Nursing homes › Ohio › Otterbein North Shore
9400 North Shore Blvd, Lakeside, OH 43440 · 4197988203 · 20 certified beds
Per CMS filings, this facility is affiliated with Otterbein Seniorlife, a group operating 19 facilities in 2 states. Group record: average rating 3.0/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $136,319 in federal fines. This facility rates above its group average (3.0/5).
Total nurse staffing: 4.80 (Ohio median: 3.57). RN hours: 1.70. Weekend total: 4.35. Nursing staff turnover: 53%.
All-time on record: 21 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-27 | 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 | Health | corrected 2026-04-16 |
| 2026-03-27 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2026-04-16 |
| 2026-03-27 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2026-04-16 |
| 2026-03-27 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2026-04-16 |
| 2026-03-27 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-04-16 |
| 2026-03-27 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2026-04-16 |
| 2026-03-27 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-04-16 |
| 2025-09-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-11-03 |
| 2025-04-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-05-30 |
| 2025-04-17 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-05-30 |
| 2025-04-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-05-30 |
| 2025-04-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-05-30 |
| 2025-04-17 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-05-30 |
| 2025-04-17 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2025-05-30 |
| 2025-04-17 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | B | Health | corrected 2025-04-30 |
| 2025-04-17 | Post nurse staffing information every day. | B | Health | corrected 2025-04-30 |
| 2024-06-17 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | complaint | corrected 2024-07-01 |
| 2024-06-17 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2024-07-01 |
| 2023-03-23 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-04-27 |
| 2023-03-23 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Health | corrected 2023-04-27 |
| 2023-03-23 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | C | Health | corrected 2023-04-18 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| 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 |
| BELL, KEB | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2024 |
| FARIS, MARILYN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2020 |
| JOHNSON, BECKY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2023 |
| OCKE, SCOT | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2024 |
| PALMER, ROBYN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2023 |
| PYTLIK, CAROLYN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2024 |
| SIBBRING, ELIZABETH | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/01/2021 |
| APP, LYNN | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2014 |
| GREEN, JAMES | Corporate Officer | Individual | NOT APPLICABLE | since 11/21/2005 |
| MILLER, JASON | Corporate Officer | Individual | NOT APPLICABLE | since 07/24/2014 |
| WILSON, JILL | Corporate Officer | Individual | NOT APPLICABLE | since 05/01/2009 |
| FUNCTIONAL PATHWAYS OF TENNESSEE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2018 |
| OTTERBEIN HOME | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2021 |
| 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 |
| 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 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 366358. Corrections: data@carerecords.org.