Skilled nursing facility · CMS certification number 365953
OTTERBEIN ST MARYS RETIREMENT COMMUNITY
ST MARYS, Ohio · Medicare and Medicaid
Certified beds, as filed in Care Compare: 53
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, as submitted, processed by CMS on May 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,467,713 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,126,157 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,341,556 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,777,275 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $564,281 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $518,128 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,082,409 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,082,409 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 19,398 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,845 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,689 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 7,312 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 16,846 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 82 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 36 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 89 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 207 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 185.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1424312, 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 July 23, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,267,301 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,801,823 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,465,478 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,319,500 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,145,978 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $533,485 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,679,463 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,679,463 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,011 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 232 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 265.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 73.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1390097, 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 July 27, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,278,429 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,434,849 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,843,580 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,488,744 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$645,164 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$526,135 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,171,299 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,165,107 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,280 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 335 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 155.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1360091, 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 October 19, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,418,370 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,197,191 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,221,179 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,528,860 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$307,681 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $798,475 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $490,794 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $490,794 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,723 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 283 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 136.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 55.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366900, 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 November 10, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,615,974 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,431,995 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,183,979 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,134,761 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $49,218 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $456,487 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $505,705 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $505,705 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,553 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 219 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 209.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 66.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303874, 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 September 10, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,415,727 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,326,035 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,089,692 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,572,117 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $517,575 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $489,827 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,007,402 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,007,402 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,751 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 280 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 161.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1267109, 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 July 10, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,423,684 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,286,964 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,136,720 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,726,507 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $410,213 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$227,545 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $182,668 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $182,668 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,849 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 313 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 146.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1235736, 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 July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,558,969 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,713,977 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,844,992 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,157,486 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $687,506 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $496,397 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,183,903 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,183,903 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,116 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 262 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 267.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1201218, 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 July 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,355,938 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,576,272 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,779,666 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,960,539 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $819,127 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $274,465 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,093,592 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,093,592 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,833 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 257 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 314.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169354, 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 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,885,680 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,462,232 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,423,448 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,784,493 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $638,955 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$76,021 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $562,934 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $562,934 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,347 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 229 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 415.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1137561, 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 July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,962,244 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,450,181 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,512,063 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,757,381 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $754,682 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $90,003 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $844,685 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $844,685 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,911 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 652.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 133.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1135148, 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 July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,694,033 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,066,320 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,627,713 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,669,911 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $957,802 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $330,191 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,287,993 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,287,993 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,833 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 104 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 288.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 152.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1071824, 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 July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,778,122 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,224,619 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,553,503 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,536,948 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,016,555 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $371,178 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,387,733 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,387,733 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,688 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 121 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 209.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1071823, 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 October 31, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,086,771 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $961,131 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,125,640 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,379,011 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $746,629 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $58,451 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $805,080 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $805,080 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,941 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 329.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 139.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1017919, 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 September 24, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,278,625 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,452,267 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $826,358 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $279,523 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,105,881 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,694 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 104 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 428.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 150.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 432429, 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 December 29, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,458,482 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,688,030 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $770,452 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $781,851 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,552,303 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,194 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 78.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 188.66 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 136.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 391962, 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 July 28, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,074,956 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,371,999 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $702,957 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $293,674 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,306,306 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$309,675 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,045 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 171 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 146.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 93.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 353032, 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 August 25, 2008.
None of these figures is carried on this report.
CMS report record 324815, 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 May 6, 2008.
None of these figures is carried on this report.
CMS report record 308384, 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 May 1, 2007.
None of these figures is carried on this report.
CMS report record 277546, 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 May 1, 2006.
None of these figures is carried on this report.
CMS report record 248262, 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 213227, 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 19, 2004.
None of these figures is carried on this report.
CMS report record 176883, 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 139005, 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 18, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,243,075 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,560,453 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $682,622 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$224,003 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $458,619 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,251 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 22 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 756.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,193.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 48962, 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 June 25, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,935,744 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,186,599 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $749,145 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$236,444 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $512,701 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,206 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 31 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 117.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 352.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 845.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 48960, 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, settled, processed by CMS on January 18, 2000.
