Otterbein Portage Valley
Non profit - Corporation · 20311 Pemberville Rd, Pemberville, OH 43450 · See home’s Medicare page
Affiliated With Otterbein Seniorlife
People or companies with an ownership interest in or managerial control of this home, according to CMS data.
4.41
Nurse hours/resident/day
Reported total nurse staffing hours per resident per day.
State Average: 3.7
63.8%
Nurse turnover
The percentage of nursing staff who stopped working at the home over a 12-month period.
State Average: 49.2%
50
Certified beds
Qualifying beds in the certified provider or supplier facility.
46
Average residents/day
Average number of residents based on daily census.
Direct owners are the layer of ownership closest to the nursing home while indirect owners have a stake in the nursing home but are further removed, like a company that owns the direct owner of a home. All owners listed below are people or companies who have at least a 5% stake in the nursing home. Entities with “managerial control” are those who conduct the day-to-day operations of the nursing home.
Direct owners
Otterbein Lsc, LLC (100%) since Jan, 2016
Indirect owners
Otterbein Home (100%) since Dec, 2021
Managerial control
Functional Pathways Of Tennessee LLC since Dec, 2018
Otterbein Home since Dec, 2021
Lynn App since Dec, 2021
Victoria Bartlett since Dec, 2021
Becky Bayliff since Dec, 2021
William Brownson since Dec, 2021
Daniel Burke since Dec, 2021
Robert Coleman since Dec, 2021
Ralph Fraley since Dec, 2021
Heidi Glosser since Dec, 2021
James Green since Dec, 2021
Tomas Hazelbaker since Dec, 2021
Jessica Kirkendall since Jan, 2023
John Pierce since Dec, 2021
Steve Vonderhaar since Dec, 2021
Otterbein Home since Dec, 2021
Lynn App since Dec, 2021
Victoria Bartlett since Dec, 2021
Becky Bayliff since Dec, 2021
William Brownson since Dec, 2021
Daniel Burke since Dec, 2021
Robert Coleman since Dec, 2021
Ralph Fraley since Dec, 2021
Heidi Glosser since Dec, 2021
James Green since Dec, 2021
Tomas Hazelbaker since Dec, 2021
Jessica Kirkendall since Jan, 2023
John Pierce since Dec, 2021
Steve Vonderhaar since Dec, 2021
Managing employee(s)
No information available
Managing Control Governing Body
Daniel Barbee since Dec, 2021
Judy Benedict since Jan, 2024
Marilyn Bowlus since Jan, 2014
Mike Godfrey since Jan, 2024
Norris Hinds since Apr, 2021
Thomas Kyllo since Jan, 2015
Tara Loar since Jan, 2025
Katie Mckibbin since Jan, 2023
Judy Benedict since Jan, 2024
Marilyn Bowlus since Jan, 2014
Mike Godfrey since Jan, 2024
Norris Hinds since Apr, 2021
Thomas Kyllo since Jan, 2015
Tara Loar since Jan, 2025
Katie Mckibbin since Jan, 2023
Corporate Director
Angie Powell since Nov, 2014
John Stephenson since Aug, 1982
John Stephenson since Aug, 1982
Corporate Officer
James Green since Nov, 2005
Rita Hawkins since Jan, 2006
Jason Miller since Aug, 2014
Jill Wilson since May, 2009
Rita Hawkins since Jan, 2006
Jason Miller since Aug, 2014
Jill Wilson since May, 2009
Individual Is An Owner, Partner Or Trustee Of Any Adp Of The Snf
Steve Baker since Apr, 2025
Abraham Galbut since Apr, 2025
Daniel Galbut since Apr, 2025
David Galbut since Apr, 2025
Eric Galbut since Apr, 2025
Robert Galbut since Apr, 2025
Jonathan Paritzky since Apr, 2025
David Rombro since Apr, 2025
Todd Zisek since Apr, 2025
Abraham Galbut since Apr, 2025
Daniel Galbut since Apr, 2025
David Galbut since Apr, 2025
Eric Galbut since Apr, 2025
Robert Galbut since Apr, 2025
Jonathan Paritzky since Apr, 2025
David Rombro since Apr, 2025
Todd Zisek since Apr, 2025
Trustee Of The Snf
Daniel Barbee since Dec, 2021
Judy Benedict since Jan, 2024
Marilyn Bowlus since Jan, 2014
Mike Godfrey since Jan, 2024
Norris Hinds since Apr, 2021
Thomas Kyllo since Jan, 2015
Tara Loar since Jan, 2025
Katie Mckibbin since Jan, 2023
Judy Benedict since Jan, 2024
Marilyn Bowlus since Jan, 2014
Mike Godfrey since Jan, 2024
Norris Hinds since Apr, 2021
Thomas Kyllo since Jan, 2015
Tara Loar since Jan, 2025
Katie Mckibbin since Jan, 2023
Adp Of The Snf
Functional Pathways Of Tennessee LLC since Apr, 2025
Otterbein Home since Dec, 2021
Polaris Pharmacy Services Of Ohio LLC since Dec, 2018
Jessica Kirkendall since Jan, 2023
John Pierce since Dec, 2021
Otterbein Home since Dec, 2021
Polaris Pharmacy Services Of Ohio LLC since Dec, 2018
Jessica Kirkendall since Jan, 2023
