Crystal Care Center Of Mansfie - Mansfield Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
365945
Provider Name
CRYSTAL CARE CENTER OF MANSFIE
Provider Address
1159 WYANDOTTE AVE
MANSFIELD, OH 44906
MANSFIELD, OH 44906
Provider Phone Number
(419) 747-2666
Provider SSA County
710
Provider County Name
Richland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CRYSTAL CARE CENTER OF MANSFIELD INC.
Date First Approved to Provide Medicare and Medicaid services
1993-12-30
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.55764
Reported LPN Staffing Hours per Resident per Day
0.55556
Reported RN Staffing Hours per Resident per Day
0.83889
Reported Licensed Staffing Hours per Resident per Day
1.39444
Reported Total Nurse Staffing Hours per Resident per Day
3.95209
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01389
Expected CNA Staffing Hours per Resident per Day
2.44123
Expected LPN Staffing Hours per Resident per Day
0.69265
Expected RN Staffing Hours per Resident per Day
1.12339
Expected Total Nurse Staffing Hours per Resident per Day
4.25727
Adjusted CNA Staffing Hours per Resident per Day
2.57070
Adjusted LPN Staffing Hours per Resident per Day
0.66573
Adjusted RN Staffing Hours per Resident per Day
0.55797
Adjusted Total Nurse Staffing Hours per Resident per Day
3.74194
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
24
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-05-02
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-02-03
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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