Net income: −$18,573 (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.
CMS report record 48958, 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, settled, processed by CMS on February 1, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,173,739 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,001,212 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,827,473 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $249,919 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,577,554 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,943 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 24 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 79.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 978.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 997.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 48956, 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 June 10, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,781,939 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,362,110 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,580,171 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $52,817 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,527,354 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 111 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,109 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 76 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,774 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 264.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 48955, 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.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| OTTERBEIN LSC LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/01/2016 |
| OTTERBEIN HOME | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | since 12/01/2021 |
| FUNCTIONAL PATHWAYS OF TENNESSEE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/04/2025 |
| HUNTER, RACHEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2021 |
| OTTERBEIN HOME | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2021 |
| POLARIS PHARMACY SERVICES OF OHIO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2018 |
| SIBERT, TARA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/10/2024 |
| MEDAUGH, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2020 |
| SLAVIK, BRUCE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2017 |
| VONDERHAAR, STEVE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2020 |
| GREEN, JAMES | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/21/2005 |
| WILSON, JILL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2009 |
| BAKER, STEVE | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/04/2025 |
| GALBUT, ABRAHAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/04/2025 |
| GALBUT, DANIEL | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/06/2025 |
| GALBUT, DAVID | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/04/2025 |
| GALBUT, ERIC | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/06/2025 |
| GALBUT, ROBERT | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/04/2025 |
| PARITZKY, JONATHAN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/04/2025 |
| ROMBRO, DAVID | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/04/2025 |
| ZISEK, TODD | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/04/2025 |
| BORNS, DEBORAH | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2017 |
| COFFIN, GORDON | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2023 |
| DUES, STEVE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2013 |
| GAMBLE, CHARLES | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/01/2014 |
| IMWALLE, KAREN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2025 |
| INGRAHAM, JEFFREY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2024 |
| KROEGER, TYLER | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2025 |
| STEINEMANN, JANE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/01/2021 |
| VOISARD, DAVE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2021 |
| YOUNG, DANIEL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2025 |
| APP, LYNN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2021 |
| BARTLETT, VICTORIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2021 |
| BAYLIFF, BECKY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2021 |
| BROWNSON, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2021 |
| BURKE, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2021 |
| COLEMAN, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2021 |
| FRALEY, RALPH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2021 |
| FUNCTIONAL PATHWAYS OF TENNESSEE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2018 |
| GLOSSER, HEIDI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2021 |
| GREEN, JAMES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2021 |
| HAWKINS, RITA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/16/2006 |
| HAZELBAKER, TOMAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2021 |
| HUNTER, RACHEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2018 |
| MEDAUGH, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2020 |
| OTTERBEIN HOME | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2021 |
| SIBERT, TARA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/10/2024 |
| SLAVIK, BRUCE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2017 |
| VONDERHAAR, STEVE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2021 |
| BORNS, DEBORAH | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2017 |
| COFFIN, GORDON | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2023 |
| DUES, STEVE | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2013 |
| GAMBLE, CHARLES | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2014 |
| IMWALLE, KAREN | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| INGRAHAM, JEFFREY | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2024 |
| KROEGER, TYLER | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| STEINEMANN, JANE | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2021 |
| VOISARD, DAVE | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2021 |
| YOUNG, DANIEL | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of OTTERBEIN ST MARYS (enrollment ID O20021113000002).
