Otterbein Lebanon Retirement Community
585 North State Route 741, Lebanon, OH 45036 · Warren County · 154 certified beds · avg 141 residents/day · certified since Mar 14, 1977
Part of chain: OTTERBEIN SENIORLIFE (20 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Oct 25, 2022 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 19, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (16)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 12, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Sep 12, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Sep 12, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| May 19, 2025 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint |
| May 19, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Oct 25, 2022 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 25, 2022 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Oct 25, 2022 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Oct 25, 2022 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Oct 25, 2022 | D · Potential for harm, one-off | The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). |
| Oct 25, 2022 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Oct 25, 2022 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Oct 25, 2022 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Nov 21, 2019 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Nov 21, 2019 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Nov 21, 2019 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | E |
| 2022 | 8 | 1 | G ▲ |
| 2025 | 5 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.75 | 3.45 | 3.95 | top 23% in Ohio; bottom 49% in the U.S. |
| Registered Nurse hours | 0.54 | 0.60 | 0.69 | top 50% in Ohio; bottom 44% in the U.S. |
| Weekend total nurse staffing | 3.47 | 3.07 | 3.50 | top 19% in Ohio; top 43% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.42 | 0.48 | top 41% in Ohio; top 45% in the U.S. |
| Total nursing staff turnover (%) | 39.8 | 48.7 | 45.8 | top 27% in Ohio; top 36% in the U.S. |
| RN turnover (%) | 4.8 | 43.9 | 42.9 | top 3% in Ohio; top 2% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.00, RN 0.58, weekend 3.70. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Otterbein Home | Organization | 5% or Greater Indirect Ownership Interest | 100% | 12/01/2021 |
| Otterbein LSC, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2016 |
| Ansari, Saba | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Ansari, Saba | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2021 |
| App, Lynn | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Baker, Steve | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/04/2025 |
| Bartlett, Victoria | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Bayliff, Becky | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Bowman, Robert | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/01/2021 |
| Bowman, Robert | Individual | Trustee of the SNF | NOT APPLICABLE | 12/01/2021 |
| Brownson, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Burke, Daniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Coleman, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Drapalik, Jeff | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2019 |
| Drapalik, Jeff | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2019 |
| Fraley, Ralph | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Functional Pathways of Tennessee LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2018 |
| Functional Pathways of Tennessee LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/04/2025 |
| Galbut, Abraham | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/04/2025 |
| Galbut, Daniel | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/06/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Cedars of Lebanon Care Center | 3.9 mi | Lebanon, OH | ★★☆☆☆ | 2/5 | |
| Otterbein Middletown | 4.1 mi | Franklin, OH | ★★★★☆ | 3/5 | |
| Arlington Pointe Care Center | 4.2 mi | Middletown, OH | ★★★★☆ | 4/5 | |
| Ohio Living Mount Pleasant | 4.6 mi | Monroe, OH | ★★★★☆ | 3/5 | |
| Embassy of Lebanon | 4.7 mi | Lebanon, OH | ★★☆☆☆ | 1/5 | |
| Cedarview Care Center | 5.0 mi | Lebanon, OH | ★★★★☆ | 4/5 | |
| Mason Health Care Center | 6.0 mi | Mason, OH | ★★★☆☆ | 3/5 | |
| The Laurels of Middletown | 6.3 mi | Middletown, OH | ★★★★☆ | 3/5 | |
| Heritagespring Healthcare Center of West Chester | 6.7 mi | West Chester, OH | ★★★☆☆ | 3/5 | |
| Willow Knoll Post-Acute and Senior Living | 7.6 mi | Middletown, OH | ★★★☆☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 365346.