Otterbein North Shore
Otterbein North Shore Information
| Facility Name | Otterbein North Shore |
| Location | 9400 North Shore Blvd, Lakeside, OH 43440 |
| County (SSA Code) | Ottawa (630) |
| Phone Number | 419-798-8203 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 20 |
| Average Number of Residents | 10.4 |
| CCRC Facility? | Yes |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | None |
| Provider Business Name | NORTH SHORE RETIREMENT COMMUNITY |
| Ownership Type | Non profit - Church related |
| Date First Approved | 2007-10-10 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 4.46554 |
| Reported LPN Staffing Hours per Resident per Day | 1.11903 |
| Reported RN Staffing - Hours per Resident per Day | 2.31389 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 3.43293 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 7.89846 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.37004 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.16126 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.91632 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.52076 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.59834 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 6.99816 |
| Total Weighted Health Survey Score for three cycles | 6 |
| Rating cycle 1 Standard Survey Health Date | 2020-02-12 |
| Rating cycle 1 - Health Deficiency Score | 1 |
| Rating cycle 1 - Total Health Inspection Score | 8 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-01-04 |
| Rating cycle 2 - Health Deficiency Score | 8 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-11-08 |
| Rating cycle 3 - Health Deficiency Score | 8 |
| Rating cycle 3 - Total Health Inspection Score | 8 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |