Assumption Village The - North Lima Nursing Home
General Information
UPDATEFederal Provider Number
365783
Provider Name
ASSUMPTION VILLAGE THE
Provider Address
9800 MARKET STREET
NORTH LIMA, OH 44452
NORTH LIMA, OH 44452
Provider Phone Number
(330) 549-0740
Provider SSA County
510
Provider County Name
Mahoning
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
140
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ASSUMPTION VILLAGE
Date First Approved to Provide Medicare and Medicaid services
1990-02-22
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.48964
Reported LPN Staffing Hours per Resident per Day
1.19179
Reported RN Staffing Hours per Resident per Day
0.43750
Reported Licensed Staffing Hours per Resident per Day
1.62929
Reported Total Nurse Staffing Hours per Resident per Day
4.11893
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03250
Expected CNA Staffing Hours per Resident per Day
2.44899
Expected LPN Staffing Hours per Resident per Day
0.66685
Expected RN Staffing Hours per Resident per Day
1.16393
Expected Total Nurse Staffing Hours per Resident per Day
4.27977
Adjusted CNA Staffing Hours per Resident per Day
2.49443
Adjusted LPN Staffing Hours per Resident per Day
1.48336
Adjusted RN Staffing Hours per Resident per Day
0.28086
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87942
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
2080
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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