John Pierce since Dec, 2021
Inspection Reports
Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.
27
total deficiencies
2
infection-related deficiencies
This home violated federal standards protecting residents from the spread of infections.
Resident Rights Deficiency — F0580
Failure to:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Nutrition and Dietary Deficiency — F0812
Failure to:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0686
Failure to:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0695
Failure to:
Provide safe and appropriate respiratory care for a resident when needed.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Infection Control Deficiency — F0880
Failure to:
Provide and implement an infection prevention and control program.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0697
Failure to:
Provide safe, appropriate pain management for a resident who requires such services.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Pharmacy Service Deficiency — F0755
Failure to:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0684
Failure to:
Provide appropriate treatment and care according to orders, resident's preferences and goals.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0689
Failure to:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Resident Assessment and Care Planning Deficiency — F0842
Failure to:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Resident Rights Deficiency — F0551
Failure to:
Give the resident's representative the ability to exercise the resident's rights.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Resident Rights Deficiency — F0550
Failure to:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Freedom from Abuse, Neglect, and Exploitation Deficiency — F0607
Failure to:
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity
No actual harm, with potential for minimal harm
Scope
Many people affected
Seriousness
Quality of Life and Care Deficiency — F0677
Failure to:
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Pharmacy Service Deficiency — F0759
Failure to:
Ensure medication error rates are not 5 percent or greater.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Pharmacy Service Deficiency — F0760
Failure to:
Ensure that residents are free from significant medication errors.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Pharmacy Service Deficiency — F0760
Failure to:
Ensure that residents are free from significant medication errors.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0686
Failure to:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity
Actual harm that is not immediate jeopardy
Scope
Few people affected
Seriousness
Environmental Deficiency — F0919
Failure to:
Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
Resident Rights Deficiency — F0582
Failure to:
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0677
Failure to:
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Resident Rights Deficiency — F0558
Failure to:
Reasonably accommodate the needs and preferences of each resident.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Infection Control Deficiency — F0883
Failure to:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0684
Failure to:
Provide appropriate treatment and care according to orders, resident's preferences and goals.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Resident Rights Deficiency — F0561
Failure to:
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0686
Failure to:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0698
Failure to:
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Penalties
A nursing home receives a penalty, either a fine or payment suspensions, when it has a serious health citation or fails to fix a citation. Fines may be imposed once per citation or regularly until the nursing home corrects the citation. Fines not associated with inspection reports can include fines for not reporting COVID-19 data or not complying with infection-control requirements. Payment suspensions are when the government stops payments to the nursing home until an issue is fixed. The Centers for Medicare and Medicaid Services releases the last three years of penalty information.
This home has no record of fines or payment suspensions for the past three years.