Otterbein St Marys Retirement Community
11230 State Route 364, St Marys, OH 45885
Otterbein St Marys Retirement Community is a nursing home in St Marys, Ohio. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating4 of 5
- Last standard health inspectionJune 25, 2026 (4 months ago)
- Health citations since June 10, 202120 (Ohio average 31)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Health inspection on June 25, 2026
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on July 24, 2026.
CMS has cited this home for F0686 3 times since 2021.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on July 24, 2026.
CMS has cited this home for F0689 3 times since 2023.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on July 24, 2026.
CMS has cited this home for F0690 2 times since 2021.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on July 24, 2026.
Citation F0760. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on July 24, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on July 24, 2026.
Fire safety inspection on June 25, 2026
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on July 24, 2026.
CMS has cited this home for K0353 2 times since 2023.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of February 26, 2025
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on April 3, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on April 18, 2024.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Health inspection on January 11, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on January 26, 2024.
Health inspection on November 14, 2023
2 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
85 of 924 Ohio homes (9%) got a citation at the actual harm level in 2023.
Show the 2 citations
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on December 8, 2023.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on December 8, 2023.
Health inspection on September 14, 2023
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation F0883. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on October 20, 2023.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on October 20, 2023.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on October 20, 2023.
CMS has cited this home for F0684 2 times since 2021.
Citation F0849. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
CMS lists it as corrected on October 20, 2023.
Fire safety inspection on September 14, 2023
7 citationsCMS lists this as a standard inspection.
Show the 7 citations
Citation K0291. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on October 20, 2023.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on October 20, 2023.
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on October 20, 2023.
Citation K0711. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide a written emergency evacuation plan.
CMS lists it as corrected on October 20, 2023.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on October 20, 2023.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on October 20, 2023.
Citation K0920. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on October 20, 2023.
Health inspection on June 10, 2021
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on July 20, 2021.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on July 20, 2021.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on July 20, 2021.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on July 20, 2021.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on July 20, 2021.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on July 20, 2021.
Fire safety inspection on June 10, 2021
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on July 20, 2021.
Citation K0372. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on July 20, 2021.
Citation K0222. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on July 20, 2021.
CMS star ratings
- 4 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (419) 394-6330
- Last standard health inspection
- June 25, 2026 (4 months ago)
- Certified beds
- 53
- Residents per day, on average
- 47.8
- Ownership type
- Non profit - Corporation
- Legal business name
- Otterbein St Marys
- Chain
- Otterbein Seniorlife
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Ohio average (20 vs 31).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- OTTERBEIN LSC LLC5% or greater direct ownership interest · 100% · since 01/01/2016
- OTTERBEIN HOME5% or greater indirect ownership interest · 100% · since 12/01/2021
- FUNCTIONAL PATHWAYS OF TENNESSEE LLCOperational/managerial control · not applicable · since 12/01/2018
- OTTERBEIN HOMEOperational/managerial control · not applicable · since 12/01/2021
- APP, LYNNOperational/managerial control · not applicable · since 12/01/2021
Show 15 more
- BARTLETT, VICTORIAOperational/managerial control · not applicable · since 12/01/2021
- BAYLIFF, BECKYOperational/managerial control · not applicable · since 12/01/2021
- BROWNSON, WILLIAMOperational/managerial control · not applicable · since 12/01/2021
- BURKE, DANIELOperational/managerial control · not applicable · since 12/01/2021
- COLEMAN, ROBERTOperational/managerial control · not applicable · since 12/01/2021
- FRALEY, RALPHOperational/managerial control · not applicable · since 12/01/2021
- GLOSSER, HEIDIOperational/managerial control · not applicable · since 12/01/2021
- GREEN, JAMESOperational/managerial control · not applicable · since 12/01/2021
- HAWKINS, RITAOperational/managerial control · not applicable · since 01/16/2006
- HAZELBAKER, TOMASOperational/managerial control · not applicable · since 12/01/2021
- HUNTER, RACHELOperational/managerial control · not applicable · since 10/01/2018
- MEDAUGH, JOHNOperational/managerial control · not applicable · since 01/01/2020
- SIBERT, TARAOperational/managerial control · not applicable · since 09/10/2024
- SLAVIK, BRUCEOperational/managerial control · not applicable · since 01/01/2017
- VONDERHAAR, STEVEOperational/managerial control · not applicable · since 12/01/2021
Questions
When was Otterbein St Marys Retirement Community last inspected?
CMS lists June 25, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Otterbein St Marys Retirement Community have?
CMS lists 20 health citations since June 10, 2021. CMS also calls these deficiencies.
Has Otterbein St Marys Retirement Community been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Otterbein St Marys Retirement Community?
Its CMS overall star rating is 4 of 5.
Is Otterbein St Marys Retirement Community a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.