Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

AVALON BY OTTERBEIN AT PERRYSBURG

PERRYSBURG, OH · 60 certified beds · Last Life Safety survey August 18, 2025

CMS Certification Number 366354 · first certified October 2007

Ownership

Operated by OTTERBEIN SENIORLIFE · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

37
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
8
Tags cited more than once
Across separate surveys
20
Inspection & testing records
Of the citations on file

Position within OH

37 citations — more than 93% of the 922 certified nursing homes in OH. Compared within OH rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 16. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 6 months from now. This facility’s last Life Safety survey was August 2025. Facilities in OH are typically surveyed 20–32 months after the last one (median 26), measured over 889 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

5 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

3 of the 37 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 37 Life Safety citations above. The Physical Environment Index

  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in OH, and nationally. Surveyors differ markedly between states, so the OH figure is the meaningful one.

This facility37OH median16National median11
Citations on file over three years, compared
MeasureCitations
This facility37
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
102021-12222024-0252025-08
Citations at each Life Safety survey
Survey dateCitations
December 29, 202110
February 22, 202422
August 18, 20255

Most-cited tags

Most-cited tags at this facility
K-09233K-03533K-09202K-03722K-09182K-07532K-07122K-02222
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0923Have proper medical gas storage and administration areas.32025-08-18
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-08-18
K-0920Ensure proper usage of power strips and extension cords.22025-08-18
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22024-02-22
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-02-22
K-0753Have restrictions on the use of highly flammable decorations.22024-02-22
K-0712Have simulated fire drills held at unexpected times.22025-08-18
K-0222Add 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.22024-02-22

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Gas, Vacuum, and Electrical Systems Deficiencies 9
  • Egress Deficiencies 7
  • Miscellaneous Deficiencies 6
  • Other 5
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Gas, Vacuum, and Electrical Systems Deficiencies9
Egress Deficiencies7
Miscellaneous Deficiencies6
Emergency Preparedness Deficiencies3
Services Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

August 18, 2025 — 5 citations

Citations issued on August 18, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 12, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (September 12, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (September 12, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (September 12, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (September 12, 2025)

February 22, 2024 — 22 citations

Citations issued on February 22, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (April 10, 2024)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (April 10, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 10, 2024)
K-0222Add 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.Deficient, Provider has date of correction (April 10, 2024)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (April 10, 2024)
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (April 10, 2024)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (April 10, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (April 10, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (April 10, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 10, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 10, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 10, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 10, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (April 10, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (April 10, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (April 10, 2024)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (April 10, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 10, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (April 10, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 10, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 10, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 10, 2024)

December 29, 2021 — 10 citations

Citations issued on December 29, 2021
TagWhat the surveyor checksStatus
K-0222Add 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.Deficient, Provider has date of correction (January 31, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 31, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 31, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (January 31, 2022)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (January 31, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 31, 2022)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (January 31, 2022)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (January 31, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 31, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (January 31, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.