Otterbein Sunset House
4020 Indian Rd, Toledo, OH 43606 · Lucas County · 24 certified beds · avg 21 residents/day · certified since Dec 17, 1997 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
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: ★★★☆☆3/5 · CMS overall rating: 3/5
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.
All citations in the current public record (24)
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 |
|---|---|---|
| May 1, 2025 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| May 1, 2025 | F · Potential for harm, facility-wide | 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. |
| May 1, 2025 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| May 1, 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. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| May 1, 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. |
| May 1, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| May 1, 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. |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jun 24, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Apr 1, 2024 | D · Potential for harm, one-off | The facility required residents to give up Medicare or Medicaid benefits or pay privately as a condition of moving in, or failed to tell residents which types of care it does not provide. Both practices are against the rules. · from a complaint |
| Jan 22, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Aug 25, 2022 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 25, 2022 | F · Potential for harm, facility-wide | 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. |
| Aug 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. |
| Aug 25, 2022 | D · Potential for 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. |
| Aug 25, 2022 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Sep 5, 2019 | F · Potential for harm, facility-wide | 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. |
| Sep 5, 2019 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 5, 2019 | 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. |
| Sep 5, 2019 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Sep 5, 2019 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Sep 5, 2019 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Sep 5, 2019 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 7 | 0 | F |
| 2022 | 5 | 0 | F |
| 2024 | 4 | 0 | F |
| 2025 | 8 | 0 | F |
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) | 3.69 | 3.45 | 3.95 | top 26% in Ohio; bottom 46% in the U.S. |
| Registered Nurse hours | 1.06 | 0.60 | 0.69 | top 4% in Ohio; top 13% in the U.S. |
| Weekend total nurse staffing | 3.09 | 3.07 | 3.50 | top 39% in Ohio; bottom 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.56 | 0.42 | 0.48 | top 19% in Ohio; top 26% in the U.S. |
| Total nursing staff turnover (%) | 64.3 | 48.7 | 45.8 | bottom 14% in Ohio; bottom 11% in the U.S. |
| RN turnover (%) | 66.7 | 43.9 | 42.9 | bottom 18% in Ohio; bottom 15% 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 4.09, RN 1.18, weekend 3.42. Staffing rating: 1/5.
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 · short-stay residents: 5/5
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 |
| 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 | 04/07/2025 |
| Barnes, Dorothy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2022 |
| Barnes, Dorothy | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2022 |
| Bartlett, Victoria | Individual | Corporate Director | NOT APPLICABLE | 07/01/2010 |
| Bartlett, Victoria | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Bayliff, Becky | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Brownson, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Brymer, George | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2023 |
| Brymer, George | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2023 |
| Burke, Daniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Butchko, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2021 |
| Butchko, John | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2021 |
| Coleman, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Fraley, Ralph | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Functional Pathways of Tennessee LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Functional Pathways of Tennessee LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/07/2025 |
| Galbut, Abraham | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/07/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "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 |
|---|---|---|---|---|---|
| Park Terrace Rehabilitation Center | 1.5 mi | Toledo, OH | ★☆☆☆☆ | 1/5 | |
| Divine Rehabilitation and Nursing at Toledo | 1.6 mi | Toledo, OH | —/5 | abuseSFF | |
| Ayden Healthcare of Toledo | 1.7 mi | Toledo, OH | ★★☆☆☆ | 1/5 | |
| Continuing Healthcare of Toledo | 2.8 mi | Toledo, OH | ★★☆☆☆ | 2/5 | |
| Franciscan Care Ctr Sylvania | 3.0 mi | Toledo, OH | ★★☆☆☆ | 1/5 | SFF |
| Divine Rehabilitation and Nursing at Sylvania | 3.7 mi | Sylvania, OH | ★★☆☆☆ | 1/5 | |
| Arbors at Sylvania | 3.9 mi | Toledo, OH | ★★★☆☆ | 3/5 | |
| Advanced Healthcare Center | 4.0 mi | Toledo, OH | ★★★★☆ | 3/5 | |
| Foundation Park Care Center | 4.2 mi | Toledo, OH | ★★☆☆☆ | 1/5 | |
| Merit House LLC | 4.3 mi | Toledo, OH | ★★☆☆☆ | 1/5 | |
| Rosary Care Center | 4.4 mi | Sylvania, OH | ★★★☆☆ | 3/5 | |
| Ohio Living Swan Creek | 4.4 mi | Toledo, OH | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 366148.