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”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| OTTERBEIN LSC LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| OTTERBEIN HOME | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| FUNCTIONAL PATHWAYS OF TENNESSEE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/4/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| OTTERBEIN HOME | Organization | ADP OF THE SNF | Not stated in the filing | 12/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| POLARIS PHARMACY SERVICES OF OHIO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 12/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| RACHEL LYNN HUNTER | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TARA SIBERT | Individual | ADP OF THE SNF | Not stated in the filing | 9/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRUCE SLAVIK | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN MEDAUGH | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVE VONDERHAAR | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES CHRISTOPHER GREEN | Individual | CORPORATE OFFICER | Not stated in the filing | 11/21/2005 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JILL WILSON | Individual | CORPORATE OFFICER | Not stated in the filing | 5/1/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES R GAMBLE | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 7/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL YOUNG | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVE VOISARD | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEBORAH BORNS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GORDON COFFIN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANE STEINEMANN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 12/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFFREY INGRAHAM | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KAREN IMWALLE | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVE DUES | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TYLER KROEGER | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BECKY BAYLIFF | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRUCE SLAVIK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL BURKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FUNCTIONAL PATHWAYS OF TENNESSEE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| HEIDI GLOSSER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES CHRISTOPHER GREEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN MEDAUGH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LYNN APP | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OTTERBEIN HOME | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| RACHEL LYNN HUNTER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RALPH REED FRALEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RITA C HAWKINS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/16/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT COLEMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVE VONDERHAAR | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TARA SIBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TOMAS HAZELBAKER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VICTORIA BARTLETT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM BROWNSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES R GAMBLE | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 7/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL YOUNG | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVE VOISARD | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEBORAH BORNS | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GORDON COFFIN | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANE STEINEMANN | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 12/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFFREY INGRAHAM | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KAREN IMWALLE | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVE DUES | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TYLER KROEGER | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2025: DEBORAH BORNS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: OTTERBEIN HOMES no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DEBORA L GEIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARTIN BROWN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JILL WILSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JILL WILSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHARLES R GAMBLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DAVE VOISARD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: STEVE DUES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARGIE MANNING no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: STEVE VONDERHAAR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LYNN APP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TYLER KROEGER (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TYLER KROEGER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DANIEL BURKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RACHEL LYNN HUNTER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RACHEL LYNN HUNTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DEBORAH BORNS (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DEBORAH BORNS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KAREN IMWALLE (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KAREN IMWALLE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ROBERT COLEMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TARA SIBERT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TARA SIBERT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JAMES CHRISTOPHER GREEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: OTTERBEIN HOME (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: OTTERBEIN HOME (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: OTTERBEIN HOME (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GORDON COFFIN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GORDON COFFIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JANE STEINEMANN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JANE STEINEMANN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHARLES R GAMBLE (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHARLES R GAMBLE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BRUCE SLAVIK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FUNCTIONAL PATHWAYS OF TENNESSEE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 4, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FUNCTIONAL PATHWAYS OF TENNESSEE LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RALPH REED FRALEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TOMAS HAZELBAKER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JEFFREY INGRAHAM (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JEFFREY INGRAHAM (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WILLIAM BROWNSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DANIEL YOUNG (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DANIEL YOUNG (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: VICTORIA BARTLETT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HEIDI GLOSSER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOHN MEDAUGH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DAVE VOISARD (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DAVE VOISARD (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: POLARIS PHARMACY SERVICES OF OHIO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: OTTERBEIN LSC LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: STEVE DUES (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: STEVE DUES (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BECKY BAYLIFF (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
Recent changes on this record
