Otterbein North Shore
Lakeside, Ottawa County, Ohio · CCN 366358 · Non-profit (Corporation) · part of Otterbein Seniorlife (20 facilities, chain average 3.2 stars)
CMS rates Otterbein North Shore 5 of 5 overall as of August 2026. 20 certified beds, 19 residents a day on average. 21 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / 4 of 5 |
Staffing
| Total nurse staffing | 4.79749 hours per resident per day |
|---|---|
| Registered nurses | 1.70427 hours per resident per day |
| Weekend total | 4.349 hours per resident per day |
| Nursing staff turnover | 53.1% (registered nurses 37.5%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-27 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-16 |
| 2026-03-27 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-16 |
| 2026-03-27 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-16 |
| 2026-03-27 complaint survey |
Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-16 |
| 2026-03-27 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-16 |
| 2026-03-27 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-16 |
| 2026-03-27 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-16 |
| 2025-09-22 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-11-03 |
| 2025-04-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-05-30 |
| 2025-04-17 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-30 |
| 2025-04-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-30 |
| 2025-04-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-30 |
| 2025-04-17 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-30 |
| 2025-04-17 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-30 |
| 2025-04-17 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Resident Rights Deficiencies · tag F0575 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has plan of correction 2025-04-30 |
| 2025-04-17 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has plan of correction 2025-04-30 |
| 2024-06-17 complaint survey |
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · tag F0851 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-07-01 |
| 2024-06-17 complaint survey |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-01 |
| 2023-03-23 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-04-27 |
| 2023-03-23 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-27 |
| 2023-03-23 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · tag F0868 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has plan of correction 2023-04-18 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Otterbein Lsc, LLC Organization | 5% or greater direct ownership interest | 100% | 2016-01-01 |
| Otterbein Home Organization | 5% or greater indirect ownership interest | 100% | 2021-12-01 |
| Functional Pathways Of Tennessee LLC Organization | adp of the snf | — | 2025-04-04 |
| Otterbein Home Organization | adp of the snf | — | 2021-12-01 |
| Polaris Pharmacy Services Of Ohio LLC Organization | adp of the snf | — | 2018-12-01 |
| Functional Pathways Of Tennessee LLC Organization | operational/managerial control | — | 2018-12-01 |
| Otterbein Home Organization | operational/managerial control | — | 2021-12-01 |
| Lenthe, Jennifer Individual | adp of the snf | — | 2012-08-10 |
| Pierce, John Individual | adp of the snf | — | 2021-12-01 |
| App, Lynn Individual | corporate director | — | 2014-07-01 |
| Green, James Individual | corporate officer | — | 2005-11-21 |
| Miller, Jason Individual | corporate officer | — | 2014-07-24 |
| Wilson, Jill Individual | corporate officer | — | 2009-05-01 |
| Baker, Steve Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-04 |
| Galbut, Abraham Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-04 |
| Galbut, Daniel Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-06 |
| Galbut, David Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-04 |
| Galbut, Eric Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-06 |
| Galbut, Robert Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-04 |
| Paritzky, Jonathan Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-04 |
| Rombro, David Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-04 |
| Zisek, Todd Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-04 |
| Bell, Keb Individual | managing control - governing body | — | 2024-01-01 |
| Faris, Marilyn Individual | managing control - governing body | — | 2020-01-01 |
| Johnson, Becky Individual | managing control - governing body | — | 2023-01-01 |
| Ocke, Scot Individual | managing control - governing body | — | 2024-01-01 |
| Palmer, Robyn Individual | managing control - governing body | — | 2023-01-01 |
| Pytlik, Carolyn Individual | managing control - governing body | — | 2024-01-01 |
| Sibbring, Elizabeth Individual | managing control - governing body | — | 2021-12-01 |
| App, Lynn Individual | operational/managerial control | — | 2021-12-01 |
| Bartlett, Victoria Individual | operational/managerial control | — | 2021-12-01 |
| Bayliff, Becky Individual | operational/managerial control | — | 2021-12-01 |
| Brownson, William Individual | operational/managerial control | — | 2021-12-01 |
| Burke, Daniel Individual | operational/managerial control | — | 2021-12-01 |
| Coleman, Robert Individual | operational/managerial control | — | 2021-12-01 |
| Fraley, Ralph Individual | operational/managerial control | — | 2021-12-01 |
| Glosser, Heidi Individual | operational/managerial control | — | 2021-12-01 |
| Green, James Individual | operational/managerial control | — | 2021-12-01 |
| Hawkins, Rita Individual | operational/managerial control | — | 2006-01-16 |
| Hazelbaker, Tomas Individual | operational/managerial control | — | 2021-12-01 |
| Lenthe, Jennifer Individual | operational/managerial control | — | 2012-08-10 |
| Pierce, John Individual | operational/managerial control | — | 2021-12-01 |
| Vonderhaar, Steve Individual | operational/managerial control | — | 2021-12-01 |
| Bell, Keb Individual | trustee of the snf | — | 2024-01-01 |
| Faris, Marilyn Individual | trustee of the snf | — | 2020-01-01 |
| Johnson, Becky Individual | trustee of the snf | — | 2023-01-01 |
| Ocke, Scot Individual | trustee of the snf | — | 2024-01-01 |
| Palmer, Robyn Individual | trustee of the snf | — | 2023-01-01 |
| Pytlik, Carolyn Individual | trustee of the snf | — | 2024-01-01 |
| Sibbring, Elizabeth Individual | trustee of the snf | — | 2021-12-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Otterbein North Shore.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Ottawa County.