BIRCHAVEN RETIREMENT VILLAGE

15100 BIRCHAVEN LANE
FINDLAY, OH, 45840
4194243000
CCN: 365973
5
Overall
3
Health
5
Staffing
5
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
BLANCHARD VALLEY HEALTH SYSTEM5% OR GREATER DIRECT OWNERSHIP INTEREST100%
WEBB, ADELECORPORATE DIRECTORNOT APPLICABLE
POLDER, RICHARDCORPORATE DIRECTORNOT APPLICABLE
REINEKE, JOHNCORPORATE DIRECTORNOT APPLICABLE
SHRADER, JEFFERYCORPORATE DIRECTORNOT APPLICABLE
BROUGH, MICHAELCORPORATE DIRECTORNOT APPLICABLE
COSIANO, FRANKCORPORATE DIRECTORNOT APPLICABLE
DOWLING, JAMESCORPORATE DIRECTORNOT APPLICABLE
EDGINGTON, ANNETTECORPORATE DIRECTORNOT APPLICABLE
HOPKINS, WILLIAMCORPORATE DIRECTORNOT APPLICABLE
JONES, GINGERCORPORATE DIRECTORNOT APPLICABLE
KENNARD, DANCORPORATE DIRECTORNOT APPLICABLE
KROETZ, ELIZABETHCORPORATE DIRECTORNOT APPLICABLE
LAUSE, THOMASCORPORATE DIRECTORNOT APPLICABLE
LEWIS, MYRONCORPORATE DIRECTORNOT APPLICABLE
LONGO, JOSEPHCORPORATE DIRECTORNOT APPLICABLE
MALARKY, DONALDCORPORATE DIRECTORNOT APPLICABLE
OVERTON, KIRBYCORPORATE DIRECTORNOT APPLICABLE
CYTLAK, DAVIDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MANUEL, MICHAELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BISHOP-PIERCE, JUDITHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (24)
2025-01-09 · Health
E
F887 · Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F803 · Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F693 · Quality of Life and Care Deficiencies
Ensure 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.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F676 · Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2022-11-07 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
C
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F561 · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
2019-12-18 · Health
E
F920 · Environmental Deficiencies
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F809 · Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
E
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
F758 · Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
5.65
3.68
RN Hrs/Resident/Day
1.37
0.54
LPN Hrs/Resident/Day
0.66
0.81
CNA Hrs/Resident/Day
3.63
2.33
PT Hrs/Resident/Day
0.10
0.12
Data as of 2026-03-01