Velarion Records

Skilled nursing facility · CMS certification number 365346

OTTERBEIN LEBANON RETIREMENT COMMUNITY

LEBANON, Ohio · Medicare and Medicaid

Certified beds, as filed in Care Compare: 154

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$29,955,927CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$11,161,777CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$18,794,150CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$18,740,608CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$53,542CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,990,843CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,044,385CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,044,385 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components154CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components56,364CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days3,894CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days10,035CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days36,180CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components50,109CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges138CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges106CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges478CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components722CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.22CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days94.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days69.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434993, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$29,844,387CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$10,020,014CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$19,824,373CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,783,698CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,040,675CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,491,391CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$4,532,066CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $4,532,066 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components154CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components51,362CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components538CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.63CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days124.24CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days95.47CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1390882, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 23, 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$28,180,579CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$10,860,981CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$17,319,598CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$18,649,154CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,329,556CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$2,385,772CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$3,715,328CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,784,297 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components154CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components50,158CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components778CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days68.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days64.47CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1373770, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 23, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$26,117,139CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$10,252,030CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$15,865,109CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$18,060,603CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,195,494CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,121,146CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$925,652CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $925,652 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components154CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components49,295CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components376CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.19CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days268.74CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days131.1CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1330396, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended December 31, 2020

Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 28, 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$28,226,066CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$11,615,850CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$16,610,216CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$18,603,391CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,993,175CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,791,318CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$798,143CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $798,143 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components170CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components56,951CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components358CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.21CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days382.34CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days159.08CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1335854, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended December 31, 2019

Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 13, 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$28,797,269CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$12,249,865CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$16,547,404CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$18,410,059CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,862,655CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,784,380CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$921,725CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $921,725 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components56,795CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components794CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.77CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days60.03CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days71.53CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1283850, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended December 31, 2018

Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 16, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$30,624,361CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$11,787,189CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$18,837,172CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$18,824,100CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$13,072CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$4,997CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$8,075CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $8,075 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components62,704CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components903CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days46.07CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days69.44CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1244439, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended December 31, 2017

Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 29, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$34,702,569CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$13,119,136CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$21,583,433CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$21,749,707CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$166,274CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,659,331CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,493,057CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,493,057 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components216CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components76,144CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components715CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days100.08CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days106.5CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1214501, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended December 31, 2016

Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 24, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$36,071,694CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$13,556,216CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$22,515,478CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$21,974,459CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$541,019CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,415,944CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,956,963CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,956,963 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components256CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components82,693CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components783CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days97.9CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days105.61CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1174700, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended December 31, 2015

Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$36,023,872CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$13,257,231CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$22,766,641CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$21,425,116CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,341,525CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$271,668CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,069,857CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,069,857 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components256CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components86,954CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components781CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days145.15CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days111.34CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1138449, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended December 31, 2014

Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 25, 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$35,376,499CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$12,359,107CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$23,017,392CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$20,630,253CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,387,139CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$277,740CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,664,879CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,664,879 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components256CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components87,642CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components690CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.4CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days303.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days127.02CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1119500, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 6, 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$34,072,014CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$11,571,834CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$22,500,180CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$20,544,581CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,955,599CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$530,139CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,485,738CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,485,738 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components256CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components86,550CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components705CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.96CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days307.94CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days122.77CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1106917, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended December 31, 2012

Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 11, 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$33,184,533CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$10,961,772CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$22,222,761CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$20,890,069CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,332,692CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,664,349CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,997,041CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,997,041 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components256CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components85,683CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components675CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.95CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days349.12CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days126.94CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1082445, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended December 31, 2011

Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 16, 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$29,798,549CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$8,267,201CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$21,531,348CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$20,253,173CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,278,175CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,130,893CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,409,068CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,409,068 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components256CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components83,140CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components667CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.31CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days284.8CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days124.65CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1029463, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended December 31, 2010

Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 24, 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$21,621,211CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$19,409,270CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$2,211,941CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$559,219CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $2,771,160 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components256CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components85,967CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components604CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.79CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days327.37CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days142.33CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 431855, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended December 31, 2009

Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 12, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$21,420,356CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$20,563,941CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$856,415CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,784,999CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $4,641,414 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components296CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components88,064CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components860CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.27CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days172.59CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days102.4CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 389614, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended December 31, 2008

Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 13, 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$21,336,540CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$20,965,428CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$371,112CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$820,659CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$3,888,761CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$2,696,990 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components296CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components94,956CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components917CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.02CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days181.5CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days103.55CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 367415, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended December 31, 2007

Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 30, 2008.

None of these figures is carried on this report.

CMS report record 331026, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended December 31, 2006

Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 19, 2008.

None of these figures is carried on this report.

CMS report record 302504, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended December 31, 2005

Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 5, 2007.

None of these figures is carried on this report.

CMS report record 271753, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended December 31, 2004

Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 14, 2006.

None of these figures is carried on this report.

CMS report record 247352, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended December 31, 2003

Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 16, 2005.

None of these figures is carried on this report.

CMS report record 213176, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended December 31, 2002

Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 28, 2004.

None of these figures is carried on this report.

CMS report record 178799, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended December 31, 2001

Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.

None of these figures is carried on this report.

CMS report record 138250, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended December 31, 2000

Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 28, 2002.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$22,330,700CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$22,476,219CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$145,519CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$682,390CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $536,871 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components400CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components117,602CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components646CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days19.1CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days311.71CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days182.05CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 45336, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended December 31, 1999

Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 10, 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$20,082,745CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$19,245,717CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$837,028CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$703,972CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,541,000 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components389CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components118,756CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components580CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days18.36CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days348.18CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days204.75CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 45334, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended December 31, 1998

Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on March 30, 2001.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$19,022,852CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$18,736,913CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$285,939CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$923,754CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,209,693 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components356CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components119,672CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components722CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days23.33CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days205.6CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days165.75CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 45331, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended December 31, 1997

Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on March 1, 2000.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$18,478,356CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$17,740,796CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$737,560CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$688,516CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,426,076 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components356CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components122,348CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components942CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days27.56CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days213.06CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days129.88CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 45328, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended December 31, 1996

Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 6, 1998.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$12,831,727CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$17,997,902CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$5,166,175CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$588,912CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$4,577,263 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
FigureAs filedWhere it comes from
Total facility beds, all components356CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components121,887CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components477CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.67CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days254.26CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days255.53CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 43181, read from the public cost report file SNFFY1996.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
OTTERBEIN LSC, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 01/01/2016
OTTERBEIN HOME5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization100%since 12/01/2021
ANSARI, SABAADP OF THE SNFIndividualNOT APPLICABLEsince 12/01/2021
FUNCTIONAL PATHWAYS OF TENNESSEE LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/04/2025
MILLER, JASONADP OF THE SNFIndividualNOT APPLICABLEsince 08/04/2014
OTTERBEIN HOMEADP OF THE SNFOrganizationNOT APPLICABLEsince 12/01/2021
POLARIS PHARMACY SERVICES OF OHIO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/01/2018
WARD, LORIADP OF THE SNFIndividualNOT APPLICABLEsince 11/13/2017
STEPHENSON, JOHNCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/09/1982
GREEN, JAMESCORPORATE OFFICERIndividualNOT APPLICABLEsince 11/21/2005
HAWKINS, RITACORPORATE OFFICERIndividualNOT APPLICABLEsince 01/16/2006
MILLER, JASONCORPORATE OFFICERIndividualNOT APPLICABLEsince 08/04/2014
WILSON, JILLCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/01/2009
BAKER, STEVEINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/04/2025
GALBUT, ABRAHAMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/04/2025
GALBUT, DANIELINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/06/2025
GALBUT, DAVIDINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/04/2025
GALBUT, ERICINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/06/2025
GALBUT, ROBERTINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/04/2025
PARITZKY, JONATHANINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/04/2025
ROMBRO, DAVIDINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/04/2025
ZISEK, TODDINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/04/2025
BOWMAN, ROBERTMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 12/01/2021
DRAPALIK, JEFFMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2019
HENSLEY, KIMBERLYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2021
PATERSON, BARBARAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2023
STEARNS, RANDYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/29/2015
TOPPER, SHERRIEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2025
ANSARI, SABAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2021
APP, LYNNOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2021
BARTLETT, VICTORIAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2021
BAYLIFF, BECKYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2021
BROWNSON, WILLIAMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2021
BURKE, DANIELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2021
COLEMAN, ROBERTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2021
FRALEY, RALPHOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2021
FUNCTIONAL PATHWAYS OF TENNESSEE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 12/01/2018
GLOSSER, HEIDIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2021
GREEN, JAMESOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2021
HAZELBAKER, TOMASOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2021
MILLER, JASONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/04/2014
OTTERBEIN HOMEOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 12/01/2021
VONDERHAAR, STEVEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2021
WARD, LORIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/13/2017
BOWMAN, ROBERTTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 12/01/2021
DRAPALIK, JEFFTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 01/01/2019
HENSLEY, KIMBERLYTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 01/01/2021
PATERSON, BARBARATRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
STEARNS, RANDYTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 01/29/2015
TOPPER, SHERRIETRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of OTTERBEIN LEBANON (enrollment ID O20021113000004).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
OTTERBEIN LSC, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1001/1/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
OTTERBEIN HOMEOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST10012/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
FUNCTIONAL PATHWAYS OF TENNESSEE LLCOrganizationADP OF THE SNFNot stated in the filing4/4/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
JASON E MILLERIndividualADP OF THE SNFNot stated in the filing8/4/2014
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LORI WARDIndividualADP OF THE SNFNot stated in the filing11/13/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
OTTERBEIN HOMEOrganizationADP OF THE SNFNot stated in the filing12/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
POLARIS PHARMACY SERVICES OF OHIO LLCOrganizationADP OF THE SNFNot stated in the filing12/1/2018
Private equity company: No
Real estate investment trust: No
Holding company: No
SABA AZHER ANSARIIndividualADP OF THE SNFNot stated in the filing12/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHN STEPHENSONIndividualCORPORATE DIRECTORNot stated in the filing5/9/1982
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JAMES CHRISTOPHER GREENIndividualCORPORATE OFFICER10011/21/2005
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JASON E MILLERIndividualCORPORATE OFFICER1008/4/2014
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JILL WILSONIndividualCORPORATE OFFICERNot stated in the filing5/1/2009
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RITA C HAWKINSIndividualCORPORATE OFFICERNot stated in the filing1/16/2006
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BARBARA PATERSONIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing1/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JEFF DRAPALIKIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing1/1/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KIMBERLY HENSLEYIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing1/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RANDY STEARNSIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing1/29/2015
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT BOWMANIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing12/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SHERRIE TOPPERIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BECKY BAYLIFFIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DANIEL BURKEIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
FUNCTIONAL PATHWAYS OF TENNESSEE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2018
Private equity company: No
Real estate investment trust: No
Holding company: No
HEIDI GLOSSERIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JAMES CHRISTOPHER GREENIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JASON E MILLERIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/4/2014
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LORI WARDIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing11/13/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LYNN APPIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
OTTERBEIN HOMEOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
RALPH REED FRALEYIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT COLEMANIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SABA AZHER ANSARIIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEVE VONDERHAARIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TOMAS HAZELBAKERIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
VICTORIA BARTLETTIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WILLIAM BROWNSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BARBARA PATERSONIndividualTRUSTEE OF THE SNFNot stated in the filing1/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JEFF DRAPALIKIndividualTRUSTEE OF THE SNFNot stated in the filing1/1/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KIMBERLY HENSLEYIndividualTRUSTEE OF THE SNFNot stated in the filing1/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RANDY STEARNSIndividualTRUSTEE OF THE SNFNot stated in the filing1/29/2015
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT BOWMANIndividualTRUSTEE OF THE SNFNot stated in the filing12/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SHERRIE TOPPERIndividualTRUSTEE OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1September 12, 2025September 12, 202535
2October 25, 2022October 25, 2022106
3November 21, 2019November 21, 2019310

