OTTERBEIN-CRIDERSVILLE

100 RED OAK DRIVE
CRIDERSVILLE, OH, 45806
4196455114
CCN: 366050
3
Overall
3
Health
3
Staffing
4
Quality
ChainOTTERBEIN SENIORLIFE
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
OTTERBEIN LSC, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
OTTERBEIN HOME5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
BONIFAS, BARBARACORPORATE DIRECTORNOT APPLICABLE
STEPHENSON, JOHNCORPORATE DIRECTORNOT APPLICABLE
MILLER, JASONCORPORATE DIRECTORNOT APPLICABLE
GREEN, JAMESCORPORATE DIRECTORNOT APPLICABLE
WILSON, JILLCORPORATE OFFICERNOT APPLICABLE
GREEN, JAMESCORPORATE OFFICERNOT APPLICABLE
HAWKINS, RITACORPORATE OFFICERNOT APPLICABLE
MILLER, JASONCORPORATE OFFICERNOT APPLICABLE
FRALEY, RALPHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GLOSSER, HEIDIOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GREEN, JAMESOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HANNA, SALIMOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HAZELBAKER, TOMASOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NICKLES, LANCEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
POWELL, ANGIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
VONDERHAAR, STEVEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BAYLIFF, REBECCAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BARTLETT, VICTORIAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
APP, LYNNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
OTTERBEIN HOMEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FUNCTIONAL PATHWAYS OF TENNESSEE LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BROWNSON, WILLIAMOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BURKE, DANIELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
COLEMAN, ROBERTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (22)
2025-11-26 · Health
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
2025-04-23 · 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.
F
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
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
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
F687 · Quality of Life and Care Deficiencies
Provide appropriate foot care.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2023-06-22 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
E
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F688 · Quality of Life and Care Deficiencies
Provide 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.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2021-05-24 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F806 · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F685 · Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.52
3.68
RN Hrs/Resident/Day
0.75
0.54
LPN Hrs/Resident/Day
0.68
0.81
CNA Hrs/Resident/Day
2.08
2.33
PT Hrs/Resident/Day
0.06
0.12
Data as of 2026-03-01