OTTERBEIN ST MARYS RETIREMENT COMMUNITY
11230 STATE ROUTE 364
ST MARYS, OH, 45885
4193946330
CCN: 365953
4
Overall4
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% |
| MEDAUGH, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| VONDERHAAR, STEVE | CORPORATE DIRECTOR | NOT APPLICABLE |
| SLAVIK, BRUCE | CORPORATE DIRECTOR | NOT APPLICABLE |
| WILSON, JILL | CORPORATE OFFICER | NOT APPLICABLE |
| GREEN, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| BROWNSON, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | 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 |
| HAWKINS, RITA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HAZELBAKER, TOMAS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HUNTER, RACHEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MEDAUGH, JOHN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SIBERT, TARA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SLAVIK, BRUCE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| VONDERHAAR, STEVE | 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 |
| BAYLIFF, BECKY | OPERATIONAL/MANAGERIAL CONTROL | NOT 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/Day3.68
3.75
RN Hrs/Resident/Day0.54
0.65
LPN Hrs/Resident/Day0.81
0.95
CNA Hrs/Resident/Day2.33
2.15
PT Hrs/Resident/Day0.12
0.06
Data as of 2026-03-01