PARK VILLAGE HEALTH CARE CENTER INC

1525 CRATER AVENUE
DOVER, OH, 44622
3303644436
CCN: 366093
4
Overall
3
Health
4
Staffing
5
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (8)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
ANGEL HEALTH CARE, INC
1128a1
Excluded 2008-06-19
ANGEL HEALTH CARE, INC 2
1128b8
Excluded 2008-06-19
CHRIS-JEN HEALTHCARE, INC
1128b8
Excluded 2004-10-20
CROSS HEALTHCARE, INC
1128b8
Excluded 2004-10-20
DOVE HEALTHCARE, INC
1128b8
Excluded 2004-10-20
LAMB HEALTHCARE, INC
1128b8
Excluded 2004-10-20
LIFE HEALTHCARE, INC
1128b8
Excluded 2004-10-20
PRAISE HEALTHCARE, INC
1128b8
Excluded 2004-10-20
Ownership
NameRole%
ODONNELL, ROBERT5% OR GREATER DIRECT OWNERSHIP INTEREST49%
ODONNELL, THOMAS5% OR GREATER DIRECT OWNERSHIP INTEREST21%
ROBERT J. O'DONNELL IRREVOCABLE BUSINESS TRUST5% OR GREATER DIRECT OWNERSHIP INTEREST26%
ODONNELL, ROBERTCORPORATE DIRECTORNOT APPLICABLE
TUCKER, JEFFREYCORPORATE DIRECTORNOT APPLICABLE
TUCKER, JEFFREYCORPORATE OFFICERNOT APPLICABLE
ODONNELL, ROBERTCORPORATE OFFICERNOT APPLICABLE
ODONNELL, THOMASCORPORATE OFFICERNOT APPLICABLE
ODONNELL, THOMASOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ODONNELL, ROBERTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HOHMAN, MICHAELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SHUTT, MARCINAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
TUCKER, JEFFREYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (2)
DateTypeAmount
2023-12-27Fine$78K
2023-12-27Payment Denial55 days
Health Deficiencies (12)
2024-04-04 · Health
D
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
E
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.
D
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
B
F625 · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
2024-02-28 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2023-12-27 · Health
F
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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
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.
J
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
2023-07-27 · Health
D
F758 · Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.39
3.68
RN Hrs/Resident/Day
0.84
0.54
LPN Hrs/Resident/Day
0.77
0.81
CNA Hrs/Resident/Day
2.78
2.33
PT Hrs/Resident/Day
0.06
0.12
Data as of 2026-03-01