OTTERBEIN PORTAGE VALLEY
20311 PEMBERVILLE RD
PEMBERVILLE, OH, 43450
4198337000
CCN: 365571
2
Overall3
Health1
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% |
| POWELL, ANGIE | CORPORATE DIRECTOR | NOT APPLICABLE |
| STEPHENSON, JOHN | 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 |
| BURKE, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| COLEMAN, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FRALEY, RALPH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GLOSSER, HEIDI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GREEN, JAMES | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HAZELBAKER, TOMAS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KIRKENDALL, JESSICA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PIERCE, JOHN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| VONDERHAAR, STEVE | 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 |
| BARTLETT, VICTORIA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BAYLIFF, BECKY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BROWNSON, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (30)
2025-06-18 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-03-04 · Health
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.
D
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
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-01-23 · Health
D
F551 · Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
2024-09-10 · Health
C
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-07-23 · Health
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
2024-05-30 · Health
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
2023-08-07 · Health
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
2023-03-29 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F773 · Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
D
F770 · Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
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
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.
2022-11-28 · Health
E
F919 · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
G
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
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2020-01-04 · Health
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
No data
3.68RN Hrs/Resident/Day
No data
0.54LPN Hrs/Resident/Day
No data
0.81CNA Hrs/Resident/Day
No data
2.33PT Hrs/Resident/Day
No data
0.12Data as of 2026-03-01