Skilled nursing facility · CMS certification number 366393

OTTERBEIN AT MAINEVILLE

MAINEVILLE, Ohio · Medicare and Medicaid

Certified beds, as filed in Care Compare: 60

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

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$10,477,090	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,507,580	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,969,510	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,255,299	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$285,789	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$793	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$286,582	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$286,582 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	21,960	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,781	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	5,824	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	11,805	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	19,410	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	65	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	42	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	193	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	300	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	138.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	64.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1435189, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$10,553,629	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,377,008	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,176,621	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,969,819	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$206,802	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$651	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$207,453	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $207,453 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,397	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	218	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.15	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	176	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	93.56	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1389702, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 July 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$8,337,443	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,067,821	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,269,622	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,716,088	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,446,466	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$204,240	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,242,226	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,264,945 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,005	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	250	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.1	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	52.93	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	68.02	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1360105, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 August 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$7,741,202	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,770,720	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,970,482	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,042,786	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,072,304	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$329,519	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$742,785	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$742,785 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,567	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	236	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.91	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	48.99	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	65.96	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1330091, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 11 November 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$7,886,945	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,838,418	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,048,527	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,050,998	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,002,471	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$993,246	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$9,225	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$9,225 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,096	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	211	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.69	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	63.86	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	76.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1304294, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 August 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$8,267,943	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,257,660	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,010,283	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,372,954	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$362,671	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,184	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$359,487	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$359,487 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,483	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	281	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	53.78	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	58.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1264466, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

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

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$7,747,724	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,904,876	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,842,848	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,135,536	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$292,688	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,338	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$289,350	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$289,350 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,334	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	213	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	20.54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	67.03	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	76.69	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1235760, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$7,844,813	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,744,012	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,100,801	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,010,015	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$90,786	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,989	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$96,775	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $96,775 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,403	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	211	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	17.8	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	112.02	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	77.74	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1200048, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$7,341,988	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,587,332	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,754,656	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,666,717	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$87,939	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,515	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$92,454	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $92,454 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,209	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	180	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.7	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	204.89	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	90.05	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169377, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$7,310,758	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,243,438	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,067,320	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,541,560	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$525,760	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,488	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$532,248	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $532,248 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,143	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	135	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.66	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	305	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	126.99	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1137557, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$7,242,377	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,187,884	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,054,493	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,541,513	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$512,980	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$1,976	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$511,004	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $511,004 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,079	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	159	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	474.62	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	107.42	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1144209, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 November 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$6,632,332	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,994,901	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,637,431	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,404,751	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$232,680	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,073	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$234,753	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $234,753 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,613	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	154	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	542.56	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	107.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1112590, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 15 October 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$7,076,078	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,268,578	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,807,500	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,313,603	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$493,897	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,068	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$497,965	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $497,965 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,311	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	152	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.51	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	291.17	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	113.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1079030, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 July 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$5,241,490	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,292,192	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,949,298	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,782,503	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$166,795	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,714	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$171,509	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $171,509 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,491	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	112	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	211.41	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	120.46	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1044375, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 7 October 2010 to 31 December 2010 — a reporting period of 85 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 26 July 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$396,079	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,005,052	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$608,973	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$28,462	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$580,511 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	1,155	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	12	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	60.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	96.25	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 413132, read from the public cost report file SNFFY2011.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
OTTERBEIN NEIGHBORHOODS, 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 04/03/2025
KLESPIES, KATHLEEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/20/2022
NELSON, NAVEENA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
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
OSTENDORF, BRANDY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 03/12/2018
ARNOLD, DANIEL	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 09/03/2017
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 04/04/2025
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
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
HAZELBAKER, TOMAS	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2021
KLESPIES, KATHLEEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/20/2022
NELSON, NAVEENA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2025
OTTERBEIN HOME	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 12/01/2021
VONDERHAAR, STEVE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2021

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of OTTERBEIN MAINEVILLE, LLC (enrollment ID O20100708000106).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
OTTERBEIN NEIGHBORHOODS, 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	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/3/2025	Private equity company: No Real estate investment trust: No Holding company: No
KATHLEEN KLESPIES	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/20/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NAVEENA NELSON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
OTTERBEIN HOME	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
BRANDY OSTENDORF	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/12/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DANIEL ARNOLD	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/3/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES CHRISTOPHER GREEN	Individual	CORPORATE OFFICER	100	11/21/2005	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JILL WILSON	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2009	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BECKY BAYLIFF	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DANIEL BURKE	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
FUNCTIONAL PATHWAYS OF TENNESSEE LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
HEIDI GLOSSER	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES CHRISTOPHER GREEN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KATHLEEN KLESPIES	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/20/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LYNN APP	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NAVEENA NELSON	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
OTTERBEIN HOME	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2021	Private equity company: No Real estate investment trust: No Holding company: No
RALPH REED FRALEY	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBERT COLEMAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEVE VONDERHAAR	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TOMAS HAZELBAKER	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
VICTORIA BARTLETT	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WILLIAM BROWNSON	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: POLARIS PHARMACY SERVICES OF OHIO LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BECKY BAYLIFF no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRANDY OSTENDORF no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: POLARIS PHARMACY SERVICES OF OHIO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BECKY BAYLIFF appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRANDY OSTENDORF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 August 2025: DANIEL ARNOLD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: OTTERBEIN HOMES no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: RITA C HAWKINS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: BRANDY OSTENDORF no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: NAVEENA NELSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: NAVEENA NELSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: STEVE VONDERHAAR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: LYNN APP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: DANIEL BURKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: ROBERT COLEMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JAMES CHRISTOPHER GREEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: DANIEL ARNOLD appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: OTTERBEIN HOMES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: OTTERBEIN HOMES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: OTTERBEIN HOMES appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: OTTERBEIN NEIGHBORHOODS, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: FUNCTIONAL PATHWAYS OF TENNESSEE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: FUNCTIONAL PATHWAYS OF TENNESSEE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: RALPH REED FRALEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: KATHLEEN KLESPIES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: KATHLEEN KLESPIES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: TOMAS HAZELBAKER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: WILLIAM BROWNSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: VICTORIA BARTLETT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: HEIDI GLOSSER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: POLARIS PHARMACY SERVICES OF OHIO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: BECKY BAYLIFF appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: BRANDY OSTENDORF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv

Recent changes on this record

1 July 2026: POLARIS PHARMACY SERVICES OF OHIO LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BECKY BAYLIFF no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRANDY OSTENDORF no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: POLARIS PHARMACY SERVICES OF OHIO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BECKY BAYLIFF appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRANDY OSTENDORF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 August 2025: DANIEL ARNOLD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: OTTERBEIN HOMES no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: RITA C HAWKINS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: BRANDY OSTENDORF no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: NAVEENA NELSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: NAVEENA NELSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: STEVE VONDERHAAR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: LYNN APP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: DANIEL BURKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: ROBERT COLEMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JAMES CHRISTOPHER GREEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: DANIEL ARNOLD appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: OTTERBEIN HOMES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: OTTERBEIN HOMES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: OTTERBEIN HOMES appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: OTTERBEIN NEIGHBORHOODS, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: FUNCTIONAL PATHWAYS OF TENNESSEE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: FUNCTIONAL PATHWAYS OF TENNESSEE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: RALPH REED FRALEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: KATHLEEN KLESPIES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: KATHLEEN KLESPIES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: TOMAS HAZELBAKER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: WILLIAM BROWNSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: VICTORIA BARTLETT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: HEIDI GLOSSER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: POLARIS PHARMACY SERVICES OF OHIO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: BECKY BAYLIFF appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: BRANDY OSTENDORF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
19 July 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
27 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
18 August 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
11 November 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
20 August 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	3 April 2025	3 April 2025	8	5
2	2 June 2022	2 June 2022	9	10
3	18 April 2019	18 April 2019	15	3

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

32 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
16 December 2025	Health	F 0805	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	G	Yes	Past Non-Compliance	5 December 2025
16 May 2025	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	Yes	Past Non-Compliance	4 May 2025
16 May 2025	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.	K	Yes	Past Non-Compliance	4 May 2025
3 April 2025	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	Yes	Deficient, Provider has date of correction	30 May 2025
3 April 2025	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	No	Deficient, Provider has date of correction	30 May 2025
3 April 2025	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	D	No	Deficient, Provider has date of correction	30 May 2025
3 April 2025	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	30 May 2025
3 April 2025	Health	F 0777	Administration Deficiencies	Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.	D	No	Deficient, Provider has date of correction	30 May 2025
3 April 2025	Health	F 0791	Quality of Life and Care Deficiencies	Provide or obtain dental services for each resident.	D	No	Deficient, Provider has date of correction	30 May 2025
3 April 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	30 May 2025
18 December 2024	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	Yes	Deficient, Provider has date of correction	24 December 2024
6 November 2024	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	Yes	Deficient, Provider has date of correction	24 December 2024
6 November 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	24 December 2024
6 November 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	24 December 2024
6 February 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	6 March 2024
6 February 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.	G	Yes	Deficient, Provider has date of correction	6 March 2024
6 February 2024	Health	F 0776	Administration Deficiencies	Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.	D	Yes	Deficient, Provider has date of correction	6 March 2024
2 June 2022	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	B	No	Deficient, Provider has plan of correction	15 July 2022
2 June 2022	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	15 July 2022
2 June 2022	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	15 July 2022
18 April 2019	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	No	Deficient, Provider has date of correction	24 May 2019
18 April 2019	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	No	Deficient, Provider has date of correction	24 May 2019
18 April 2019	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	D	No	Deficient, Provider has date of correction	24 May 2019
18 April 2019	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	24 May 2019
18 April 2019	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	24 May 2019
18 April 2019	Health	F 0730	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	C	No	Deficient, Provider has plan of correction	8 May 2019
18 April 2019	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	24 May 2019
18 April 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	24 May 2019
18 April 2019	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	E	No	Deficient, Provider has date of correction	24 May 2019
18 April 2019	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	24 May 2019
18 April 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	24 May 2019
18 April 2019	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	24 May 2019

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty date	Type	Fine amount	Fine ID
3 April 2025	Fine	$17,345	134366
3 April 2025	Fine	$17,345	134367
6 February 2024	Fine	$8,824	78113

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Corporation
Legal Business Name	OTTERBEIN MAINEVILLE, LLC
Date First Approved to Provide Medicare and Medicaid Services	2010-10-07
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Warren
Telephone Number	5133095650
Chain Name	OTTERBEIN SENIORLIFE
Chain ID	389
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	None
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	60
Average Number of Residents per Day	53.1
Overall Rating	3
Health Inspection Rating	3
QM Rating	4
Long-Stay QM Rating	5
Short-Stay QM Rating	3
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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On 1 July 2026: POLARIS PHARMACY SERVICES OF OHIO LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for OTTERBEIN AT MAINEVILLE

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