OTTERBEIN ST MARYS RETIREMENT COMMUNITY

11230 STATE ROUTE 364
ST MARYS, OH, 45885
4193946330
CCN: 365953
4
Overall
4
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%
MEDAUGH, JOHNCORPORATE DIRECTORNOT APPLICABLE
VONDERHAAR, STEVECORPORATE DIRECTORNOT APPLICABLE
SLAVIK, BRUCECORPORATE DIRECTORNOT APPLICABLE
WILSON, JILLCORPORATE OFFICERNOT APPLICABLE
GREEN, JAMESCORPORATE OFFICERNOT APPLICABLE
BROWNSON, WILLIAMOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BURKE, DANIELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
COLEMAN, ROBERTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FRALEY, RALPHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GLOSSER, HEIDIOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GREEN, JAMESOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HAWKINS, RITAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HAZELBAKER, TOMASOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HUNTER, RACHELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MEDAUGH, JOHNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SIBERT, TARAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SLAVIK, BRUCEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
VONDERHAAR, STEVEOPERATIONAL/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
BAYLIFF, BECKYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (24)
2024-04-03 · Health
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-01-11 · Health
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.
2023-11-14 · Health
G
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
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.
2023-09-14 · Health
E
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
F849 · Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
2021-06-10 · Health
D
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
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
2019-02-21 · Health
F
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.
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
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
F578 · Resident Rights Deficiencies
Honor 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.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.75
3.68
RN Hrs/Resident/Day
0.65
0.54
LPN Hrs/Resident/Day
0.95
0.81
CNA Hrs/Resident/Day
2.15
2.33
PT Hrs/Resident/Day
0.06
0.12
Data as of 2026-03-01