OTTERBEIN-CRIDERSVILLE
100 RED OAK DRIVE
CRIDERSVILLE, OH, 45806
4196455114
CCN: 366050
3
Overall3
Health3
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| OTTERBEIN LSC, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| OTTERBEIN HOME | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| BONIFAS, BARBARA | CORPORATE DIRECTOR | NOT APPLICABLE |
| STEPHENSON, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| MILLER, JASON | CORPORATE DIRECTOR | NOT APPLICABLE |
| GREEN, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| WILSON, JILL | CORPORATE OFFICER | NOT APPLICABLE |
| GREEN, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| HAWKINS, RITA | CORPORATE OFFICER | NOT APPLICABLE |
| MILLER, JASON | CORPORATE OFFICER | NOT APPLICABLE |
| FRALEY, RALPH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GLOSSER, HEIDI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GREEN, JAMES | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HANNA, SALIM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HAZELBAKER, TOMAS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NICKLES, LANCE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| POWELL, ANGIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| VONDERHAAR, STEVE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BAYLIFF, REBECCA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BARTLETT, VICTORIA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| APP, LYNN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| OTTERBEIN HOME | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FUNCTIONAL PATHWAYS OF TENNESSEE LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BROWNSON, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BURKE, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| COLEMAN, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | NOT 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/Day3.68
3.52
RN Hrs/Resident/Day0.54
0.75
LPN Hrs/Resident/Day0.81
0.68
CNA Hrs/Resident/Day2.33
2.08
PT Hrs/Resident/Day0.12
0.06
Data as of 2026-03-01