Nursing homes › Ohio › Otterbein Portage Valley
20311 Pemberville Rd, Pemberville, OH 43450 · 4198337000 · 50 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: 3.46 (Ohio median: 3.57). RN hours: 0.89. Weekend total: 3.09. Nursing staff turnover: 64%.
All-time on record: 27 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-15 | 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 2026-04-21 |
| 2026-04-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | complaint | corrected 2026-04-21 |
| 2025-06-18 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-07-11 |
| 2025-06-18 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-07-11 |
| 2025-06-18 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2025-07-11 |
| 2025-06-18 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-07-11 |
| 2025-06-18 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-07-11 |
| 2025-03-04 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-03-21 |
| 2025-03-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-03-21 |
| 2025-03-04 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-03-21 |
| 2025-01-23 | Give the resident's representative the ability to exercise the resident's rights. | D | complaint | corrected 2025-02-03 |
| 2024-09-10 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-09-23 |
| 2024-09-10 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | C | complaint | corrected 2024-09-23 |
| 2024-07-23 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-08-04 |
| 2024-05-30 | Ensure medication error rates are not 5 percent or greater. | D | complaint | corrected 2024-06-10 |
| 2024-05-30 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2024-06-10 |
| 2023-08-07 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2023-08-25 |
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 |
| BARBEE, DANIEL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/01/2021 |
| BENEDICT, JUDY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2024 |
| BOWLUS, MARILYN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2014 |
| GODFREY, MIKE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2024 |
| HINDS, NORRIS | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 04/01/2021 |
| KYLLO, THOMAS | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2015 |
| LOAR, TARA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2025 |
| MCKIBBIN, KATIE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2023 |
| POWELL, ANGIE | Corporate Director | Individual | NOT APPLICABLE | since 11/24/2014 |
| STEPHENSON, JOHN | Corporate Director | Individual | NOT APPLICABLE | since 08/09/1982 |
| GREEN, JAMES | Corporate Officer | Individual | NOT APPLICABLE | since 11/21/2005 |
| HAWKINS, RITA | Corporate Officer | Individual | NOT APPLICABLE | since 01/16/2006 |
| MILLER, JASON | Corporate Officer | Individual | NOT APPLICABLE | since 08/04/2014 |
| 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 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 365571. Corrections: data@carerecords.org.