 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 review of the medical record, staff interview, and policy review, the facility failed to notify the physician and resident representative of changes in condition. This affected one (#26) of one resident reviewed for change in condition. The facility census was 19.Findings include: Review of the medical record for Resident #26 revealed an admission date of 02/13/26 and a discharge date of 02/23/26. Diagnoses included type two diabetes mellitus with hyperglycemia, chronic kidney disease, hypertension, and hypokalemia. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had severe cognitive impairment. The resident was dependent on staff for activities of daily living. Review of the nursing notes dated 02/13/26 at 9:21 P.M. revealed the resident arrived from the hospital. Per the hospital report the resident had chronically elevated blood pressure with the systolic blood pressure as high as the 190's. The residents' medications were reviewed with the on-call provider. Review…
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 · D2026-03-27 · 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 review of the medical record, interview, and policy review, the facility failed to ensure skin breakdown was timely identified and reported. Additionally, the facility failed to ensure weekly wound evaluations and weekly skin assessments were completed. This affected one (#4) of one resident reviewed for pressure ulcers. The facility identified three residents with pressure ulcers. The facility census was 19.Findings include:Review of the medical record for Resident #4 revealed an admission date of 03/27/25. Diagnoses included Alzheimer's disease, osteoarthritis, hypertension, and anxiety disorder. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had severe cognitive impairment. The resident was at risk for skin breakdown and had a stage three pressure ulcer. The resident was frequently incontinent of bladder and occasionally incontinent of bowel. The resident was dependent on staff for toileting and required substantial/maximal assistance for bed mobility and…
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 · D2026-03-27 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
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, medical record review, and staff interview, the facility failed to ensure nutritional supplements were provided as ordered. This affected two (#11,14) of four residents reviewed for nutrition. The facility identified 16 residents as receiving nutritional supplements. The facility census was 19.Findings include:1. Review of the medical record for Resident #11 revealed an admission on [DATE]. Diagnoses included unspecified dementia, major depressive disorder, and dysphagia. Review of the annual Minimum Data Set (MDS) dated [DATE] revealed Resident #11 had severe cognitive impairment. Further review of the MDS revealed Resident #11 was dependent on staff for feeding assistance. Review of the care plan dated 09/27/24 revealed Resident #11 was at risk for malnutrition related to inability to feed self. Interventions included providing feeding assistance, and staff were to feed the resident all meals and snacks. Further review of the care plan dated 07/16/20 revealed Resident #11 had an activity…
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 · D2026-03-27 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 review of the medical record, staff interview, and policy review, the facility failed to ensure residents were administered medications per physician orders. This affected three (#26, #27, #13) of five residents reviewed for medication administration. The facility census was 19.Findings include:1. Review of the medical record for Resident #26 revealed an admission date of 02/13/26 and a discharge date of 02/23/26. Diagnoses included type two diabetes mellitus with hyperglycemia, chronic kidney disease, hypertension, and hypokalemia. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had severe cognitive impairment. The resident was dependent on staff for activities of daily living. Review of the nursing notes dated 02/13/26 at 9:21 P.M. revealed the resident arrived from the hospital. Per the hospital report the resident had chronically elevated blood pressure with the systolic blood pressure as high as the 190's. The residents' medications were reviewed with the on-call…