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

16 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
September 12, 2025HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DYesDeficient, Provider has date of correctionOctober 14, 2025
September 12, 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correctionOctober 14, 2025
September 12, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionOctober 14, 2025
May 19, 2025HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DYesDeficient, Provider has date of correctionMay 30, 2025
May 19, 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DYesDeficient, Provider has date of correctionMay 30, 2025
October 25, 2022HealthF 0561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DNoDeficient, Provider has date of correctionNovember 19, 2022
October 25, 2022HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correctionNovember 19, 2022
October 25, 2022HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GNoDeficient, Provider has date of correctionNovember 19, 2022
October 25, 2022HealthF 0742Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DNoDeficient, Provider has date of correctionNovember 19, 2022
October 25, 2022HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DNoDeficient, Provider has date of correctionNovember 19, 2022
October 25, 2022HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionNovember 19, 2022
October 25, 2022HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.ENoDeficient, Provider has date of correctionNovember 19, 2022
October 25, 2022HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionNovember 19, 2022
November 21, 2019HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.ENoDeficient, Provider has date of correctionDecember 31, 2019
November 21, 2019HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.ENoDeficient, Provider has date of correctionDecember 31, 2019
November 21, 2019HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has plan of correctionDecember 31, 2019

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

No penalty on file for this facility in CMS’s Care Compare penalties data.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameOTTERBEIN LEBANON
Date First Approved to Provide Medicare and Medicaid Services1977-03-14
Provider Resides in HospitalN
Continuing Care Retirement CommunityY
UrbanY
County/ParishWarren
Telephone Number5139335427
Chain NameOTTERBEIN SENIORLIFE
Chain ID389
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds154
Average Number of Residents per Day141.3
Overall Rating5
Health Inspection Rating4
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating4
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

Get an email when this record changes

One email a day naming what moved on OTTERBEIN LEBANON RETIREMENT COMMUNITY: the field, the value before, the value after, and the date of the file that first showed it.

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On August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

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