Starfile

Starfile / Ohio

OTTERBEIN NORTH SHORE

9400 NORTH SHORE BLVD, LAKESIDE, OH 43440 · CCN 366358

Ratings

Overall
★★★★☆ 4
Health inspection
★★★★☆ 4
Quality measures
★★★☆☆ 3
Staffing
★★★★☆ 4

Facility

Ownership type
Non profit - Church related
Certified beds
20
Avg residents/day
16.7
Phone
4197988203

Inspection history vs Ohio & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityOhio avgNational avgvs state
12025-04-17910.29.5-1.2 better
22023-03-23510.79.8-5.7 better
32020-02-1219.99.3-8.9 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care2
Resident assessment and care planning1
Nursing and physician services1
Resident rights2
Nutrition and dietary1
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)5.4271.1%
RN staffing (reported)1.9544.4%
Total nurse staffing (adjusted)5.28—

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
OTTERBEIN SENIORLIFE
Facilities in chain
19
Chain avg overall
2.80 / 5

Inspection citations (15)

  1. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-22 · Health · corrected 2025-11-03

    Potential for more than minimal harm

  2. DF0558Reasonably accommodate the needs and preferences of each resident.2025-04-17 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  3. BF0575Post 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.2025-04-17 · Health · corrected 2025-04-30

    Potential for minimal harm

  4. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-17 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  5. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-17 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  6. BF0732Post nurse staffing information every day.2025-04-17 · Health · corrected 2025-04-30

    Potential for minimal harm

  7. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-17 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  8. DF0880Provide and implement an infection prevention and control program.2025-04-17 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  9. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-04-17 · Health · corrected 2025-05-30

    Potential for more than minimal harm

  10. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-06-17 · Health · corrected 2024-07-01

    Potential for more than minimal harm

  11. FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-06-17 · Health · corrected 2024-07-01

    Potential for more than minimal harm

  12. DF0693Ensure 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.2023-03-23 · Health · corrected 2023-04-27

    Potential for more than minimal harm

  13. CF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-03-23 · Health · corrected 2023-04-18

    Potential for minimal harm

  14. EF0880Provide and implement an infection prevention and control program.2023-03-23 · Health · corrected 2023-04-27

    Potential for more than minimal harm

  15. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2020-02-12 · Health · corrected 2020-03-23

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
OTTERBEIN LSC, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2016-01-01
OTTERBEIN HOMEOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2021-12-01
FUNCTIONAL PATHWAYS OF TENNESSEE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL—2018-12-01
OTTERBEIN HOMEOrganizationOPERATIONAL/MANAGERIAL CONTROL—2021-12-01
APP, LYNNIndividualOPERATIONAL/MANAGERIAL CONTROL—2021-12-01
BARTLETT, VICTORIAIndividualOPERATIONAL/MANAGERIAL CONTROL—2021-12-01
BAYLIFF, BECKYIndividualOPERATIONAL/MANAGERIAL CONTROL—2021-12-01
BROWNSON, WILLIAMIndividualOPERATIONAL/MANAGERIAL CONTROL—2021-12-01
BURKE, DANIELIndividualOPERATIONAL/MANAGERIAL CONTROL—2021-12-01
COLEMAN, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL—2021-12-01
FRALEY, RALPHIndividualOPERATIONAL/MANAGERIAL CONTROL—2021-12-01
GLOSSER, HEIDIIndividualOPERATIONAL/MANAGERIAL CONTROL—2021-12-01
GREEN, JAMESIndividualOPERATIONAL/MANAGERIAL CONTROL—2021-12-01
HAWKINS, RITAIndividualOPERATIONAL/MANAGERIAL CONTROL—2006-01-16
HAZELBAKER, TOMASIndividualOPERATIONAL/MANAGERIAL CONTROL—2021-12-01
LENTHE, JENNIFERIndividualOPERATIONAL/MANAGERIAL CONTROL—2012-08-10
PIERCE, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL—2021-12-01
VONDERHAAR, STEVEIndividualOPERATIONAL/MANAGERIAL CONTROL—2021-12-01
APP, LYNNIndividualCORPORATE DIRECTOR—2014-07-01
GREEN, JAMESIndividualCORPORATE OFFICER—2005-11-21
MILLER, JASONIndividualCORPORATE OFFICER—2014-07-24
WILSON, JILLIndividualCORPORATE OFFICER—2009-05-01

Other facilities in LAKESIDE

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.