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 · D2026-03-27 · 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 review of the medical record, staff interview, and policy review, the facility failed to ensure residents were free of significant medications errors. This affected three (#26, #27, #13) of five residents reviewed for medication administration. The facility census was 19.Findings include:1. Review of the medical record for Resident #26 revealed an admission date of 02/13/26 and a discharge date of 02/23/26. Diagnoses included type two diabetes mellitus with hyperglycemia, chronic kidney disease, hypertension, and hypokalemia. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had severe cognitive impairment. The resident was dependent on staff for activities of daily living. Review of the nursing notes dated 02/13/26 at 9:21 P.M. revealed the resident arrived from the hospital. Per the hospital report the resident had chronically elevated blood pressure with the systolic blood pressure as high as the 190's. The residents' medications were reviewed with the on-call…
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 before2026-03-27 · 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 observation, medical record review, staff interview, and review of the facility policy the facility failed to ensure proper personal protective equipment (PPE) was worn during care for a resident on enhanced barrier precautions (EBP). This affected one (Resident #18) resident reviewed for EBP. The facility identified four residents on EBP precautions. The census was 19.Findings include:Review of the medical record for Resident #18 revealed an admission on [DATE]. Diagnoses included Alzheimer's Disease, unspecified protein-calorie malnutrition, and occlusion and stenosis of unspecified carotid artery. Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #18 had impaired cognition. Further review of the MDS revealed Resident #18 had a pressure ulcer dressing. Review of the care plan dated 02/18/26 revealed Resident #18 had an actual unstable wound to the coccyx. Resident #18 was at risk for further skin breakdown related to impaired mobility and incontinence. Interventions…
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 · D2025-09-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 interviews, and review of the manufacturer's instructions for the facility's mechanical lift, the facility failed to ensure resident safety when using the mechanical lift for transfers. This affected one (Resident #501) of two residents reviewed for the use of mechanical lifts. The facility census was 15.Findings include: Review of the medical record for Resident #501 revealed she was admitted on [DATE] with diagnoses including macular degeneration, dementia, osteoporosis, arthropathy, abnormalities of gait and mobility, and muscle weakness. Review of the quarterly Minimum Data Set 3.0 (MDS) assessment dated [DATE] revealed Resident #501 was unable to speak, had severe cognitive impairment and was staff dependent for all care and transfers. Review of the care plan dated 04/14/25 revealed Resident #501 required the use of a mechanical lift with the assistance of two staff members for all transfers. Observation of Certified Nursing Assistant (CNA) #106 on 09/22/25…
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 · F2025-04-17 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and review of the facility policies, the facility failed to ensure food items were stored, labeled and dated and ensure refrigerators and freezers did not contain expired food items. This had the potential to affect all 17 residents who received food from the facility kitchens. The facility census was 17. Findings include: 1. Observation on 04/14/25 beginning at 7:37 A.M. of refrigerators and freezers located in the Cornerstone Cottage with Certified Nursing Assistant (CNA) #303 revealed the following findings and CNA #303 verified the below findings: - One unlabeled container of fruit cocktail which expired on 04/12/25. - One unlabeled container which contained an unknown white substance and expired on 04/12/25. - One unlabeled and undated container which contained an unknown white substance. - One unlabeled and undated container which contained an unknown brown substance. - One unlabeled and undated bowl, which contained several pastries. - One unlabeled and undated…
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 · D2025-04-17 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each 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, observations, and staff interviews, the facility failed to ensure the call lights were within the resident's reach. This affected one (Resident #1) of one resident reviewed for call lights. The facility census was 17. Findings include: Medical record review revealed Resident #1 was admitted on [DATE]. Diagnoses included Alzheimer's disease, osteoporosis, osteoarthritis, hyperlipidemia, heart failure, and anxiety. Review of the quarterly Minimum Data Set 3.0 (MDS) assessment dated [DATE] revealed Resident #1 was severely cognitively impaired, used a wheelchair, and required moderate assistance with dressing, personal hygiene, toileting, showering, and transferring. Observation on 04/14/25 at 11:09 A.M. revealed Resident #1 was in her room lying in bed and did not have a call light pendant within reach. Interview on 04/14/25 at 11:15 A.M. with Wellness Director #310 confirmed Resident #1 did not have a call light pendant within reach. Observation on 04/16/25 at 8:30 A.M. during…
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 11 citations
- Potential for harm · D2025-04-17 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to develop a care plan for dehydration for a resident who was at risk and a history for dehydration. This affected one (Resident #2) of one resident reviewed for hospitalization. The facility census was 17. Findings include: Review of the medical record for Resident #2 revealed an admission date of 06/09/24. Diagnoses included dementia and dysphagia. Her physician orders included a puree diet with mildly thickened liquids. Review of the annual Minimum Data Set 3.0 (MDS) assessment dated [DATE] revealed Resident #2 had severe cognitive impairment and was dependent on staff for feeding. Review of Resident #2's hospital discharge orders dated 03/10/25 revealed a diagnosis of dehydration and orders for one to one and a half liters of water intake daily. Review of the comprehensive care plan dated 04/14/25 for Resident #2 revealed no goals or interventions for the prevention of dehydration. Interview on 04/16/25 at 1:13 P.M. with Registered Nurse…
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 · D2025-04-17 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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 and staff interview, the facility failed to ensure a resident who was on a stool softener daily received the care and services related to absence of bowel movements for six days in a row. This affected one (Resident #6) of five residents reviewed for unnecessary medications. The facility census was 17. Findings include: Review of the medical record for Resident #6 revealed an admission date of 05/08/24. Diagnoses included dementia, generalized muscle weakness, thoracic disc degeneration, aphasia, and osteoporosis. Review of the quarterly Minimum Data Set 3.0 (MDS) assessment dated [DATE] revealed Resident #6 was severely cognitively impaired, continent of bowel, and required substantial to maximum assistance with toileting. Review of the physician orders dated 11/27/24 revealed an order for Docusate Sodium oral tablet 100 milligrams (mg) one tablet two times a day for constipation. Review of Resident #6's bowel and bladder elimination records revealed there were six days in a row…
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 before2025-04-17 · 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, and staff interviews, the facility failed ensure there was a policy and procedure and staff were in knowledgeable on reverse isolation the physician ordered due to the resident being immunocompromised (at increased risk for infection). This affected one (Resident #13) of one resident reviewed for reverse isolation. The facility census was 17. Findings include: Review of the medical record revealed Resident #13 was admitted to the facility on [DATE]. Diagnoses included pancytopenia, immunodeficiency due to drugs, and heart failure. Review of the admission Minimum Data Set assessment dated [DATE] revealed Resident #13 had a mild cognitive impairment and required assistance from staff for all activities of daily living. Review of the facsimile dated 03/24/25 revealed the physician responded to Resident #13's laboratory results that Resident #13 should be in reverse isolation. Review of Resident #13's nursing progress notes dated 03/24/25 revealed the resident had a…
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 · D2025-04-17 · tag F0883 — failed to offer flu and pneumonia vaccines — isolatedDevelop and implement policies and procedures for flu and pneumonia vaccinations.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, staff interviews, and review of facility policy, the facility failed to offer annual influenza immunizations to the residents during the 2024-2025 influenza season. This affected two (#1 and #6) of five residents reviewed for immunizations. The facility census was 17. Findings include: Review of the medical record for Resident #1 revealed an admission date of 07/12/22. There was no evidence that Resident #1 was offered an annual influenza immunization during the 2024-2025 influenza season. Review of the medical record for Resident #6 revealed an admission date of 05/08/24. There was no evidence that Resident #6 was offered an annual influenza immunization during the 2024-2025 influenza season. Interview on 04/17/25 at 3:45 P.M. with the Administrator and Director of Nursing (DON) confirmed annual influenza immunizations had not been offered to Resident#1 nor Resident #6 during the 2024-2025 influenza season. Review of the facility policy titled Influenza and Pneumococcal Immunization dated 06/19/19 revealed the facility would offer the influenza…