- September 1, 2026: ownership_type: For profit - Corporation → Non profit - Corporation. NH_ProviderInfo_Sep2026_3.csv
- June 25, 2026: A deficiency was cited under tag F 0880, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 25, 2026: A deficiency was cited under tag F 0760, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 25, 2026: A deficiency was cited under tag F 0695, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 25, 2026: A deficiency was cited under tag F 0690, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 25, 2026: A deficiency was cited under tag F 0689, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 25, 2026: A deficiency was cited under tag F 0686, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 25, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- September 1, 2025: DEBORAH BORNS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: OTTERBEIN HOMES no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DEBORA L GEIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARTIN BROWN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JILL WILSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JILL WILSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHARLES R GAMBLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DAVE VOISARD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: STEVE DUES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARGIE MANNING no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: STEVE VONDERHAAR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: LYNN APP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TYLER KROEGER (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TYLER KROEGER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DANIEL BURKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RACHEL LYNN HUNTER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RACHEL LYNN HUNTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DEBORAH BORNS (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DEBORAH BORNS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KAREN IMWALLE (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KAREN IMWALLE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ROBERT COLEMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TARA SIBERT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TARA SIBERT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JAMES CHRISTOPHER GREEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: OTTERBEIN HOME (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: OTTERBEIN HOME (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: OTTERBEIN HOME (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GORDON COFFIN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GORDON COFFIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JANE STEINEMANN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JANE STEINEMANN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 25, 2026 | June 25, 2026 | 6 | 1 |
| 2 | September 14, 2023 | September 14, 2023 | 4 | 7 |
| 3 | June 10, 2021 | June 10, 2021 | 10 | 3 |
| 3 | February 21, 2019 | February 21, 2019 | 14 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
30 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 25, 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | July 24, 2026 |
| June 25, 2026 | Health | F 0689 | 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 | No | Deficient, Provider has date of correction | July 24, 2026 |
| June 25, 2026 | Health | F 0690 | 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 | No | Deficient, Provider has date of correction | July 24, 2026 |
| June 25, 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | July 24, 2026 |
| June 25, 2026 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | July 24, 2026 |
| June 25, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | July 24, 2026 |
| April 3, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | April 18, 2024 |
| January 11, 2024 | Health | F 0689 | 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 | Yes | Deficient, Provider has date of correction | January 26, 2024 |
| November 14, 2023 | Health | F 0609 | 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 | Yes | Deficient, Provider has date of correction | December 8, 2023 |
| November 14, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | December 8, 2023 |
| September 14, 2023 | Health | F 0655 | 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 | D | No | Deficient, Provider has date of correction | October 20, 2023 |
| September 14, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | October 20, 2023 |
| September 14, 2023 | Health | F 0849 | 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 | No | Deficient, Provider has date of correction | October 20, 2023 |
| September 14, 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | October 20, 2023 |
| June 10, 2021 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | July 20, 2021 |
| June 10, 2021 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | July 20, 2021 |
| June 10, 2021 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | July 20, 2021 |
| June 10, 2021 | Health | F 0690 | 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 | No | Deficient, Provider has date of correction | July 20, 2021 |
| June 10, 2021 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | July 20, 2021 |
| June 10, 2021 | Health | F 0761 | 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 | No | Deficient, Provider has date of correction | July 20, 2021 |
| February 21, 2019 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | April 5, 2019 |
| February 21, 2019 | Health | F 0578 | 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 | No | Deficient, Provider has date of correction | April 5, 2019 |
| February 21, 2019 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | No | Deficient, Provider has date of correction | April 5, 2019 |
| February 21, 2019 | Health | F 0609 | 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 | No | Deficient, Provider has date of correction | April 5, 2019 |
| February 21, 2019 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | April 5, 2019 |
| February 21, 2019 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | April 5, 2019 |
| February 21, 2019 | Health | F 0761 | 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. | E | No | Deficient, Provider has date of correction | April 5, 2019 |
| February 21, 2019 | Health | F 0770 | Administration Deficiencies | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | No | Deficient, Provider has date of correction | April 5, 2019 |
| February 21, 2019 | Health | F 0842 | 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 | No | Deficient, Provider has date of correction | April 5, 2019 |
| February 21, 2019 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | April 5, 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
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | OTTERBEIN ST MARYS |
| Date First Approved to Provide Medicare and Medicaid Services | 1994-02-09 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | N |
| County/Parish | Auglaize |
| Telephone Number | 4193946330 |
| Chain Name | OTTERBEIN SENIORLIFE |
| Chain ID | 389 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 53 |
| Average Number of Residents per Day | 49.7 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
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 ST MARYS RETIREMENT COMMUNITY: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On September 1, 2026: ownership_type: For profit - Corporation → Non profit - Corporation. That is one line of the alert.
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The citable document for OTTERBEIN ST MARYS RETIREMENT COMMUNITY
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Ohio at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 365953.