Caprice Health Care Center - North Lima Nursing Home
General Information
UPDATEFederal Provider Number
366062
Provider Name
CAPRICE HEALTH CARE CENTER
Provider Address
9184 MARKET ST
NORTH LIMA, OH 44452
NORTH LIMA, OH 44452
Provider Phone Number
(330) 965-9200
Provider SSA County
510
Provider County Name
Mahoning
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BLCC, INC
Date First Approved to Provide Medicare and Medicaid services
1996-06-05
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.83827
Reported LPN Staffing Hours per Resident per Day
1.57037
Reported RN Staffing Hours per Resident per Day
0.56049
Reported Licensed Staffing Hours per Resident per Day
2.13086
Reported Total Nurse Staffing Hours per Resident per Day
3.96913
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13025
Expected CNA Staffing Hours per Resident per Day
2.44900
Expected LPN Staffing Hours per Resident per Day
0.85494
Expected RN Staffing Hours per Resident per Day
1.41861
Expected Total Nurse Staffing Hours per Resident per Day
4.72255
Adjusted CNA Staffing Hours per Resident per Day
1.84180
Adjusted LPN Staffing Hours per Resident per Day
1.52456
Adjusted RN Staffing Hours per Resident per Day
0.29522
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38783
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
42.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
4973
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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