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 · F2024-06-17 · tag F0851 — widespreadElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on the review of the facility's Payroll-Based Journal (PBJ) Staffing Data Report, staffing schedule, staff time sheets, and staff interview, the facility failed to submit accurate information in the PBJ in the first quarter of 2024. This had the potential to affect all residents. The facility census was 17. Findings include: Review of the PBJ Staffing Data Report revealed the facility triggered for not having licensed nursing coverage 24 hours a day in the first quarter of 2024. The specific days identified were Monday 01/01/24, Friday 01/05/24, Saturday 01/06/24, Sunday 01/07/24, Sunday 01/19/24, Sunday 01/21/24, Monday 01/29/24, Saturday 02/03/24, Sunday 02/04/24, Friday 02/09/24, Saturday 02/10/24, Sunday 02/11/24, Saturday 02/17/24, Sunday 02/18/24, Friday 02/23/24, Saturday 03/02/24, and Sunday 03/17/24. Review of the staffing schedule for the 17 days noted in the PBJ as having insufficient nursing coverage revealed the staff on the floor did not match the information entered into the PBJ. For the days identified as deficient in the PBJ the actual nurse coverage ranged…
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 · D2024-06-17 · tag F0607 — failed to have anti-abuse policies — isolatedDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of the Self-Reported Incident (SRI), medical record review, staff interview and review of the facility policy, the facility failed to implement their policy and ensure staff accused of physical abuse were removed from the facility and put on leave during the investigation. This affected one (#10) of four residents reviewed for abuse. The facility census was 17. Findings include: Review of the medical record for Resident #10 revealed an admission date of 05/07/24. Diagnoses included symbolic disfunctions, edema, anxiety disorder, restlessness and agitation. Review of Resident #10's Minimum Data Set (MDS) assessment, dated 05/11/24, revealed Resident #10 was severely cognitively impaired. Resident #10 required maximum assistance with toilet use and parts of dressing. Resident #10 required moderate assistance with bathing. Resident #10 had delusions during the review period and displayed wandering behaviors one to three days during the review period. Review of Resident #10's care plan revised 05/29/24 revealed supports and interventions for self-care deficit, risk for…
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 · Ecited before2023-03-23 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, medical record review, staff interview, and review of facility policy, the facility failed to ensure a resident who was on contact isolation had proper signage posted and personal protective equipment available. This affected one (Resident #117) of one resident reviewed for transmission based precautions and had the potential to affect the other seven residents (#2, #12, #14, #118, #119, #120, and #121) who resided in the home. The facility census was 18. Findings include: Review of Resident #117's medical record revealed an admission date of 03/14/23. Diagnoses included esophageal cancer and clostridium difficile (C-Diff). Review of Resident #117's care plan revised 03/15/23 revealed supports and interventions for Resident #117 having a microbial infection related to being admitted with C-Diff. Interventions included isolation as ordered, educate on disease management, educate on infection control precautions, and on contact precautions with required hand washing, gloves, mask, and eye protection. Review of Resident #117's physician orders revealed an order…
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 · D2023-03-23 · tag F0693 — failed to provide proper feeding-tube care — isolatedEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, medical record review, staff interview, and review of facility policy, the facility failed to ensure a resident's tube feeding was administered at the rate ordered by the physician. This affected one (Resident #117) of one reviewed for tube feeding. The facility identified one resident who received tube feeding. The facility census was 18. Findings include: Review of Resident #117's medical record revealed an admission date of 03/14/23. Diagnoses included esophageal cancer, clostridium difficile (C-Diff), and anxiety disorder. Review of Resident #117's care plan revised 03/15/23 revealed supports and interventions for Resident #117 altered mental status, self-care deficit, and enteral feeding. Interventions for tube feeding included checking for residual, flush the gastric-tube with 30 cubic centimeters of water before and after each medication and keep the head of the bed at least 30 degrees. Review of Resident #117's physician orders dated 03/15/23 revealed an order for Isosource 1.5 at 80 milliliters (ml) per hour per day through the feeding tube. Start 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.
- No harm found · B2025-04-17 · tag F0575 — patternPost a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
What the surveyor found here — the official record, unedited, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and staff interview, the facility failed to ensure all required postings were displayed in the facility in a manner which was accessible to all residents. This affected all 10 (#1, #2, #5, #6, #8, #9, #10, #11, #171, and #172) residents who resided in the Cornerstone Cottage. The facility census was 17. Findings include: Observation upon arrival at the facility on 04/14/25 at approximately 7:30 A.M. revealed the facility was comprised of two houses, one being the Cornerstone Cottage and the other being the [NAME] House. Observation on 04/16/25 at approximately 10:12 A.M. of all facility common areas and hallways revealed there was no posted contact information for pertinent state agencies and advocacy groups, and no statement the residents may file a complaint with the State Survey Agency concerning suspected violations. Interview on 04/16/25 at 10:17 A.M. with the Administrator verified the Cornerstone Cottage did not have all required postings.
- No harm found · B2025-04-17 · tag F0732 — patternPost nurse staffing information every day.
What the surveyor found here — the official record, unedited, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and staff interview, the facility failed to ensure nurse staffing information was posted as required. This affected all 10 (#1, #2, #5, #6, #8, #9, #10, #11, #171, and #172) residents who resided in the Cornerstone Cottage. The facility census was 17. Findings include: Observation upon arrival at the facility on 04/14/25 at approximately 7:30 A.M. revealed the facility was comprised of two houses, one being the Cornerstone Cottage and the other being the [NAME] House. Observation on 04/16/25 at approximately 10:12 A.M. of all facility common areas and hallways revealed there was no daily nurse staffing information posted in the Cornerstone Cottage. Interview on 04/16/25 at 10:17 A.M. with the Administrator verified there was no daily nurse staffing information posted in the Cornerstone Cottage.
- No harm found · C2023-03-23 · tag F0868 — widespreadHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of Quality Assurance (QA) meeting attendance records, staff interview and policy review, the facility failed to ensure required staff members were in attendance at the quarterly QA meetings. This had the potential to affect all 18 residing in the facility. Findings include: Review of the quarterly Quality Assurance (QA) meeting attendance records for the first quarter meeting held 03/15/22 and the second quarter meeting held on 06/15/22 revealed the meeting was attended by the Medical Director, Administrator, Director of Nursing/Infection Prevention Officer and the Social Worker. Further review revealed one of the required two additional staff members was not in attendance. Review of the quarterly (QA) meeting attendance record for the first quarter meeting held on 01/25/23 revealed the meeting was attended by the Administrator, Medical Director, Director of Nursing and the Certified Occupational Therapy Assistance. Further review revealed one of the required two additional staff members was also not in attendance. Interview on 03/23/23 at 8:28 A.M. with 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.
“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 | 5 of 5 | 3.2 | +1.8 vs chain |
| Health inspection | 4 of 5 | 3.0 | +1.0 vs chain |
| Staffing | 5 of 5 | 3.2 | +1.8 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 |
| BELL, KEB | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 01/01/2024 |
| FARIS, MARILYN | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 01/01/2020 |
| JOHNSON, BECKY | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 01/01/2023 |
| OCKE, SCOT | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 01/01/2024 |
| PALMER, ROBYN | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 01/01/2023 |
| PYTLIK, CAROLYN | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 01/01/2024 |
| SIBBRING, ELIZABETH | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 12/01/2021 |
| APP, LYNN | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL | — | since 07/01/2014 |
| GREEN, JAMES | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | — | since 11/21/2005 |
| MILLER, JASON | Individual | CORPORATE OFFICER | — | since 07/24/2014 |
| 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 |
| BARTLETT, VICTORIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 12/01/2021 |
| BAYLIFF, BECKY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 12/01/2021 |
| 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 |
| HAWKINS, RITA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 01/16/2006 |
| HAZELBAKER, TOMAS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 12/01/2021 |
| LENTHE, JENNIFER | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 08/10/2012 |
| PIERCE, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 12/01/2021 |
| 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 50 rows in the source record cover these 36 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 $202K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
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 366358. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-27, 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 →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.